No One Dies Alone

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No One Dies Alone
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Origins of NODA

• Sandra Clark, RN at Sacred Heart Medical Center
  in Eugene, Oregon
• Formal program started in 2001

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Why start a NODA program?

• Because no one should die alone!
• We have a large population with little support or
  family in our area.

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Who do we need involved?

• Hospital(s)
• Nursing staff
• Committee
• Volunteers

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NODA Volunteers Compassionate Companions

• Committed to the program
• At least 18 years old
• Must attend orientation session
• Must sign volunteer agreement

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NODA Patients

• No friends/family
• Less than 72 hours to live
• DNR
• Comfort care
• Varying states of awareness
• Variety of diagnoses
• Consent

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Initiating a NODA referral

• Nurse calls Point of Contact (POC)
• POC calls Phone Coordinator
• Phone Coordinator
• - Calls nurse for additional info
• - Schedules Compassionate
• Companions (CCs)
• - Checks for status and updates everyone

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What happens next?

• Phone coordinator briefs the CC
• Get bag to patients room
• First Companion
• - Arrives at hospital ASAP
• - Goes to nursing unit speaks to patients
  nurse
• - Accompanies nurse to patients room

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Being with the patient

• Hold their hand, talk, listen, read
• Spiritual support
• Comfort measures
• Give permission to die
• It is ok to do NOTHING for the patient other than
  being present sometimes this is the BEST
  option.

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Questions?
Thank you!