C A R E CO N N E CT I O N V O L U M E 1 • I S S U E 7 • J U LY 2 015

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Professional Practice and Nursing, Providence Health CareThe Professional Practice and Nursing Newsletter

Natasha Simonss and Tara McDonnell believe we must all contribute to creating the work environment we want to be part of. Representing the Occupational Health & Safety program at PHC, Natasha and Tara share a commitment to building a respectful culture at PHC, and coordinate the Respect at Work initiative to further this goal. The Respect at Work team believes that workplace safety starts with these steps:

• Showing kindness and courtesy at work• Taking time to get to know our work colleagues• Supporting employees to speak directly to their co-workers when

disagreements arise

Recognizing that not all of us are comfortable speaking directly to a co-worker who has offended or bullied us, the Respect at Work team leads sessions for staff and leaders to enhance good communication skills, and offers access to the “Respect and No Bully Line” for employees seeking support. Employees can volunteer to be “Respect Ambassadors,” who volunteer for intensive training and practice in delivering sessions, and then deliver sessions as requested throughout PHC. Over 800 PHC staff have participated in team sessions so far.

Respect at work leads to enhanced communication between co-workers, which leads to improved patient and staff safety. “Silence kills” in healthcare, as in industries like air traffic control, explains Tara, and when teams are functioning well, team members are confident to speak up about unsafe situations, which ultimately benefits staff as well as patients. Want to learn more? Visit www.providencehealthcare.org/RespectAtWork

Respect at Work: Culture Change to Improve Patient Safety at PHC

Holding RESPECT, l to r:Tara McDonnell, Natasha Simonss, Jody Max, CaLien Forrest, Chantaal Buschman, Gwyneth Jones, Carrie Smith

Absent from picture: Jennifer Harcus, Ashley Payne

PAGE ONE FEATURE

Volume 1 • Issue 7 • July 2015 • Providence Health Care

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2015 Professional Practice Council Excellence in Clinical Practice AwardsThe PHC Professional Practice Council Awards for Excellence in Clinical Practice provides an opportunity for staff to identify and honour colleagues who are exemplary models of clinical practice. It is an occasion for clinicians to publicly proclaim their pride in their chosen field by recognizing exceptional day-to-day practice.

This year, the inaugural Awards Ceremony took place at C|Prime at the Century Plaza Hotel. Dianne Doyle, President and Chief Executive Officer, and Leanne Heppell, Vice President, Patient Care, Acute Services & Chief of Professional Practice & Nursing were in attendance to award the following recipients: Kary Hackney, Sandra Squire, Osric Sin, Peter Haughton, Kelly Van Der Gang, Sinead Feeney, Barb Lang, Dr. Lori Taylor

AWARDS

Join us! Attend the next meeting of the Clinical Nurse Specialist Association of BC! The CNSABC is the only association in BC

specifically focused on the professional issues affecting the CNS. Membership includes currently practicing CNSs, nurses who have the preparation but are not currently practicing as a CNS, and MSN students interested in the CNS role.

The next regular meeting will be held on:

Date: September 17, 2015 Time: 1630-1830hLocation: The meeting will be video linked to the Blue Media Room, Media Services, Providence Level 1.

Clinical Nurse Specialist Association of BC CNSABC

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MAD is the inflammation & erosion of skin caused by exposure to moisture, heat and friction. MAD is commonly found in skin folds, like beneath the breasts, underarms or the pannus.

Prevent/Treat MAD by using the following:First Try...

Antimicrobial Dressing (AMD or PHMB Kerlix Gauze)

• Wash effected area with Secura Spray and pat dry with white disposable cloths daily

• Cut needed length of AMD Kerlix gauze and insert in skin fold. Change Daily and PRN

(AMD KERLIX roll does not need to be sterile and can be left at the bedside)

If above does not work, try:Intertry Ag...

• Measure and cut length of InterDry Ag allowing a minimum of 5 cm of free fabric which is to be exposed to air (not completely tucked into the skin fold)

• Mark exposed piece of fabric with current date.• Remove InterDry Ag daily and cleanse the skin with no-rinse

cleanser; pat dry. Assess skin condition.• Re-use same piece of InterDry Ag for up to 5 days.

Underarm

Pannus

Beneath breasts

Do you know about...

