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ETHICS IN CLINICAL PRACTICE COMMITTEE
Overview | Responsibilities | 2015 Accomplishments | CG Ethics Champions

Current Work:

  • Gail Alexander, RN, engaged champions with a presentation about Advance Directives. Legalities and obligations surrounding the completion of the Massachusetts Health Care Proxy and Medical Orders for Life Sustaining Treatment (MOLST) were discussed, as well as understanding what it means to be a health care agent. Champions discussed ethical considerations related to our role as health care providers in educating and supporting patients as they select a health care agent.
  • A key takeaway is that our role extends beyond simply witnessing and facilitating completion of the Health Care Proxy form and must include education and support so that both patient and health care agent understand the importance of continued communication about wishes and preferences. It is evident that the focus on Advance Care Planning education as an EICP committee goal is one that champions feel strongly about and wish to continue.
  • Sustaining Treatment Policy can be found in Ellucid and is a good resource to help support clinical work:  https://hospitalpolicies.ellucid.com/documents/view/1349?product=policy
  • When completing a Health Care Proxy with patients, engage them in education to ensure that both the patient and proposed Health Care Agent understand their role.  The patient education document: “Planning in Advance for your Health Care” is available in English and Spanish and can be accessed through Partner’s Handbook: 

http://handbook.partners.org/1208/Content/50-57-151

  • When Health Care Agents ask for information on a patient who has capacity, explain that you will ask the patient for permission before sharing information.

2020 Goals

  • Create opportunities for professional growth, development, and participation for committee champions

2020 Accomplishments

  • Champions read and discussed White Fragility: Why It’s So Hard for White People to Talk About Racism by Robin DiAngelo
  • The MGH Structural Equity 10-Point Plan was also discussed and champions identified opportunities to participate in its actualization.
  • Shared information on Advanced Care Planning electronically rather than in person due to the pandemic.
  • Champions continued bring forward ethical case studies from their practice for discussion and consultation.
  • Champions identified opportunities for clinicians to speak to and address the ethical issues they have as they cared for patients during the pandemic including the impact of structural racism.
  • Discussion on “No One Dies Alone”, the initiative which  Champion Jennifer Morgan (RN on White 7 implemented at MGH during the COVID19 crisis. She also discussed future plans for measuring this initiative’s effect on moral distress. Champions voiced interest in bringing this initiative to their units in 2021.

2021 Goals

  • Serve as a resource to the MGH community regarding the advance care planning (ACP) process through education, consultation, and programmatic activities.
  • Serve as a forum for two-way communication between champions and colleagues in their care areas regarding ethical issues and concerns. 
  • Educate clinical staff concerning current ethical issues that impact practice and resources available to address ethically challenging situations utilizing an evidence-based framework.
  • Create opportunities for professional growth, development, and participation for committee champions

 

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Meets:

1st Wednesday monthly
1pm - 3pm
Trustees
Conference Room

Committee Contacts:

Co-Chairs
Jessica Kaloustian, SLP
Speech-Language Pathology

Christine Marmen,
RN, Staff Nurse Oncology Lunder 9

Coach
Gail Alexander, RN Blum Patient and Family Learning Center

Advisor
Brian Cyr, RN, General Medicine, White 11

Recorder
Jenny Crampe, Administrative Assistant

CG Ethics Champions

ETHICS IN CLINICAL PRACTICE COMMITTEE OVERVIEW
The Patient Care Services Ethics in Clinical Practice (EICP) Committee is a multidisciplinary committee, which was formed to develop and implement activities and programs to further clinicians’ understanding of ethical aspects of patient care. The work of this committee involves identifying strategies to integrate ethical judgment into professional practice and consultation at unit and organizational levels related to ethical issues in patient care. return to top

Responsibilities:

Design and implement activities and programs to support the development of staff in Patient Care Services in the area of health care ethics.

Promote culturally competent care and staff education.

Employ strategies to educate EICP champions the area of health care ethics.

Student outreach.

Identify and address ethical issues and conflicts faced by clinicians in Patient Care Services.

Provide consultation to the organization regarding policies, procedures and programs with ethical implications.

Expand the impact of EICP through collaboration with other Collaborative Governance Committees, links with the organizational initiatives, and professional conference participation.

Engage in joint projects with other Collaborative Governance committees.

Align the work of the committee with PCS strategic goals. return to top

Membership:

All Patient Care Services professional staff are eligible to apply during the annual application process.

Annually, committee leaders recommend applicants to the Senior Vice President and Chief Nurse based upon the committee’s needs.

Applications are occasionally accepted from professional staff outside of PCS and will be recommended based upon the needs of the committee.

Committee meetings and events are open to the PCS community. return to top

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