Pamela Grigg, RN, BSN, HNB-BC, HWNC-BC, CHTP Marcie Hintz, MBA, CJAT, HTPA

1. Holistic Healthcare* Code Lavender * Zen Dens* Integrative Healthcare Services* Implementation Pamela Grigg, RN, BSN, HNB-BC, HWNC-BC, CHTP Marcie Hintz, MBA, CJAT, HTPA

2. Think of a day when you felt perfectly balanced, performing tasks effortlessly, feeling whole and calm at the end of your workday Care for self; better able to care for others In balance we: • Make better decisions Fewer mistakes • Present and patient centered Enjoy life more fully • Decrease burnout Improved job satisfaction Stress and pain activate the stress response cascade Holistic practices active the relaxation response promoting wellness and innate healing Self Care – Creating Balance

3. Code Lavender Employee Care May/june 2018 Scripps Mercy San Diego, Scripps Mercy Chula Vista, Green, la jolla, Encinitas & corporate

4. Number of Surveys (N = 781)

5. Types of Treatments (N = 1,004)

6. Average Pre/Post Pain (0-10 Scale) Significant reduction in pain (t = 23.91, p < .001)

7. Average Pre/Post Stress (0-10 Scale) Significant reduction in stress/anxiety (t = 32.49, p < .001)

8. Event Supports Wellbeing of Employees(Agreement with Statement on 0-10 Scale) Mercy San Diego

9. ScrippsCode LavenderConclusions Significant reduction in reported level of pain Significant reduction in reported level of stress Overwhelmingly positive rating of Scripps support for the wellbeing of employees (% of 9/10) Successful staff-driven holistic care and employee appreciation event

10. To support staff wellness and self-care during Epic rollout Zen Dens / Serenity Rooms were set up centrally at each site and adopted on most floors by management and staff. Due to the popularity of these spaces staff asked to keep them for the month and indefinitely if possible A space has been retained for all staff use in the SD Staffing office We are working with management and facilities to secure these self-care spaces and provide approved materials for long term use on the floors Zen Dens

11. Feb 22, 2019 JACHO released a new standard mandating facilities to offer non-pharmacologic modalities starting July 2019 Now is the time to implement Holistic Healthcare Practices Holistic Health Care ModalitiesReduce Pain & Stress. Promote Wellness • As a Holistic Nurse, Coach, bio-energy Practitioner and OSP team member, I am uniquely positioned to collaborate with Leadership, MD’s and staff to implement EBP non pharmacologic modalities, education, and research.

12. Develop a team of professional board certified Holistic Nurses who complement the medical model and provide support for mind, body, spirit, emotional well being by utilizing the holistic caring process • Partner with MD’s, nurse, chaplain, palliative care, and Integrative providers • Holistic Health workshops for staff and patients • Support for American Holistic Nurse Certification Exams • Staff driven non pharmacologic modality training • On site location for Holistic Health Center for staff and patients • Integrate Holistic Practices to New Grad Program • Zen Den Relaxation Room for self care: foot & back massagers, journaling, music, aromatherapy • Pre/post surgery practices and research • Out patient therapeutic Healing Modalities and Coaching Integrative Healthcare Services

13. What Can Be Done Now Develop a Holistic Integrative Healthcare Team • Implement full time Holistic Nursing Practitioner • Provide Healing Touch for patients and staff • Educate and teach staff Holistic non-pharmacologic modalities • Educate staff self care, retain self-care spaces • Developing focus group surgery study Budget potential • Management currently working on Integrative plan/funding • OSP support • Grants Integrative Healthcare Services

14. Corporate community (San Diego County Teachers & Staff) implementing Code Lavender Employee Care programs 2019 • Stress and pain were rated pre/post group session using a 0-10 scale • 0-10 scales tend to provide sufficient diversity in the data to detect differences • 0-10 is a common scale used in medicine to assess levels of pain • The perception of Stress decreased by 44%; a significant reduction (t = 10.981, p < .001†) • The perception of Pain decreased by 39% (t = 7.832, p < .001†) • 96% of participants rated sessions as Good or Excellent Code Lavender Corporate Self Care

15. By implementing Holistic Health Modalities • Shift from a symptom management model to a wellness and prevention model. • Research Shows Holistic Practices • Improve patient outcomes • Improve patient and staff satisfaction • Improve staff retention • Increase staff / patient interaction • Provide patient centered care • Decrease opioid use • Decrease patient length of stay • Decrease cost • Be CREATIVE…”No problem can be solved from the same level of consciousness that created it” – Einstein • Let’s be open, start a discussion and be the pioneers that help shift healthcare, individuals, families, communities and schools. Summary