Presentations: Nurses for Divine Mercy

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Presentations: Nurses for Divine Mercy

Marie is a professional speaker and would be available to speak at your upcoming event. Here are speeches given around the world on Nurses for Divine Mercy:

Divine Mercy Sunday: April 18, 2005

Stockbridge, Massachusetts

Spiritual Emergency in the World Today…

Antidote is Jesus, The Divine Mercy and Our Lady, The Immaculate Conception

Speak to the whole world about My mercy.” (1190)
By Marie Romagnano, RN,BSN,CRC,CCM,CLCP

I love being a nurse!

I would like to share my thoughts today with all those who care for the sick, injured and dying. This includes professionals and everyone who takes care of Mom and Dad, brothers or sisters or our neighbors.
I am here as an spiritual nurse advocate for every sick or injured person in the world who needs your prayers through The Divine Mercy message and devotion. This is a critical appeal to everyone to focus their prayer life in the direction of using The Divine Mercy message and devotion

specifically for the sick , injured and dying.

The spiritual care of the sick and injured should have first priority in conjunction with physical care. This is often overlooked by medical professionals, who may not be trained to call for a priest on a timely basis.

This is a spiritual emergency and it is everyone’s business to make sure the sick and especially trauma patients receive the spiritual care that they need. It is up to YOU, I REPEAT YOU, who already have been blessed with The Divine Mercy message and devotion to reach the professional nurses, physicians, healthcare workers, or family caregivers and share The Divine Mercy message and devotion.
One easy way to do this is by giving this person the new training manual that The Marian Helpers Center has printed for Nurses for Divine Mercy. In this pocket sized book you have everything you need to train healthcare providers in the Divine Mercy message and devotion as it applies to the sick, injured and dying.
When you rush to help the sick, you become the merciful presence of Jesus, The Divine Mercy as He transforms our hearts and hands into His merciful Heart and hands. So be excited and happy that Jesus, The Divine Mercy is using your hands and heart to reach the sick, injured and dying.
So YOU demand quality of care spiritually for the sick and YOU make the difference in that person’s life….no one else can do it as Jesus has given each of us that job to spread the Divine Mercy message and devotion.
Founding and Purpose of Nurses for Divine Mercy
I founded Nurses for Divine Mercy as a direct result of the September 11th tragedy. Our St. Ann’s parish nurse team that was mobilizing with the American Red Cross to go to help in New York City that day was in fact told to stay home–just as we were about to leave as there appeared to be few survivors. Even the medical centers in Boston who were frantically making room for patients they were expecting were left empty handed and again our medical team could not volunteer-almost 3,000 persons lost their lives that day.
I realized the best care we could give those trapped and dying was to pray The Divine Mercy Chaplet. I wanted to share this with other nurses and all healthcare workers as the tremendous answer to what to do when you can “do nothing physically” in the middle of a tragedy or faced with a medical situation that is serious. What better help that spiritual help that Jesus gave to St. Faustina as outlined in her Diary-especially with the use of The Divine Mercy Chaplet.
JESUS IS WORTHY OF OUR TRUST, so sharing the promises Jesus gave to us with The Divine Mercy message and devotion in caring for the sick, injured and dying is an act of our own trust in the words of Jesus.
I am inviting and challenging all nurses and healthcare workers to allow Jesus, The Divine Mercy to transform their hearts into His merciful presence. It is the duty and responsibility of every nurse to incorporate the pastoral counseling team with your nursing duties-never delay in calling for a priest or the pastoral choice of your patient. Let your heart be the window that allows the rays of mercy to pass through you to your suffering patients.
Jesus told St. Faustina:
These rays of mercy will pass through you, just as they have passed through this Host, and they will go out through all the world. “ (441)
If you take this message from Jesus personally, that includes all of us. Each nurse must realize the grave situation spiritually the world is in today. I urge every nurse to take control of each medical situation and insist on the spiritual care of the injured and dying, and be positively sure the patient receives the benefit of The Anointing of the Sick, The Sacrament of Reconciliation and Holy Communion whenever possible.

