PIPD Update March 8, 2024

KUDOS

Travis for taking extra time and effort to help IPC clarify an new suspected HAI. Turned out is was community acquired. 

Preceptors needed - we need 5 RN preceptors asap for various placements May - Aug. 

SHA Transfusion Medicine Webpage - the site includes Transfusion Medicine Lab Blood Component and Product Monographs and provincial clinical resource materials, including nursing administration details

Discontinuing EFAP - This spring, the SHA will transition away from the previous LifeWorks Employee and Family Assistance Program (EFAP) and all staff will have access to TELUS Health - Total Mental Health Platform, a personalized and confidential wellbeing platform.

In order to maintain access and confidentiality, please check you have a current email address on Gateway Online. Ensure this address is not used between two or more active SHA employees. If the address is shared by more than one active employee, you will not receive the necessary emails to register when the platform launches.

System Flow Survey - Charge Nurses, please consider providing direct feedback on system flow processes via this survey - System Flow Coordination Center Deep Dive – Stakeholder Feedback Survey (smartsheet.com)

Staffing Scheduling posting needs - Charge Nurses, when calling staff scheduling to post RN needs Press 1 which should result in those needs being posted under R270. To post LPN, UA, USW needs Press 2 so they are posted under R245. For multiple needs this will mean that you will have make two separate calls which is annoying. We are working with staff scheduling to streamline this process.

New Equipment - 

- infant weigh scales x 4

- standing scale x 1 (more will come)

- Broda chair x 1 - for use by PIPD and PICU. Kept in PIPD basement cage. 

CNE Updates

• UPDATED Q-CARD: In “Q-cards – nursing” is an updated version of “Blood Products Monographs – How to access”. This is how you can find your information on Blood, Platelets, IVIG, Hepatitis B Vaccine, etc on the SHA site. NOTE: the information found on the SHR site is NOT UPDATED and will not be updated going forward. Please review the SHA intranet site for accurate information.
• From Transfusion Medicine: Please do not send the “return to transfusion” side of the tags to Health Records or Transfusion Medicine. Once the transfusion is complete, the tags that do not get attached to the transfusion record can be placed in the confidential shred box. If a patient has an adverse transfusion reaction, the Sask TAER form needs to be completed.
• Blair’s Retirement Supper is April 16 at Crossmount! Come for a wonderful evening of delicious food and great company. (see poster)

• Toothettes – have been removed from JPCH, RUH, SCH, SPH. We are working on a solution. Toothbrushes and toothpaste are in all clean supply carts (Units 1-4). Mouthwash has also been removed. If you are using a toothbrush on a patient, please rinse well and place upright in a cup/graduated cylinder to ensure it dries. Use a moistened toothbrush in place of a toothette. More details to come next week!

BiPAP & CPAP – there is a practice machine in the Unit 3 Team room. It has a laminated “Safety Checks for overnight” guide with lots of pictures on it. This is also on the S-Drive in a folder in Q-Cards-nursing -> BiPAP CPAP safety checks. Please play with the machine and read this guide. We are here for your questions and to walk you through using the machine. Please also ask RT for help and learning with your patients. There is also a Q-card in the S-Drive folder. The Q-Card states:

CPAP/BiPAP Patient Safety Checks - PIPD

SEE ONLINE Q-CARDS FOR CPAP/BiPAP PATIENT SAFETY CHECKS - PIPD

s-drive –> Q-cards Nursing –> CPAP/BiPAP Patient Safety Checks for overnight

The safety checks document is laminated and available to hang on each patient machine.  Located in RT cupboard (CN room).  If laminated version not available, print the patient safety checks document and hang at bed side.

·         It is standard practice to check on your patient and their machine Q1H

·         All patients with home CPAP/BiPAP must have an RT consult

·         Any questions or concerns, please contact Respiratory Therapy by Vocera, “Peds RT”

·         If Machine is alarming – Contact Peds RT

·         If caregiver sets up machine – RT or Nurse must check all settings

In the event of patient deterioration:

·         Assess: Device On, Oxygen On, Mask On

·         If deterioration continues, remove mask and resuscitate as required

(Nasal Cannula,  Non-Rebreather, BVM)

·         Increase Oxygen flow through device to stabilize SpO₂ if on previous O₂

·         Always Call RT, Resident/MRP/CN

IF ANY CHANGE IN HOME USE Ex. Extended time on, or NEW O₂ added = PICU CONSULT

Located on S-drive – Pediatrics – Pediatrics Acute Care- Q-Cards CPAP/BiPAP Patient Safety checks Q-card          March 2024