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Care Team Enables Communication Solution for Laboring Mother Who Relies on Lip Reading

Posted on Jun 16, 2020 in California Pacific Medical Center, Quality, Scroll Images, Uncategorized, Women's Services

SAN FRANCISCO – When the COVID-19 pandemic began, Sutter’s California Pacific Medical Center (CPMC) put strict infection control measures in place to keep patients and staff safe. These measures included temperature screenings, masking and visitor restrictions. But while masks are crucial for slowing the virus’ spread, they can present a communication problem for certain patients. That’s why Sutter Health purchased clear face masks for those people who would have difficulties communicating otherwise.

Karma Quick-Panwala was an expecting mom, who relies on lip reading to communicate. The clear face masks allowed her to see her labor and delivery nurses’ facial cues for reassurance and encouragement.

Technology + Teamwork

“Giving birth during COVID-19 has brought new challenges—but also many opportunities,” said Yuan-Da Fan, M.D., chairman of obstetrics and gynecology at CPMC’s Van Ness campus. “We were determined to find a solution that fit Karma’s need. We wanted communication between Karma and her care team to be as seamless as possible in order to provide the best possible care to her and her baby.”

The solution? Before her due date, Quick-Panwala worked with CPMC’s staff to put into place real-time captioning, also called Communication Access Realtime Translation (CART). CART works by a stenographer translating spoken word into text that then appears in real time on a tablet screen.

When she arrived at CPMC to deliver her baby, Quick-Panwala’s care team called a captioner via the CART service. The captioner listened to the conversations happening in the labor room over speaker phone and translated the speech into text. Nearly instantly, the text appeared on a screen at Quick-Panwala’s bedside.

Seamless Communication

“Thanks to technology, the Internet and iPads, we were able to make it happen so that I could have relatively simultaneous access to speech through all the instructions, questions and answers,” said Quick-Panwala. “From the moment we arrived, everyone [on the care team] knew they needed to put on their clear mask and change the way they communicated a little bit.”

“It’s been a good experience. [The technology] helped my labor and delivery go smoothly because I was able to see, communicate and understand what was taking place in the room. Fortunately, it was a straightforward delivery. Everyone has been absolutely wonderful,” she said.

Axel Panwala arrived happy and healthy on June 10.

“We were happy to make this delivery experience a success for Karma and her husband,” said Dr. Fan. “Our staff were able to adapt to her needs and learn a new piece of patient communication and technology in the process. It was a win for everyone.”

Asit Panwala, Quick-Panwala’s husband, said, “There can be a lot of unpredictability in labor and delivery, so this communication channel was important.”

The San Francisco Chronicle featured Quick-Panwala’s story here: How clear face masks helped a Bay Area mom who’s hard of hearing give birth.

Our Commitment to LGBTQ+ Patients, Families and Employees: A Message from Sarah Krevans

Posted on Jun 15, 2020 in Expanding Access, Scroll Images

Sarah Krevans, president and CEO of Sutter Health, shares the following message in light of the rule finalized on June 12 by the U.S. Department of Health and Human Services that removes protections for gender identity and sexual orientation from the nondiscrimination provision of the Affordable Care Act:

“Our commitment to our LGBTQ+ patients, families and employees is unwavering. We remain dedicated to providing compassionate, high-quality care that is free from discrimination and affirming of gender identity and sexual orientation. Removing protection for gender identity and sexual orientation from the nondiscrimination provision of the Affordable Care Act is in direct conflict with our values, and increasing barriers to healthcare during a pandemic is unconscionable. These changes will not impact the way we care for our patients, nor do they change our commitment to equitable, inclusive care for everyone we serve, including LGBTQ+ patients and families.

Additionally, I applaud today’s Supreme Court decision protecting the civil rights and legal protection of LGBTQ+ employees across the U.S. There’s no place for discrimination of any type in our country – including our worksites and in healthcare. Sutter Health is proud to operate in one of the most diverse regions in the U.S. It is our mission to respect and serve all.”