Everyone knows a medical person, share The Divine Mercy message and devotion with them-who knows-they may take care of YOUR loved on someday. If we do not take the time and make the effort to train the medical community, the continuation of medical ethics challenges will continue unbridled.

Last year, I gave a pack of the Divine Mercy Images to my spiritual director, Fr. Jim Montanaro, OMV as he was giving a parish mission. I was surprised when he called me from New Jersey and asked me to call a nurse who wanted to become a Nurse for Divine Mercy. Naturally, I was excited to talk to her…then in the next breath Fr. Jim told me “ By the way, she has a brain tumor”. Wow!!! A critically ill nurse wanting to help the sick? As an Intensive Care Nurse, Grace knew what to expect, but did not realize how this tumor would take a toll on her physically and emotionally. When she told me she took that Image of The Divine Mercy into chemotherapy and radiation treatments I was profoundly affected by the grace of Jesus working through me as a nurse spiritual advocate. I had no idea how much hope this Image of Jesus gave Grace with the message of mercy. As we have become good friends, we pray together The Divine Mercy Chaplet over the phone together as well as other prayers.
When a nurse takes on the physical care of the sick, there is just as much responsibility to render spiritual care-the two goes hand in hand. So receiving the correct spiritual training in The Divine Mercy message and devotion in the care of the sick, injured and dying is a part of your nursing vocation and spirituality.
Developing a Nursing Care Plan that includes the spiritual aspect of patient care is important, and in fact can enhance the recovery of the patient. The Sacrament of the Anointing of the Sick is utilized for this purpose and the nurse may be a key person in calling for the priest.
Jesus tells us through St. Faustina:
My daughter, write that the greater the misery of a soul, the greater its right to My mercy; [urge] all souls to trust in the unfathomable abyss of My mercy, because I want to save them all. On the cross, the fountain of My mercy was opened wide by the lance for all souls - no one have I excluded!” (1182)

So do not be afraid to include non-Catholics in The Divine Mercy message and devotion.

Fr. Seraphim Michalenko, MIC, Postulator for the Canonization of St. Faustina taught me the following:
Nurses, when uniting their work with the passion of Jesus, become the merciful presence of Jesus.
Our Hands become His hands, our hearts His heart, our lives carry the message of mercy by our very actions. So, when we go to see a particular patient, we are humbly reminded that Jesus, The Divine Mercy is walking within us. We invoke Our Lady as the Heavenly Nurse, asking her to guide us in how to use The Divine Mercy message and devotion with our patients, near and far away.
The Marians: Teaching Me about The Divine Mercy Message and Devotion
In the early 1980’s, I used to be one of the many volunteer’s who assisted with pasting the picture of someone called “Sr. Faustina” on a newly printed book called The Dairy, Divine Mercy in My Soul. Fr. “Walter” Pelczynski, MIC used to sit with us and tell us about this Sister that had the most important revelations about Divine Mercy.

Fr. Seraphim told us firsthand about being at Sr. Faustina’s tomb with the Digan family and the miraculous cure that Maureen Digan received, the first miracle needed for her beatification and a partial cure for their son, Bobby.

