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ARH Chaplaincy Services

Training

Tim Reynolds

ARH Director of Chaplaincy Services 1

Chaplaincy Services

• Wikipedia Defines Chaplaincy Services: as Ministers,

priests, clergy, pastors, Rabbi’s Imams, and even

laymen that are available to assist with the spiritual,

religious, and emotional needs of the people that they

minister to, which often includes family and staff of

the organization to which they are called.

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Many Types of Chaplains:

Healthcare, Law Enforcement, Fire Departments,

Military, Prison, Sports, Corporate, Nightclub and

Theatre Chaplains, Market Place Chaplains,

Corporate Chaplains, Cruise Ship Chaplains

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Who are we? • We are ARH Volunteer Healthcare Chaplains

• Our Chaplains Serve in 12 different hospitals with

over 160 members

• Representing several different denominations

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• Provide spiritual guidance to patients and staff !

• To pray with and encourage those we come in

contact with- including patient families.

• To provide an example of Love, Grace, Mercy and

Peace

• To provide scripture which encourages hope

ARH Chaplaincy Services Goals

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History of ARH • In 1956,the United Mine Workers of America (UMWA) and thousands of citizens in the

coal communities dedicated the Miners Memorial Hospital Association's (MMHA) facilities.

• By the early 1960s, MMHA announced its intention to close some of the hospitals and soon after the Board of National Missions formed a new and independent not-for-profit health system Appalachian Regional Hospitals (ARH)--that purchased the Miners Memorial Hospitals.

• The health system changed its name in 1986 to Appalachian Regional Healthcare to more accurately describe its far-ranging activities.

• Today, ARH operates hospitals in Barbourville, Harlan, Hazard, Hyden, McDowell, Middlesboro, Morgan County, Martin, Whitesburg and South Williamson, Kentucky, Beckley and Summers County, West Virginia.

• ARH has always responded to the changing demands of rural healthcare. Over the years, we have built and acquired new facilities as well as invested in new technology and medical capabilities. 6

ARH MISSION, AND VISION

ARH Mission

To improve health and promote well-being of all

the people in Central Appalachia in partnership

with our communities.

ARH Vision

To earn the confidence and trust of the diverse

communities we serve by offering healthcare

excellence, delivered with compassion in a

timely manner.

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ARH CHAPLAINCY SERVICES MISSION

STATEMENT

• ARH chaplains are available to lead people to experience grace, forgiveness and reconciliation; to offer guidance and support though grief, crises, dying and death; and particularly in end of life decisions; and to enable people to find hope, faith, and love.

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ARH PRINCIPLES OF CARE

• The health and welfare of every patient is the primary and overriding concern of each and every

person in ARH.

• Principles

• 1. Every patient will be treated as a unique, irreplaceable individual who deserves respect and

consideration.

• 2. Privacy and confidentiality will be maintained for every patient.

• 3. Every patient will have an individualized plan of care and treatment and will participate in its

development.

• 4. Every patient (or responsible party) will be informed about his or her care at every stage of

diagnosis and treatment.

• 5. Every patient’s care will be overseen by a responsible attending member of the medical staff.

• 6. The patient’s needs and concerns will supersede educational or research activities and

organizational routine.

• 7. Employees’ personal issues will never compromise the care of patients.

• 8. Patient’s and other customers deserve professional, dignified behavior oriented toward service. 9

ARH CHAPLAINCY SERVICES

• In moments of fear, anxiety, or loneliness; when facing

questions of meaning and purpose; and when seeking to

experience God in the midst of hospitalization, chaplains

are available to assist making hospitalization an

experience of spiritual growth.

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Policy G-VII-01

• ARH Chaplains seek to assist patients to use their personal religious and spiritual beliefs and practices in coping with vital life concerns during hospitalization.

• ARH Chaplains offer religious and spiritual support, conduct religious sacraments and rituals, and to pray and read scripture. Sacraments may include, but are not limited to Communion, Baptism, foot washings etc.

• (Requests for immersion baptisms should be sent to the Director of Chaplaincy Services- in order to insure safety of the patient and provision of equipment)

ARH Chaplaincy Services Policy G-VII-01

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ARH CHAPLAINCY SERVICES SURVEY

• Surveys indicate that more than 80% of hospitalized

patients would like to have some type of spiritual

guidance and encouragement during a time of health

concerns.

• ARH Chaplains provide encouragement, prayer and a

listening ear during the times of hospital stays.

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Eligibility Requirements

• Chaplains must be qualified Spiritual

Care providers who are ordained, licensed or

commissioned by their faith community.

• Pastors, Deacons, and members that have been

recommended by their faith community.

