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No One Dies Alone

No One Dies Alone. Origins of NODA. Sandra Clark, RN at Sacred Heart Medical Center in Eugene, Oregon Formal program started in 2001. Why start a NODA program?. Because no one should die alone! We have a large population with little support or family in our area. Who do we need involved?.

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No One Dies Alone

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  1. No One Dies Alone

  2. Origins of NODA Sandra Clark, RN at Sacred Heart Medical Center in Eugene, Oregon Formal program started in 2001

  3. Why start a NODA program? • Because no one should die alone! • We have a large population with little support or family in our area.

  4. Who do we need involved? Hospital(s) Nursing staff Committee Volunteers

  5. NODA Volunteers: Compassionate Companions • Committed to the program • At least 18 years old • Must attend orientation session • Must sign volunteer agreement

  6. NODA Patients: No friends/family Less than 72 hours to live DNR Comfort care Varying states of awareness Variety of diagnoses Consent

  7. Initiating a NODA referral • Nurse calls Point of Contact (POC) • POC calls Phone Coordinator • Phone Coordinator: - Calls nurse for additional info - Schedules Compassionate Companions (CCs) - Checks for status and updates everyone

  8. What happens next? • Phone coordinator briefs the CC • Get bag to patient’s room • First Companion: - Arrives at hospital ASAP - Goes to nursing unit; speaks to patient’s nurse - Accompanies nurse to patient’s room

  9. Being with the patient • Hold their hand, talk, listen, read • Spiritual support • Comfort measures • Give permission to die It is ok to do NOTHING for the patient other than being present … sometimes this is the BEST option.

  10. Questions? Thank you!

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