Throughout these many years, Fr. Seraphim and Fr. Walter have unceasingly encouraged us lay apostles of Divine Mercy to spread the message of mercy in our work and families. They were always exceptionally interested in each persons work for mercy, no matter how small, and took the time and personal interest to teach and correct us in the use of The Divine Mercy message and devotion.
One of the last letters I received from Fr. Walter in July of 2000 he stated:
“We are extremely grateful to God for allowing us to spread the Diary of St. Maria Faustina and the devotion to Divine Mercy for almost 60 years.”
He was always very, very pleased that the Marians were the key for the translation of the Diary of St. Faustina into English and The Marian Helpers that he founded was the major printing and distribution center throughout the world for The Diary as well as millions of printed Divine Mercy images.
I guess I must be hard-headed, because it took 20 years to realize fully what I had my hands and heart on-the greatest and most significant revelations of the Mercy of God ever given to humanity. As a catastrophic injury nurse, I would use The Divine Mercy devotion in my work almost as second nature. I never dreamed of the impact it had on my patients and the outcome in their lives and the personal spiritual growth I would experience with the assistance of my Spiritual Director, Fr. Jim Montanaro, OMV. Fr. Jim encouraged me to continue with working to develop the book and coordinate closely with the Marians who are the recognized experts in The Divine Mercy message and devotion.
I bumped into Fr. Seraphim at the International Shrine of Divine Mercy in Poland and told him about the nurses book project I had started on in 2001 to write a book for nurses on how to use The Divine Mercy devotion with the sick and injured and he was instantly interested. Furthermore, I asked him for his help as an expert in The Divine Mercy message and devotion. He was the first to point out that THE NURSE BECOMES THE MERCIFUL PRESENCE OF JESUS AT THE BEDSIDE OR PRAYING FOR THEIR PATIENTS. He provided insight on exact use of The Divine Mercy message and devotion for the sick, injured and dying for the nurse’s book.
Fr. Casmir Chwalek, MIC , was always available for discussions and assisted with the spiritual care of my soul. In addition, he worked “behind the scenes” coordinating many details to help me in my work and prayed for me.
Over the past years, I have had the wonderful opportunity to work closely with The Marian Helpers Center and have found many of the employees themselves going to daily Mass. With the help fromthe Marian Helpers Center, the printing and distribution of: Nursing with the Hands of Jesus: A Guide to Nurses for Divine Mercy has become a reality.
The extensive work of The Marian Helpers Center is fulfilling the request of Jesus, The Divine Mercy by printing hundreds of thousands of copies of books and literature on The Divine Mercy message and devotion. I encourage you to call and order not only the new book for your favorite nurse, physician or friend, but obtain other materials on The Divine Mercy message and devotion to give to others to help spread the message.
The Immaculate Conception and Mercy
Our Lady has always been my confidant and guide in my work as a nurse. In the early 1990’s I visited the shrine in northern Portugal of Our Lady the Heavenly Nurse-Our Lady of Balsamåo that belongs to the Marians. Our Lady appeared in this area as the heavenly nurse, healing many wounded soldiers. It was there I realized Our Lady was a real nurse, helping us in our daily duties, showing us how to be merciful and compassionate with our patients.
I just never realized how much Our Lady guided me until I started using The Divine Mercy message of mercy and devotion with my critically injured patients and their families and watched the impact on their recovery. I ask Our Lady to guide me in the use of The Divine Mercy message and devotion and how to care for them spiritually as well as physically.
By her Immaculate Conception, the fullness of God’s infinite and incomprehensible mercy was bestowed upon the Blessed Virgin Mary. She is God’s masterpiece of mercy. By her own example of her life, perfectly following God’s will, she shows us how to be merciful in our daily life.
As nurses, we pray to Our Lady, The Heavenly Nurse to guide us in using The Divine Mercy message in our work and to show us how to tenderly deliver God’s mercy to our patients. Our Lady is mother to all of us; she is the Mother of Mercy and shows us how to guide our patients in their suffering to Jesus, The Divine Mercy.
† Our Lady of Confidence will give you the strength and conviction to act on behalf of your patients and care for their spiritual needs.

† Our Lady of the Rosary will bring you into the deepest, intimate understanding of the life of Jesus and Mary, assisting you in your spiritual life.

† Our Lady Arch of Peace the “Madonna del’ Arco” brings peace and happiness into your homes.

† Our Lady of Mercy will teach you how to be merciful and compassionate.

† Our Lady of Guadalupe will show you how to protect the unborn and preserve life in God’s plan.

† Our Lady of Lourdes shows us how to render loving care to the sick, injured and dying and instill hope in their hearts.

