RISE Peer Responder Basic Training Module 1: Introduction

powerpoint.jpg powerpoint.jpg powerpoint.jpg Continue Continue Continue Continue Continue Continue Continue Course © The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System Specifically prepared for Siemens Healthineers ARMSTRONG INSTITUTE FOR PATIENT SAFETY AND QUALITY This training may not be commercially available in all countries. Please contact the Armstrong Institute for Patient Safety and Quality and The Johns Hopkins University, Hospital, and Health System for more information. Siemens Healthineers are neither the provider nor legal manufacturer of this training. Any claims and statements made in this training and any content shown in the training are under the sole responsibility of the Armstrong Institute for Patient Safety and Quality and The Johns Hopkins University, Hospital, and Health System. Disclaimer Jingle Peer Support for Caregivers in Distress: Peer Responder Basic Training Specifically prepared for Siemens Healthineers © The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System Resilience In Stressful Events- RISE Module 1: Introduction ? Peer Responder Training: Module 1 Welcome to peer support for caregivers in distress- peer responder basic training. RISE stands for resilience in stressful events and is the program at the heart of this training. Module 1 will provide you an introduction to the impact working in a healthcare environment can have and the benefit of the RISE program. For assistance navigating the course, select the question mark at the bottom right of the screen. Throughout the course, select the Resources tab in the top right corner of your screen to access the RISE peer responder toolkit. It is highly recommended to have the RISE toolkit nearby while taking this online training. At the end of this module you will have the opportunity to print all typed responses from the course. We highly recommend that you print your responses to have on hand at your RISE team meetings. Interacting with your team is the best way to establish your skills as a responder and contribute to an effective RISE program. ? Welcome to Peer Responder Training Welcome to Peer Responder Training ? Meet the Developers Albert Wu, MD, MPH Johns Hopkins Bloomberg School of Public Health - Professor of Health Policy & Management and Medicine Expert on the psychological impact of medical errors on patients and providers; perhaps best known for coining the term "second victim" Meet the Developers I am Dr. Albert Wu and I am delighted to be one of your guides throughout the RISE program. I serve as a physician with the Johns Hopkins Hospital and as a professor at Johns Hopkins Bloomberg School of Public Health Policy and Management and Medicine. As a leading expert on the psychological impact of medical errors on patients and providers I work with the RISE program to reduce the burden of these traumas. ? Meet the Developers Rev. Matt Norvell, D.Min, BCC, NBCC Johns Hopkins Hospital-Department of Spiritual Care Clinical Manager Pediatric Chaplain Nationally certified mental health counselor Meet the Developers Matt My name is Reverend Matt Norvell, a founder of the RISE program. I serve as the spiritual care clinical manager and pediatric chaplain at Johns Hopkins Hospital. As one of your guides through the RISE program, I look forward to showing you how this program adds to the well being of providers and contributors to a medical system. ? Meet the Developers Cheryl Connors, DNP, RN, NEA-BC The Armstrong Institute for Patient Safety & Quality Johns Hopkins Medicine- Patient Safety Specialist Senior Clinical Quality and Innovation Coach RISE program Director Meet the Developers- Cheryl C Hi, My name is Cheryl Connors. As the RISE program director and as an RN specializing in clinical quality at the Johns Hopkins Hospital, am fortunate to see the positive impacts of this program on a daily basis. Throughout the RISE training we look forward to introducing you to the power of this program. ? RISE Peer Responder Roadmap Keeping within the Scope of RISE Module 5 Application of Skills & Principles Module 4 The RISE Intervention Module 3 Value of RISE Intervention Module 2 Introduction to RISE Module 1 Peer Responder Training Roadmap There are five (5) modules in the RISE peer responder training. This module will be our introduction. In modules two (2) and three (3) we will discuss the RISE intervention and its value. Module four (4) will dive into the application of RISE skills and finally, in module five (5) we will outline keeping within the scope of the RISE program. Hover your mouse over each marker along the bottom of the screen to view the steps of the program. ? How did you get here? How did you get here? ? Welcome to RISE Welcome to RISE ? RISE Peer Responder Training Module 1: Introduction Module 1 provides an introduction to the RISE program and the need for second victim support in the healthcare environment. 