Code Lavender Chaplain David Carl Executive Director Spiritual Care and Education For Atrium Health Internal and Regional USE ONLY

Code Lavender Developed in 2008 at Cleveland Clinic “Integrative Care Rapid Response” (ICCR) for emotional and spiritual support Response within 30-minutes Holistic/Integrative Services Team provides spiritual support, mindfulness training, counseling, yoga, etc. ICRR Team comprised of resources on hand such as Chaplain- on-Call, Nursing Supervisor, and EAP Representative Partnership with Administration and Leaders insure integration into culture

Code Lavender Anyone can initiate a Code Lavender (like Ethics Committee) At Cleveland Clinic initially averaged 1 Code Lavender a month Now there are 60 per year (similar to Ethics Consults) They are just now spreading to other regional hospitals MICU at CC hired a FTE to head the Healing Services Team .5 Massage Therapist joined Integrative Care Rapid Response Team Proactive “hanging out” through deliberate rounds/90% of care is focused on Clinical Staff

Outcomes Pain measures Mood measures Stress measures Hope measures … all of these measures improved in the clinic.

Other ICRR Team Resources Healing Touch Reiki Massage Health snacks, water, hot tea Music Aromatherapy Guided Imagery Prayer and/or Meditation (Breath Work)

American Hospital Association 42% of hospitals offer 1 or more complementary, alternative, integrative medicine therapies Up from 37% in 2007 and 26% in 2005 50% of Physicians experience burnout Emergency Care, Critical Care, and Family Medicine workers experience highest rates of burnout among health professionals

Physicians Mindfulness training can help feeling more connected with patients Empathy and compassion education does as well Holistic/integrative tools can reduce burnout and boost levels of compassion (self-compassion increases offer of compassion to others) When address more compassionately the emotional needs of patients then better healing and loyalty get created (leads to greater revenue of satisfaction and monies) The Patient/Provider relationship is the #1 factor in adherence to treatment.

Results 98% of patients receiving Code Lavender said it helped them 90% said they would recommend Code lavender to another patient 40% of calls were for health care providers 99% of providers said it met or exceeded expectations 98% would recommend Code Lavender to a Teammate

Integrative Care Rapid Response Key is to be on the lookout for Compassion Fatigue Compassion Champions identified for each unit (clinic or business) “First Responders” Multiple options

Compassion Champion Option 1 Observe a teammate with a mild or initial symptom (e.g., new teammate observes first Code Blue) Take initiative to check-in with that teammate Compassion in the moment can work wonders A 1-2 min conversation in the break room might be helpful Music and aromatherapy could be options Identify other short-term interventions available to unit

Compassion Champion Option 2 Initiate a Code Lavender (more severe symptoms noted) This triggers the Integrative Care Rapid Response team (ICRR) on call ICRR Members differ for each facility/unit (e.g., at CMC-Main members include Chaplain-on-Call, Nurse Supervisor, EAP) Need to be separate from the unit personnel since entire unit effected by event(s) necessitating a response Code Lavender not intended to be announced on overhead or placed on the back of a badge…more internal and woven into the culture)

Compassion Champion Option 3 Be proactive in addressing stress/Practice prevention Schedule Pet Therapy walk-throughs Contract with a Massage Therapist, Healing Touch practitioner, or others to come to unit regularly Acknowledge tough situations during regular huddles Tap into Unit Toolbox and hand out recognition prizes Turn “Break Room” into a Healing Environment with snacks, tea, aromatherapy, inspiring art/posters, CD player/headsets for music, etc.

Compassion Champions Keep a log of your activity for 8 months Meet monthly with other Compassion Champions When we practice compassion we are participating in healing others and self.

Commitment to Champions Opportunities to come together and network Enhanced learning about responses and remedies Ongoing support, guidance, and mentoring For Atrium Health Internal and Regional USE ONLY