† Our Lady of Czetochowa will teach us the interior life with Jesus, her son.

† Our Lady of Loreto protects our medical teams in flight to injured patients.

† Our Lady of Perpetual Help is always interceding for us with our every need.

† Our Lady’s Immaculate Heart is our refuge, our help and our protection.

† Our Lady the Heavenly Nurse–Our Lady of Balsamåo – shows us how to be merciful in our patient care and guides us to be the best possible nurses.

† Our Lady of Miracles (Basilica of San Andrea Delle Fratte) by her powerful intercession obtains all graces of body, soul and conversion of our hearts to Jesus.

† Our Lady of the Rosary in Fatima shows us the deep Eucharistic interior life with Jesus and the value of prayers and sacrifices.
The Sudden Death of a Loved One is always traumatic for not only the family can also be for the medical team rendering care. We look to Psalms 12: 6
Lord, your mercy is my hope,

my heart rejoices in your saving power.

I will sing to the Lord for his goodness to me.
Jesus tells us through St. Faustina:
Pray as much as you can for the dying. By your entreaties, obtain for them trust in My mercy, because they have most need of trust, and have it the least. Be assured that the grace of eternal salvation for certain souls in their final moment depends on your prayer.” (1777)
Everyone can render spiritual care of the dying in catastrophic world events by praying THE DIVINE MERCY CHAPLET. Your own prayers and including THE DIVINE MERCY CHAPLET daily in your own life can be used for these patients that die suddenly each day. As a nurse, you must take a leadership role in coordinating the pastoral care team and in training the family members how to be supportive spiritually during a time of personal tragedy.
For all those who were left to grieve on 9/11, and other families that have tragedy in their lives, I have great words of comfort for you from St. Faustina on God’s powerful final grace:
“I often attend upon the dying and through entreaties obtain for them trust in God’s mercy, and I implore God for an abundance of divine grace, which is always victorious. God’s mercy sometimes touches the sinner at the last moment in a wondrous and mysterious way. Outwardly, it seems as if everything were lost, but it is not so.
The soul, illumined by a ray of God’s powerful final grace, turns to God in the last moment with such a power of love that, in an instant, it receives from God forgiveness of sin and punishment, while outwardly it shows no sign either of repentance or of contrition, because souls [at that stage] no longer react to external things. Oh, how beyond comprehension is God’s mercy!
Although a person is at the point of death, the merciful God gives the soul that interior vivid moment, so that if the soul is willing, it has the possibility of returning to God.“ (1698)
Realizing God’s Mercy is infinite and incomprehensible, what St. Faustina is telling us is that God DIRECTLY INTERVENES WITH THE SOUL, GIVING THE SOUL THE LAST CHANCE FOR TRUE CONTRITION and SALVATION, despite the fact that no sacramental Confession or The Anointing of the Sick was possible.
Jesus, The Divine Mercy is our Divine Physician, healing our hearts and providing for every need, sustaining us in suffering, sickness and our journey to Eternal Life. Imagine that your patients can experience the cascade of graces pouring from The Divine Mercy! In fact, the nurse who gently and tenderly gives each patient hope in The Divine Mercy brings the tenderness of The Merciful Jesus to the bedside of each patient.
In most instances, you will find the spiritual care of the seriously injured and dying is lacking in the medical centers. Each patient has the right to spiritual care, most especially trauma victims who have no chance to speak for themselves. It is up to the nurse to make a stand for Jesus, use His authority within your heart, and not be intimidated by the apparent lack of concern for the dying or lack of cooperation from co-workers.
Divine Mercy Spiritual Team Formation
Every person knows a nurse, physician, healthcare worker or renders care to another –making them a nurse! All of us as professionals or family members, take care of our loved one’s during their time of need.
Let no one who approaches you go away without that trust in My mercy which I so ardently desire for souls.” (1777)
I would like to share the promises of Jesus that are to be taken seriously:

