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VCU Medical Center Emergency Department staff take a pause to honor lost patients

“The Pause” — a moment of silence after the death of a patient — recognizes the humanity of the patients and the health care team trying to save them.

RVAHub Staff

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By Alex Nowak

On a typical day, the VCU Medical Center Emergency Department treats 300 patients. The department, a Level I trauma center geographically situated on the main corridor from Maine to Miami, sees some of the worst tragedies from up and down the East Coast: shootings, mass-casualty incidents, freak accidents, and multi-vehicle pileups. Despite every quick action and resuscitation effort made by medical team members, lives are lost and friends and families are left to grieve.

But for the medical team in the midst of a 12-hour shift, there is no time to grieve as their minds and bodies race to save the dying patient in the next bed. Operating in such a relentless environment can lead to exhaustion and burnout. With a recent study finding that nearly two-thirds of U.S. doctors feel burned out, depressed or both, something as simple as taking a moment to reflect after each patient’s death could not only allow providers to be more present for each patient, but build resiliency within the staff.

That is why Julie Kacmarcik, clinical coordinator in the emergency department, and a dedicated team brought the seemingly simple — but oftentimes difficult to personally justify — concept of “The Pause” to VCU Medical Center.

VCU emergency department staff reenact The Pause. (Video by Joe Kuttenkuler, University Marketing)

The Pause is 30 to 45 seconds of silence immediately after the death of a patient to honor his or her life, and distinctly mark the importance of the moment at hand. It is a brief timeout for everyone involved in the events leading up to the death to collect, reflect and help bring closure. Beyond that, it’s a moment to acknowledge the tremendous effort and care offered by the health care team.

“We’re looking at a person in a bed who didn’t plan on coming in to see us that day, and didn’t expect their life to be ending. This is a brother, a friend, a dad,” said Kacmarcik, a 23-year veteran of the emergency department. “And we acknowledge and recognize the team that gave their heart and soul to try and resuscitate this patient. It’s realizing that, yes, I’m thinking about all the other folks we have to take care of, but just for this finite period of time, I’ll be in the moment with this patient and with my team members.”

As Russell Davis, Ph.D., VCU Health director of pastoral care, puts it, “It is an expression of our humanity. It allows for silent expression of real human emotions.”

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Richmond Then and Now: 528 E. Broad

A then and now snapshot of Richmond.

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Original Image from Souvenir views: Negro enterprises & residences, Richmond, Va. Created / Published[Richmond, D. A. Ferguson, 1907]

 

It was brought to my attention that Steve had already done this building back in May as part of Wayback RVA.  Here is his original post which has way more information than my simple photo. Give it a read.

 

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Downtown

Governor Ralph Northam, First Lady Pam Northam both test positive for COVID-19

Virginia Governor Ralph Northam and First Lady Pam Northam have both tested positive for coronavirus after coming in close contact with a staffer who was showing symptoms. The First Lady is experiencing mild symptoms, according to a release, while the Governor remains asymptomatic.

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Virginia Governor Ralph Northam and First Lady Pam Northam have both tested positive for coronavirus after coming in close contact with a staffer who was showing symptoms. The First Lady is experiencing mild symptoms, according to a release, while the Governor remains asymptomatic.

From the Governor’s Office:

On Wednesday evening, Governor Ralph Northam and First Lady Pamela Northam were notified that a member of the Governor’s official residence staff, who works closely within the couple’s living quarters, had developed symptoms and subsequently tested positive for COVID-19. Both the Governor and First Lady received PCR nasal swab tests yesterday afternoon, and both tested positive. Governor Northam is experiencing no symptoms. First Lady Pamela Northam is currently experiencing mild symptoms. Both remain in good spirits.

Consistent with guidelines from the Virginia Department of Health (VDH), the Governor and First Lady will isolate for the next 10 days and evaluate their symptoms. The Governor is in constant contact with his cabinet and staff and will fulfill his duties from the Executive Mansion.

“As I’ve been reminding Virginians throughout this crisis, COVID-19 is very real and very contagious,” said Governor Northam. “The safety and health of our staff and close contacts is of utmost importance to Pam and me, and we are working closely with the Department of Health to ensure that everyone is well taken care of. We are grateful for your thoughts and support, but the best thing you can do for us—and most importantly, for your fellow Virginians—is to take this seriously.”

The Governor and First Lady are working closely with VDH and the Richmond Heath Department to trace their close contacts. The Executive Mansion and Patrick Henry office building will be closed for deep cleaning this morning. The work of the Governor’s office continues remotely and uninterrupted.

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Downtown

Dominion Energy Christmas Parade Marching Online this Year

The 37th annual Dominion Energy Christmas Parade will shift to a television-only Christmas special.

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Due to the unprecedented circumstances this year and the responsibility to make the safest decision for our community, the 37th annual Dominion Energy Christmas Parade will shift to a television-only Christmas special! While we will miss seeing everyone on streets this year, we are so excited about the opportunity to bring Richmond’s favorite holiday tradition to you in the comfort of your own home!

Tune in to WTVR CBS 6 News on Saturday, December 5 at 10 am to watch all-new performances from your favorite entertainment groups, heart-warming stories focused on celebrating our Richmond community, “best of” clips from past parades featuring giant helium balloons and colorful floats, and even a special appearance by Legendary Santa himself! You will not want to miss the must-see television event of the holiday season! #RVAparade2020

NOTE TO PARADE PARTICIPANTS: Spots in this year’s Christmas special are limited. Please stay tuned for more information via email next week.

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