• Chaplains must complete the Orientation to ARH

Chaplaincy Program or the Web based training

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APPLICATION PROCESS

Applicants must complete and submit the following forms to the Director of Chaplaincy Services

• Chaplain Profile

• Background check

• Authorization Form

• Disclosure Statement

• Signed Confidentiality Statement

• Ethics Agreement

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“On Call” Definition of Services

• Providing Chaplaincy Services on the rotation

schedule- one week per quarter

• Schedule generally begins on a Sunday and ends on

the following Saturday

• Available to respond to calls from the Hospital for

special requests for services- may include night time

calls- in the event of a death or a special need

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“On Call” Definition of Services

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• Includes rounding at the hospital each day during

your “On Call” Week

• Visiting Patient rooms,

• Emergency, OR, ICU, and CCU Waiting Rooms

• Chaplains are asked to be regular in providing

services during their “On Call” Week, if they have to

miss more than one day to call another chaplain on

the schedule and asked them to cover that day

ARH CHAPLAINCY

SERVICES

PROTOCOLS

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Dress Code

• Maintain a professional appearance, a tie is not required

• You are encouraged to wear what you would wear when

you attend your Worship services

• Ask that you do not wear jeans or T Shirts

• Always wear your ARH ID Badge

• Some exceptions- emergency call

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• Who shall I visit?

• Small Hospitals- Chaplains often visit each patient when making rounds

• Large Hospitals- by census or by nurse request or referral by family

• Chaplains can visit any patient following the protocols set forth in this training

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ARH PROTOCOLS

• When should I visit?

• Visit as your schedule allows

• Ideal time for visiting is generally after 5:30 p.m.

• A.M. Visits- you may be playing hopscotch with the

Doctors

• After lunch – patients are often napping

• After dinner- family is visiting

• Visit when your schedule allows

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Making Rounds during your “On Call Week”

• Receive Census at the Information Desk or

Nurses Station

• Check Prayer request box

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• Make announcement using the intercom that you are in

the building- Read scripture, have prayer, keep to less

than 2 minutes

• Finish Announcement by saying- “Please let your nurse

know if you would like to see the “on call Chaplain”

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• At Nurses stations, introduce yourself and let the staff

know that you are “On Call” that week.

• Look for opportunities to connect with staff

• Ask them if there is any special way that you can be

praying for them

• Ask them for any patients that may need a visit, and

any that you should not visit


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Making Rounds during your “On Call Week

• “

Wash your hands using soap and water.

Vigorously scrub for 10-15 seconds, rinse thoroughly and turn

faucets off using a paper towel.

Wash your hands before and after patient contact, eating,

beginning work, using the restroom, coughing, sneezing, and

blowing your nose. When in doubt wash your hands!

THE MOST IMPORTANT THING YOU CAN DO TO PREVENT

THE SPREAD OF INFECTION IS TO WASH YOUR HANDS

WELL. 24


• Always---

• Knock before entering a room

• Foam In- using the alcohol rub

• Introduce yourself immediately

• Tell them the nature of your visit

• (“Hello my name is Chaplain Tim Smith, I would like to

have a word of prayer with you and also read some

scripture”- If it is OK with you)

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Assess the situation!

• Does the patient feel like talking?

• May not be an opportune time- Nurses or Doctors

ministering to the patient

• Meals being served?

• Is the patient comfortable with your presence?

• If patient is asleep, do not wake them, leave them a

calling card

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• ARH asks that you only use literature approved by

ARH Chaplaincy Services.

• Chaplains may provide material upon request, and

chaplains may distribute the Daily Breads devotional

or the Strength For Hospital Days pamphlets.

• Most hospital rooms have Gideon Bibles

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Isolation Rooms

• Do not enter isolation rooms without first asking the nurse in charge.

• Patients are placed in isolation to either protect the person coming in contact with him/her or to protect the patient from others.

• Isolation is indicated by the presence of a sign on the door to the room and a yellow cart outside the door which contains supplies needed for precautionary measures.

• Follow these instructions or ask a nurse- what do I need to wear to visit this patient?

• These instructions will protect you as well as the patient

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Special Care Units- ICU and CCU

Chaplains may include visits to patients in ICU or CCU

that have requested to see the chaplain on call.

Chaplains will observe the protocols of each special

care unit

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General Safety Tips

In general always:

• Be attentive

• Place waste in appropriate receptacles

• Never reach inside refuse containers-they may contain broken

glass or needles

Be careful where you step- Oxygen & IV lines

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Patients Rights

It is the responsibility of this Hospital to demonstrate

respect for a patient’s desire for pastoral care and other

religious/spiritual services, and to provide necessary access

to such services.

(If a patient refuses Chaplaincy Services, quickly thank

them and move on)

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Patients Rights

If a patient requests religious services that you are not

comfortable in providing, please let them know that you will

call the Director of Chaplaincy Services and see if some

one else can provide that type of service.

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Cultural Compliance

Many definitions of cultural compliance are being written, yet no standard has

been accepted as the best.

The term “cultural competence” means the knowledge, attitudes, skills, and

processes that allow an individual or system to provide services across cultural

lines in the best manner possible.

It allows us to respond with respect and compassion to people of all cultures,

classes, races, religions and ethnic backgrounds in a way that recognizes,

affirms and values the worth of individuals, families and communities.

