June 22, 2017

Shanna Taylor, Liz Earley, Elizabeth Sanderson, Cleveland Guinn, James Meador, Ursula Barrera-Richards, Tamara Junge, Jori Wilson- Crittenden, Takar McDaniel, Kraig Knudsen, Craig Smith, Tanna Ditch, Eric Decker, Nachael Church, Amanda Billegas,

Introductions

Who’s missing

The following disciplines/persons were identified as additional Committee members:

  • Psychiatry, psychology, nurse supervisors, DON, 3rd shift supervisors
  • Shana to contact:
  • Dr. Edwards
  • Deb Duris
  • Antoinette Stevens
  • Nachelle Church
  • Elaina Braun
  • Kerry Mohler
  • Peer Supporter

TIC Promotion and Committee Identification

  • Utilize quarterly newsletter; incorporate TIC principles as a regular feature; provide hard copies not just electronically
  • Continue to promote “Cleveland’s Corner”
  • Consider development of a patient newsletter
  • Change display case in hall and the update the TIC Board
  • Committee picture
  • Signage-need to get the talk; have patients and staff design posters, signage, message; ID patients who are artists; explain what we are doing and why – Liz
  • Posters, Ask Me t-shorts; some special marking on ID badges
  • Patient roll; staff roll; salmon color lanyards
  • We need your assistance from the bottom up
  • How will the Committee introduce themselves; be ourselves and they will come

Previous work at NOPH

  • TPW study – retention, job satisfaction; focus groups
  • Joyce and Kim visit May 2017
  • Multiple outside groups/accreditation organizations (DRO, CMS, JCHAO)
  • Trauma Informed Care Committee
  • It’s time to begin implementing changes that make sense and are trauma focused and trauma responsive
  • Let’s not relive every issue on every unit, surveyors, change

What do you want?

  • A place where we support each other – take care of each other – if we feel good about each then patient care will be better(TIC Principle of Care – Peer support)
  • Work on communicating pertinent information about patient – coping skills, limited resources, have more resources – ex. comfort list, quiet room(TIC Principle of Care – Trustworthiness and Transparency; Collaboration and Mutuality)
  • Modify comfort boxes – too many items are now restricted(TIC Principle of Care – Empowerment, Voice and Choice)
  • Is there a way to provide additional resources when RT (Recreational Therapy) is not around; resources to keep patients occupied and keep interest(TIC Principle of Care – Safety)
  • Revisit staff comfort room – compassion fatigue; TIP 57Location to be determined)
  • Satisfied staff – passion for what they are doing(TIC Principle of Care –Collaboration and Mutuality)
  • Identify tools and technical assistance for crafting policy and rolling out change – ex. timing (not everything has to be crisis driven and rushed without staff input and participation (TIC Principle of Care: Trustworthiness and Transparency)
  • “Call aheads” for admits; diversion to a properly resourced facility/policy; adds trauma to the system; patient sensitivity (TIC Principle of Care – Safety)
  • Servant leadership – take care of our people; empathy to allow patients to be the best they can be – mutual respect(TIC Principle of Care – Empowerment, Voice and Choice)
  • Develop/promote and implement Critical Incident Stress Management procedure/team (TIC Principle of Care – Safety)
  • Staff turnover – education – rush to fill positions/HR policy/procedure/practice; not always followed through once you guys leave – well, we used to do these things(TIC Principle of Care – Trustworthiness and Transparency; Collaboration and Mutuality)

Organizational assessment

  • Cleveland to lead
  • Respect people where they are at
  • Encourage participation
  • What’s the most effective way
  • administer face-to-face
  • CO and Committee to establish presence; need to present survey and have participation on the Unit level – where staff are at

Some work being done around TIC hiring

  • HR interview process
  • Pre-interview screening process; can potential candidates be taken on a tours so they get a sense of what they are coming into
  • Job posting – seeks people who are compassionate/motivated
  • Consider TPW classes with TIC focus
  • understand who you are and what you want to accomplish

PARKING LOT/NEXT MEETING

Patient representation

  • How do we get and maintain patient involvement; create a presentation for patients to understand TIC (TIC Principle of Care – Empowerment, Voice and Choice; Trustworthiness and Transparency; Collaboration and Mutuality)
  • Therapeutic Community model – patient chair; community meetings; Be thy brother’s keeper! Use to have it!
  • Training for information v. training for implementation – expectation to attend; unit by unit; no power point; interactive training on units
  • Consider a resolution subcommittee to use when decisions can’t be made or Committee has reached an impasse on an issue/agenda item
  • What do we anticipate the time commitment to be moving forward
  • Is there a need for a Committee Charter?

Action Items

Action / Responsible / Status
Secure additional committee members/representative disciplines / Shanna Taylor
Secure 3rd Shift participation/representation / Eric Decker and Tanna Ditch
Develop possible branding ideas and signage/posters / Jori Wilson-Crittenden and Liz Earley
Develop possible names for the Committee/TIC Initiative’ (Branding) TIC Committee Picture / James Meador
Ursula Barrera-Richards
Update display case and TIC Board / Craig Smith
Promote TIC Committee / Amanda (Shanna to contact)
Organization Assessment / Cleveland Guinn and Kraig Knudsen
Redesign of future TPW classes / Nachael (?)