Integrated collaborations among diverse providers within the intensive care unit can mitigate the challenges and experiences of health disparities among patients, their families and the provider teams that support them under medical duress. A code blue, the hospital emergency code that indicates a medical emergency, can be a profoundly stressful and traumatizing experience for a patient’s family or loved ones. These stressful and anxious experiences can be amplified if they arise from any number of social determinants of health. This case study characterizes an integrated, interprofessional response to a code blue at a safety-net hospital’s intensive care unit (ICU). This case includes a complex constellation of challenges that include suspected criminality, the witnessing of violence by children, linguistic and cultural differences and multi-institutional responses to address the context of multi-systems failure of a patient and a responsive medical team attending to the patient’s medical needs. The integrated role of the hospital chaplain at the ICU is highlighted as an important mediator, facilitator, spiritual care provider and bridge between formal institutional responses (i.e. medical care provision, government intervention, law enforcement) and the complex dynamics of family, friends and social networks of patients, as well as within the aftermath of the code blue for the medical care team.
This activity has been planned and implemented by the National Center for Interprofessional Practice and Education. In support of improving patient care, the National Center for Interprofessional Practice and Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
Physicians: The National Center for Interprofessional Practice and Education designates this live activity for a maximum of 1.25 AMA PRA Category 1 Credits™.
Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
Nurses: Participants will be awarded up to 1.25 contact hours of credit for attendance at this workshop.
Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
Pharmacists: This activity is approved for 1.25 contact hours (.125 CEU) UAN: JA4008105-0000-20-060-H04-P; JA4008105-0000-20-060-H04-T
Social Workers: As a Jointly Accredited Organization, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive up to 1.25 continuing education credits.
IPCE: This activity was planned by and for the healthcare team, and learners will receive 1.25 Interprofessional Continuing Education (IPCE) credits for learning and change
In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, adopted by the Joint Accreditors for Interprofessional Continuing Education, the National Center for Interprofessional Practice and Education has a conflict of interest policy that requires that all individuals involved in the development of activity content disclose their relevant financial relationships with commercial interests. All potential conflicts of interest that arise based upon these financial relationships are resolved prior to the educational activity.
Fernando Ona, Samuel Lowe, Steven Bingaman, Bethany Robertson, Amisha Metha, Jessica Star, Meredith Lora, Shirly Kooran, Beth Quatrara, Beth Turrentine, Danny Harris, Lisa Daniels, Kathy Lee Bishop, Jennifer Sharp, Caroline Coleman, Douglas Ander, Chase Corvin, Anastasia Pozdnyakova, Kelli Yukon, Allison Norenberg, Kimisha Cassidy, Kevin Roggin, Ross Milner, Vineet Arora
declare no vested interest in or affiliation with any commercial interest offering financial support for this interprofessional continuing education activity, or any affiliation with a commercial interest whose philosophy could potentially bias their presentation.