Providence I.C.U.

Posted by at 3:36 PM | Permalink

NOW AVAILABLE - New Orders will be available in Sunrise Clinical Manager (SCM) for SPH, MSJ, and HFH Units that currently order through SCM (Emergency, Inpatient Units, and some Outpatient areas).  Please see attached bulletins for more details.

The Orders that have been added to SCM are:

*    Consults and Referral Orders - SPH, MSJ, HFH (some orders unavailable to certain locations - see attached bulletins flyer for more details)
*    Pulmonary Function Orders - SPH, MSJ, HFH
*    Audiology Ototoxic Monitoring Order - SPH, MSJ, HFH
*    Cytology Orders - SPH Only
*    Imaging (Radiology) Orders - SPH PAR, 5A, 5B Only.

Members of the SCM Team will be going around to the Nursing Units today to answer any questions

Clinical Nurse Leaders - Please communicate this go-live with your Nursing Unit and post the bulletins attached to the email.   A poster has been posted outside the SPH Cafeteria with the bulletins and samples.

These bulletins are also available on the SCM Intranet Site (http://phcsunrise) .

Posted by at 3:19 PM | Permalink

As many of you may already be aware, there are new "2005 ACLS Algorithms" out from the Heart and Stroke Foundation. About every five years, there are new changes and recommended updates. The new algorithms can be found at HYPERLINK "http://www.heartandstroke.bc.ca " This latest edition has many changes and implications for our practice.

The Cardiac Arrest Committee (Dr. Greg Grant, Chair) for PHC met recently and discussed these new guidelines and its implications for PHC. This committee is responsible for decisions surrounding the interpretation of the new algorithms and what it will mean for PHC.

Attached are the new, 2005 ACLS Algorithms from the Heart and Stroke Foundation of BC & Yukon. The committee felt that it was important to get this information out to you as a soon as possible. You will probably encounter these new changes in Cardiac Arrest Management as you attend future codes that are lead by our physicians.

One change in the Ventricular fibrillation / pulseless ventricular tachycardia algorithm includes one shock at 200 joules - not three stacked shocks. As a result you will notice that the default to the Zoll monitors will be changed to 200 joules instead of 120 joules. Biomed will change the Zoll default during the week of November 6th, 2006. As of today, all crash carts will contain the new algorithms only.

Please remember that you are responsible to remain current in your body of knowledge and you are accountable for your nursing practice. In an effort to assist you with this, ACAM will be revised to reflect the new changes. When the program work is undertaken and completed, all of the new 2005 ACLS algorithm changes will be incorporated into the ACAM sessions offered at PHC.

Posted by at 3:10 PM | Permalink

7 Deadly Sins of Spread!
Author: Roger Resar & Carol Haraden, VP IHI – taken from Teleconference Oct 15th, 2006
The things we’ve learned NOT to do:
1. Start with a Large Pilot area – Go Big or Go Home 
Starting with a large pilot area like an entire hospital, makes the job an impossible task.
Sequencing is important – start small using the 1:1:1  principle. When your change
works for one provider, one patient on one day, widen the scope to 3 patients, 3
providers, 3 days and so on to 5 providers, 5 days 5 patients. If the change is successful
at this stage, you are ready for using this principle of spread to 1 unit – 3 units and 5
units. 

Continue Reading:

Posted by at 2:08 PM | Permalink

 

Click Image to Enlarge 

 

 

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• Outreach sees patients on 7A - D and 8A only. Other floors have unearthed the Outreach RN pager number, have asked for assistance and have received it. That's not going to work for everyone on our team and that will make this type of response unreliable. It may also make new team members feel like they're failing if they don't see these patients. I've gone to the CNLs on all the excluded wards and told them to use the old way of doing things: page the ICU CNL. If you go to these calls you go as an agent of the ICU CNL and not Outreach. Pages should be redirected to the ICU CNL to keep them in the loop, ‘cause you know these will be pre-codes more often than not.

• Document every visit, no matter how short. You are seen as a new, important hospital resource and I want to be able to show how in demand you are. I'm sure that we will see Sabeeha a hundred times and hardly do anything - but you are part of the reason she could go out.

• Really try to capture utilization times - yours and others. This isn't stopwatch stuff, just reasonable estimations. It's a big important measurement for me.

• We now have an internal and an external communication log. Internal comments are for Outreach group discussion. External comments are there for me to bring to the units we service. Outreach reps now meet weekly with the Chief Medical Resident, CNLs & OL from CTU. If you want a particularly troublesome incident discussed - write it here.

• Transfers out of ICU are automatic follow-ups. These cases can be closed went you feel they no longer need to be active. There was pressure to change this policy, but for now this is how it stands. See me for details if you need the long version of events.

Posted by at 1:52 PM | Permalink

JUST A REMINDER!

Effective Tuesday, October 31, 2006 - New Orders will be available in Sunrise Clinical Manager (SCM) for SPH, MSJ, and HFH Units that currently order through SCM (Emergency, Inpatient Units, and some Outpatient areas). Please see attached bulletins for more details.

The Orders being added to SCM are:

* Consults and Referral Orders - SPH, MSJ, HFH (some orders unavailable to certain locations - see attached bulletins flyer for more details)
* Pulmonary Function Orders - SPH, MSJ, HFH
* Audiology Ototoxic Monitoring Order - SPH, MSJ, HFH
* Cytology Orders - SPH Only
* Imaging (Radiology) Orders - SPH PAR, 5A, 5B Only.

Go-live aimed for 0830 on October 31st - A printer message will be sent to the Nursing Unit printers when the Orders are available, and email notification will be sent.

