Maryland Nurse - April 2021

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Page 22 • The Maryland Nurse Journal April, May, June 2021 clinical practice Meeting Behavioral Health Needs at Luminis Health, Anne Arundel Medical Center (AAMC), During COVID Jo Deaton, MS, APRN/PMH-BC., Sr. Director of Nursing, Behavioral Health Danny Watkins, MSN, RN, NEA-BC. Director of Substance Use Services Cindy Radovic, MA, BA, RN-BC, Clinical Director, Mental Health Services Last year at this time, we were actively working to open our new mental health facility associated with Luminis Health Anne Arundel Medical Center. After last-minute inspections, The J. Kent McNew Family Medical Center opened on April 14, 2020. The new building is located next to Pathways, our Addiction Treatment Center. Since 1992, Pathways has been a respected 40-bed detox, residential and outpatient center for people with substance use disorders. Like other health care facilities across the country, we kept hearing about a virus called COVID-19. We had no idea how much the virus would impact our plans for both centers in 2020-21. During orientation for new staff at McNnew, we started to wear masks in March 2020. Some questioned whether we should even open because of the pandemic. Since the community’s mental health needs would not stop for COVID, we moved forward with the opening. Pathways had a different dilemma. The residential program lacked private rooms. Changes had to occur to keep staff and patients safe. Infection Control helped us prepare for the new normal, including installing physical barriers and creating markings for social distancing. Nurses and counseling teams were trained on how to self-monitor and how to identify potentially infected patients. We knew that it could quickly become a significant operational issue if we missed one potentially infected patient. Driven by a passion for helping those recovering, many staff members stepped right up to battle the virus and kept offering support to a community in need. As you might imagine, the staff had a lot of fears. We needed more counselors and nurses to limit group sizes. The staff developed new group schedules, eating arrangements, screening techniques, virtual meetings, and even training on testing for COVID-19. Our outpatient team created a virtual outpatient program in a matter of days, navigating Zoom platforms like experts. During the past year, we have stayed open, and as a team, thrived. We have learned infection control guidelines, more options for virtual communication, and increased outpatient attendance by removing physical barriers like a lack of transportation. Most of all, it brought our team together in a way we didn’t expect, and we hope those bonds never fade. As for our new McNew Inpatient Psychiatric Unit, the positive energy was evident. We spent an unprecedented four to five weeks of specialized orientation and education to prepare our clinical team for patient care. This state-of-the-art, free-standing psychiatric facility was several years in the making and now had a team ready to provide excellent mental health care. The immense energy, optimism, and extraordinary resilience barely experienced a cloudy moment as the pandemic ensued. Our closely connected clinical teams of psychiatric RNs, psychiatric nursing assistants, occupational therapists, psychiatrists, psychiatric NPs, and social workers forged ahead regardless of the pandemic’s underlying apprehension. We measured success in caring safely and compassionately for our patients. We maintained the ability to implement milieu-based therapeutic intervention for our patients by adhering to social distancing for groups and meals. Our staff found creative ways to convince our unpredictable population to wear masks. We collaborated with our Emergency Department (ED) partners to require all patients referred for inpatient level of care to receive a COVID test and result negatively in the ED. This process was part of the admission criteria, keeping a keen and diligent awareness of what could happen if we let our guard down. Through it all, our leadership supported our staff, including their individual family needs, and providing sessions with our infection control director as needed. We have ongoing screening and education to maintain their admirable and remarkable resilience. As with any new program, we expected obstacles. Despite the challenges of opening during a global pandemic, we have a newfound strength based on creating a fresh culture with our clinical team. From the moment we opened, we were, and are, always committed to being #inthistogether. ADVANCE YOUR CAREER Earning a nursing degree at HCC can save you time and money. HCC offers a two-year RN program that can be completed in five semesters. HCC also offers: LPN Paramedic Veteran to RN Advanced Placement Agreements with Towson University, Frostburg State University, and other four-year schools will help you transition from HCC into a bachelor’s program. You can take additional general education courses, required by the university, at HCC for a fraction of the cost. The online BSN programs and specialty tutoring at HCC make it easy. Contact jmmclaughlin@hagerstowncc.edu 240-500-2380 Choose your path to Success with Bowie State University! Bowie State’s nursing program is designed to develop students like you into professionals prepared to fill one of the country’s most critical and in-demand careers. BSN MSN - two track options Family Nurse Practitioner | Nurse Educator Post Master’s Certificate of Advanced Study To apply and learn more, visit www.bowiestate.edu The Village at Augsburg is doing something fantastic! We are creating an amazing, genuine, and caring culture. Would you like to be a part of our We CARE team? We value our team members and strive to ensure they experience the same genuine CARE that we provide to our customers. Our team members embody the word CARE in every way— from serving seniors and families to interactions with one another. If you are looking for a rewarding career in more ways than one, join us in setting the new standard for service with We CARE! WE ARE NOW HIRING FOR: Registered Nurse (FT & PRN) Licensed Practical Nurse (FT & PRN) Certified Medical Technician (FT & PRN) Geriatric Nurse Assistant (PT & PRN) Apply today at careers-nationallutheran.icims.com EEO employer It takes the best people to create a great community!