1 2 3 Define second victims in healthcare Describe the impact of stress on caregivers in healthcare Outline the resilient zone Discuss impact of trauma on the resilient zone 4 Module 1 Objectives Why is peer support needed in healthcare? Most often this need is associated with stressful events that healthcare workers face, leading to second victim symptoms. In this module we will dive into the second victim experience that often negatively impacts the resilient zone of people. This is the primary problem that the RISE program is targeting. ? Josie’s Story Josie's Story ? Second Victim Second Victim: Health care providers who are involved with a patient-related adverse event or medical error experience emotional and sometimes physical distress Term victim can be controversial Can validate importance of issue Can be offensive First victims: Patient Patient’s loved ones Second Victim First victims in many of these situations are patients and their loved ones. The second victim term was first coined by Dr. Albert Wu in 2000. Second victims are health care providers who are involved with a patient-related adverse event or medical error, and as a result, experience emotional and sometimes physical distress. Someone may feel like a second victim without an error or adverse event occurring. It is important to note, the term “victim” has been controversial. To some it validates the magnitude of the incident. To others, it is offensive. ? Often second victims: Second Victim Feel responsible for the outcome Feel they have failed the patient Question their knowledge and competence Second Victim feelings Second Victims often have several feelings in common. They will often feel personally responsible for the outcome, as though they have failed the patient, and question their knowledge and competence. Second victim syndrome can occur after a Patient Death or other adverse patient outcomes, especially those that are sudden or unexpected, or when they happen to patients caregivers have a relationship with. Other situations that can cause the second victim response include near miss events and conflicts with patients or members of the health care team. Additionally, when a caregiver feels conflict about policy or resource constraints that hinder quality of care, the feelings associated with second victim syndrome can present. ? Do you feel one has to experience a medical error or an adverse event to feel like a second victim? YES NO Reflection: Second Victim Second Victim Do you feel someone has to experience a medical error or an adverse event to have feelings associated with second victim syndrome? Drag the button along the slider bar to your response and then select submit. Thank You Thank you for your response. ? High Risk Healthcare Stressors High Risk Environment Acute Patients Demanding Patients/Families Complex Care Feeling Vulnerable Variety of People/Backgrounds Long Hours/ Short Breaks Task Overload Competing Roles High Risk Healthcare Stressors We work in a high stakes environment where risk surrounds us. There are many situations that can make us feel like a second victim. Having the responsibility of another persons life in our hands is heavy enough, let alone the complexities that are associated with providing high quality, safe healthcare. Healthcare work can be physically, emotionally and mentally demanding. Often employees work long hours, with short breaks, in difficult situations. Our patients maybe acutely ill and may be feeling stress as well. Even our patient’s families can be demanding. Additionally, we work with a variety of people and disciplines, all with competing roles, goals and priorities. Sometimes, just working together can be a challenge. Many of us share some of the same stressors but each organization will have its own needs and individual cultures. What stressors do you feel are present in your work environment? Select all that apply. ? Life Stressors Childcare Difficulty Sleeping Lack of Personal Time Financial Stress Relationship Stress Feeling Overwhelmed Personal Illness / Injury Emotional Distress Family Illness Life Stressors Work life balance has morphed into work life integration for many. This means that many of us are carrying life stress into work and work stress into our lives. What stressors are you experiencing that may be impacting you while at work? Select all that apply to you. ? Response to Stressors Physical: Physical pain Sleep disturbance Impaired function Numbing Restlessness Emotional: Shock Helplessness Worry Anger Guilt Avoidance Depression Poor concentration Response to Stressors Dr. Bessel van der Kolk, one of the world’s foremost experts on trauma, wrote a book called “The Body Keeps the Score.” In this book he uses scientific research to show how trauma reshapes both the body and brain. The most common physical responses to stress include physical pains, sleep disturbance and impaired functioning. Common emotional responses include shock, worry, anger, avoidance, depression and poor