PIPD Update Dec 29, 2023

 Kudos

- Anissa (PT) for coming back to the ward to see 2 kiddos so they could be discharged and home for Christmas!

- Hailey m for being an incredible nurse during 2 busy nights with sick kiddos and getting a cath on the strongest toddler ever!

- Raegan D for reminding us to be more consistent in checking IV sites (Q1H when infusing) especially when running KCl. 

1.       EVDs – there is an EVD binder. It lives on the Neuro Cart (unit 2 team room). It has a breakdown of the parts of the system including the stopcocks. This poster is also on the S-Drive under Q-cards-nursing.

HAPPY NEW YEAR!!!

Bi-weekly Update Dec 22, 2023

 Happy Holidays/Merry Christmas

2023 is wrapping up a lot better that it started. The main reason is thanks to the cooperation and team work on the unit. 

We continue to be very grateful for working with such an amazing team. Thank you and enjoy your time with friends and family whenever that ends up occurring. 

Staffing Scheduling Improvements  - from staff scheduling office

Shortening Shifts/Partial Bids

·     The upgraded Staff Scheduling website now allows for partial bids for shifts within Today/Tomorrow (0-48 hours of the start of shift).  As this is a new feature that now exists, the short call team will be eliminating the process of shortening shifts for all departments effective Monday, December 25, 2023.  All shifts will stay up for all employees to bid on the shift until the shift reaches 4 hours remaining of the shift.

Flipping back and forth to OCC Types

·     The short call staff will put out all shifts within today/tomorrow once at Regular and then flip to OT.  In the event that you require the shift to be changed to another Occupation type, managers will need to call these instructions into Quick Dial.  The short call team will change one Occupation type per shift.  For example:  LPN sick call comes in, we will post at REG time, then we will post to OT.  At that point if you wish to flip to an RN we will do the same process, post once at REG and once at OT.  At that time the shift will stay at the RN OCC type at OT status.  If you have already identified this in your GL no need to call into Quick Dial.  This change will take effect Monday, December 25, 2023.

Until Filled Status

·     We are currently working on a process to have all shifts within today move to an until filled status which will assist in the “reposting” of shifts.  Currently you may see a shift out for bid and then it comes down after the 15 minutes for the scheduler to action, this can take a bit of time for the action to occur and the shift will go back out to accept bidders (there is only one notification set to the employees per shift).  The process we are exploring will eliminate the need to “repost” the shift every 15 minutes and allow the shift to accept bids until the shift is removed. More to come on this in the new year

Scheduled Vacation Payouts – Quick Dial Only

·     These requests are now to go through the Quick Dial Option, the employee leaves a message and the senior scheduler will process form there.  There has been an increase of payroll payouts coming into My Connection which are being denied as these NEED to be processed through Quick Dial at this time.

Scheduling Inquiry – My Connection

·     Employees are encouraged to continue to use the Quick Dial function to report their defect.  Employees are also encouraged to discuss any discrepancies with their managers prior to submitting a scheduling inquiry case.  We are experiencing a lot of cases coming in that require an initial discussion with the Quick Dial team, manager or senior scheduler.

     MASTER UPDATE

        We are having a meeting with the union in the new year to continue to advocate for master that is in alignment with CBA and your interests. It is likely that we will not get to picking the lines until February. If you have holidays booked for February please plan for someone to be your designate for picking for you. Updated seniority lists will be emailed out in the new year. 

     CHG Wipes (burgundy package) WILL NOT be stocked in the warmers. If they are in the warmer, the package must be thrown out after 96 hours. All units will have 2 rows of the Essential bath wipes, 1 row of Shield wipes, 1 row of shampoo caps. There will be CHG wipes will be at each unit underneath the warmers. You can microwave the wipes to provide a warm CHG Pre-Op bath.

       Please do not put the shampoo caps into the blanket warmers. This is not regulated for temperature for the shampoo caps. Please use the Stryker warmers at each unit instead.

       CNES would like to say Thank you – we see the care you give. You are all shining stars.

Asthma Teaching - just a reminder that if a patient needs asthma education to contact the Inpatient Peds RT (Vocera). Don't submit an SCM req for this as this goes to the wrong department and it will get missed.

Updated Q Cards

- Epi nebs (in print and on S drive)

- Amoxi/Clav IV reconstitution - RED  IV binder and on S drive, see below. 

Don't forget about NINA :) She is our AMAZING CCA. She will be in every Tuesday and is able to pick up Wednesdays and Thursdays. She loves to be busy so ensure you are utilizing her skills to provide care. 

Weekly Update Dec 8

KUDOS

Dec 7 NX - for walking a surgical resident through everything they needed to do for  PICU consult. 

Nina (our new CCA) for regularly wiping down every single work surface on the unit!

STICKERS ON CRIBS AND TABLES

* Please Don't do it. We are still seeing lots of stickers on tables and cribs. This is becoming a really big safety concern. If you are needing an alternate way to have an ID within a patients room please come speak to us. 

