A woman is overjoyed to work as a nurse practitioner at the same hospital that she was a custodian in 10 years ago. “It’s been a lot of highs and lows,” said Jaines Andrades. “Highs in the sense of being able to progress from custodian to nurse to nurse practitioner, but lows in that it wasn’t as easy as it seems.” Jaines, 30, began working as a custodian at Baystate Health in Springfield, Massachusetts, when she was 19 years old. The then-student had applied to every department at the Baystate when she got a call for a custodian job. She admits that her initial thought process was to get a job that would provide a reliable income. “I knew I was also going to start nursing school so I thought kill two birds with one stone: get some good exposure, as well as have something reliable,” she said. Her routine chores at …