Wellness
Committee
Mission Statement
The overall mission of the Wellness
Committee is to advocate and build
a healthier environment while
increasing energy and decreasing
stress. To promote wellness and
positive energy in a holistic way by
enriching those in our department.
Aromatherapy Initiative
Aromatherapy involves the
therapeutic use of essential oils—
concentrated oils extracted from
various parts of aromatic plants—
with the intent to calm, balance,
and rejuvenate mind, body, and
spirit (Corio, 1993).
The Science and Art of Aromatherapy
Journal of Holistic Nursing, Vol. 17 No.1, March 1999 5-17
Standard Rollout Process
Emergency Department Wellness Committee
6/3/2010
Mission Statement:
The overall mission of the Wellness Committee is to advocate and
build a healthier environment while increasing energy and
decreasing stress. To promote wellness and positive energy in a
holistic way by enriching those in our department.
The target implementation date is
set for June 1, 2010.
All staff working in the
Emergency
Department
Meet with
Stakeholders
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Must Haves
Incorporate evidence based practice
Flow Chart Process
Identify metrics for evaluation
Identify who needs education on initiative
Assign Accountability and clear timeline
Develop plan for sustained success
Identify Methods of Content Delivery (Figure 1)
Perform
SWOT
Analysis
(Figure 1)
MUST PICK AT LEAST 7 WAYS FOR AT
LEAST 7 DAYS
Develop
Action Plan
DEBRIEF
Communicate
Plan
What Changes
need to be made?
Implement
Action Plan
( ) Webinservice
(X) Post metrics and measurements
( ) Spindle Report x 7 days
( ) Formal inservice to staff
(X) Electronic Communication
( ) Add to Annual Competencies
( ) Add to Initial Orientation
( ) Cover in Staff Meetings
(X) Cover in Unit Board Meeting
(X) Send out in Friday Communication
(X) Communicate to Physicians
(X) Post flyers on initiative in unit
(X) Recruit unit champions / product experts
from staff to promote initiative
(X) ED Newsletter
Adjust Action
Plan
©2009 Karin League & Brent Lemonds
Vanderbilt Medical Center
CURRENT STATE
GAP
FUTURE STATE
Emergency Department Staff
currently undergo high levels of
stress and decreased energy
levels due to high patient acuity,
overcrowding, boarding
inpatients and Post Traumatic
Stress.
A healthier environment with
increased energy and decreased
stress. With continued
promotion of wellness and
positive energy in a holistic way
that enriches those staff
members in our department
Due to multiple patient
conditions the department
frequently experiences foul
odors.
Minimized and decreased foul
odors within the department
through diffusion of therapeutic
essential oils.
STRENGTHS
High level of staff interest to enhance the
environment and promote wellness
Increase Energy
Decrease Stress
Eliminate Foul Odors
Promotes Further Education
Supports Vanderbilt’s Credo/Pillars
Shows our ongoing commitment and
dedication to our staff
Increases Staff Wellness
Supported by Evidenced Based Practice
Improves air quality by decreasing airborne
pathogens
Advantage of using Certified Pure
Therapeutic Grade Essential Oils
No synthetic/perfume additives
Unlikely risk of adverse effects
WEAKNESSES
Lack of Education and Understanding
Change of Mindset
OPPORTUNITIES
Pilot Wellness initiative study with
measurable outcomes
THREATS
Closed Mindedness
Resistance to Change
Furthering Education
Lack of Education and Understanding
Development of a Wellness Model that can
be used by other departments
Fortifying relationships
Developing Leadership for staff promotion
Staff Retention
Creates a more appealing place to work
Evidenced Based Practice
Many hospitals are now incorporating the
use of Essential Oils. One of the hospitals
is Harris Methodist Fort Worth Hospital,
they use 33 different Therapeutic Grade
Essential Oils that are dispensed by their
pharmacy. Studies show they relieve
stress and anxiety for patients and staff,
findings also show they can even reduce
pain and facilitate sleep for the patient.
click here
• At Worchester Hospital in Hereford, England a sixmonth study was conducted to uncover the antianxiety effects of lavender essential oil. They
discovered that vaporizing lavender enabled
patients to have more natural sleep patterns; many
patients were able to be weaned off of sedatives all
together.
