Fidelis Volunteer Training -Unit 1-2014

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Information about Fidelis Volunteer Training -Unit 1-2014

Published on March 20, 2014

Author: henryroman1213


Fidelis Hospice Volunteer Training Session 1: Orientation: Fidelis Hospice Volunteer Training Session 1: Orientation Learning Objectives: Understand basic hospice history Understand Fidelis Hospice Articulate hospice philosophy Understand hospice team members Develop an awareness of legal & ethical issues at end-of-life Describe volunteer protocols/guidelines Understand and accept Fidelis Hospice volunteer policies Learning Objectives Agenda: A brief history of hospice Intro to Fidelis Hospice The hospice approach Where is hospice? The hospice team The IDT meeting Tough talk – legal issues Agenda Agenda (cont.): What do volunteers do? Expectations Policy packet – some rules to live by Video - “It's everybody's job; not everybody's business” Policy sign-off Ongoing support for volunteers Agenda (cont.) A Brief Hospice History – Key Figures: Dame Cecily Saunders Credited with founding the modern hospice movement Opened St Christopher's in London in the 1960s Weekly interdisciplinary team meeting including physicians, nurses, psychiatrists, pharmacists, clergy, social workers and volunteers Patient-centered, family-oriented care Inter-generational, community-focused care Ongoing family support after death (bereavement services) A Brief Hospice History – Key Figures A Brief Hospice History – Key Figures: Elisabeth Kübler-Ross A psychiatrist who helped shape the American view of dying Wrote “On Death And Dying” in the late 1960s Delineated five “stages” of dying Denial Anger Bargaining Depression Acceptance A Brief Hospice History – Key Figures A Brief Hospice History – Milestones: 1974 – Hospice, Inc. opened the first hospice program in the US. It was later renamed the Connecticut Hospice 1975 – The first national gathering of hospice workers was held in New Haven, by Hospice, Inc. and attended by people representing 17 states 1978 – The first “National Hospice Organization” board of directors was elected. The organization was later renamed the National Hospice and Palliative Care Organization A Brief Hospice History – Milestones A Brief Hospice History – Milestones: 1979 – The Health Care Financing Administration (HCFA) awarded 26 demonstration project grants to hospices in 16 states 1982 – Hospice Medicare benefit was created 1994 – 340,000 patients received hospice care. 14.8% of people who died in America was cared for by hospice 2008 – Hospice Medicare benefit was revised/updated 2011 – There were more than 5,300 hospice programs in the US which served 1.65 million people. 44.6% of people who died in America were cared for by hospice A Brief Hospice History – Milestones Intro to Fidelis Hospice: Founded in 2012 – Dan Kane, CEO and owner of Fidelis Hospice, was the former owner of Allegiance Hospice. With many years in the Hospice industry he started this company with the philosophy that all Beneficiaries should have access to high quality hospice care when they need it and this care should also include a commitment that “no one should die alone.” This is the cornerstone philosophy which guides the care teams of Fidelis Based in Haverhill, MA and serves all of eastern Massachusetts 30 staff and growing 125 patients served to date Intro to Fidelis Hospice Fidelis Hospice Service Area: Fidelis Hospice Service Area Fidelis Hospice Mission Statement: To improve the quality of life for individuals and their families living with an advanced illness Fidelis Hospice Mission Statement Fidelis Hospice Service Standards: We hold the individuals under our care, their families, their physicians and their current caregivers as our primary focus We treat each hospice team member, the individuals under our care, their families, their physicians and their current caregivers professionally and with respect We provide continuity of care and a visit schedule base upon the needs of the individuals under our care and their families. This includes evenings, nights and weekends We are available to meet the needs of the individuals under our care, their families, their physicians and current caregivers 24 hours/day, 7 days/week, 365 days/year We assess individuals who may be appropriate for hospice within 4 hours of referral We admit individuals who may be appropriate for hospice, with a physician's order and individual/family consent, within 24 hours of referral We listen to the needs of the individuals under our care, their families, their physicians and their current caregivers as we develop and initiate an individualized, goal-oriented plan of care Fidelis Hospice Service Standards Fidelis Hospice Service Standards (cont.): Each hospice discipline assesses the individual under our care for pain and comfort at every visit We investigate and resolve all concerns about our services within 24 hours We respond to individual, family, physician and facility calls within 15 minutes We provide structured, organized and ongoing grief support to families, physicians and caregivers after death. We provide a vigil service so that no one dies alone We provide ongoing end-of-life training, education and in-service programs for families, physicians and current caregivers We coordinate and assist families with the development of regularly scheduled memorial services We are a comprehensive hospice provider that does not require the discontinuance of palliative, therapeutic and symptom relief measures We admit all hospice-eligible individuals, regardless of their ability to pay Fidelis Hospice Service Standards (cont.) What do you think of when you thing of “hospice”?: Dying Cancer Pain Morphine A special place What do you think of when you thing of “hospice”? Discussion: What other ideas can you think of? What is Hospice?: Hospice... Is a philosophy of care Is pain and symptom management Provides comfort and quality of life Is individualized to each beneficiary and their family Administered through a team approach The best option for people no longer seeking curative treatment What is Hospice? What is Hospice?: Hospice is NOT.. Just for cancer patients Only for the last days of life