concentration. Dr. van der Kolk explores innovative treatments—including meditation, drama, and yoga—to aid recovery by activating the brain’s natural neuroplasticity for healing. As a RISE peer responder ,it's important to be aware of the different possible responses your colleagues may be experiencing as a result of the trauma; both physical and emotional. We don't want to feel this way, nor, do we want our colleagues to. Example: Increased heart rate Type your responses into the text box. What do you notice in yourself when you are feeling emotionally or physically stressed? Reflection: Stress Response Note: This activity is required for course completion. Reflection: Stress Response As you can see, we all experience stressors. Some of our stressors come from work and others from our personal lives. Regardless of the source, stressors are going to create a physical response in the body. It is important to identify what your bodies individual response to stress is. This can help us to identify stress in others. What do you notice in yourself when you are feeling emotionally or physically stressed? Thank You Thank you for your response. Release Charge ? The Resilient Zone Release Resilient Zone Charge Resilient zone allows for best capacity and flexibility in mind, body and spirit. The Resilient Zone Trauma research commonly discusses the resilient zone, which is important to understanding the benefit of RISE. We all have a resilient zone. When we function within this zone we can flex, and adapt to stress. An event may create a charge that is then offset with a release; all within the resilient zone. We can experience a range of emotions (happy, mad, sad, excited) while in the resilient zone and still function at optimal capacity. Our resilient zone may vary from wide, to narrow, depending on our current situation. For example, very little sleep for a few days may narrow the zone, while exercising consistently may widen the zone. Hypo-arousal ? The Resilient Zone Resilient Zone Hyper-arousal The Resilient Zone Now let’s look at the model when someone experiences a traumatic event. Traumatic triggers can knock us out of our zone. We can go into a hyper-arousal, or hypo-arousal state. When we are in a hyper-arousal zone we may feel anxious, panicked, or hyper vigilant. We can also go in the opposite direction, hypo-arousal, where we may feel exhausted, fatigued, withdrawn or numb. Depending on the situation we may be knocked out of the resilience zone for a brief period of time, we can become stuck in a hyper or hypo-arousal state or even fluctuate in both directions. Hover over each area of the model for more information. Ideal area of function Capacity for flexibility in response to triggers/stress RISE skills deepen this zone Stuck on “low” Depression Disconnection Exhaustion Fatigue Numbness Stuck on “high” Hyperactivity Hypervigilance Mania Anxiety Panic Rage Traumatic event or trigger Hypo-arousal ? The Resilient Zone Resilient Zone Hyper-arousal RISE Intervention The Resilient Zone The RISE intervention helps us recover from an adverse experience and shift back into balance. But peer support is not only intended for catastrophic situations. The response someone experiences doesn't always equal the severity of their distress. Regardless, the purpose of peer support is to facilitate return to the resilient zone. Hover over each area of the model for more information. Helps recover from trigger Not all triggers are catastrophic Facilitates shift into ideal zone Doesn’t change the story or fix the problem Ideal area of function Capacity for flexibility in response to triggers/stress RISE skills deepen this zone Stuck on “low” Depression Disconnection Exhaustion Fatigue Numbness Stuck on “high” Hyperactivity Hypervigilance Mania Anxiety Panic Rage Traumatic event or trigger ? Examples of Distress Examples of Distress ? Course Review Congratulations. You have completed the RISE Peer Responder Training: Module 1 course. Select the numbered buttons below to review the material before proceeding to the final assessment. Outline the resilient zone Describe the impact of stress on caregivers in healthcare Define second victims in healthcare 1 1 1 3 3 3 2 2 2 Discuss impact of trauma on the resilient zone 4 4 4 Course Review Congratulations! You have completed the first module in RISE peer responder training. Select each of the numbered buttons on your screen to review the objectives before proceeding to the final assessment. Notes: Second Victim Second victims are health care providers who are involved with a patient-related adverse event or medical error, and as a result, experience emotional or physical distress. Second victims often feel personally responsible for the outcome, and question their knowledge and competence. Notes: Impact of Stress: Stress and trauma reshapes both the body and brain. The most common physical responses to stress include physical pains, sleep disturbance and impaired functioning. Common