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PITT NURSES in SERVICE Cover: Patricia Dallas Horoho (MSN ’92) Is the Surgeon General of the U.S

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PITT NURSES in SERVICE Cover: Patricia Dallas Horoho (MSN ’92) Is the Surgeon General of the U.S PITT UNIVERSITY OF PITTSBURGH SPRING 2012 SCHOOL OF NURSINGNurse MAGAZINE PATRICIA DALLAS HOROHO (MSN ’92) PITT NURSES IN SERVICE Cover: Patricia Dallas Horoho (MSN ’92) is the surgeon general of the U.S. Army and commanding general of the U.S. Army Medical Command. She is the first woman and first nurse to be nominated for the position and confirmed by Congress in the 236-year history of Army medicine. Inside PITT NURSE IN SERVICE As Army Surgeon General, Horoho Pioneers Alumni Profile ............................25 Leadership for Nurses and Women .......... 2 Grants List ................................31 A career marked by significant firsts Alumni News + Notes .....................34 For Some Nursing Students, Active Duty Is Nurse Beat ...............................40 Just Another Day on the Job ............... 6 Remember When .........................44 Delivering care to people who put their lives on the line for freedom Reserve Officer Training Corps (ROTC) at the University of Pittsburgh .................... 9 Providing the tools, training, and experiences students need to succeed In the VA System, Opportunities Allow Nurses to Shine ...........................10 Serving our wounded warriors and their families Red Cross Nurses Prevent and Relieve Suffering ..........................13 Offering aid and compassionate services wherever they are needed for more than 130 years Public Health Nursing: The Potential for Change ................................16 Understanding and treating clinical and social issues for entire populations IT’S ALL THERE Check out the University of Pittsburgh School of Nursing Alumni Society Web site for the latest alumni news. Visit Recycle This Magazine www.nursing.pitt.edu and click on the Share it with someone Alumni tab at the top of the page. you know and help to spread the word about Pitt nursing. 2 UNIVERSITY OF PITTSBURGH SCHOOL OF NURSING DEAN'S MESSAGE Nursing once again health care costs, experts continue to advocate for advanced practice nurses topped the list of most (APNs) to meet the growing need for trustworthy professions primary care providers. The Institute of Medicine’s landmark 2010 report in the most recent Gallup, The Future of Nursing concludes that N it is more important than ever for Inc., poll, the 12th time APNs to be allowed to practice to the in the 13 years it has full extent of their education, training, and competency as more people need been included. more care. Florence Nightingale defined nursing The American Nurses Association as a science and an art. Nursing is both (ANA) states that the public’s contin- of those things, but above all it is a ser- ued trust in nurses is well deserved, vice profession. Nurses serve in many reflecting an understanding of and ways, including as clinicians, research- appreciation for the many ways that ers, educators, and leaders. And they nurses provide expert care and advo- work in a wide variety of environ- cacy. ANA further notes that major ments, from clinics and hospitals to national policy issues show a similar homes and in the field. Wherever their trust in nurses. Both the Affordable skills are needed, there are nurses. Care Act (ACA) of 2010 and The Our mission is to ensure that there are Air Force Reserve Officer Training Future of Nursing: Leading Change, enough well-prepared nurses to meet Corps. They echo Nightingale, who Advancing Health recommendations current and future needs. said, “I can stand out the war with call for nurses to take on greater lead- any man.” ership roles and to collaborate fully This issue of Pitt Nurse looks at some with other professionals to provide of the ways that nurses make an impact But care doesn’t end at the edge of essential health care as a growing in their communities, advance the the battlefield. America’s wounded number of individuals gain greater profession, and address the challenges warriors continue to receive care access to services. of health care in the 21st century. from Pitt nurses in military hospitals and through the U.S. Department of There is already a shortage of provid- One shining example is featured on Veterans Affairs system. Other Pitt ers to meet the current demand for our cover. Patricia Dallas Horoho nurses work with a wide variety of primary care services, and the demand (MSN ’92) was recently named the aid organizations, including the is expected to increase significantly 43rd surgeon general of the U.S. Army American Red Cross. as ACA makes health care coverage and commanding general of the U.S. available to an additional 32 million Army Medical Command. She is the No matter what career path they Americans. While it is great news that first woman and the first nurse to follow, Pitt nurses share a