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Child Life Paves the Way for Family-Centered Care Initiatives in a Surgery Center. Presenters . Kris Green Supervisor, Family support services Ted Hawley Family Action Council . Today’s objective. As a hospital within a hospital:

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Presentation Transcript
slide1

Child Life

Paves the Way for

Family-Centered Care Initiatives

in a Surgery Center

presenters
Presenters

Kris Green

Supervisor,

Family support services

Ted Hawley

Family Action Council

today s objective
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.
key elements of fcc process
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
family centered care principles
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
hospital within hospital providence alaska medical center
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
lofty goals bringing change to an 75 yr old hospital
Lofty goals: Bringing change to an 75 yr. old hospital
  • Photo removed

The journey of many steps, is worth the reward

family action council initiative
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
family support services purpose
Family Support ServicesPurpose

Compassionately provide

therapeutic family-centered care

by collaborating to

support those in need as they navigate the healthcare system.

fcc and surgery center goals
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

selling the idea
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
change team
Change Team

WHO:

  • Child Life Specialists
  • Parents and patients
  • RN’s
  • Anesthesiologists
  • Physicians and Surgeons
  • Technicians.
standards and goals
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
change team18
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
change team19
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
change team20
Change Team

WHEN

  • 1 month ago:
  • Calling families from out of town
  • Distraction toys
  • Communication
  • Future planning
challenges
Challenges
  • Time & Communication
  • Work load
  • Mindset
  • Protocol
  • Until proven it doesn’t work
successful strategies
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!!!
keeping momentum going
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!
the start
The start…..
  • Photo removed
what s working
What’s working
  • Photo removed
  • Pre-arranged tours
  • Support to staff
  • Distraction& environment
  • Staff tolerance
  • Parents’ perceptions
  • Anesthesia & Surgeons
care delivery using 5 position of child life staff
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%

future plans
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
slide29

The Children’s Hospital at Providence

3200 Providence Drive • POB 196602

Anchorage, AK 99519

Kris Green

907-261-5895 (Phone)

Kristine.green@providence.org