April, May, June 2021 The Maryland Nurse Journal • Page 23 clinical practice The 4Ms Framework for Age-Friendly Care: Making Advances in the Care of the Older Adult Here at Luminis Health, our mission is to enhance the health of the people we serve. In late 2017, Luminis Health Anne Arundel Medical Center (LHAAMC) applied to become one of the pioneers in Age-Friendly Health Systems. It is part of a national initiative to define a framework for age-friendly care for older Americans. The Institute for Healthcare Improvement (IHI) and The John A. Hartford Foundation, in partnership with the American Hospital Association and the Catholic Healthcare Association of the United States, came together to organize this important initiative. Our staff members were thankful for the strong support from senior executives, the LHAAMC Board of Trustees, and the LHAAMC Foundation Board of Directors to participate in this work. We are honored to become one of five pioneer health systems chosen for this initiative. We are working tirelessly to test ideas and learning what it means to be an Age-Friendly Health System. The 4Ms Framework for Age-Friendly Care emerged from this work and is both evidence-based and can be put into practice reliably in any health care setting. The five national Age-Friendly Health Systems Pioneers are: • Luminis Health Anne Arundel Medical Center (Annapolis, MD) • Ascension (St. Louis, MO) • Kaiser Permanente (Oakland, CA) • Providence St. Joseph Health (Renton, WA) • Trinity Health (Livonia, MI) • Mobility: Ensuring that older adults move safely every day to maintain function and do What Matters to them. In June, the 4M Framework initiative will be featured at the Maryland Organization of Nurse Leaders (MONL) meeting. Terry Fulmer, Ph.D., RN, FAAN, President of the John A. Hartford Foundation, and a true national nursing leader in geriatric care and research, will speak about this important work. The John A. Hartford Foundation is dedicated to improving the care of older adults. Dr. Fulmer is the Foundation’s chief strategist, and her vision for better care of older adults is catalyzing the Age-Friendly Health Systems social movement. Our staff at Luminis Health Anne Arundel Medical Center will share some of the improvements we’ve seen in geriatric care as a result of this program. The June 17th meeting is open to all nurses who want to develop and support a framework for age-friendly care in any work environment. Please go to the Maryland Organization of Nurse Leaders’ (MONL) website to register: https://mdonl. nursingnetwork.com/ You might ask, what is an Age-Friendly Health System? It means providing a set of four evidencebased elements of high-quality care to older adults, commonly known as the 4Ms: What Matters, Medication, Mentation, and Mobility. Thanks to this initiative, LHAAMC has already seen an improvement in the care of geriatric patients. The 4Ms framework includes evidence-based interventions. These 4Ms are essential elements that provide older adults with the best care. • What Matters: Understanding what each patient’s health goals and care preference are across settings to know and align care, including (but not limited to) end-of-life. • Medication: If medications are necessary, using Age-Friendly medications that do not interfere with What Matters, Mentation, or Mobility. • Mentation: Preventing, identifying, treating, and managing dementia, depression, and delirium across care settings NursingALD.com can point you right to that perfect NURSING JOB! NursingALD.com Free to Nurses Privacy Assured Easy to Use E-mailed Job Leads
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Maryland Nurse - April 2021

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