PIPD Update March 15, 2024

 KUDOS to everyone doing extra cleaning this week to keep us from going into an outbreak. 

We will need to keep in mind some lessons from this experience, as individuals and as a unit. More to come on that once we have good idea of where our vulnerabilities in process and practice are. But simply being in this situation prompts the need to make improvements. 

Calling Peds Residents at night

A reminder to please be cognizant of minimizing calling residents outside of urgent needs on Vocera at night during quiet hours between 2200-0600. Some real examples of calls that don't need to be made as one-offs over night:

• calling to ask if can give a PRN tylenol that was already ordered
• calling for a single temp of 36.4 in an unbundled well appearing infant
• calling to clarify orders that were written and added to the nursing care plan during the day shift but not calling until middle of the night
• calling to tell the resident that a child may need morphine for pain but not yet and they will call back if they do need it
• calling residents for teenage patients who did not void overnight
• calling for desats to 89% for 10 seconds with spontaneous recovery in an otherwise well child who has these previously (and other more subtle clinical vital sign changes that are still in the normal range but slightly different from daytime values)

What you can do:

- have a list of things ready for residents when they do tuck-in rounds and/or for first thing in the morning after 0600

- use your resource nurse and charge nurse for questions/troubleshooting

- batch calls to residents as much as possible if needing to call at night

CNE Updates

Measles – be familiar with signs and symptoms of measles. Measles (Rubeola) | SaskHealthAuthority

Be familiar with Infection Prevention and control measures (and need for airborne precautions). Meases IPAC Measures Algorithm (saskhealthauthority.ca)

Remember to take a thorough travel history for any patient with a fever &/or rash.

Q-cards

a.       NEW - Intramuscular Injection Sites – Under Q-cards-nursing -> IM-Intramuscular Injection SITES  (this is a new detailed, 2 page document with the different IM injection sites. It includes pictures and landmark information).

b.       UPDATED - IM-Intramuscular Injections INFO (this is where you find the preferred sites for age, needle length and gauge, and maximum volume per site).

c.       NEW - Dissolve-a-dose & hazardous medication. We are working on getting the new ENFit version into SHA. Please use PPE, the current Dissolve-a-dose, the white connector, and a ENFit syringe. Until then – see new Q-card: Dissolve-A-Dose.

3.       Kudos to all you cleaning Stars!!!

SHA Mentorship Program - The Saskatchewan Health Authority Mentorship Program is a voluntary program open to all employees and is ideal for:

- those who are new to the organization;

- existing employees taking on new roles; and

- mentors who want to share from lived experience and enhance leadership capabilities and communication skills.

The Mentorship Program aims to:

- improve the employee experience through relationship building and interactive workshops;

- develop employee leadership capabilities; and

- provide participants with necessary guidance and support to excel in their roles.

Details are available on the SHA site Mentorship Program | SaskHealthAuthority

If you are interested in being a mentor please let Jonathan or Fiona know.