Thursday, June 19, 2014

The first task…possibly ignored

At the beginning of everyday at the hospital, the group of us chaplains (there are two staff chaplains, 2 resident chaplains, and 3 summer interns) must complete morning work.
Enter the Broadway soundtrack of Lion King with “The Morning Report.” It always comes to my mind.
Morning work is a main administrative task which informs us about who is here, who we connected with previously, and who might want to see us today. Each one of us visits the patients on a unit (eg. ICU, Labor and Delivery, Emergency Room, Surgical) to offer comfort and care as desired. We also provide information about Advance Directives, prayer, and coloring books for the bored.  While the morning work is semi-complicated and takes one person about 30 minutes to comb through the 60+ names on average, it is the guide for the rest of the day.
That is, it is a potential guide.
Twice in the last week the morning work went unused, by the way side.  The priority of caring for a family and friends while a patient is actively dying trumps any other plan for the day. This time with families and a patient is sweet, tortuous, calm, and wrenching all at the same time. Logistics have to be tended to while the chaplain also cares for and supports the grieving people left behind to live.  Such connections are not complete in a typical 30-minute visit, but can instead fill an entire afternoon.
This past Friday, only three of us were at work and I scrambled all morning to take care of the admin pieces. I made sure morning work was wrapped up before a meeting only after to run right to ICU for rounds to find out about each patient to report back and complete the morning work information. Then after a service celebrating the Feast of St. Anthony (patron saint of St. Anthony North Hospital), a quick bite for lunch and a single conversation with one of the patients on my unit, I got a page to attend to a family and their dying mother/grandmother. All the scurrying and preparation of the morning felt for not as I spent the next five hours with the family and dying patient.
When I pray in the morning for the day, I sometimes get tongue tied, because as much as I can anticipate what the day will look like, I really have no idea.  But maybe it is in that tongue-tied, speechless moment that the vital prayer exists: Let me be present to you, God, and present to your people.  These are the most important aspects. The preparation for visits and efforts to provide intentional care are not to be thrown out. But a clingy-spirit to such things must be; in the end we are only allowed and able to cling to sacred space where God needs us most.

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