emotional responses include shock, worry, anger, and depression. Notes: Resilient Zone We all have a resilient zone. When we are functioning within this zone we can flex and adapt to stress. The resilient zone allows for best capacity and flexibility in mind, body and spirit. Notes: Impact of Trauma Trauma or traumatic triggers can knock us out of our zone and into a hyper-arousal or hypo-arousal state. Depending on the situation we may be knocked out of the resilience zone for a brief period of time, we can become stuck in a hyper or hypo-arousal state or even fluctuate in both directions. Select X to return to the course. Impact of Trauma on Resilient Zone Hypo-arousal Resilient Zone Hyper-arousal The Resilient Zone Select X to return to the course. Resilient zone allows for best capacity and flexibility in mind, body and spirit. Release Charge Resilient Zone Select X to return to the course. Impact of Stress on Caregivers Physical: Physical pain Sleep disturbance Impaired function Numbing Restlessness Emotional: Shock Helplessness Worry Anger Guilt Avoidance Depression Poor concentration Stress & Trauma Second Victims in Healthcare Question their knowledge & competence Feel personally responsible for outcome Experience emotional or physical distress Second Victim: Healthcare workers involved in patient-related adverse event Select X to return to the course. Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate . Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. You may repeat the assessment as many times as needed. Start ? Assessment No Audio Select three (3) answers. Question 1 of 5 What responses are commonly associated with second victim syndrome? Feel responsible for the outcome Feel the event was their fault Feel increased competence Question their knowledge ? ? Multiple Answer No Audio Incorrect One or more of the answers is incorrect. Correct Select three (3) answers. Question 2 of 5 What physical responses are commonly associated with a stressful event? Pain Sleeplessness Numbness Tingling ? ? Multiple Answer No Audio Incorrect One or more of the answers is incorrect. Correct Select the best answer to complete the statement. ? ? body health health health heart heart heart Question 3 of 5 The resilient zone allows for best capacity of mind, ________, and spirit. emotion emotion emotion Fill in Blank Incorrect The heart is an organ. Incorrect Health is a state of physical, mental and emotional well being. Incorrect Happiness is an emotion. Correct Select the best answer to complete the statement. ? ? disruption disruption disruption movement movement movement balance balance balance Question 4 of 5 Trauma causes ________ to the resilient zone. calm calm calm Fill in Blank Incorrect Balance is a state of evenness. Incorrect Movement can result in a variety of directions. Incorrect Calm is a state of being. Correct Peer intervention Increases the resilient zone Hypo-arousal Feelings of depression and fatigue Hyper-arousal Feelings of anxiety and panic Resilient zone Ideal area of function Drag each response from the right column to its corresponding item in the left column. Match the resilient zone element with its associated definition. ? ? Question 5 of 5 Matching Incorrect One or more answers are incorrect. Correct YOUR SCORE: PASSING SCORE: Review Review Review Retry Retry Retry Continue Continue %Quiz2.ScorePercent%% %Quiz2.PassPercent%% Assessment Results Select Print to print a copy of all of your typed answers throughout this course. Exiting the course will not save your responses. Select Continue to complete the course. Print Assessment Results Please select Print on your screen to print a copy of all typed answers throughout this module. Typed responses are not saved after exiting the course. After passing the assessment, select Continue to complete the module and access your certificate of completion. You did not pass the course. Take time to Review the assessment then select Retry to continue. Congratulations! You passed the course. Exit To access your Certificate of Completion, select the Certificates tab from the learning activity overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the RISE Peer Responder Training: Module 1 Online Training Completion No Audio Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Tmeline Select the CC icon to display closed captioning (subtitles). Click Next to continue. Next Caption Icon Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Question Bank 1 HOOD05162003355572 | Effective Date: 21 May 2023 RISE Peer Resonder Toolkit 1.1 Disclaimer 1.2 Peer Responder Training: Module 1 1.3 Welcome to Peer Responder Training 1.4 Meet the Developers 1.7 Peer Responder Training Roadmap 1.8 How did you get here? 1.9 Welcome to RISE 1.10 Module 1 Objectives 1.11 Josie's Story 1.12 Second Victim 1.15 High Risk Healthcare Stressors 1.16 Life Stressors 1.17 Response to Stressors 1.19 The Resilient Zone 1.22 Examples of Distress 1.23 Course Review 1.24 Assessment