Friday, July 24, 2026

PIPD Update July 24, 2026

  Child Life Referrals

 

Did you know a Child life referral can be for the patient and the family? We didn't!

 

We are lucky to have involved parents and sometimes they need a little extra from us. With a child life referral, they can help with coping plans, offer gift cards, and offer other resources that can help make the families stay more manageable. 

 

Did you know if it's your patient's birthday, you can go down to the gift shop and pick them out a present? 

 

Postings:

A reminder that there are permanent and temporary lines posted. Take a peek & apply. They will be up until Sunday.  

 

Just a FYI in case you are seeing these on our unit from time to time:

What is a Job Shadow?

Job Shadows provide individuals an opportunity to observe an SHA employee within a healthcare environment as they carry out their daily duties. This experience will help individuals determine if the healthcare role fits their personality or their professional goals prior to entering a field of employment or education.

Who is eligible for opportunities to Job Shadow?

Grade 11 and 12 High School students;

Post-Secondary Students;

the community; and

current SHA employees.

 

What are the guidelines for a Job Shadow?

available in placements of 4 or 8 hour durations;

a one-time/single location placement opportunity (additional placements for hard to recruit positions may be considered); and available in a variety of areas/locations, but does not include physician shadowing or surgical/critical care placements including Emergency Departments.

 

Housekeeping Info:

 

  1. IPAC spoke with EVS today regarding long stay cleans on the unit. They are happy to do a deeper room clean every 30 days for patients that have been admitted for long periods of time.  They ask that you notify their team by calling 2851, when these cleans are required and EVS will determine with the nurse when would be a good time for them to come. If you are able to move the patient out of the room during the clean- even better! Then they aren’t having to work around anyone.
  2. It was brought to IPAC’s attention that staff are not seeing EVS clean high point areas in our unit- including the ceiling, lights, etc. Linda, The EVS manager will escalate. Their WS will be updated to ensure this is clear.  EVS should be cleaning these areas if noticeably dirty and for transfer/discharge cleans.
  3. It was also brought to our attention that the area under the Kanban’s is not being cleaned regularly- this is something that should be done by EVS when they come do the daily room cleaning. If the pediatric staff are noticing that it is getting missed, Linda from EVS is encouraging them to mention it to EVS while up there. 

Pyxis Discrepancies:

Please note that if a discrepancy has occurred on your shift because you removed a medication from Pyxis without selecting it (lorazapam, clonazapam, epidurals), this is an error. If you remove a medication before doing count, that creates a count error. This is the email from Pharamcy:

This is another reminder that there are multiple outstanding narcotic discrepancies on your Pyxis stations.  You will notice some of them are >30 days outstanding and it is the responsibility of your department to resolve these.  Some of these date back as far as 91 days.  For best practice, discrepancies should be resolved at the end of every shift.  These records must be accurate to align with Health Canada legal requirements.  If you cannot get these figured out I will need to escalate to the next level, including reporting these to Health Canada.

 I have cleared off the discrepancies that Pharmacy created as of today, so any remaining discrepancies that have a Pharmacy staff linked to them will be because they found the error, not created it. A common theme for the remaining discrepancies is that your staff is taking the medication out when they are to be doing the blind count which creates a discrepancy in the current count and accessing the fridge other ways and not removing the medication appropriately in Pyxis to document usage.  This is also an increased risk to a patient for medication errors when medications are removed improperly and without proper documentation.  

** Please review the Pyxis machine in Unit 2 & 3 to see if your name is attached to a discrepancy. How to solve discrepancies: Sign in to Pyxis à go to “Discrepancies” on main screen à scroll down to the discrepancy with your name à select this discrepancy à click “Resolve” on bottom of screen (you will need another nurse to sign à choose a pre-typed reason for the discrepancy or type your own à select “Accept”

 Check out the video version of instructions (1 min 30 seconds): BD Pyxis Videos


IPAC has revised the following resources.

  • The Personal Protective Equipment (PPE) Donning and Doffing documents for Viral Hemorrhagic Fevers, including Ebola Disease (VHF/EBOD) have been revamped so that the Work Standards and “steps” handouts are now combined. The information has not changed, however, tabletop testing showed that staff were not aware of the information presented in the Work Standards.
     
  • The Transmission Based Precautions Table has been updated as follows:
    • The day of symptom onset has been clarified to be Day 0 in the General Principles.
    • The entry for Staphylococcus aureus has been corrected to indicate that Droplet Precautions are required for pediatric pneumonia.
    • The Viral Hemorrhagic Fevers entry now includes direction that an individual under quarantine who seeks healthcare, but is asymptomatic, requires Droplet/Contact Precautions. 

 

🌐 Transmission Based Precautions Table 🌐 VHF/EBOD PPE Donning and Doffing



CNE Update:

Thank you everyone who attended the Drager in-services on how to use the Babyleo and Bililux system. 110 Nurses & 18 Support Staff were trained! We will be updating the q-cards as soon as we can with the information you need to use them.

We will provide on-going education to staff who were unable to attend Drager's 2 weeks of in-services. We ask all our now trained staff to be a support on the unit to staff who haven't had the training.

Fun Facts Friday:

  • 6 Fr foley catheters have a stylet. This is okay! You are to leave the stylet to insert - if you remove the stylet, the catheter is too floppy and will not advance. Remove the stylet once the catheter is inserted. You may need to pull the stylet out before you have urine flowing freely.
  • NJ SCM req - to req an NJ insertion or tube change, it is "RF GI Tube Placement NG". It is found under "Medical Imaging - Interventional - GI Tract". Make sure to specify it is an NJ tube insert or NJ tube change in the reason section.

Chest Tube Sample Collection

NEW Q-card for how to collect Chest Tube samples has been created. It is in the Q-card box, the Chest Tube binder, and always on the S-drive in the Chest Tube folder within the Q-cards folder.

Resolving Pyxis Discrepancies

NEW Q-card for how to resolve discrepancies. It is laminated and on the wall near the Pyxis machine. It is also on the S-Drive in the Pyxis folder within the Q-cards folder. 

A very heartfelt thank you to all the staff. You are an integral role in supporting and mentoring our new staff. We truly appreciate you.

To the new staff - Thank you for coming with a smile and asking questions.


 

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