Infectious Disease
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Sewing Angels Save the Day: Volunteers Sew Hundreds of Gowns for AAMC Nurses
Blog
Holding a red marker, Teri Boss writes ‘thank you’ on the inside label of each newly sewn gown. She sketches a tiny red heart beside every ‘thank you’ she writes. These gowns do not have an ordinary purpose. They adorn the backs of nurses at Anne Arundel Medical Center (AAMC) who are working every minute to save the lives of COVID-19 patients.
Boss is one of nearly 40 community volunteers who have sewn almost 900 isolation gowns for the nurses of AAMC. In April, during our patient surge, the sewers produced 50-80 gowns a day.
“I wanted to give back and take care of my country during this difficult time,” said Boss, a first-generation Polish American, who came to the U.S. in the early 2000s. “The love I’ve received from people in this country inspired me to help.”
Teri Boss is one of nearly 40 community volunteers who have sewn almost 900 isolation gowns for the nurses of AAMC.
Despite great efforts to conserve gowns during the pandemic, the supply was running low and more were needed for nurses caring for COVID-19 patients.
“None of us were sleeping. We were worried about running out of isolation gowns,” said Joan Twigg, RN, who coordinated the gown conversions. “We have to protect our health care workers during this pandemic and back then we were seeing a lot more COVID-19 patients than we are now.”
Sewing Angels
Twigg said AAMC obtained 800-1,000 lab jackets to help with the shortage. They were not an easy replacement to isolation gowns because they opened in the front. Isolation gowns open in the back to prevent contamination. Twigg took some of the lab jackets home to see if she could make them work. Despite creating a prototype isolation gown, which sealed up the front and opened in the back, she still had a problem.
“I brought them into the hospital and said ‘If we could just get a room full of sewers for two days we can do this,’” Twigg said.
This was not an easy fix due to social distancing and visitor restrictions enacted by the hospital to protect patients and staff.
Twigg contacted a friend who is a family and consumer sciences (FACS) education teacher to see if she could help or knew anyone who could. The friend connected her to FACS teacher, Lenore Martin, who reached out to her sewing network. Martin, who has sewn for years, reached out to fellow sewers and created a video to show them how to put the gowns together. With that, the volunteer COVID-19 sewing gown operation was born.
Volunteer Lenore Martin sews gowns for AAMC nurses.
“I think all of us feel great about being able to help,” Martin said. “It’s not a lot that people who aren’t qualified in the medical field can really do right now. I’m just really thankful that our sewing abilities are able to be beneficial to the hospital and to the nurses.”
The gowns are made out of tent-like material and are washable for reuse. The reuse factor solved the gown shortage problem.
Volunteer Julie Bays
Julie Bays is a FACS teacher and a lifelong sewer. She learned from her grandmother at the age of 10. She calls sewing her “happy place” and was glad to join the team of sewers. Helping was personal for her.
“I have a daughter who works in the emergency room,” Bays said. “I admire how she gets up and goes to work every day with such a willing spirit. It was really nice that I could do a little bit to help the people on the front lines.”
The volunteers’ work has not gone unnoticed. They have received notes of thanks from nurses and photos with them wearing their gowns. Some AAMC nurses refer to the network of sewers as angels. They have sent pictures holding up signs that say, “Thank you, sewing angels.”
Making a Difference
Bays and other volunteers have also sewn masks and scrub caps for AAMC during the pandemic.
Volunteer Monette Callahan
Like Bays, Monette Callahan also has a personal connection to health care. Her son is an ICU nurse who is currently caring for COVID-19 patients in Baltimore. Regularly he tells her of the challenges that front line workers are facing.
“My son says, ‘This is for real mom. This is scary. It’s not like what you see on social media,” Callahan said.
Ultimately, Callahan wants to do her part to support her son as well as others working on the front lines of the COVID-19 pandemic.
“I enjoy sewing the gowns because I know I’m helping and making a difference in my own way,” she said. “I have the skills, I have the machine and I have the time. Why not go ahead and help?”
Learn ways you can help our community.
News & Press Releases, Infectious Disease
General Page Tier 3
Luminis Health Resumes Urgent Medically Necessary Surgery with Emphasis on Safety
Blog
Luminis Health hospitals, Anne Arundel Medical Center (AAMC) and Doctors Community Hospital (DCH), have started a phased approach to resume non-emergent surgeries, starting with urgent, medically necessary procedures beginning this week. The decision was made following careful consideration of guidelines by the Maryland Department of Health, as outlined in Governor Hogan’s “Roadmap to Recovery” plan for the state.