Moisture Associated Dermatitis (MAD)

WOUND WISDOM

WO U N DW I S D O M

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Blood /Blood Product TransfusionCommencing July 2015 IV pumps may be used for transfusion of blood and blood products. New tubing for administration of Blood/Blood Products and for IVIG / Albumin will be

available on the units. This tubing can also be used for gravity administration of products if required.The Blood/Blood Product Administration standard has been revised to reflect this. See the standard online at http://phcmanuals.phcnet.ca/nursing/doc/NCS5438.asp?LibCode=NURS

Alaris SE Pump (General Units)

Non-vented blood set (180-200 micron filter) with single spike, for use with Alaris SE pump (blood and blood products).

IVIG / Albumin Infusion set – vented, 15 micron filter

Alaris Module (“Smart”) Pump (Critical Care)

Non-vented blood set with single spike, 200 micron filter (blood and blood products)

IVIG/Albumin Infusion set, vented, 15 micron filter.

For more information contact Jocelyn Hill, IVT Nurse Educator at: jahill@providencehealth.bc.ca

Chest Tubes:

The following chest tube resources have been revised:1. Chest Tube Assessment Flowsheet – available on ChartScan 2. Chest Tube education resources web page: Education for Nurses >> Chest Tubes

3. Chest Tube related Standards: - 8 New/Revised practice standards for the care of patients with chest tubes - See Online Manuals >> Airway and Respiratory System >> Chest Tube Management

For more information contact Diane Milne (dmilne@providencehealth.bc.ca) or your unit Nurse Educator

CLINICAL CORNER

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The global medical industry is changing the end connectors on enteral feeding tubes, extension sets/ bags/syringes to support safe connection and prevent IV connection to feeding ports. The new enteral feeding pump sets with the attached new ENFIT connectors will be available within the next few weeks as the inventory of our current feeding sets are depleted. At the same time, the standard enteral feeding bags will

be changed to 500 mL instead of the current 1000 mL capacity. 1000 mL capacity bags will still be available, if required. Changes to the connection system for feeding

tubes and syringes are scheduled to come next year. Stay tuned!Action: before connecting the enteral feeding administration set to the patient feeding tube, ensure that the transition connector is tightly connected by twisting the connector and ensuring it is securely attached.

For more information, go to: http://www.stayconnected.org/

If you have any questions, contact: Darlene Tattrie at dtattrie@providencehealth.bc.ca orFrances Johnson at fjohnson@providencehealth.bc.ca

New Enteral Feeding Connectors – Changes to the enteral feeding pump sets are coming!

PHC is a proud sponsor of the Canadian Association for the History of Nursing/Association 2016 Conference, and we have four free conference registrations for PHC nurses. Contact Aggie Black for details (ablack@providencehealth.bc.ca)

Brains, Guts and Gumption: Historical Perspectives on Nursing Education, Practice and Entrepreneurship

St. Paul’s Hospital, June 16-18, 2016

Exploring connections between health, nursing and leadership, the conference welcomes papers that analyze the various ways in which nurses have negotiated their roles as educators, practitioners or entrepreneurs. The conference will bring together scholars, professionals, and students internationally and from many different areas of nursing and health care. We especially welcome abstracts from students.

Please submit a one page abstract (350 words max.) and a one page CV for consideration by Jan 31, 2016, to Dr. Margaret Scaia, University of Victoria, mrscaia@uvic.ca

Brains, Guts and Gumption: Historical Perspectives on Nursing Education, Practice and Entrepreneurship

HISTORY OF NURSING

PROGRESS

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End of Life : Navigating Ethical Issues with Patients and Families

Venues: • Cullen Family Lecture Theatre

(formerly the New Lecture Theatre) Providence Bldg. St. Paul’s Hospital (speaker present)

• and via webinar – see below (the webinar space opens at 1:30 PM)

Thursday, September 24th, 20152:00 – 3:00 PM

H E A R RHEALTHCARE EDUCATION AND RESEARCH ROUNDS

Presents:

Note that participation in HEARR events can be counted towards the CRNBC continuing competencies for nurses.(Participants are responsible for maintaining their own record of attendance).

Announcing Healthcare Education and Research Rounds! HEARR is a series of free monthly webinars featuring healthcare professionals

presenting their research or synthesis projects, with the goal of improving patient care and enhancing evidence-informed practice.

To attend via webinar: HEARR presentations are provided through sponsorship by InspireNet (Innovative Health Services & Practice Informed by Research & Evaluation Network).

