PIPD Update Nov 29, 2024

KUDOS

From CES - sick overdose that almost her to spend the night but peds CN (Marissa) was magic and took them up. Thank you!

Kelly D - for providing exceptional Blina care.

Everyone who helped with the Code on Nov 29

Christmas Day meal -  The Saskatchewan Health Authority (SHA) recognizes staff working on Christmas Day are foregoing time with their families and friends to ensure patients and clients receive the care they need during the holiday season. While there is little that compares to the joy of sharing a holiday meal at home, Nutrition and Food Services welcomes staff working on Christmas day to receive a courtesy meal during the operational hours of the cafeterias and kitchens where they work.

SaskTel CNET Firewall Upgrade - Thursday December 5 from 0001-0600. Expected outage will be approximately for 5 minutes at 0230 Dec 5. This will include the following services: 
    SCM, AIMS Supply Chain Management (ordering system), eHS Service Desk, MyConnection, Healthline 811, Public SHA websites

CNE Updates

Cactus SmartSink (in med rooms) - see picture below

G-tube:  Just a reminder that there is G-J tube information on the s-drive in the Qcards when you have questions about replacement Gtubes, care and when to replace a Gtube.  Remember if the tube falls out during the first 2 months, you must contact surgery to replace the tube.  The tube needs to be well established >2 months before nursing can reinsert.  

Vaccines:  DTaP-IPV-Hib reconstitution has changed.  This is a new practice province wide.   To reconstitute - withdraw the entire contents of QUADRACEL and insert them into the powder of lyophilized ActHIB vaccine.  Swirl this gently and then withdraw 0.5 mL of PENTACEL.  Pharmacy will be sending up reconstitution instructions with the vaccine.  If in doubt, there is a Public Health Consultant available to answer questions @ 3065147599.  See PIPD Vaccine Admin work standard for more information.

Size 6F foleys are on the unit and have an Integral Stylet to give the small catheter some stiffness.  In speaking with Urology this week, a reminder that a size 6F catheter with stylet is ok to use for our patients, and has been used safely for many years.  Insert catheter and remove stylet when urine has entered the foley catheter.  When you have confirmed placement and urine flowing, inflate the balloon.         

PIPD Update November 22, 2024

Medication double checks - the most risk prone activity an individual nurse can do is neglect to do a complete checks including independent double checks and bedside checks (5+ Rights) with the MAR. Not only are errors related to skipping steps preventable, patients and families notice. We recently had an oncology patient identify that their bedside nurse did not do a double check of the patient's identity with another nurse. It's not a great look when that happens. 

Are you having problems logging into Pyxis? Unable to Authenticate?
Your Pyxis account is directly connected to your regular network account (computer account).
1. Check your cell phone WiFi connection. If your phone has saved your username and password to autoconnect to the WiFi and you have not updated to your most recent password, your phone will keep trying to connect to the WiFi with your old password. This will lock your account for 15 mins. Either update your password, or forget network(s) (ie: Health, Physicians)
2. This also applies for your smart watch, which remembers the networks from your phone, even if you turn your phone off.

Room number changes: effective Dec 10, 2024 there will be some number changes happening with 99 beds and some other spaces. Using 99 beds the way we have isn't how those designations are supposed to be used - they are supposed to be use only by registration as temp place holders. 

• because of the Blina practice change and the increase in numbers we will have 10 virtual beds for oncology called Ped Oncology Virtual Room (POVR) 01-10, and will be assigned to unit 3. 
• for any other former "99" (i.e. waiting for MRI), these patients will now be put into a Ped Transition Virtual Room (PTVR) 01-05, assigned to unit 4. 
• there will still be three 99 beds (P199-01 to 03), which will now only be attached to unit 1, but these will never be used outside of registration.

CNE Updates

Orientation - we have started Orientation for a lovely group of 8 nurses. You will see them in the coming weeks for their buddy shifts.