common so many will now be covered for ser- be nominated for the position and dedication to improving the health and vices and treatment that they could not confirmed by Congress in the 236-year quality of life of individuals, families, previously afford, health care reform history of Army medicine. Horoho also and communities. will be a hollow promise if these was honored as a Distinguished Alumni individuals do not have access to com- Fellow of the University of Pittsburgh petent health care providers. Quality in February. care depends more than ever on nurses Jacqueline Dunbar-Jacob, PhD, FAAN and other health professionals. We have also profiled a number of Dean, University of Pittsburgh students and alumni who are military School of Nursing As our nation struggles with the dual veterans or currently serving in the challenges of providing broader access military. Many of our students partici- to quality health care and controlling pate in the U.S. Army, Navy, or PITT NURSE SPRING 2012 1 2 UNIVERSITY OF PITTSBURGH SCHOOL OF NURSING IN SERVICE As Army Surgeon General, Horoho Pioneers Leadership for Nurses and Women atricia Dallas Horoho, a lieutenant Among her many mentors, Horoho credits general (three stars) in the U.S. her grandfather, an Italian immigrant named Army, has enjoyed a career marked Eddie Tarone, with instilling the values that by significant firsts: She was the first she considers the bedrock of what it means woman and the first nurse to command to be an American: faith, family, honesty, the Walter Reed Health Care System, and and being a team player. A coal miner with a she stood up the first medical response to the sixth-grade education, Tarone never bought attacked side of the Pentagon when it was anything on credit. He later opened a small struck by terrorists on September 11, 2001. bar and owned apartments, making his way in his new homeland and teaching his Ten years after that fateful morning in the descendants the value of a kind word. Pentagon, Horoho (MSN ’92) was again honored as a pioneer, becoming the first “I never heard my mom or him say a bad nurse and first woman in the 236-year word about anybody,” recalls Horoho, history of Army medicine as well as the whose mother, Jo Dallas, has been one of U.S. Department of Defense to serve as a her most ardent supporters. surgeon general. Today, her parents live with Horoho, her “I would submit that I am just the next husband Ray, and their three children. She person who is passing through the crack that credits their support for allowing her to has been opened by pioneers and leaders spend 28 years on active duty while serving who came before me, regardless of gender, as a mother, wife, daughter, officer, warrior, culture, race, or creed,” she says. “And I will and nurse. take that role seriously. It’s a tremendous honor to be able to serve in that position.” As the senior officer of the U.S. Army Medical Department, the surgeon general On her most recent deployment to Afghan- provides advice and assistance to the istan, officers and enlisted men and women secretary of the Army and chief of staff of alike approached Horoho to say that her the Army on health care matters. In her new nomination to the surgeon general’s post role, Horoho serves as medical commander inspired them and gave them hope that their for a health care organization that provides daughters could one day serve in such a role. health care to 3.9 million beneficiaries— including both active and retired personnel Considering that nurses could not com- and their dependents—and oversees 616 mand when Horoho first joined the service fixed medical facilities as well as 345 field in 1983, her rise to the highest rank in the units. The budget alone, which she also medical corps becomes virtually meteoric. manages, is $13 billion. PITT NURSE SPRING 2012 3 General Raymond T. Odierno (left), U.S. Army chief of staff, and retired Colonel Ray Horoho (right), her husband, pin the three-star epaulets on the shoulders of Lieutenant General Patricia D. Horoho, the 43rd surgeon general and commanding general of the U.S. Army Medical Command, on December 7, 2011, at a ceremony at Joint Base Myer-Henderson Hall in Arlington, Va. Photo Courtesy of U.S. Army. Photo by Rob McIlvaine. “It’s a very comprehensive system,” says Horoho, who served Working in a dynamic environment means nurses must have as deputy surgeon general prior to her confirmation. the courage to change. “If you don’t change, you become irrelevant,” she says. “And for nurses, I think it takes a Hands-on Leadership tremendous amount of courage to connect emotionally and spiritually with patients.” Although she has three offices in the United States—in the Pentagon; elsewhere in the Washington, D.C., area; and at the medical command in San Antonio, Texas—Horoho also Looking Ahead intends to travel to parts of the world where Army Medical During the next four years of her tenure as surgeon general, Department members are assigned.
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