Friday, July 19, 2024

PIPD Update July 19, 2024

Kudos

All staff July 17 Dx for their excellent Code Black response especially Jill, Crystal, Carolyn, Vanessa for organizing the team and preparations; Cheyenne for grabbing the EPP binder STAT; Sydney D for being ready to execute at any moment. 

Once we get some of our learning from the Code Black, and the planning that went into anticipating a possible Code Green, updated in the EPP binders we will let everyone know. 

Safety issues - recent events around body fluid exposure and an unanticipated medication exposure means that we need everyone to remember and apply the Point of Care Risk Assessment in their day to day work. Using a POCRA approach is about developing the habit of identifying risks and implementing mitigations for your self, be that medication preparation, working with blood and body fluids, TLR, infection prevention and control, patient and family interactions etc. Here is a guide for IPAC but these same principles can be applied to any situation IPAC-G-0010 Point of Care Risk Assessment (saskhealthauthority.ca)

Playroom toys - good news, we got access to stuff more properly organized with Child Life and Rec Therapy. 

  • the giveaway cupboard is locked with a code lock now, only to be accessed by staff. Code is 3-2-2-5 'enter', and like the portable kanbans, needs to be entered again to lock it. Please do not share this with patients and families. 
  • there will be a dedicated cupboard for toys that can be taken to patient rooms beside the giveaway cupboard. These can be taken out and then returned to the dirty toy bin in the playroom when done
  • the other toys in the play room are to stay there and not be taken to patient rooms. We will soon have volunteers in the playroom at regular hours to supervise things, clean toys etc.

Applying for jobs - the new job posting site in MyConnection is more complicated to navigate than the former system. The quickest way of finding peds postings is by using the 'Hiring Manger' filter. For RN Nurse A positions (dept R270) you will need to enter Jonathan and for SEIU staff, RN Nurse B (dept R245) you will need to enter Fiona. Currently there are 7 postings for RN Nurse A. 

Short notice absence - a request if you are calling in for any short notice absence, we request that you submit it on-line and call the Charge Nurse. With delays in sick call processing in staff scheduling Charge Nurses are not getting a notice before shift change. But even prior to this our normal process was to also call the Charge Nurse, it works well for the team to plan around.

Pain Ease - please make sure Pain Ease containers make it back into Med rooms if the are not empty so that the next person can find it. We're very happy that we are using this so regularly, well done! Reminder that there are the other tools, especially for non-pharmacological distraction, on the Courage Cart kept in the unit 3 team room.  

CNE Updates

Acetylcysteine ALERT - you may see a new brand: hikma. Opening the vial is very different from the normal product. Instructions are on the S-Drive in q-cards and in the Red Medication Binders at each unit. There is a risk of the vial opening accidently if you don't follow the instructions and risk of being splashed with medication (eyes, arms, etc).

Always do a Point of Care Risk Assessment before any task to ensure you keep yourself safe from potential safety issues &/or injuries

Pediatric Central Venous Access Device (CVAD) Management changes Go-Live is July 23! FYI heplocking is changing - there are other changes as well! The Flushing/Locking Guide will be available in every Red IV Binder starting July 23. Please complete your eLearning then sign off on the Certification Record Folder at the sign-in desk. Pediatric & Neonate CVAD Learning

Alteplase - RN ability to administer Alteplase for Line Occlusion goes live August 1! You can only start doing this procedure if: 1) you were certified at Ed Days Fall 2023, 2) You have done the online Pediatric & Neonate CVAD eLearning on MyConnection Pediatric & Neonate CVAD Module , 3) read the new Clinical Procedure. Pediatric & Neonate CVAD Clinical Procedure, & 4) are Obs Trained.

Feeding bags - shortages are happening. You may see the double bag flush set or the 500mL size bag in kanbans. 

Interested in learning more about Autism care for ages 1-6 years? Its FREE. Each session has a different topic so you can choose which ones you want (or attend all). More information on topics & dates at the huddle board.

Register at: ECHO Autism SK - Series 2 FALL 2024 

New Feeding Pump for Patients on discharge: You will be seeing a new feeding pump for our patients being discharged with home feeds.  The Zevex Infinity pumps are easy to use.  Attached is a link for the video on how to operate the pump.  If you have a patient going home with a tube feed, please review this information.  This link will also live in the Q-cards under Feeding Pump Information.

https://youtu.be/mioZvO4_h7k?si=e39XZ5uOMntp05zC



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