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SFGH JCC April 12, 2011 The Rev. Elizabeth Welch, M.Div., BCC - - PowerPoint PPT Presentation
SFGH JCC April 12, 2011 The Rev. Elizabeth Welch, M.Div., BCC - - PowerPoint PPT Presentation
SFGH JCC April 12, 2011 The Rev. Elizabeth Welch, M.Div., BCC Spiritual Care Coordinator , SFGH The Rev. Eric Nefstead, M.Div., BCC, ACPE Associate Supervisor Manager of Clinical Pastoral Education , Sojourn Chaplaincy at SFGH Review
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Began in 1982 as HIV/AIDS Ministry
Addressed in SFGH Policy 16.15 Signed Memo of Understanding with SFGH
Mission is twofold:
To provide a nonjudgmental ministry of presence, and
spiritual care training, for the broad multicultural mix of patients, their loved ones, the staff of SFGH, and the community.
Increase demand; increased care
Visits - 2007: 3400; 2011: 10,224 Referrals – January 2008: 19; January 2011: 104
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Four staff
Executive Director Manager of Clinical Pastoral Education
(program a satellite of CPMC’s CPE Program)
Training Assistant Administrative Coordinator
30+ Volunteers
Board of Overseers—including SFGH Clinical Staff Oversight of Roman Catholic Priest/Chaplain Volunteers and Interns from various traditions
Reports to SFGH Spiritual Care Coordinator
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Chaplain as member of palliative care team Assessment of patient’s spiritual needs Delivery of Care Reassessment
When religious/spiritual concerns impact decisions
about care
Intervention
Supporting patient in addressing spiritual concerns
Conclusion
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RI.01.01.01 – Rights and Responsibility of the Individual
Respects [patient’s] rights; hospital respects patient’s cultural and personal values, beliefs, and preferences; accommodates patient’s rights to religious and other spiritual services
- PC. 2.120 – Assessment and Re-assessment
Charting is required; the organization defines, in writing, the scope and content of screening, assessment and reassessment information…including spiritual and cultural variables ; at minimum, a spiritual assessment should define pt’s faith group, beliefs, and what spiritual practices are important to the pt; For patients who are receiving end-of-life care, the social, spiritual, and cultural values that influence the patient’s and family members perception of grief. (Spiritual Care Coordinator on Palliative Care Team; Policy 16.15)
PC.01.02.11 – psychosocial services and substance abuse services include pt’s religion and spiritual beliefs, values, and preferences
PC 01.03.01 – Provision of Care, Treatment, and Services
Includes interdisciplinary, collaborative, care, treatment, and services; plan based on needs identified by the patient’s assessment, reassessment; based on goals established in patient’s plan of care, staff evaluation the patient’s process; care provided to patient in an interdisciplinary, collaborative manner (Policy 16.15; Member of Palliative Care Team)
PI.01.01.01 – Hospital Performance Improvement
LD.04.01.05 hospital effectively manages its programs, services, sites, or departments;
- versees operations; defines in writing the responsibilities of those with administrative and
clinical direction (Spiritual Care Coordinator job description and develop new policies)
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CHAPLAIN AS HEALTHCARE PROVIDER - 160.103 COMMUNITY FAITH GROUP LEADERS – 165.510
Certified clinically- trained professional
Employed by healthcare
- rganization
Defined as member of team w/access to pt info
Charts interventions
Qualified by education, training, and experience
SFGH Spiritual Care Coordinator
Employee or volunteer of faith group
Outside visitor w/limited access to pt information
May document only with
- versight by staff and/or
through designated policies
- f institution
Sojourn Volunteers including CPE Supervisor and various Interns
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Spiritual Care at SFGH – current practices
Assess and address spiritual needs and values affecting care Interpret and attend to multi-faith and multi-cultural influences on clinical services Integrate spiritual care into Palliative Care Services Address spiritual issues related to
- rgan/tissue donation
Offer grief and loss care – for patients, loved ones, and staff Provide rituals – at times of birth and death; removal of life support Provide Holiday Observance in chapel and on clinical units
Sojourn Volunteer Chaplain with patient
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Spiritual Care at SFGH – moving forward
Enhance communication with Interdisciplinary teams Improve documentation of spiritual needs and interventions through charting Integrate spiritual care competencies into SFGH policies for staff and volunteers Move toward sustainable model of 24/7 on-call coverage
Sojourn Volunteer Chaplain with patient
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Sojourn Volunteers
- Valuable Community Partner working
with SFGH
- Represent a range of Religious Traditions
- Cost Effective for SFGH
- Accountable to SFGH Spiritual Care
Coordinator
- Inconsistent coverage
- Limited continuity of care
- Varying levels of competency as healthcare
providers w/SFGH patients
- Challenged by need for fund-raising
SFGH Board Certified Coordinator of Spiritual Care
- Accountable to SFGH Administration
- Healthcare Provider needed to address JC
Standards
- Oversight of Volunteers
- Functions within Code of Professional
Ethics (APC) (www.professionalchaplains.org)
Sojourn’s ACPE Program
- Accredited Program adds focus on
professional competencies (www.acpe.edu)
- Potential for greater coverage by well-
trained interns and residents
- Functions within Code of Professional
Ethics (APC and ACPE)
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