Thursday, June 14, 2018

Communities can acheive great things!


Today my class and I had the opportunity to tour Missions Hospital in Western North Carolina. Mission is very large hospital that facilitates patients from many different surrounding counties. In comparison to the Cherokee Indian Hospital Authority (CIHA), Mission Hospital is considerably larger and has a higher tier level of critical care. If Cherokee Hospital cannot accommodate the necessary needs of a patient or the patient is of critical care they will transfer them to Mission Hospital. What both hospitals do a great job at is satisfying the patient and families.
In experience, Mission reminded me a little bit of St. Francis Medical Center (SFMC) back home. Both facilities are large, can care for critical patients, has an outstanding children’s hospital and is continuously growing. Hospitalization for children is hard, not only for the child, but the family as well. It can be extremely difficult for children, of all ages, to be confined to a hospital room, let alone an unfamiliar place. Mission Hospital does a fantastic job making the stay more comfortable and fun for both the patient and family. From my observation, the art is inviting, the success stories are inspiring, and the TOYS are so exciting. One of the nurses mentioned today, kids are so resilient! As I discussed in previous blogs, this could not be truer. Other ways mission applies patient and family centered care is the unit layout. As you walk into a pediatric unit you will face a locked door. Each individual that enters and exits the unit must be buzzed in from the head desk, this ensures patient safety. The patient rooms were built larger to meet the family wants and needs, providing them with the ability to stay with their child at all times.
The atmosphere I experienced today was very different compared to Cherokee Indian Hospital. CIHA concentrations more on tradition and not so much the statistics. Their tradition is primary focused on family and working together as a community. Developing a relationship is so important for the Native Culture because trust is earned. Without trust, communication is lost. Mission Hospital was more focused on patient and family satisfaction and meeting house goals. Similarities of the two facilities are effective and unique morning report. Each hospital has a different system that was designed for their personal success. It is AMAZING!
Mission Children’s’ Outpatient is a wonderful resource for Western North Carolina. Mission Children’s Outpatient works with respiratory needs, oncology, orthopedics, abuse clinic and an remarkable rehab center. What touched me the most was the Abuse Clinic. Not knowing what it was when I walked, I verbalized how much I loved the artwork on the walls. As she began to tell the story behind the beautiful hand prints on the wall my heart sunk. Amber, who gave us the tour, said each one of these hand prints are of a child that had been abused. The amount we saw was only about 1/3 of what covered the walls throughout the clinic, this was not including the infants who were too young to ask for a hand print. It is extremely hard to think of small children and teens being abused physically, mentally, or sexually. But it is much harder to visually see how many are affected.

 In addition to these wonderful learning experiences, I was able to visit the Biltmore Mansion. It was such an amazing history story and if the opportunity ever arises, take the time to visit this historical place. I had such an incredible time and learned so much. 

6 comments:

  1. Lakin,

    I enjoyed visiting the Mission’s Children Outpatient because it was an entire setting compared to the hospital. The manager for the nursing department was great and very informative. I loved the board they had and how they organized everything, especially that if you experience an issue and write it down you must follow up with the issue and try to find a way to fix it. That is a way for them to be ale to communicate with each other. The outpatient clinic offered many different departments which is great as an outpatient because instead of having to go to the hospital for certain departments to get testing done for the children it can be done there. I did like the abuse clinic especially the handprints that is very unique, but it is so sad how many children have experienced that.

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  2. Lakin,

    After reading your post I completely agree that this hospital is much like our own back home (OSF), we were told one of the first things in our tour that children abductions are most common in hospital, thus safety is so important. I was so impressed with Mission Children’s outpatient as well this resource for this area is absolutely amazing and I’m beyond happy that they have it! Biltmore added another learning opportunity to our trip and I am so grateful that I got to experience it!

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    1. Hi Taylor-
      It is great that you and some of the other students can compare and contrast to our Children's Hospital in Peoria. I am so glad to have had you on this trip and to read that you have gained much from the opportunities that we were given in this environment.

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  3. Hey, Lakin great post. I do agree that Mission reminds me a lot of OSF. I thought Mission was extremely massive, which is great for the purpose it serves for the surrounding rural communities. I love that it has the room, the staff and the equipment to help the surrounding communities who may have smaller hospitals or no hospitals at all. I loved how the rooms were built to accommodate not just the patient but their family as well, which I feel is very important especially when some people live hours away. To have that accommodation available makes it more inviting and little less like a hospital stay.

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  4. Lakin,
    You made great points when comparing Cherokee Indian Hospital Authority and Mission hospital. Mission is more focused on treating the illness and increasing patient satisfaction statistics, where as CIHA is more traditional and takes a lot of time to get to know their patients. Each of these models works for the hospital because of the difference in size of the hospital and the difference in culture that the hospitals serve. CIHA is working to create trust with their patients in order to increase compliance; whereas Mission is looking to treat a patient as quick as possible in order to meet the patient's and family's needs and increase satisfaction. It was really interesting to experience the difference between Mission and CIHA.

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    1. Thank you for this reply to Lakin's post. You all gained much from your own initiative and glad that you took the time to share in your reflections.

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