Newly approved option for pregnant patients with iron deficiency anemia
Ferric derisomaltose (Monoferric)
is now Health Canada approved for use in pregnancy in those at 16 weeks
gestation or later, up to a maximum of 1000mg in a single dose.
Single
dose intravenous (IV) irons, like ferric derisomaltose, have been
shown to decrease total infusion time, decrease clinic visits, and have higher
completion rates, and are an important tool in decreasing wait times for
outpatients requiring IV iron during their pregnancy.
Updated versions of the inpatient and outpatient IV iron order sets are now published
to reflect this change, as well as the following supporting documents:
- CS-A-0008: Obstetric anemia screening and
treatment algorithm,
- CS-G-0154: Frequently asked questions
- IV iron therapy, and
- SHA 0473: Incomplete IV iron orders fax
template.
Nursing units administering IV iron
to pregnant patients are encouraged to post the therapeutics update for staff to refer to.
More details about this
update, and additional information on maintenance dosing and vial sizes, can be
found in the latest memo.
Saskatoon
City Hospital Acute Care Capacity Expansion update
What’s happening?
Expansion
of Saskatoon City Hospital (SCH) is underway to help meet the growing demand
for care in our communities.
Over
the next year, the Saskatchewan Health Authority (SHA) will add 109 acute care
beds to SCH — the equivalent of opening a new regional hospital. This includes
60 medicine beds, 22 for rehabilitation, 12 for rehabilitation for people with
acquired brain injuries (ABI) and 15 high acuity beds.
To
support this growth, the SHA is hiring more than 400 additional staff and
physicians, renovating key areas of the hospital and relocating select
outpatient services from SCH to community spaces. Continuing care patients will
transition out of hospital to a setting in the community that is appropriate
for their needs.
What’s
new?
Design,
construction and planning updates:
·
The first 20 medicine beds on units 6200 and 6300 are scheduled
to open August 11.
These beds are currently being transitioned from the Transitional Care and
Convalescent Units, with better alignment for the needs of medicine patients.
o
Renovations have begun to create a reception area for the public
and patient entrance to the units.
o
Plans in place to upgrade the nurse call system.
o
Physician coverage has been secured with Internal Medicine.
·
Design reviews continue for the programs relocating to Market
Mall and for the new inpatient units at Saskatoon City Hospital.
·
The new program spaces at Market Mall have been selected and
construction barriers are now in place to prepare for upcoming work.
Renovations are scheduled to begin this fall.
·
Operational planning is underway to focus on model of care and
workflows.
The SHA is working with
long-term care homes in Saskatoon to better support residents with complex
needs, including expanding short stay capacity. This work will help improve
patient flow and ensure timely transitions for residents with higher care needs.
LifeSpeak: Caring for your physical self
Whether we’re trying to meet the demands of our day, support our
physical wellbeing, or just wondering why our knees ache after a long day at a
desk—our relationship with our bodies is deeply personal and constantly
evolving.
Social media, cultural pressures, and even well-meaning advice
can cloud how we see ourselves. What if we paused and asked "what does it
mean to accept and care for the body I have, right now?"
In
this part of the campaign, we’ll explore body image and perception from a place
of self-compassion. We’ll dive into what “healthy” really means for different
body types and a guided meditation to help connect with our body.
- Living
body positively
- Understanding
musculoskeletal (MSK)
- Seven
minute guided meditation: Accepting and appreciating my body
Visit SHA’sWellbeing and Resilience website for more information and resources to support our wellbeing.
Welcome to our new CCAs - Taylor, Evelyn & Shawn - please welcome them to our unit and provide support for areas they could help us with on the unit.
CNE Update
There is a video on how to do the stopcock method for administering alteplase to an occluded line. It is found on the SHA Intranet 🠊 Central Venous Access Device (CVAD) Clinical Resources – Pediatric and Neonate 🠊 scroll to bottom of the page until Video Resources (screenshot below of link highlighted in yellow) NOTE: it has also been saved to the S-Drive (see comment below screenshot)
Link is here and saved to S-Drive 🠊 Q-cards - nursing 🠊 CVAD Central Line CVL Information 🠊 Alteplase (folder) 🠊Alteplase stopcock method for occluded line
A Work Standard on how to use the stopcock method (includes a QR code to the video) is in the Red IV Binder in each unit. This is also in the same folder in the S-Drive q-cards as above.
- It has been broken for some time but it had not been sent for repair. It is now currently away for repair. If you go to the tub room and the stretcher is still gone, please ask PICU if we may borrow theirs for the patient's bath.
Safety Follow up:
Thank you
for reporting safety events and being a part of improving our care for the patients at JPCH.
Safety
reporting allows us to reflect and improve.
July 19th: The Phillips Monitors went down for 30 minutes.
·
Contributing
factors
o
Location
of computers is under desk and involves a lot of wires
o
Chairs
and legs making contact with these computers
o
Bracket
and bracing (Velcro straps) not secured
o
The
system is supported through Clinical Engineering
·
Actions
o
If
you need Clinical Engineering outside of business hours, have them paged.
§ Call through switchboard, Clinical
Engineering On Call
o
Clinical
Engineering have someone on call 24/7
o
When
calling Manager On Call, please leave a message.
§ They have no way of tracking the unit
that called as the call comes direct from switchboard
§ Switchboard does not note the number
they transfer.
§
o
Patient
Monitors, in the rooms need to have the audible alarms on
§ Yes, it is uncomfortable for families
to hear the monitors, however the patient is in need.
§ If you are changing the audible
alarm, how will it be moved back to the standard setting for the next patient?
Summary of Additional Safety Events - July:
- Stellar team! Continue to catch medication errors before they make it to the patient 👍
- A couple of med errors were not caught on shifts
Improvement
areas:
- Review
of new orders
- Checking
order to MAR each shift.
- Double
checks
- Follow
the lines on all IV’s
- Ensure
that all documents are labelled correctly with correct pt addressograph, if you
are printing a blank document, immediately add pt. name to document so that it is not inadvertently forgotten.
Kudos!
I was
wondering if I could pass along a kudos to the crew working nights on the 18th
and 19th in obs. We had a sick kiddo come in each night and we were working
short on the 18th. Everyone helped out wonderfully and there were a few junior
obs nurses in there that did great and kept their cool! Very impressed with the
team work!
Thank you to
everyone for your ongoing awesomeness and great teamwork!
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