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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.

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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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State of Emergency and Road Closures for this Holiday Weekend

Monday is Federal Holiday but the Capitol grounds are expected to be crowded with protestors and those hoping to discuss issues with their representatives for Lobby Day.

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Monday is Martin Luther King Day and it is also Lobby Day at the Capitol. Lobby Day is traditionally a day where citizens and organizations meet with elected officials and share their viewpoints. This Lobby Day will be a bit different. The Gun Rights lobby is calling on hundreds of activists to descend upon the Capitol grounds to protest any legislation related to gun ownership.

The situation is considered volatile. So volatile that Governor Northam has declared a State of Emergency for Richmond beginning tonight (Friday) through Tuesday evening.

Governor Ralph Northam today declared a state of emergency in advance of expected demonstrations on Capitol Square on Monday, January 20, 2020. Law enforcement intelligence analysts have identified credible threats of violence surrounding the event, along with white nationalist rhetoric and plans by out-of-state militia groups to attend.

The Governor’s declaration prohibits all weapons, including firearms, from Capitol grounds, and will provide joint law enforcement and public safety agencies the resources they need to keep demonstrators, policymakers, and all Virginians safe.

This emergency declaration is temporary, and extends from Friday, January 17 at 5:00 PM until Tuesday, January 21 at 5:00 PM.

These fears of violence were given more credence when the FBI arrested three suspected white-supremacists that were planning on attending Monday’s rally. From the article, the armed men “planned to travel to a pro-gun rally next week in Richmond in anticipation of a possible race war”.

In addition to the weapons ban access to the Capitol grounds will be limited and several roads around the Capitol grounds will be closed (see map above).

 

JJ McNabb is a Fellow at George Washington University’s Program on Extremism and a contributor on anti-government extremism at Forbes. She has this excellent thread on Twitter on what has brought us to this point where a normal lobby day has turned into a State of Emergency and fears of violence.

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Downtown

Last Call for Storm Drain Art Submissions

Local artists you can make a difference in our watershed but your deadline for entries is February 2nd

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From RVAH2O

The deadline for submissions is fast approaching, and we’d love to see YOUR ideas for Richmond’s fifth annual Storm Drain Art Project. Local artists ages 18 and older are invited to submit storm drain designs between now and Sunday, February 2, 2020, at 11:59 p.m.

We’re looking for art that paints a picture of how important it is to keep our river – and our drinking water – clean. All four finalists will receive a $400 stipend and publicity for their artwork on drains in Richmond’s Shockoe Bottom.

  • Submit your design using the template on the RVAH2O website.
  • Help promote the goals of the City of Richmond’s RVA Clean Water Plan – a five-year roadmap for reducing pollutant discharges into the James River, starting with wastewater, stormwater and the combined sewer system.

ENTER TODAY!

Don’t wait – visit RVAH2O.org or call 804.646.8131 for details and submission rules.

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Hundreds trek to Capitol to support environmental bills

Hundreds of clean energy supporters trekked to the State Capitol this week demanding Virginia move away from reliance on carbon-based energy, invest in alternative energy supplies and lower rates for customers.

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By Jeffrey Knight

Hundreds of clean energy supporters trekked to the State Capitol this week demanding Virginia move away from reliance on carbon-based energy, invest in alternative energy supplies and lower rates for customers.

At the rally, hosted Tuesday by the Sierra Club Virginia Chapter, Chesapeake Climate Action Network Action Fund and other environmental organizations, participants pushed for Virginia to join the Regional Greenhouse Gas Initiative, an effort to cap and reduce carbon emissions from the power sector.

Gov. Ralph Northam supported the initiative in his 2020 budget proposal by including $733 million in new funding for the environment and clean energy.

“In Virginia, we are proving that a clean environment and a strong economy go hand-in-hand–and having both is what makes our Commonwealth such a great place to live, work and play,” Northam said in a press release.

Organizations lobbied for bills that seek to depart from a reliance on fossil fuels such as coal and natural gas. One focus was House Bill 1526 and its counterpart Senate Bill 851 known as the Virginia Clean Economy Act.

These bills would develop mandatory standards, annual timelines and call for specific reductions of carbon emissions with the goal to hit 0% by 2050. The bills also push for offshore wind operations and solar energy generation.

“I’m 100% for environmental issues,” Sen. Lionell Spruill Sr., D-Chesapeake, and co-patron of SB 851, said to supporters of the bill during the rally. “If I have to stand alone for environmental issues, I will do it alone.”

After supporters met with legislators they reconvened at the nearby St. Paul’s Episcopal Church where they heard speakers champion environmental justice and steps to combat climate change.

Del. Jennifer Carroll Foy, D-Prince William, took to the podium during the rally to address coal ash, a by-product of burning coal in power plants that contains arsenic, mercury, and other metals.

“Most of our environmental impacts, not only of climate change but also with coal ash and pipelines, are in our most vulnerable communities,” Carroll Foy said to the audience.

Dominion is Virginia’s main energy supplier, with 2.6 million customers in Virginia and Eastern North Carolina, according to its website. The energy giant has been moving away from coal production, but environmental advocates worry that closure of Dominion’s coal ash ponds will affect nearby communities. They want Dominion to haul away the coal ash, versus cap it in place.

Advocates also said that the proposed Atlantic Coast Pipeline that Dominion and other utility companies want to build as they tap into alternative energy sources will compromise communities and deviate from a zero-carbon future.

“There will be 35 years of non-renewable energy if the pipeline continues,” said

Corrina Beall, legislative and political director of the Sierra Club Virginia Chapter.

The Environmental Justice Act (HB 704 and SB 406) patroned by Del. Mark Keam, D-Fairfax, and Sen. Ghazala Hashmi, D-Richmond, respectively, would require state agencies to review proposed environmental policies with regard to the impact on low-income communities, communities of color and vulnerable populations and calls for “the fair treatment and meaningful involvement of all people.”

Supporters at the rally also pushed for the Fair Energy Bills Act (HB 1132), patroned by Del. Jerrauld “Jay” Jones, D-Norfolk, and Del. Lee Ware, R-Powhatan. The bill calls for lower rates from energy suppliers like Dominion Energy, who reportedly overcharged Virginians $277 million more than they were allowed in 2018.

SB 966 restored the SCC’s ability to conduct earnings reviews to determine whether Dominion Energy had collected more money than required. If so, the extra revenue could be reinvested in electric distribution grid transformation as well as solar and offshore wind projects at no extra cost to the consumer.

“What makes more financial sense is for the money to be reinvested, which allows the customer to get the benefit of the project without any additional rates,” said Rayhan Daudani, manager of media relations for Dominion Energy.

He said that customers get a “great value” with rates 6.8% below the national average, along with increased investment in renewable energy and a transformed energy grid. Dominion said it plans to invest $750 million between offshore wind projects and smart meters that provide better grid service.

“Our mission is to keep those prices low, build the nation’s largest offshore wind project, continue to provide solar energy across the state and keep the lights on for our customers,” Daudani said.

The offshore wind project is set to be the largest in the U.S. with enough energy to power up to 650,000 Virginia homes, according to a recent Dominion Energy press release.

So far none of the bills supported by clean energy advocates have passed committee.

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