• St. Croix Valley Hospital in Wisconsin diffuses
calming essential oils throughout the lobby, nurses
stations, and waiting rooms.
• At Memorial-Sloan-Kettering Cancer Center in New
York they use essential oils to lower the anxiety
levels of patients undergoing MRI scans. During the
testing phase of this experiment they noticed that
63% of patients exposed to the oils’ aroma
experienced reduced anxiety.
• Essential oils can lift the mood, calm the senses, and
elicit powerful emotional responses.
• Anxiety, stress and sleep deprivation are very
common culprits in the hospital environment.
• Lavender essential oil, especially it’s aromatic
properties, has been shown to reduce stress and
anxiety. There has been considerable research on
lavender, with most confirming that lavender
essential oil is effective for use as a sedative, mood
modulator, analgesic, and decreases anxiety.
A sampling of hospitals and other institutions
employing essential oils.
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Desert Samaritan Medical Center – Mesa, Arizona
Fountain Valley Hospital – Fountain Valley, California
Orange Coast Memorial Hospital – Fountain Valley, California
Saddleback Medical Center – Laguna Hills, California
Midway Hospital – Los Angeles, California
Children’s Hospital and Health Center – San Diego, California
San Diego Hospice – San Diego, California
California Pacific Medical Center – San Francisco, California
O’Connor Hospital – San Jose, California
Aspen Valley Hospital – Aspen, Colorado
Memorial Hospital – Colorado Springs, Colorado
St. Anthony Hospitals , Centura Health – Englewood, Colorado
Gunnison Valley Hospital – Gunnison, Colorado
Griffin Hospital – Derby, Connecticut
St. Francis Medical Center – Hartford, Connecticut
Windham Community Memorial Hospital – Willimantic, Connecticut
Holy Cross Hospital – Sunrise, Florida
Northside Hospital – Atlanta, Georgia
North Hawaii Community Hospital – Kameula, Hawaii
Advocate Good Shepherd Hospital – Barrington, Illinois
St. James Health and Wellness Institute – Chicago, Illinois
Advocate Healthcare – Oakbrook, Illinois
Deaconess Hospital – Evansville, Indiana
Riverview Hospital – Noblesville, Indiana
Memorial Health System – South Bend, Indiana
Columbia Presbyterian Medical Center – New York, New York
Morgan Stanley Children’s Hospital – New York, New York
New York – Weill Cornell Children’s Hospital – New York, New York
Hugh Chatham Memorial Hospital – Elkin, North Carolina
Iredell Memorial Hospital – Statesville, North Carolina
Children’s Hospital Medical Center – Akron, Ohio
Alliance Community Hospital – Alliance, Ohio
Cleveland Clinic Health System – Chagrin Falls, Ohio
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Charlton Health System – Fall River, Massachusetts
St. Luke’s Health Care System – New Bedford, Massachusetts
Morton Hospital and Medical Center – Taunton, Massachusetts
Tobey Health Systems – Wareham, Massachusetts
Barbara Ann Karmanos Cancer Institute – Detroit, Michigan
Bronson Methodist Hospital – Kalamazoo, Michigan
Mercy Hospital Group – Port Huron, Michigan
St. John’s Health – Warren, Michigan
Children’s Hospital – St. Paul, Minnesota
Regions Hospital – St. Paul, Minnesota
St. Peter Community Hospital – St. Paul, Minnesota
Woodwinds Health Campus – Woodbury, Minnesota
Barnes-Jewish Hospital – St. Louis, Missouri
St. Luke’s Hospital – Chesterfield, Missouri
Bergen Mercy Medical Center – Omaha, Nebraska
St. Rose Dominican Hospital – Henderson, Nevada
Wentworth-Douglas Hospital – Dover, New Hampshire
Cooper Hospital/University Medical Center – Camden, New Jersey
St. Barnabas Health Care System – Hackensack, New Jersey
Mountainside Medical Center – Montclair, New Jersey
Bellevue Women’s Hospital – Albany, New York
St. Peter’s Medical Center – Albany, New York
Northern Westchester Hospital Center – Mount Kisco, New York
University Hospitals’ Health System – Cleveland, Ohio
Mercy Health Center – Oklahoma City, Oklahoma
St. Charles Medical Center – Bend, Oregon
Mid-Columbia Medical Center – The Dalles, Oregon
Elk Regional Health Center – Elk, Pennsylvania
St. Peter’s Hospital – Jeanette, Pennsylvania
Windber Medical Center – Windber, Pennsylvania
Highline Community Hospital – Burien, Washington
Elmbrook Memorial Hospital – Brookfield, Wisconsin
UHHS Bainbridge Health Center – Chagrin Falls, Ohio
ED Wellness Committee
Essential Oil Protocol
All Staff working within the
Emergency Department will be able
to seek a member of the Wellness
Committee to access the
therapeutic essential oils for use.