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To Suicidal patients

To Depressed patients

Counseling Patients

Discharged Patients

To ARH Employees

All are referenced in our on line manual

Link is found in your packet 34

Chaplains may be Ministering to

EMERGENCY CODES 35

Emergency Codes

Code cards will be provided to Chaplains.

The only Code that we ask Chaplains to respond to is a Code Blue.

If a code blue is called for room 214, go to the area and see if there is any family that you may be able to encourage. Ideally you will want to move away from the door to the room to provide easy access for medical staff

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HIPAA

• Stands for the Health Insurance Portability and

Accountability Act

• Biggest factor for Chaplains is to remember – The

Knowledge of Who is in the Hospital stays at the

hospital…

• Do not mention these people by name on your prayer list

• Safeguard the Census

• Shred the census after your visit- Do not take it home with

you 37


• At the time of a patients death, the attending nurse will

request the family to identify a pastor or a spiritual care provider that they wish to call.

• If the patient has no spiritual care provider the nurse will inquire if the family wishes to have the On Call Chaplain to visit with them.

• Chaplains provide spiritual guidance to the dying patient and to the family

End of Life

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• Each hospital has a Chapel- a sanctuary for:

• Ministering to patients and their families

• Encouraging staff

• Sharing Devotions

• A Time for prayer before and after making rounds

• It is not a place to hold public meetings

CHAPEL

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• At the end of rounding please complete the “Chaplaincy

Services Daily Log” this is very important- if it is not log it

is not done.

• Only takes a couple minutes to complete, listing the

approximate number of patients, family and staff that you

have visited- exact numbers are not required.

• Also list the time spent visiting at your hospital and your

travel time to and from the hospital

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Chaplains will provide pastoral care considering people's own

spiritual resources to cope with physical, mental and spiritual

challenges.

Chaplains will not accept donations or gifts.

Chaplains will not talk down to, degrade, belittle, or disrespect

other Chaplains, patients or staff in any way for any reason.

ARH CHAPLAIN’S CODE OF

CONDUCT

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Chaplains will respect people's right to privacy and

will not share confidential information.

Chaplains recognize their boundaries of competence

– should certainly never give medical advice


CONDUCT

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Chaplains will maintain professional and personal

boundaries in the relations established with patients

and staff

Chaplains will not engage in doctrinal issues that may

be decisive with patients or staff

Chaplains will talk and pray in low tones so as not to

disturb other patients


CONDUCT

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Chaplains will leave the door open at all

patient rooms when visiting


CONDUCT

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The use of touch and physical contact:

Use wisely!

Because the use of touch can be misunderstood or

misinterpreted. It must always be used with sensitivity


CONDUCT .

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CONDUCT

Do not lay hands on a patient without their consent.

Ask permission before using touch- “Would it be OK if I

held your hand during a prayer?”

If used in a spiritual ritual explain what you are going to

do before you proceed and get permission. If applying

anointing oil, tell the patient before you do so. 48


CONDUCT

The office of Chaplain requires a high standard of

moral integrity and conduct. ARH Chaplains’

should uphold the reputation of Healthcare

Chaplaincy.

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When Paul wrote to Timothy in 1 Tim 3 concerning the

qualifications of a pastor leader, he said that they must

have a good testimony among those who are

outside of the church.

As Chaplains we must do the same. Maintain our

testimony our walk in such a way that we do not bring

dishonor to our profession.


CONDUCT

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Meetings:

Fall Meeting- dates – luncheon held one day sometime between the end of August and October- this is a required annual meeting, generally lasts 2 hours, includes required certifications and annual tb test. (Presently working to provide a web based certification for Chaplains whose jobs will not allow them to attend the annual meeting)

Quarterly Luncheon-Trainings not required to attend – but encouraged as we share about ways to be more effective in this calling

Christmas Dinner- not required but encouraged as a time for ARH to say thanks for your services an ARH Volunteer Chaplain, generally held at state parks

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• ANNUAL CHAPLAINS SPRING RETREAT: (not required)

• Held each May (generally mid month)

• Chaplains arrive on Monday and depart on Wednesday at a designated resort hotel

• This is also an opportunity for ARH to express its appreciation for Chaplains that provide services to our patients and staff

• It is a Time of fellowship, Worship and Training

ARH provides lodging and meals for Chaplain and spouse (no children)

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What to do to get started?

• Complete required signatures package received via email and

return per instructions

• Get a TB test– (no charge)- HR will direct you on how to receive the TB test – free flu shots may also be provided

• Human Resources will need to take your photo for an ID Badge

• ROTATION SCHEDULE will be provided to you via email.

• See folder for directions concerning protocols for visiting

• Questions? Call or text Tim Reynolds at 606-854-8506 or email [email protected]

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• Thanks for your willingness to serve as a

Chaplain at ARH, only eternity will reveal

the full effects of your ministry as a

Chaplain.

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