To view the presentation online, join InspireNet (free to join). Go to www.inspirenet.ca and click the Join InspireNet link. (Do this a few days prior to the webinar.) Once you have joined InspireNet and the HEARR Action Team, visit the following link (http://bit.ly/1IiTMEn) before the lecture begins, or visit InspireNet for details. If requested, use password Network10 NOTE: there is no charge to participate in HEARR events

For InspireNet members, HEARR webinar events will be recorded and available after the event: http://www.inspirenet.ca/wiki/archive-nearr-sessions

David Unger BA MSc (Bioethics) MD CCFP(C) FCFP Director and EthicistEthics Services, PHCClinical AssociateUrban Health and Acute Care ProgramSt. Paul’s Hospital, PHCClinical Assistant ProfessorSchool of Population and Public Health, UBC

HEARR WEBINAR FOR JULY 2015

Unit dose zoplicone ( 7.5 mg tablets )Pharmacy will be transitioning to unit dose zopiclone 7.5 mg tablets as current stock is depleted. The new packaging includes a barcode in preparation for a Closed Loop Medication Management System. Be aware that additional products will be transitioned to this new packaging over the months to come.

Current packaging Unit Dose packaging

Oral solid unit dose packages will look alike –

be mindful of your medication checks and rights prior to

administration.

MEDICATION SAFETY

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FACTS ABOUT SCOPE

Respectful Conduct - Part of our Practice Standards! THE ON SCOPE

Organizational policy sets expectations related to respect in the workplace. In addition, regulated health professionals are bound by their practice standards and have obligations related to personal conduct. Some examples are included here:The Standard of Practice Inter-Professional Collaborative Practice http://cshhpbc.org/docs/profs-01_-_interprofessional_collaborative_practice.pdf?LanguageID=EN-US from the College of Speech and Hearing Professionals outlines that a registrant should establish harmonious relations with registrants of other professions, endeavoring to inform other professions of the services and products that can be rendered by registrants of the speech and hearing health professions and, in turn, should seek information from registrants of related professions. The message being that through harmonious relationship care is strengthened; a non-harmonious relationship could lead to decreased communication and ultimately impact care.

The College of Registered Nurses Professional Standard 4 Ethical Practice indicator 7 states registrants Promote and maintain respectful communication in all professional interactions. https://www.crnbc.ca/Standards/ProfessionalStandards/Pages/EthicalPractice.aspx

The College of Dietitians of British Columbia provides expectations related to respectful conduct with colleagues in the Code of Ethics Principles and Guidelines http://www.collegeofdietitiansbc.org/documents/2012/Code-Ethics-Princ-Guide-final-Mar-2-12.pdfA Registered Dietitian demonstrates respect, dignity and privacy at all times when interacting with clients by treating everyone with respect, including but not limited to:

• other health care professionals • the client’s family members/significant others

Respectful conduct in the workplace impacts patient safety as well as job satisfaction. It is important to remember that it is not only an organizational expectation; it is also a professional obligation.

For more information contact Cindy Elliott at celliott@providencehealth.bc.ca

Can patients with chest tubes have LPN’s as Most Responsible Nurse?Q&A Question of the Month / July 2015

Email your answer to: pnursing@providencehealth.bc.ca

The first correct answer wins a Starbucks Gift Card.Check our next issue for the correct answer.

QUESTION OF THE MONTH

Volume 1 • Issue 7 • July 2015 • Providence Health Care

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https://ccrs.vch.ca/Default.aspx

CCRS Courses & WorkshopsWelcome to CCRS, your access point for both online and classroom courses offered by, or in conjunction with Vancouver Coastal health, Providence Health, Fraser Health and Island Health.

Send us your comments, story ideas and questions: pnursing@providencehealth.bc.ca (   604•806•8090Ca re Co n n e c t i o n i s p ro d u ce d by Pro fe s s i o n a l Pra c t i ce a n d N u r s i n g, P H C

They’re on file!Back issues available at:

http://phc-connect/programs/nursing/Pages/default.aspx

Missed an issue?

AstridWesterveltFrances JohnsonAggie Black

Your Care Connection news team

Gary Cody

Nursing Skills Lab Tuesday, August 18th

Drop-in anytime between 1400-1600 Education Lab, 3rd Floor

Nursing Skills Lab Monday, August 31st Drop-in anytime between 1230-1530 Room 9029 on 9C, SPH

St. Paul’s Hospital Mount Saint Joseph Hospital

No problem . . .

Go to PHC Connect and follow the Clinical Tab link to the Nursing Home Page

Find us on the Web

Cindy Elliott

NURSING SKILLS LAB

CONTINUING EDUCATION