TOPICAL
INGESTION
DIFFUSION
Direct Application, Reflex
Therapy and AromaTouch
Therapy with Essential Oils
available for multiple uses.
GRAS (Generally recognized as
safe for human consumption)
Essential Oils available for
multiple uses.
Essential Oils will be diffused
throughout the department.
Air Freshening Protocol will be
initiated for foul odors.
Benefits of diffusing Certified Pure Therapeutic Grade
Essential Oils into the air:
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Naturally provides air purification.
Destroys odors and mold in the air.
Increases atmospheric oxygen.
Naturally antimicrobial, antibacterial, antiviral.
Increases ozone and negative ions in the area,
which inhibits bacterial growth.
Because these essential oils are a Certified
Pure Therapeutic Grade and have no
synthetic additives, they do not have a
perfume/cologne type smell. They have
subtle, non-offensive--mild scents.
Wellness Committee Essential
Oils Usage Guidelines
 Essential Oils will be available for staff use only.
They are not for patient use.
 Members of the Wellness Committee will access
the Essential Oils for employee use.
 Staff participation is voluntary.
 Essential Oils are provided for use in the
workplace, not for employees to take home.
 Essential Oils are donated to the Emergency
Department, they are not for purchase.
 There will be an air freshening protocol when
there is a foul odor.
Identify metrics for evaluation:
Enhance the workplace environment
Increase energy.
Decrease Stress.
Decrease foul odors in the department.
Identify who needs education on initiative:
Wellness Champions
Wellness Committee members
Staff
Physicians
Assign accountability and clear timeline:
Action
Person
Assigned
Timeline
Status
Initial Meeting with
Brent Lemonds,
Administrative
Director, Emergency
Services
Tonya McBride,
Teresa Sturges
April 15, 2010
Completed
Meet with Dr. Ian
Jones, Medical
Director, Adult
Emergency Services
Tonya McBride,
Teresa Sturges
April 15, 2010
Completed
Meeting with Dr.
David Hill, Chief
Tonya McBride,
Teresa Sturges,
Candise Hillman, Ali
Grubbs, Dawn
Hawley, Ruthie
Curbow.
May 11, 2010
Completed
Medical Advisor,
Chairman; Scientific
Advisory Committee
of doTERRA
International, Dr. Ian
Jones and Brent
Lemonds
Action
Person
Assigned
Timeline
Status
Initial Wellness
Committee Meeting
Tonya McBride,
Teresa Sturges,
Candise Hillman, Ali
Grubbs, Ruthie
Curbow.
