Code Lilac What is Code Lilac Code Lilac

Code Lilac

What is Code Lilac? Code Lilac is volunteer interdisciplinary peer support team that responds to meet staff emotional support needs throughout the hospital.

Code Lilac Mission O To provide staff who are experiencing a stressful or emotionally and/or spiritually challenging crisis with a coordinated, immediate team response which facilitates a holistic and empathetic exchange to promote compassionate listening and a professional pause to gain clarity and perspective. O This approach would ideally promote optimal wellbeing and team cohesion in the hospital environment and foster personal and professional resiliency as well as prevent burnout.

Code Lilac Goals O Promote healthy work environment/Burnout O O O prevention Staff Wellness/Health Mindfulness Foster team approach Impact recruitment & retention Assist staff/team members with processing thoughts, emotions & optimizing resiliency Improve cost efficiency for healthcare organization

Why Code Lilac? Burnout Resiliency

Why Code Lilac? O Overall, 60% of U. S. workers-not including government workers-reported stress in their current jobs, and 11% reported feeling “highly stressed” O 69% of healthcare workers reported feeling stressed and 17% reported feeling “highly stressed” O More than half of healthcare workers say their workloads increased over the past year O 25% of medical personnel plan to switch jobs in the coming year, the survey found The Advisory Board Company: February 2014

Risk Factors for Burnout O Younger age O Female gender O Working OT O Time since last non. O O working week Conflict with colleagues Working in ICUs > 10 beds Provision of care to dying patients Lack of routine unit meetings

Causes of Burnout

Signs & Symptoms of Burnout O Fatigue O Anxiety/Depression O Excessive anger/irritability O Difficulty maintaining focus O Erosion of energy & enthusiasm O Egocentric behaviors & thoughts O Excessive call-ins

Cost of Burnout O Direct cost for HC organizations O Physician turnover O Decreased quality O Decrease in patient safety O Personal employee dissatisfaction

Code Lilac Promotes Resiliency

How CMHH Code Lilac program works

Code Lilac Activation O Any staff member in the Hospital or Emergency Department may call and request a Code Lilac by paging the oncall chaplain who is in-house 24 hours, 7 days per week

Code Lilac Activation O Unit pages chaplain to request Code Lilac O A Response Coordinator (RC) chaplain or other volunteer RC assess/triages with unit manager about which response would be appropriate (defusing, individual encounters, pause, etc. ) O RC text messages entire team time, location, # of volunteers needed, and RC contact number O All scheduled volunteers for the day Respond to RC to determine who can respond O Get Cart, Set up Room, Lead Defusing O O O O Sign In Sheet Read disclaimer statement Group processes Closing remarks Hand out “Take Care of You” Sheets Clean Room, Return Cart Questionnaire Sent

Possible Reasons for Code Lilac Activations O Death of a patient O Ethically charged cases/care which saps morale O Multiple deaths on a unit in a short period of time O Difficult patient and family scenarios O Community trauma and crisis O Sudden unexpected deterioration of patient with sub- optimal outcome O Death of a staff member or family member which impacts unit dynamics

Code Lilac Defusing Sessions O Is meant for those directly involved in the situation O Managers/directors/administrators would do better to assist with coverage rather than attend (staff may be afraid to share when administrators are present) O Not a clinical debriefing or quality evaluation

Code Lilac Defusing Sessions O Is meant for those directly involved in the situation O Managers/directors/administrators would do better to assist with coverage rather than attend (staff may be afraid to share when administrators are present) O Not a clinical debriefing or quality evaluation

Types of Code Lilac Responses Include O Pause O Individual Encounters/Unit rounding O Small Group Defusing

Post-Participation Questionnaire 1. Overall, how satisfied or dissatisfied were you with the Code Lilac experience? O Very satisfied 72. 97% O Somewhat satisfied 24. 32% O Neither satisfied or dissatisfied 0% O Somewhat dissatisfied 2. 7% O Very dissatisfied 0% 2. Which of the following words best describe(s) The Code Lilac experience? [check all that apply] O Supportive 87. 88% O Organized 45. 45% O Unique 42. 42% O Unhelpful 0% O Uncomfortable 3. 03% 3. How quickly was a Code Lilac initiated in your area? O Too soon 0% O At the appropriate time 78. 79% O Neutral 15. 15% O Too far past the occurrence 6. 06% 4. How likely are you to encourage your peers to participate in a Code Lilac O Very likely 81. 82% O Somewhat likely 18. 18% O Not likely 0% 5. Please provide suggestions on how Code Lilac Leadership can improve the process.

Leadership O Officers, leaders meet Monthly O Shared Governance Model O Periodic team meetings/trainings O Sign in Sheets, Minutes, Agenda O Discussion and practice scenarios

What it takes to start a program O Advocates O Funding O Administrative Buy In