Stress Relief Gone Wrong – Are You Developing Unhealthy Coping Habits?

Posted on Jun 11, 2020 in Scroll Images, Wellness

SACRAMENTO, Calif. – The pandemic’s disruptions to daily life have been many. Seamlessly navigating through this new normal may feel like something only Instagram influencers are capable of tackling with grace, when the truth is many of us are just trying to make it from one day to the next. During these days dotted with question marks, it’s easy to develop habits that can have negative and unintended consequences on our physical and mental health.

“We are all looking for relief from life’s stresses, but we don’t always have the right tools. And trying to power through isn’t realistic or a good long-term solution,” says Kim S. Narvaez, a licensed family and marriage therapist with Sutter Health.

“The upshot is there are ways you can develop skills to cope with life’s ups and downs and find healthy ways to relax and feel better,” she says.

Here are some tips for setting yourself up for success:

Avoid Unhealthy Short-Term Strategies

Notice if you have fallen into negative patterns which may have started off as ways of comforting yourself, like obsessive online shopping, excessive social media use, watching too much TV, and mindless eating.

Be aware that unhealthy habits may turn into addictions and diagnosable conditions requiring treatment and professional help. Smoking tobacco, drinking too much alcohol, illicit drug use, online gambling, binge or restricted eating, hoarding, and self-injury like cutting are all signs you are dealing with stress in unhealthy ways.

Develop Healthy Habits

Good coping strategies help us through the rough times and get us moving in the right direction. The following are signs that you are doing things that are helpful:

• You feel proud, accomplished, confident and productive
• You have positive thoughts about yourself, others and the world in general
• Your coping tools don’t result in wasted time, effort and money
• Your mindset is hopeful, without feelings of shame or guilt
• You feel more energized, present and effective

Be Proactive

Don’t let unhealthy behaviors put you on defense. Instead, avoid developing them altogether by taking steps to:

• Identify harmful coping behaviors and make a commitment to stop
• Set personal goals to achieve a healthy lifestyle and create a self-care plan
• Be consistent in using strategies to properly tackle minor and major stressors
• Recognize how you are responding to uneasiness, minor annoyances, restlessness, boredom, isolation, disconnection, sadness, worrying, insecurities, and feeling overwhelmed.

Get Support

“Enlisting the support of a spouse, roommate or buddy to check in with is a good strategy to incorporate into your weekly routine,” says Narvaez. “They know you well and can help point out behaviors you’re unaware of.”

If your issues become too much to bear and you feel like you’re spiraling to gain control, then seek professional help. Your primary care provider can refer you to a licensed, professional therapist who can help you gain awareness, reach goals and change behaviors.

“There’s zero shame seeking help,” says Narvaez. “Acknowledging, addressing and getting unhealthy behaviors in check is a responsible way of taking charge of your health.”

Feeling Anxious Because of COVID-19?

Posted on Jun 10, 2020 in Scroll Images, Uncategorized, Wellness

SACRAMENTO, CALIF. – We are all worried about our health, safety and protecting our loved ones right now. As the COVID-19 crisis continues, it’s more important than ever to protect our mental health and build resilience.

Recognize Anxiety Overload

“Anxiety is a signal from our brain that puts us on alert, mentally and physically, to both real and perceived dangers. It’s normal to feel anxious right now. But anxiety overload can cause physical symptoms and impact wellbeing,” says Kim S. Narvaez, a licensed marriage and family therapist with Sutter Health.

“Be aware of the signs,” says Narvaez. “These may include: restlessness, aches and pains, sweating, heart pounding, stomach problems, difficulty concentrating, feeling on edge, excessive worrying, irritability, obsessions, uncontrollable behaviors and fearfulness.”

Try Mindfulness to Help Manage Anxiety

Mindfulness is a useful tool that you can practice easily by paying close attention to yourself and your surroundings.

