1. 2 presenters kris green supervisor, family support services ted hawley family action council
TRANSCRIPT
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Presenters
Kris GreenSupervisor,
Family support services
Ted HawleyFamily 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
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
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
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
The journey of many steps, is worth the reward
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Family Action Council Initiative
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 ServicesPurpose
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
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
2007 IniativesCommunications materialIntegrate FCC priniciples
Palliative Care
Family Action Council
VolunteersKuddle KorpPeds center
Parents For Parents
CMNfundraising
grantsdonations
4. ED / NICU
CL PracticumCL internships
1. Pediatrics2. Out patient services
3. Surgery Cntr
Child Life3 fte positions
Adult EducParenting Classes
student teachersaides
Hospital based Ed1.6 fte position
Parents for ParentsNICU volunteers
parent navigatorNICU
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D/C life support community based PAMCcommittee
Unit based interventionpeds ctr, L/D, NICUED and day surgery
Bereavement CounDina Banez, chair
Life on Lily pad
MBU outreach.5 ftePPD
Cmty, NICU, Prenatal
Volunteer SupportUnit support
Donation support
Security StaffHospitality Services
SupervisorFamily Support Services
Kris Green
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Change Team
WHO:
• Child Life Specialists
• Parents and patients
• RN’s
• Anesthesiologists
• Physicians and Surgeons
• Technicians.
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Standards and goals
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
WHEN
1 Year ago:Meet with managers to discuss needs
Funding and selling services
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
WHEN
6 months ago: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
WHEN
1 month ago:
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• Talk with management and a representative from
each area
• Discuss and listen and incorporate concerns into solutions
• Set clear boundaries and expectations
• Make staff job’s easier
• Giveaways that promote your mission
• Sit in the backseat first, then take the wheel
• Take time to breathe, then react
• Know that change is hard and you are the element of change for them
• Document!!!
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Keeping momentum going
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
Pre-arranged tours
Support to staff
Distraction& environment
Staff tolerance
Parents’ perceptions
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)