Chest Tubes

* Please ensure you bag the canisters prior to disposing. They tip in the biohazard bin and its gross. Please put a clear bag and tie it on the top before you put into the bin - The SUPPORT STAFF THANK YOU!!

NEW Q cards

 1. Chest tube Bedside Supplies Q-card

 2. Chest Tube set up and Care Q-card.

 3. Information on how to Convert an Infant PLEUR-EVAC chest tube Canister to an Adult PLEUR-EVAC chest tube Canister.

4. Pinel restraints - there is now a folder in Q-Cards on the S-Drive with instructions on how to set up the pinel restraints, with pictures, and a poster with the full set up. We hope this is a quick guide to support you. We have two new sets on order, hopefully arriving soon. 

New Maternal Syphilis Phone Line 

306-655-4685, effective immediately.  This initiative aims to provide comprehensive support, information, and assistance to expecting mothers and healthcare professionals dealing with syphilis during pregnancy.

Sage Essential Bath wipes, Shield Comfort Barrier wipes, Shampoo Caps, and the Chlorhexidine (CHG 2%) wipes are now being trialed. There is a warmer in each unit. Unit 1 is on the hutch. Unit 2 is on the chart counter. Unit 3 is in the Team Room (for the trial only). Unit 4 is in the Clean Supply room beside the blanket warmer. Extra supplies are underneath the warmers. Please put a replacement package into the warmer when you take one out. Thank you! Here some Ideas for using these cloths:

a.       Essential Bath Wipes – NOT to replace actual baths/showers. Are rinse free.

                                                               i.      Great to use these cloths in-between those bath/shower days.

                                                             ii.      Can use them for post-op washing – very quick and warm to do when doing your assessment/vitals.

                                                           iii.      Massive blowout or emesis but no time to do a full wash at this moment? Wipe them down with the wipes until the bath can get done.

                                                           iv.      BEDTIME wash up – sweaty or sick patients can get a cloth wipe down before bed to make them feel cleaner.

                                                             v.      Peri-area clean up – especially for those bigger kids with bigger messes (instead of the smaller diaper wipes).

b.       Shield Comfort Barrier Wipes – NOT to do clean-up of urine/feces. Continue to use diaper wipes (infants) or the Essential Bath wipes (older children) THEN use a Shield wipe to provide a preventative, proactive transparent protection of the peri-area. You can prevent skin breakdown by being proactive. You can still see the skin for a thorough assessment of the area. Zinc can still be used to help heal reddened areas.

c.       Shampoo Caps – you know what to do. Just a reminder, the caps are rinse free and contain a leave in conditioner. They will leave the hair feeling silky for easy comb through.

d.       Chlorhexidine (CHG 2%) Wipes – will not remain in the warmer AFTER the trial. This is for the trial only. AFTER the trial, these will be in a box on-top of the warmer. Shelf life if in the warmer is very short so we will make sure the product doesn’t expire.

                                                               i.      Great to use as a pre-op bath! Ex: a pre-op appy comes up overnight and will go to the OR the next shift, give a quick wipe

 

2.    Baby Friendly Initiative – Thank you to those that have done their 2 eLearning MyConnection Modules: MatChild Baby-Friendly Initiative & MatChild Supporting Breastfeeding/Chestfeeding Families. These are mandatory for all staff that work within JPCH. You can find links to these modules on your Annual eLearning site on the SHR eLearning site. Or you can search on MyConnection. Please continue to send your certificates to Tanzly.brososky@saskhealthauthority.ca

Weekly Update Dec 1st

 

KUDOS

Carolyn- for always finding a way to make space for our kiddos. 

Tracey- For always getting our kids out safely :)

Kyle- We appreciate your calm and positive demeanor. 

PD learners- Thank you for all the feedback. It was valuable and will create a better a training in the future!

Laura M and Tennyl M- Never giving up on a difficult chest tube. Cherie is working on a fix :)

Cherie- Thank you so much for being inventive and taking the initiative to finding a fix for our chest tubes. 

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Free Learning opportunity: Dec 13 from 1300-1400 on Webex. 

Culturally Responsive Nursing

Register for free here: Register here  

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Did you know? 

Blood/Blood Product Transfusion records are kept for 50 years?! 

Please make sure you are filling out the record entirely. Transfusion medicine has been receiving quite a few records missing information (vitals, start time, end time, amount transfused).

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Patient Stickers on Equipment

Please ensure you are putting patient stickers directly onto beds, cribs, side tables etc. They are very difficult to get off and the wrong sticker for the patient has been found in rooms lately. Do your part to keep our patients safe :)

Friendly Reminder: 

USE PEWS at handover. 

Why? 

* It will help keep PEWs in our everyday conversations

* It helps Managers ID patients with higher needs, this helps us validate staff and keep us in the loop on where support is needed.