In phase one, AAMC and DCH are pre-screening cases for medical necessity — defined as non-life threatening issues but those that are likely to cause harm if they are delayed any further. The hospitals started with their backlog of cases since limiting surgeries and procedures to emergencies or urgent cases only on March 18 after the governor’s statewide order. Doctors’ offices began contacting patients last week so they could be scheduled for evaluations prior to surgery.
“Now more than ever it’s important to stay on top of your health, which may require you to come in for a doctor’s appointment or procedure,” said Adrian Park, MD, chair of Surgery for Luminis Health. “An ‘I’ll wait it out’ attitude due to fear of COVID-19 could put your health at risk and cause long-term damage. Know that we are taking the precautions necessary for the safety of our patients and our providers.”
The health system’s safety protocols include:
Masking of all patients and employees
Extensive cleaning of exam rooms before every appointment
Frequent disinfection of common areas, including waiting rooms, elevators and bathrooms
Daily screening of all staff, following CDC and state guidelines
Daily screening of patients before coming to the office
Protected check-in and check-out procedures
“No Waiting Room” procedures to reduce exposure to other patients
As an additional safety precaution, and as recommended by the American Society of Anesthesiologists and the Anesthesia Patient Safety Foundation, patients are asked to self-isolate seven days prior to their scheduled procedure and complete a COVID-19 test two or three days prior to their surgery.
As the health system plans for next phases beyond urgent, medically necessary procedures, information for resuming all other procedures, including elective, will be announced at a later date.
“We will continue to monitor our supply chain, service needs and status of the pandemic to guide our decision making — all while keeping the safety of our patients at the forefront of our planning,” said Park.
Find out more on additional services, including imaging and physical therapy, that are resuming this week at AAMC at askAAMC.org/SafeReadyOpen and at DCH at www.dchweb.org/safe-ready-open.
Some Luminis Health services have remained opened and available to the community, including behavioral health inpatient and outpatient services. The J. Kent McNew Family Medical Center and Pathways treatment center also implemented the health system’s measures to keep patients safe.
Community, Infectious Disease
General Page Tier 3
Outreach program keeps most vulnerable communities safe during COVID-19
Blog
Charlotte Wallace makes her way inside Morris H. Blum Senior Apartments. She knocks three times on one of the wooden doors.
‘I’m a nurse with Anne Arundel Medical Center,’ she identifies herself.
The lock slowly turns. Before Wallace knows it, a hand quickly grabs the bag she’s holding and then disappears with the sound of the door shutting. ‘Thank you,’ they shout from inside.
She smiles, grabs another bag and repeats the process. She does this with more than 150 tenants in that building alone.
“Some of the seniors we visit are scared and close the door immediately,” she said. “Others give us Halloween candy in exchange as a thank you and some are just excited to see new faces.”
Wallace explained a few of the residents are not as in tune with the news or updates. As a result, they’re confused as to why Wallace and her team are there. “We answer their questions and give them as much education as we can,” she added.
Wallace is a community health nurse at Anne Arundel Medical Center (AAMC). Her main role is to bridge the hospital and the community. When news about coronavirus (COVID-19) broke, she knew she had a lot of work to do. She started by contacting community partners to look at ways to slow down the spread of the virus. This meant looking at the ‘wrong trends,’ misconceptions and ways to close the gap.
To do this, she launched the COVID-19 Community Outreach program. The primary goal of the program is to decrease the spread and hospitalization of COVID-19 patients. This is achieved through increased education and improved access to support and health services.
“We quickly discovered there was a gap in some of our housing units,” Wallace explained. This was primarily the case where subsidized seniors, disabled adults and homeless shelter residents lived.
Wallace had already built relationships of trust and understood the systemic problems in the community. As a result, her approach included passing out educational fliers and kits to meet basic needs. On April 14, she started to knock on doors to personally distribute the kits. To date, she has visited 18 different locations around Anne Arundel County – conducting visits in 14 of those locations by herself.
Just a couple of weeks later, another team at Doctors Community Hospital (DCH) did the same in Prince George’s County. This team covered 10 additional locations.
“We used the same program in Prince George’s County,” said Leslie Strimel, director of Case Management, Social Work and Transition for Care at DCH. “We sent out a nurse practitioner to the communities that the county identified as being in need of this program.”
Just like in Anne Arundel County, Strimel said low-income seniors in residential facilities formed these communities.
Each COVID-19 Community Outreach kit has two cloth masks per resident, two laundry detergent pods and a bar of soap per apartment, along with educational resources. The printed resources are Centers for Disease Control and Prevention (CDC) guidelines simplified by Wallace to help residents understand how to best protect themselves.
