Beyond the Bedside: A Look at Spartans in Nursing | Page 11

From Attorney to Nurse, It Has Always Been about the Vulnerable Mark Twichel’s concern for the vulnerable found expression in his first career as an attorney. He worked to protect the civil rights of the elderly and those with disabilities or mental illness, first with an agency and then in solo practice. Probate judges called on him in difficult cases to assume guardianship for those who needed a care coordinator and decision maker. One night, he got a call from the hospital recommending removal of life support for one of his clients. Humbled by the weight of that decision, he went to the hospital and held Willie’s hand until he passed. After completing the College of Nursing’s accelerated option BSN, Twichel packed two years’ worth of clinical experience into one, working multiple nursing jobs in a variety of settings. It was then that he got the “travel bug.” He headed west, taking short-term emergency department assignments in Texas and Arizona. While staying with older friends, he unexpectedly became a caregiver on the home front and experienced caregiving from the family perspective. Along the way he gathered certifications in healthcare software systems as well as critical and emergency care. From attorney to nurse, and from nurse to nurse leader, Mark Twichel has put his passion and expertise to work for the most vulnerable among us. As clinical nurse supervisor for emergency services, he brings his vast knowledge and experience to the bedside and beyond to impact the work setting for team members and patients alike. The path to leadership was also a journey. When recruited to a management position, Twichel reports, “I was very reluctant to step away from the bedside and all the intrinsic rewards of providing direct patient care.” But he has long been guided by the words of Wayne Dyer, “When you change the way you look at things; the things you look at change.” He took the job, realizing, “I am a Spartan Nurse. A nurse leader. And I was called to it. Now, by caring for and advocating for nurses, I have the opportunity to impact 650,000 lives served by our ER. My sphere of influence has expanded exponentially.” Using Collaboration to Put Passion and Experience to Work A JOURNEY TO NURSE LEADERSHIP How Nurse Leadership Expands Impact into the Extraordinary More short-term assignments took him to San Diego, where Twichel serves as clinical supervisor and charge nurse at the Kaiser Permanente Zion Medical Center’s emergency department. He is working to implement initiatives that improve metrics AWARDS such as “door-to-doc” time, Good Catch Award, Kaiser Permanente, 2015 meeting meaningful use criteria, Customer Service Award, Emergency Care Physician Services, 2012 and removing workplace barriers ACE Award, Spectrum Health, 2012 to efficiency and safety. To achieve these goals he creates team assignments which remove work silos Years later, he came to understand that the best and promote a culture of collaboration to part of his job was holding the hands of the maximize patient care. people who needed him. It was in that moment when Twichel decided to become a nurse. He describes himself as a beneficiary of the legacy of MSU’s amazing nursing education. “Now several years into my career I have come to understand the quality of the people I encountered. They inspired me to do more, be more. We are Spartan Nurses, and we are decidedly different. The obligation I feel to do more and lead comes from that connection.” Twichel sees nursing leadership as the unspoken crisis in nursing. Encouraging and inspiring young nurses to go beyond the bedside to leadership is also part of his commitment to the profession. MICHIGAN STATE UNIVERSITY COLLEGE OF NURSING • NURSING.MSU.EDU 11