CPR Renewals - all rosters have been sent to Nursing Office to be submitted to Heart & Stroke. The Ed Days from October and November have been entered into Heart & Stroke. Your own Heart & Stroke should be updated now.

Learning Opportunity - 

NEW Pump Drug Lines - on Dec 4th, arsenic trioxide and sodium thiosulfate will be added to all the Peds CCAs on the Plum360 Pump.

PIPD Update November 15, 2024

KUDOS

Jen M. for the perfectly filled out vaccine record form Nov 13. 

 CNE Update 

Pyxis - there was a provincial pyxis upgrade which has resulted in a recommendation from ISMP (Institute of Safe Medication Practices).  This recommendation is that all fridge medications will now require an override where you have to enter the word “fridge”.  An ask was sent forward to have this removed, and it has been denied as this was decided by a provincial operations team. 

Radiation - if you have a patient going for Radiation, send them with a completed Sedation Package. A porter will come to get the patient & chart about 30 minutes prior to their appointment time.

NEW Q-CARD!
"Chemotherapy, Immunotherapy and Cancer Clinic" has been added to q-cards-nursing on the S-Drive. This new folder houses all information on Blina, Dinu, and all other things chemo, immunotherapy, and Oncology related topics.

NEW q-card in this folder - the Chemotherapy Administration Checklist! This is a guide to help you know what is needed the night before chemo, the morning of, and to set up.

NEW Q-CARD in Dinutuximab folder - Dintuximab Rate Change Calculations (for nursing) example. This was created in collaboration with Pharmacy to assist with calculating the rate changes. Please provide feedback if able. We want you to feel comfortable with this medication and the calculations.

Blood Administration - a new Provincial Transfusion Administration Record form is going live Nov 26. Very short notice but we have been told that Forms on Demand should have the new form active on Nov 26. If the form is not on FoD, then we will continue with our current form until FoD is ready.

There is a new Clinical Standard for Blood Administration: Administration of Blood Components & Blood Products. This replaces our current SHR Blood Administration policy. Not really any practice changes except using a new Administration form.

Interesting tidbits include:

    - an ABO/Rh Compatibility chart

    - if no Adverse Transfusion Reaction has occurred, the blood component/product container and administration sets can be discarded after the 30 minute post transfusion vitals (into the biohazard bin).

    - if the patient is unable to self identify reaction/anaphylaxis symptoms, the patient must be monitored continuously at the bedside for the 1st 15 minutes.

    - an Acute Transfusion Reaction Chart

(this memo does not replace need to read the Clinical Standard)

Aaaaaand there are MyConnection eLearning modules too! 

1. Blood Components and Blood Products Transport (20 min)

2. Administration of Blood Components and Blood Products Module 1 (30 min)

3. Administration of Blood Components and Blood Products Module 2 (30 min)

Information can be found at the Huddle Board, on each unit's whiteboard, and in the Certification Record folder at the sign-in desk. Please initial the eLearning as you complete the modules.

Ed Days - are officially concluded for this year! CPR rosters have been sent to Nursing Practice & Education's Nursing Office. Nursing Office enters the rosters into Heart & Stroke. Your personal CPR license will be updated shortly.

Glucometer sheets have been sent to the Lab and entered in. If you are unable to log into a glucometer as of next week, please reach out to a CNE. 

.........and announcing the winning Amazing Race Team......

Congratulations to Code Black for their record breaking 40min & 33 seconds! 

2nd place goes to the Honey Badgers at 41 minutes

3rd place goes to the Longshafts at 42 minutes

Thank you to all the Teams for competing in the Amazing Race. You are all rockstar nurses and proved why PIPD is the best at what we do! 😍

PIPD Updates Nov 1, 2024

 CNE Updates

LAST CHANCE to sign Cheryl's retirement notebook. It is in the small staff room and will be there until Monday morning.

Ed Days start at 0800 in room M117/119 on main floor JPCH.

SMART Pump Program updates - Dinutuximab now as an All Ages monograph (as of Nov 1)

NEW Q-card - Portable Xray Indications: