TEXAS NURSING PROFILE

Jessica Ramos, RN

Michael Anthony Steele

Speaker and Author

A LIFE-CHANGING DAY

On October 15, 2018, writer and speaker Michael Anthony Steele started a week-long tour of Pharr-San Juan-Alamo ISD with a reading at Santos Livas Elementary School. The plan was to perform two shows for the elementary school students, reading from his latest children’s book. A professional writer since 1995, Steele has written more than 150 children’s books and visited around 400 schools and libraries across the U.S. This event would have been no different, had his heart not started racing during the first show.

Still, he continued on, and managed to sign some books between the shows, and even finish performing his second. It wasn’t until his visit to the nurse’s office, just to lie down, that the day took a drastic turn.

“I was told my heart stopped,” said Steele, of the events that occurred after he lost consciousness in the nurse’s office. “Jessica and her team saved my life.”

Jessica Ramos, TNA member, school nurse, and former emergency room charge nurse, leapt into action when it became clear that Steele was experiencing a cardiac emergency.

The plan was to perform two shows for the elementary school students, reading from his latest children’s book.

QUICK ACTION

For a decade, Steele had experienced tachycardia, and often thought it was due to stress. He would lie down, take deep breaths, and wait for the moment to pass. “I had a full heart work-up and everything was great.” The way he puts it: “The plumbing was great, but not the electrical.”

Ramos called 911 quickly upon noticing that the author’s state was deteriorating. With the assistance of the school’s Emergency Response Team, made up of staff members who are trained to assist in physical or mental health emergencies, she performed CPR and they used an AED to shock his heart back into motion. This quick action made all the difference.

“I woke up in the ambulance (never a good thing), but it was comforting to see Jessica riding along.” He spent a week in the hospital and ended up getting an ICD implanted. Later, a cardiac ablation took care of the underlying problem.

Thanks to Jessica Ramos, tragedy was avoided. In fact, Steele went back to the school for a visit and was surprised in the library by the entire staff and district superintendent. (He considered clutching his chest in surprise as a joke, but decided he had already frightened everyone enough the last time he was there.) Ramos even gave him a shirt like the one he’d been wearing the last time he was there, one of his favorites—and one that had been cut off in order to provide quick treatment.

“I woke up in the ambulance (never a good thing), but it was comforting to see Jessica riding along.”

A SPECIAL THANK YOU

In thanks, Steele included a nurse with Ramos’s name in his next novel, Tom Swift Inventors’ Academy: The Spybot Invasion, that came out in 2020. “She was thrilled. I remember hearing about how her daughter read her the part of the book as Jessica texted me in real time.” Her character even talks about the very incident in which Ramos saved his life. “I even added how it took for what seemed like forever for the pain in my chest to go away from her CPR—which was very true.”

Texas school nurses are a vital part of the health and safety of the children of this state, and are often the first line of action in the face of acute injury or illness. In September of 2025, TNA and the Texas School Nurses Organization, with the National Association of School Nurses, released a statement urging for clarification regarding SB 12, which requires schools to notify parents of each health-related service offered at their child’s school and obtain written parental consent before providing any health services, administering medication, or conducting a medical procedure. Cases like this one shine a light on the importance of timely care in schools, and the invaluable care school nurses provide to the most vulnerable of us.

These days, the two still keep in touch. Steele sends Ramos’s children signed copies of his books as they come out— “I told her from the beginning that she now gets free books for life!” TN

Photos courtesy of Michael Anthony Steele