What began as a humble ceremony to honor nurses at their funeral memorial service at St. Luke’s Carbon Campus has grown exponentially in a year’s time to reach every St. Luke’s University Health Network campus.

St. Luke’s Nurse Honor Guard, which pays tribute to nurses who have left this life with the Nightingale Ceremony, has honored more than 120 former nurses as the group celebrated its anniversary on Feb. 1.

“This is one of the best, if not the best, community service I’ve ever been involved with,” said?Denise Snyder, BSN, RN and Lead Chair of the St. Luke’s Nurse Honor Guard, who is a full-time ICU nurse at the Carbon Campus.

Very much in the tradition of being buried with military honors, the emotional Nightingale Ceremony is often the last rite performed before the final blessing, and is free to all former nurses, whether they worked in the Network or not.?

The Nightingale Tribute – Known as the “Lady with the Lamp,” Florence Nightingale saved many wounded soldiers during the Crimean War with her pioneering nursing work. In many ways, she laid the foundation for professional nursing.

During the services, a member of the Honor Guard reads the Nightingale Pledge and a nursing sonnet, then places the rose while saying the nurse’s name and, “We honor you this day and give you a white rose to symbolize our honor and appreciation for being our nursing colleague.”

Honorary Pallbearers – The Honor Guard may be requested to attend the visitation and/or funeral services to serve as honorary pallbearers.

Casket Honor Guard – The Honor Guard may be posted at the head of the casket, standing silently to give their last respects.

Final Call to Duty – The Final Call to Duty may be performed during the services or at the grave site. During the Final Call to Duty, the Nightingale Lamp is lit in the nurse’s honor, and the nurse’s name is called out as a request to report to duty. After the third and final call, and with no response, the nurse is announced as retired, and the lamp’s flame is extinguished.

Snyder said she has participated in 40 to 50 of the ceremonies to honor her fellow nurses, and the sincerity of the ceremony fills the surviving family and friends with a sense of pride.

“I think families find a special sense of closure, that we didn’t forget that they devoted their lives to caring for others,” she said.?

“It brings their loved one’s career in nursing full circle. A career in nursing starts by the honor we receive at the time of our capping or pinning at our nursing school graduation. It stays with us throughout our nursing career until the end, when the honor guard performs the final call to duty, which is unanswered. They are then relieved of their nursing duty to rest in peace.”?

Last April, Snyder launched the pilot with the support of Marjorie Federanich, St. Luke’s Carbon Auxiliary president, and John Nespoli, president of the St. Luke’s University Health Network’s Lehighton and Carbon campuses.

Last June, St. Luke’s Home Health and Hospice President Lisa Giovanni attended and was moved by the service. Giovanni and David Gibson, vice president of patient care services at the Lehighton and Miners campuses, encouraged Snyder to discuss the program during the September meeting of the Network Nursing Executive Council. Carol Kuplen, the now-retired chief nursing officer for St. Luke’s University Health Network and president of the Bethlehem Campus, was instrumental in getting the initiative rolled out to all the campuses.

“We have also started to do a Physician’s Tribute” Snyder said. “This tribute is for the physician who embody the philosophy of Nurse – Physician relationship who work together to bring the patient to good health.”

Today, more than 130 nurses and former nurses take part in the Nurse Honor Guard, wearing the traditional nurse’s hats and capes for the ceremony.

St. Luke’s Nurse Honor Guard services Lehigh, Luzerne, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe and Schuylkill counties in Pennsylvania, and Warren and Hunterdon counties in New Jersey.