All those souls who will glorify My mercy and spread its worship, encouraging others to trust in My mercy, will not experience terror at the hour of death. My mercy will shield them in that final battle…” (1540)

Tell the world about my mercy and my love. The flames of mercy are burning Me. I desire to pour them out upon human souls. Oh, what pain they cause Me when they do not want to accept them!” (1074)

Souls who will spread the honor of My mercy I shield through their entire life as a tender mother her infant, and at the hour of death I will not be a Judge for them, but the Merciful Savior.” (1075)
Nurses and Healthcare workers Training Program
I encourage each person to GIVE this new book, the first on how to use The Divine Mercy devotion for the sick and injured:
Nursing with the Hands of Jesus: A Guide to Nurses for Divine Mercy
to the nurses and other healthcare workers they know and keep a copy for yourself. Everyone knows a nurse! In this way, you can be helping to spread the message of mercy where it is needed most: where those who are sick or injured have spiritual comfort of Jesus, The Divine Mercy.
I wrote this concise manual in response to the tremendous need that I could see for nurses and other healthcare workers to teach and guide them in using The Divine Mercy message and devotion for the sick, injured, and dying.

Jesus tells us:

“…I am Love and Mercy itself. When a soul approaches me with trust, I fill it with such an abundance of graces that it cannot contain them within itself, but radiates them to other souls.” (1074)
You can be that nurse to radiate the message of mercy to your patients and other healthcare workers. If you are not sure how to use The Divine Mercy message and devotion, ask Our Lady to guide you. Our Lady will take care of every problem you may encounter.
I am only one small nurse, I cannot do anything by myself. If all of us help as a team approach, to get the message to the medical field and those caring for the sick and dying, the goal of spreading Divine Mercy to those who need it most will warm the heart of Jesus, The Divine Mercy.
I would often say to Fr. Seraphim: What can one nurse do? His response: What does one mosquito do in a room full of people? He creates a lot of racket! Well that’s your answer so everybody needs to help get The Divine Mercy message and devotion out worldwide.
Do not tire of proclaiming My mercy. In this way you will refresh this Heart of Mine, which burns with a flame of pity for sinners.” (1521)
In conclusion, always show mercy, and if you have to speak, you can pray: “Jesus I Trust in You!”.

Lewis Millender Occupational Medicine Conference, Boston, MA

April 2002

Multiple Dimensions of

Catastrophic Injury Management in Trauma …The Essential Guide.
-Marie F. Romagnano, R.N., B.S.N., C.R.C., C.C.M., C.L.C.P.

Comprehensive catastrophic medical case management encompasses a multitude of medical specialties that are orchestrated by the expert nurse case manager. Recognition that a diligent effort to coordinate the care of individuals with massive injuries requires dedication and expert medical knowledge to interface with the various medical teams working with the patient.

Assessment of the injuries of the catastrophically injured patient from the moment my pager goes off until I actually meet the patient involves a complex set of events leading up to the ultimate success in management of a new catastrophic injury referral. This is a very serious and responsible moment when the entire medical picture can be affected by the initial care the patient receives.
The specialized catastrophic nurse case manager must be a specially trained advocate in the coordination of the emergency treatment of the patient. Assisting the medical team with the history and nature of the injury and discussing the choice of physician specialists that will be the most effective in treating the catastrophically injured individual is essential to medical case management. As a liaison for the family members, comprehensive knowledge of the medical picture as well as the family and employment situation will enhance the understanding of the entire situation.
Multiple management events occur simultaneously during the initial management phase of the catastrophic injury. I will describe in steps the initial 4-12 hours of management below but kindly keep in mind this may all happen within an hour!! If there are numerous injuries from one facility such as a carbon monoxide poisoning that could affect an entire facility, it is important that the back up team of specially trained catastrophic injury nurses are also on call to assist the primary catastrophic injury nurse case manager.

Step 1 Location of the Patient and Emergency Room Contact
I advise the emergency medical team member:

  1. I am the catastrophic injury nurse patient advocate and attempt to locate a family member to coordinate immediate needs of the PATIENT and the FAMILY.