A giving up of hope Only for people at home What is Hospice? The Hospice Philosophy: The hospice philosophy recognizes that every person approaching death deserves to die with dignity, respect, free of pain and in an environment that promotes quality of life Hospice provides support and care for persons in the last phases of life so that they may live as fully and comfortably as possible Hospice recognizes dying as part of the normal process of living Hospice affirms life and neither hastens nor postpones death Hospice provides physical, social, spiritual and emotional care during the last stages of life Hospice offers palliative care (comfort, not cure) to all people 24 hours/day, 7 days/week, 365 days/year, in both home and facility settings The Hospice Philosophy Key Components of Hospice Care: The hospice team educates the beneficiary, family and community so that they are comfortable supporting and caring for their loved ones Hospice incorporates the beneficiary's own person support systems such as religion or spirituality, family and community to name a few Volunteers help reduce isolation by providing companionship and support Hospice staff and volunteers are trained to facilitate communication between the beneficiary and others Key Components of Hospice Care Beneficiary & Family Oriented Practices in Hospice: Beneficiary-Oriented Palliative vs. curative care Symptom control Changing needs Respect for beneficiary's lifestyle and culture Autonomy Privacy Family-Oriented Beneficiary and family as unit of care Education about the dying process Family decision making Meaning and purpose in life Quality of life and hope Bereavement Beneficiary & Family Oriented Practices in Hospice Where do we provide hospice care?: We provide hospice services to beneficiaries and families where they live. This can be: Private homes Long-term care facilities Assisted living facilities Inpatient units at hospitals Free standing hospice houses Where do we provide hospice care? The Hospice Team: Beneficiary Primary caregiver Nurse Hospice aide Social worker Chaplain Volunteer Bereavement counselor Beneficiary's primary care physician Medical director The Hospice Team The IDT Meeting: The Interdisciplinary Team (IDT) meeting incorporates the expertise of all the team members to meet the physical, psychological, emotional and spiritual needs of the beneficiary. It provides the best holistic, most effective approach to care. The IDT model allows for: Role blending Collaboration of expertise by varied disciplines Beneficiary and family involvment Determination of individualized plans of care Identification of appropriate interventions Creative, solution-focused thinking The IDT Meeting The IDT Meeting: Promotes and provides optimal care Beneficiary and family are an integral part of the process IDT team as case manager It is a process, not an event Occurs formally at least every 14 days Can occur informally at any time Includes all disciplines, including volunteers if available The IDT Meeting Tough Talk – Advance Directives: Advance Directive is a general term that refers to oral or written instructions about an individual's future medical care in the event that they become unable to communicate those instructions. Some important concepts: Self determination Informed consent Tough Talk – Advance Directives Tough Talk – Advance Directives: Some types of advance directives: Living will Durable power of attorney Health care proxy Do not resuscitate (DNR) Do not hospitalize (DNH) Do not intubate (DNI) Tough Talk – Advance Directives What do volunteers do?: Community support Indirect/program support Direct patient care What do volunteers do? Community Support Volunteers: Provides support activities to enhance the lives of beneficiaries Activities may include knitting/crocheting lap blankets or scrapbooking memory posters May be an individual or group Does not occur at the Fidelis office or beneficiary's residence Requirements Complete application Complete volunteer orientation (all group members) Submit hours monthly Attend in-services as necessary Community Support Volunteers Indirect/Program Support Volunteers: Provides administrative help to support Fidelis's direct care activities Generally occurs at the Fidelis office May include Office work Bereavement admin support Requirements Complete screening process (application, interview, references) Complete initial & annual medical clearance Complete volunteer orientation Submit hours monthly Attend in-services as necessary Indirect/Program Support Volunteers Direct Patient Care Volunteers: Provides companionship to patients at the bedside Includes visits and phone calls May also include: Sitting vigil Complementary therapies Pet therapy Spiritual support Requirements Complete screening process (application, interview, references) Complete initial & annual medical clearance Complete volunteer orientation & training Submit hours per visit/call Attend in-services as necessary Direct Patient Care Volunteers Expectations: Complete training appropriate to your volunteer role Accurate and timely documentation of volunteer work Submit information as needed/requested Initial & annual medical clearance (except community volunteers) Accept supervision of your volunteer role from VC Ongoing training and support as necessary/appropriate Comply with all Fidelis policies/procedures Expectations Policy Packet – Some Rules to Live By: Includes the following policies/mandatories: Confidentiality HIPAA Safety & infection control Sexual harassment Sexual abuse Bloodborne pathogens Medical device act Includes a signature page which is completed, signed and turned into the VC Is reviewed and signed off on annually Policy Packet – Some Rules to Live By Video: “It's Everybody's Job; Not Everybody's Business” Video Ongoing Support for Volunteers: Training In-services Regular volunteer meetings 1:1 with the VC as needed Annual recognition events Ongoing Support for Volunteers Next Steps: Become an office or community support volunteer Continue through Direct Care volunteer training Tell your friends/family about hospice Tell your friends/family about volunteering Ask questions Enjoy! Next Steps

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