1. No One Dies Alone

2. Origins of NODA Sandra Clark, RN at Sacred Heart Medical Center in Eugene, Oregon Formal program started in 2001

3. Why start a NODA program? Because no one should die alone! We have a large population with little support or family in our area.

4. Who do we need involved? Hospital(s) Nursing staff Committee Volunteers

5. NODA Volunteers: Compassionate Companions Committed to the program At least 18 years old Must attend orientation session Must sign volunteer agreement

6. NODA Patients: No friends/family Less than 72 hours to live DNR Comfort care Varying states of awareness Variety of diagnoses Consent

7. Initiating a NODA referral Nurse calls Point of Contact (POC) POC calls Phone Coordinator Phone Coordinator: - Calls nurse for additional info - Schedules Compassionate Companions (CCs) - Checks for status and updates everyone

8. What happens next? Phone coordinator briefs the CC Get bag to patient’s room First Companion: - Arrives at hospital ASAP - Goes to nursing unit; speaks to patient’s nurse - Accompanies nurse to patient’s room

9. Being with the patient Hold their hand, talk, listen, read Spiritual support Comfort measures Give permission to die It is ok to do NOTHING for the patient other than being present … sometimes this is the BEST option.

10. Questions? Thank you!