  1. Upon locating the patient in the medical facility, I determine if the patient is going to be immediately transferred to another major trauma center or gather the information on what the medical treatment plan is at that facility and if the patient’s family has agreed to keep the patient at that facility.

  1. I advise the medical team that I am authorized by the insurer to approve any medical treatment that will facilitate or optimize the patient’s care.

  1. I inquire if they have an adequate history of the accident-if they do not have adequate information I immediately contact the employer for the exact description of the accident. I also find out if chemicals were involved and any other factors in the method of the injury. A degloving injury may actually be a burn injury the way it presents as the skin is actually burned off the extremity due to high friction of the rollers in many types of machinery. If chemicals are being used request the employer fax you the MSDS sheets to facilitate the emergency room treatment.

  1. I re-contact the emergency room with the exact accident details and speak to a member of the medical team to clarify any questions regarding the method of the injury and answer any other questions or find out further information if needed.

  1. This has proved over the years to be critically helpful to the medical team in deciding method of treatment for specific types of injuries, especially with moving machinery and molding machines that can produce a burn, crush and degloving injury with one accident plus determine if there were chemicals involved that could further impact treatment.

Step 2 Employer Contact

  1. Initial contact of the employer to find out the method of the accident and contact phone numbers of family members if they cannot be reached at the hospital is an initial link that will provide critical information for the medical team as well as facilitate the nurse case managers job.

  1. The employer typically will assist through the personnel office coordinating logistics of the patient’s car and personal belonging left on the job site for family members to retrieve at a later time.

3. Utilize the employer as a contact point for the patient and family if there is no other way to contact family members to meet with them at the medical facility.

Step 3 Family Contact Information
This information can usually be obtained immediately from the employer:

  1. Did the patient have small children and are they waiting to be picked up somewhere?

  1. Has the spouse or immediate family member been notified of the situation?

  1. Does the immediate family live out of town especially if the patient has been on a medical flight transport away from their home town?

  1. Do immediate family members need hotel accommodation and is the insurer willing to pay for a limited period of time? If this is a head trauma especially it is important to have a family member nearby to assist with orientation of the patient at times.

  1. Which family member has the past medical history of the client and obtain the names of the physicians and phone numbers for coordination of the medical records for the medical facility?


Emergency Facility
After determining the location of the patient and verifying that the patient will not be transported to another facility, depart immediately to meet with the family in the emergency room area (outside the treatment area) to assess and identify the patient needs and family needs.

  1. Be sure to follow the regulations of the specific medical facility regarding sign-in procedures with appropriate credentials identifying yourself and the company you are working with on the patient’s behalf.

  1. Identify the appropriate contact person on the medical team and advise them of your nurse advocate role in coordination of all services the family and patient may require.

  1. Make sure the medical team staff member knows how to contact

you after the patient is transferred out of the emergency room to surgery or the Intensive Care Unit.
Step 5 Assessment of the Magnitude of the Injury

    1. Initial evaluation of multiple injuries is necessary to assess if an adequate treatment plan is in place and to determine if the patient is in the best medical facility for treatment.

    1. Initially, the patient may have been admitted to a medical facility but in fact when stable could be transferred to a facility that has more advanced treatment of a medical condition such as a major burn center.

    1. Meet with family members and discuss other medical options that are available for the patient such as a possible transfer immediately to another medical facility where adequate treatment (such as finger re-implantation) may be identified.

    1. Work closely with the medical team and be an excellent resource for the emergency room medical team. Getting the details of the accident for the physicians, obtaining medical records from the patient’s family physician with a medical consent from a family member are a few examples.

    1. Many times, medical facilities will NOT have staffing necessary to perform these functions or will be delayed in obtaining this information due to other medical emergencies that must be attended.

Once the patient has been located in the correct medical facility for the type of injury, immediate consideration of the psychological status of the patient and the family must be recognized and the appropriate referrals rendered.

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