“The goal is to be present and notice what is going on within yourself,” says Narvaez, “Listen to how you are feeling, without any distractions or the need to do anything. This allows us to process thoughts and information calmly so we can move forward in a less reactive way.”

You can practice mindfulness in several ways. Click here to learn more about relaxation, breathing and meditation techniques.

Take time to reflect and ask yourself questions such as:

• Are my thoughts out of proportion to what is actually happening?
• Am I acknowledging my feelings?
• Am I giving myself enough credit for all the things that I am doing?

You can learn more about mindfulness and stress reduction on the Sutter Health website.

Reach Out for Help

Your mental health is important to your physical health and your overall wellbeing. Notice if your anxiety is escalating. If you want more help, contact your primary care physician who can provide you with a referral to licensed, professional therapists who can help with personal problems.

Critical Blood Shortage May Impact Hospitals

Posted on Jun 9, 2020 in Affiliates, Alta Bates Summit Medical Center, Scroll Images, Uncategorized

OAKLAND, CALIF. – Hospitals across the country are facing the potential for critical blood shortages as a result of blood drive cancellations during mandatory shelter in place orders. Blood donation may also be hampered by the changes blood banks have had to make to keep donors safe.

Now Ronn Berrol, M.D., medical director of the Summit campus emergency department at Sutter’s Alta Bates Summit Medical Center, explains the impact of the blood shortage on hospitals in a recent interview with KTVU Fox 2.

Watch the video interview

For a while, the drop in blood donation wasn’t as problematic since there was a lower demand for blood as people obeyed shelter in place orders—the number of emergency surgeries and hospitalizations was reduced— and elective procedures were cancelled, says Dr. Berrol. But as people begin venturing out and hospitals resume urgent and elective surgeries, he says there is the potential for disruption or delays for blood-intensive surgical procedures such as complicated heart, cancer, gynecologic or orthopedic surgery because of the blood and blood product shortage.

The solution?

Dr. Berrol urges healthy people to contact their local blood bank to make an appointment to donate blood. He also counsels patience because, though the need for blood donation is urgent, there may be a delay of a week or two for an appointment since blood banks have had to reduce the number of appointments they can offer in order to implement safety measures like physical distancing and extra cleaning.

Contact the Red Cross or Vitalant to learn more about how you can donate blood in your community.

Clean Machines: How Disinfecting Robots are Helping the Frontlines

Posted on Jun 8, 2020 in Safety, Scroll Images, Uncategorized

It’s not a scene from science fiction. But the battle is real against germs inside hospitals and care centers. And standing alongside healthcare professionals and cleaning crews on the frontlines? Disinfecting robots.

High-tech “clean machines” are more widely used than ever in healthcare—and have been an especially welcome in the arsenal against COVID-19. Integrated health networks like Sutter Health have had them in practice for several years, setting the stage for safety for patients and staff alike.

“Our UV robots help combat against C. diff, MRSA and multi-drug resistant organisms in the hospital,” said Brett Laurence, M.D., Sutter Medical Center, Sacramento’s chief of infection control. “The UV light rays disinfect high-touch surfaces and procedural areas to improve and ensure patient safety.”

Disinfecting robots are featured at California Pacific Medical Center, Memorial Medical Center, Mills-Peninsula Medical Center, Sutter Auburn Faith Hospital, Sutter Medical Center, Sacramento, Sutter Roseville Medical Center and Sutter Tracy Community Hospital. They have even been used inside the Rural Health Clinic in Los Banos.

Sutter Health has taken other steps to make patients feel welcome and safe upon returning to network care centers, as well. In addition to increased frequency of cleanings, Sutter has adopted universal masking for staff and patients, set up temperature check stations and moved or marked furniture to promote physical distancing in waiting rooms.

“The health and well-being of our patients, employees and clinicians is a top priority,” said Sean R. Townsend, M.D., vice president of quality and safety at California Pacific Medical Center. “We are combining the power of science with sensible approaches all in the name of safety.”