Dr. David Hill
May 11, 2010
Completed
Meet with Janice
Sisco, Manager Adult
Emergency
Department
Tonya McBride,
Teresa Sturges
May 13, 2010
Completed
Identify and Recruit
Committee Members
and Super-users
Tonya McBride,
Teresa Sturges, Dawn
Hawley, Candise
Hillman, Ali Grubbs
May 13, 2010
Completed
Electronic
communication to
update the Wellness
Committee members
concerning current
progress and rollout
timeline
Completed
Action
Person
Assigned
Timeline
Status
Development of
Wellness Committee
mission statement,
Standard Rollout
Process and SWOT
Analysis
Tonya McBride, Teresa
Sturges, Candise
Hillman, Ali Grubbs,
Morgan Vero, Lauren
McCartney, Diana
Alward, Ruthie Curbow
May 19, 2010
Completed
Draft of The Standard
Rollout document
Tonya McBride, Ali
Grubbs
May 19, 2010
Completed
Development of
PowerPoint
Presentation
introducing The
Wellness Committee
Tonya McBride, Teresa
Sturges
May 24, 2010
Completed
Unit Board
Presentation
Ali Grubbs
May 25, 2010
Completed
Potty News Flyers
Teresa Sturges, Tonya
McBride
May 26, 2010
Completed
Action
Person Assigned
Timeline
Status
Secure location for
monthly Wellness
Committee meeting
Tonya McBride, Alma
Catlin
May 27, 2010
Completed
Introduction of Wellness
Committee through
Friday Communication
Janice Sisco
May 28, 2010
Completed
Completion of Final
Draft of The Standard
Rollout Document.
Tonya McBride, Teresa
Sturges, Candise Hillman,
Ali Grubbs
June 3, 2010
Completed
Education of basic
Essential Oil Use to all
Wellness Committee
members
Tonya McBride, Teresa
Sturges
June 4, 2010
Completed
Electronic
Communication to all
staff introducing The
Wellness Committee
with PowerPoint
Presentation attachment
Tonya McBride
June 4, 2010
Completed
Action
Person
Assigned
Timeline
Status
Begin data collection,
surveying staff for a
period of 2 weeks prior
to going live, to
establish measurable
outcomes
Survey Task Force
June 7, 2010
Completed
Go live with essential oil
usage/diffusion
Wellness Committee
Members
June 21, 2010
Completed
Feature Wellness
Committee in ED
Newsletter
Diana Alward
June 30, 2010
Completed
Continue data collection
with post survey, to
establish measurable
outcomes
Survey Task Force
July 31, 2010
Completed
Debrief and adjust
action plan
Wellness Committee
Members
July 23, 2010
Completed
ED Wellness Committee Members
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Candise Hillman-Chair
Ali Grubbs-Chair
Tonya McBride
Teresa Sturges
Diana Alward
Lindsey Wilson
Ruthie Curbow
Laren Brumley
Lauren McCartney
Steve Lowe
Becky Kossler
Marie Cohen
Garyallan Coleman
Emily McBride
Mike Malone
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Brenda Smith
Erin Fait
Jennifer Weaver
Morgan Vero
Hope Brown
Robin Bolden
Dena Chaney
Anna Mlodzik
Jason Reed
Toni Guinn
Dr. Maxwell Hill
Dr. Doris Tyson
Dr. Jason Thurman
Dr. Ian Jones
Development for Sustained Success
Monthly Wellness Committee meetings that will include educational training.
Establish Wellness Committee guidelines for proper use of Essential Oils.
Pilot Wellness initiative study with measurable outcomes to structure a
beneficial wellness program.
Monthly educational updates for staff.
Committee Members will be available as a resource to staff.
An Essential Oil Formulary will be readily available in the department.
Explore other opportunities to promote the Committee’s Mission Statement.
Debrief and adjust action plan based on measured outcomes.
Wellness Committee
Future Goals:
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Fitness Groups/Activities
Staff Quiet Room “a place of refuge”
Stress Relief Days
Healthy Recipe Shares
“Sharing Wellness” Bulletin Board
Wellness Classes
For more information
please contact:
tonya.r.mcbride@vanderbilt.edu
or
teresa.g.sturges@vanderbilt.edu