Each kit also includes fliers that explain how to wear a mask, how to protect yourself and others, how to wash your clothes during the pandemic and much more. In Prince George’s County, the educational material includes the 211 number, which is also a crisis number for behavioral health.
According to Wallace, the identified gaps already existed. However, the outbreak made these and the need to close them more obvious.
“Some people told me that they just wash their clothes in hot water and don’t use any soap,” she said. “With the pandemic, a lot of our most vulnerable residents are taking a bigger burden. ‘Just doing telehealth’ is not possible without a phone or an email address. Some of these residents don’t even have a landline.”
Wallace goes out at least twice every week and visits several sites to distribute kits. Additionally, she gives out kits with instructions. These are specifically for management at the sites and include best practices to protect their residents.
Wallace also uses visits as an opportunity to conduct screenings. These include screenings for mental health and nutrition. According to her, many seniors she visits are scared, isolated, already limited and depressed.
“We came across a senior who was very depressed,” she said. “I went through a basic screening and I gave the person the crisis response number in case they needed to reach someone. I was giving out that number at least once per building, which is common.”
To date, the program’s teams conducted over 2,900 visits in Anne Arundel County and over 2,250 visits in Prince George’s County. And while it is hard to measure the true impact of the outreach, Wallace is confident the team is helping many during this difficult time.
“One day, a team entered a floor to find a gentleman, with rotted nubs for teeth, standing in the hallway,” she said, adding that he started to cry. “He said he thought we missed him with our ‘masks and laundry soap’ after his sister, who lives in the same building, called him to tell him that the nurses came by her apartment.”
After a short screening, they noted that he had major food insecurities and connected him to the Senior Nutrition Program.
Another resident received her kit and couldn’t stop hugging it. “She was so excited to receive two laundry detergent pods,” Wallace said.
Similarly, Ursula Friton, manager of Transitional Care at DCH, said residents in Prince George’s County have been very welcoming of the program. According to her, it’s been very new but a great experience both for the DCH team and the seniors.
“There was a big need for this program in our county,” she said, explaining that the program is on its third week. “Seniors are happy to see us and very grateful to get their kits.”
The outreach teams in both counties plan to continue working with managers at the various facilities. They plan to support the most vulnerable communities, even after the pandemic subsides. Wallace and Strimel are working with both counties and the Maryland Health Department to reach other communities that are in need of resources and information.
Women's Health, Infectious Disease
General Page Tier 3
Managing anxiety in pregnancy during the coronavirus pandemic
Blog
The current coronavirus (COVID-19) pandemic is a source of anxiety for many. And if you’re pregnant, it’s likely you’re worried about your health and your baby’s wellbeing. That anxiety you may feel is a normal response to a threatening situation.
Changes around doctors’ office visits and hospital policies have affected the pregnancy experience for most women. But, it’s important to keep in mind that these changes are being done to protect you and your baby. Your obstetrician’s goal is always safe mom and safe baby.
Your obstetrician also can reassure you that the hospital is a safe place to come—whether it’s for delivery or other urgent health care concerns.
Attention to safety is any hospital’s number one priority. This makes hospitals a safer place than most anywhere else you’ll visit during this pandemic. We are careful and constantly evaluating the effectiveness of our safety.
And while you continue to progress through your pregnancy journey, there are several options you can consider to ease your anxiety during this pandemic.
Take virtual classes. There are many interactive and informative virtual options available. Most hospitals offer their own virtual opportunities, including tours, support groups, prenatal exercises (like yoga), newborn care and breastfeeding support. These are now offered through online platforms and apps that focus on self-care and wellness throughout pregnancy.
Share your worries. Share them no matter how small you may think they are. Talking to trusted friends, family and even your physician can be beneficial. Keeping your worries and anxieties to yourself can create additional anxiety.
Enjoy some fresh air. Never underestimate the healing power of sunshine and the outdoors. Fresh air can help decrease anxiety and create a renewed sense of calm.
Practice mindfulness. Practicing mindfulness on a regular basis has proven physical and emotional benefits. It can benefit your immune system, lower your blood pressure and regulate your body’s reaction to stress and fatigue. These are all very important during pregnancy, especially during this time. Consider practicing mindfulness meditation and mindful breathing outdoors.
Disconnect. Take a break from social media platforms for a few days. Also, try minimizing your exposure to news coverage. It is important to be informed. But, it’s more important to find a healthy balance of reliable information without triggering anxiety.
