Transcript Document

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Presenters
Kris Green
Supervisor,
Family support services
Ted Hawley
Family Action Council
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Today’s objective
As a hospital within a hospital:
 Demonstrate successful
strategies to overcome the
reluctance of ancillary service
areas.
 Suggest strategies to increase
family-centered care practices
in a forbidden zone
 Share successes gained and
challenges still ahead.
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Key Elements of FCC process
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The family is the constant in the child’s life
Information exchange is unbiased
Recognize and respects different methods of
coping
Encourages and facilitates family to family
support
Found not only in program or at the bedside,
but incorporates POLICY
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Family Centered Care
Principles
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The family is the constant in the child’s life
Information exchange is unbiased
Recognize and respects different methods of
coping
Encourages and facilitates family to family
support
Found not only in program or at the bedside,
but incorporates POLICY
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Remote Alaska . . . .
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Alaska’s Geographic &
Diversity Challenges (scale)
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Hospital within Hospital:
Providence Alaska Medical Center
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360 Bed Campus
99-107 Beds are the Children’s
Hospital and Women’s Center
- 26 bed pediatric center
- 37 licensed bed NICU (45+)
- 32 post-partum
- 7 LDR
Outpatient subspecialty clinics
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Lofty goals:
Bringing change to an 75 yr. old hospital
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The journey of many steps,
is worth the reward
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Family Action Council Initiative
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Involve parent and family in the care delivery of
the surgery center (FAC goal in 2003/4)
Build a foundation of family-support services to
house FCC initiatives
Use the nationally recognized discipline of child
life to create a voice for both the child and family
Impact the design and program delivery, reducing
both the patient and family’s fear of the surgery
process
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Family Support Services
Purpose
Compassionately provide
therapeutic family-centered care
by collaborating to
support those in need as they
navigate the healthcare system.
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FCC and surgery center goals
To improve the care delivery by including
parents and families in decision making,
bringing families back to recover room
or allowing families to stay with their
child until they were asleep
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Selling the idea
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Seized the opening: medication error in
child for post-op pain
Used JCAHO standards and
recommendations
Research other hospital and use
physician to physician examples
Got CMN funding for .5 position
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Family support services
Family Action Council
Supervisor
Family Support Services
Kris Green
Volunteers
Kuddle Korp
Peds center
Parents For Parents
2007 Iniatives
Communications material
Integrate FCC priniciples
Palliative Care
CMN
fundraising
grants
donations
Child Life
3 fte positions
Hospital based Ed
1.6 fte position
parent navigator
NICU
.5
Bereavement Coun
Dina Banez, chair
MBU outreach
.5 fte
PPD
Cmty, NICU, Prenatal
Security Staff
Hospitality Services
1. Pediatrics
2. Out patient services
3. Surgery Cntr
student teachers
aides
Parents for Parents
NICU volunteers
Unit based intervention
peds ctr, L/D, NICU
ED and day surgery
Life on Lily pad
Volunteer Support
Unit support
Donation support
4. ED / NICU
Adult Educ
Parenting Classes
D/C life support
community based
PAMC
committee
CL Practicum
CL internships
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Change Team
• Child Life Specialists
• Parents and patients
WHO:
• RN’s
• Anesthesiologists
• Physicians and Surgeons
• Technicians.
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Standards and goals
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Timely reunification of parent and child,
valuing parents presence
Pre-surgery physician of child life medical play
and surgery preparation
Assisting families with special considerations
Scheduling and comfort
Parents having the option to be with their
child should be a viable choice
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Reaching the goal….
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Change Team
1 Year ago:
Meet with managers to discuss needs
Funding and selling services
WHEN
Family Focus
Job description and guidelines
Individually meet with MD’s
Data gathering
Beginning stages of patient interaction
Developing information cards
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Change Team
6 months ago:
WHEN
Tours with medical play explanations and
visits to both surgery center and pediatrics
Agree to guidelines for parent presence in
PACU
Education for staff in all areas
Communication with all disciplines
Design of new area and where families will
be incorporated
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Change Team
1 month ago:
WHEN
Calling families from out of town
Distraction toys
Communication
Future planning
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Challenges
• Time & Communication
• Work load
• Mindset
• Protocol
• Until proven it doesn’t work
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Successful strategies
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Talk with management and a representative from each
area
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Discuss and listen and incorporate concerns into solutions
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Set clear boundaries and expectations
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Make staff job’s easier
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Giveaways that promote your mission
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Sit in the backseat first, then take the wheel
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Take time to breathe, then react
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Know that change is hard and you are the element of
change for them
Document!!!
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Keeping momentum going
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Keep statistics, advertise success, and
publicly praise collaboration
Keep advocating for what is best for patients
and families
Reciprocate your allies
Keep committees connected
Go on vacation… then they know how much
you really do!
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The start…..
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With Child life’s influence……
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What’s working
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Pre-arranged tours
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Support to staff
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Distraction& environment
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Staff tolerance
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Parents’ perceptions
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Anesthesia & Surgeons
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Care delivery using
.5 position of Child life staff
Annual pediatric “day surgeries” : 1200
Annual pediatric surgery center: 500
Patient’s Served January 2007-June30, 2007
63%
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Future plans
 Survey for children to complete
 DVD/Web Video
 Benefited FT position
 Coloring books and distraction tools
 Pediatric trained anesthesiologists
 Protocols for IV starts
 Induction room with parent’s present during induction
 Improved pediatric pain assessment skills and tools
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The Children’s Hospital at Providence
3200 Providence Drive • POB 196602
Anchorage, AK 99519
Kris Green
907-261-5895 (Phone)
[email protected]
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