Be positive. Create a mindset to focus on all of the positives. Center your mind. Try following the daily/weekly development for you and your baby. Also, try creating positive affirmations. Hang these on the refrigerator as reminders. Make an effort to let the positives of pregnancy outweigh your worries. With good practice, minds are very capable of resetting. This will help you to focus during this worrying time.
Be easy on yourself, no matter where you are on your pregnancy journey. Know that anxiety is a very normal and expected emotion in any pregnancy. Even before COVID-19 existed.
Anxiety is certainly higher than usual. Especially during our new normal. But, don’t forget, there are many ways to help decrease your anxiety and worry.
Reach out for mental health support if you get to a point that your anxiety is getting in the way of your daily routine. This can include impacting your appetite or sleep patterns, or by increasing your feelings of hopelessness or nervousness.
Many mental health services are now virtual. If you need to, you can reach out for help within the privacy of your own home.
Author
Cindy Radovic, MA, BSN-BC, is clinical director of Emergency and Inpatient Mental Health Services at Anne Arundel Medical Center. To schedule an appointment with her, call 443-481-3519.
Behavioral Health, Infectious Disease
General Page Tier 3
Living with someone with a mental illness during a global pandemic
Blog
Our mental health is just as important to care for as our physical health. This is especially true when we’re naturally feeling more stress, fear and anxiety due to the impacts of the coronavirus (COVID-19) pandemic.
These feelings can be overwhelming and cause strong emotions for anyone, both adults and children. The Centers for Disease Control and Prevention reminds us that learning to cope with stress makes you, the people you care about and your community stronger.
Mental health refers to our feelings, emotions, thought patterns and behaviors. We all experience positive and negative feelings—that’s completely normal. The only difference from one person to another is how much it affects our daily functioning and how we cope.
Mental disorders can affect anyone, anywhere
Mental illness affects millions of people each year. A recent Kaiser Family Foundation poll found nearly half of Americans report the COVID-19 outbreak is impacting their mental health.
For the past year, we’ve led a training program on how to recognize the signs and symptoms of a mental health condition. Just as cardiopulmonary resuscitation (CPR) helps you assist someone having a heart attack, you can help someone experiencing a mental illness by understanding how to respond to certain signs.
You can help, too
Having the right tools and knowledge to help can be lifesaving. It’s important if you live with or know of someone who may have a mental illness to know how to have the conversation that encourages them to get the help they need.
Tips from evidence-based training include:
Pay attention and approach the individual. If you live with someone experiencing a mental illness, no one notices changes more than you. Identify the stressors in their environment. Did anything change environmentally to cause their behavior change? Did they change jobs? Are they having problems with their relationships? Don’t be afraid to approach the person and ask about anything you’re noticing.
Validate and honor their experience. Let the person know they’re not alone or that they should not be ashamed of their feelings. “You’ll be fine” doesn’t validate how someone feels. Be respectful of the person and how they feel about their experience.
Get informed. There are endless resources available to help someone who’s experiencing a mental illness. The National Institute of Mental Health, Mental Health First Aid and NAMI are just a few of the many organizations that provide free tools for those looking to learn more about mental health or seek to train themselves.
Encourage them to seek help. Any time there’s a concern, you should talk with them. Someone may tell you they’re fine or that they don’t need help, but that doesn’t mean they’re okay. If the person’s behavior changes and is causing distress, encourage them to seek help.
Early intervention can prevent symptoms from going from mild to severe. If it’s causing distress to the person, it’s time to seek help. If behavior or thinking starts to get dangerous—toward you or someone else—it’s a must to get help. Get them to their nearest emergency room. Call 911, if needed. Emergency rooms are safe and have protocols in place to prevent the spread of COVID-19.
Know that we’ve expanded services to better support people who are in a psychiatric crisis. The J. Kent McNew Family Medical Center provides both inpatient and outpatient options for care. The medical center provides a brand new state-of-the-art inpatient psychiatric hospital, as well as our relocated psychiatric day hospital. Both have procedures in place to protect our patients from COVID-19.
Living with someone who has a mental illness can be challenging, especially now. You can help us share the message that no one should be ashamed to admit they have a mental illness. If you’re well informed and equipped to intervene earlier on, not only are you helping to reduce stigma around mental illness, you’re addressing one of the most important public health issues of our time.
Authors
Donna Phillips, M.A., is the clinical director at the J. Kent Mcnew Medical Center’s Psychiatric Day Hospital. You can reach her at 667-204-7311.
Maria Winters, LCPC, is a mental health clinician at AAMC. You can reach her at 667-204-7311.