The implementation of these Orders in SCM will require small changes to current processes on the Nursing Units.

Expanding the orders available in SCM is part of the ongoing implementation, and Unit Coordinators identified these orders as a high priority.

A member of the SCM Team will be going around to the Nursing Units to distribute the bulletins with more details and will be able to answer any questions on October 25, 26, 27. Members of the SCM Team will also be going around to the Nursing Units on the day of go-live.

Clinical Nurse Leaders - Please communicate this go-live with your Nursing Unit and post the bulletins attached to the email. A poster has been posted outside the SPH Cafeteria with the bulletins and samples.

These bulletins are also available on the SCM Intranet Site (http://phcsunrise)

<> > > <> > > <> > > <> > > <>

If you have any questions or concerns, please contact me at 63958.

Thanks,
Colette Wells
Senior Clinical Applications Analyst
Patient Care Information Systems (PCIS)
Information Management Information Systems
Providence Health Care - Hornby Site
1190 Hornby Street - Second Floor
Vancouver, BC
*(604) 682-2344 ext. 63958



Posted by at 9:28 PM | Permalink

"Dos and Don'ts"
for Using SoftMed ChartView and ChartScan

ChartView Improvements
As we told you in an earlier email, on Wednesday, October 25 we will
be upgrading our ChartView software with a new version to address some
known deficiencies.  

We Need Your Help!
One of the greatest challenges now facing Health Records is incorrect
use of labels and incorrect selection of encounters when printing. We
are now spending hundreds of person-hours every week to correct these
errors.

Please follow these "Dos and Don'ts" to help us ensure the accuracy of
patients records is maintained and potential risks to patient safety
from misfiled E-Forms are minimized.

    Do

    Don't

*    Don't photocopy any forms for re-use
*    Don't place a label over a printed personalized form -- please
reprint the form for the correct patient or encounter
*    Don't print inpatient forms on the ER encounter. Ensure
admission is completed in ADT prior to documenting on acute
(inpatient) admission.
*    Don't document patient information on Post-it Notes
*    Don't hold onto parts of the chart after patient discharge. Send
it down to Health Records in its entirety



Thank you for your assistance!


Please call SoftMed Support @ 63448 if you have any questions.

Posted by at 10:26 PM | Permalink

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Carrying On Our Tradition of Helping Others - Providence in the Park
 
The fall season marks a return to the familiar rhythms of our own busy schedules. Kids
return to school and employees return to work following summer holidays. But for those
living on the streets, this season brings colder, wetter weather and conditions that make
even meeting basic survival needs challenging.
 
On Saturday, October 14, 2006, staff, physicians and volunteers from across Providence
Health Care gathered in Oppenheimer Park to distribute food and clothing to over 500
people residing in the Downtown Eastside, one of Canada's most disadvantaged urban
neighborhoods.
 
 "It was a great opportunity for us to reach outside ourselves
and care for the larger community around us," says Sister
Margaret Vickers, a member of PHC's Board of Directors,
who helped organize this event, which occurs twice
annually. "This initiative is consistent with the tradition,
history and spirit of the founding congregations of
Providence Health Care, who took their missions to where
the need was greatest."
 
"A big thanks goes out to all the volunteers, corporate
sponsors and PHC's Mission Teams that made this event
possible", says Lesley Taylor and Thomas Salley, PHC's
Mission Leaders. "It is our hope that this event will continue to grow and we are able to
help more people each year."
 
This is the third year that PHC has delivered food and clothing at Oppenheimer Park.
Those who were unable to volunteer their time showed their generosity of spirit by
donating clothing, food or making monetary donations towards the event.
With shelters filling up and often turning away those
in need, homeless and disadvantaged people are
showing up in a broader range of communities and
neighborhoods in Vancouver. In response to this
urgent need, and to bring attention to homelessness
issues, October 16-22, has been declared
Homelessness Awareness Week in communities
throughout B.C.
Providence is committed to living its mission through
charitable outreach to one of the most marginalized
segments of its patient population and community.
Last year, PHC was awarded the International Spirit at Work Award presented annually
by the Association for Spirit at Work (ASAW).
 

Posted by at 11:18 AM | Permalink

Health Records is pleased to report that after six months of chart scanning, there are now over two million documents available online.  This provides better support of patient care. While this is a tremendous accomplishment, we still have much to do to improve both the viewing experience and our internal operations.
 
ChartView Improvements
On October 25, we will be upgrading our ChartView software with a new version to address some known deficiencies.  Please see the screen shots below for an illustration of the following changes:
•    In ChartView the patient demographic line has been updated to include patient’s middle name and "I" for inpatient or "O" for outpatient (“O” includes ER visits).
•    After you view a document the color of the name will turn blue, to signify it has been looked at.
Changes to ChartView Web & Scanned Chart tab:

Posted by at 8:11 AM | Permalink

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• To ensure consistent and equitable vacation scheduling, carryover and payout practices;
• To maintain a consistent number of regular staff on the work unit at all times;
• To ensure staff receive vacation in accordance with the collective agreements;
• To ensure all approved vacation is taken with a minimum of disruption to patient care;
• Where relief is required, to relieve vacation at straight time, not overtime;
• To ensure sufficient vacation relief lines are built into every unit/department or service as appropriate.

• used to replace staff in baseline positions when they go on vacation
• that are not supernumerary (i.e. staff work in one of the 5/4/3 positions)
• which are funded through the unit/department/service's relief budget (Note that incumbents in these lines are regular staff - i.e. paid sick, vacation and stat holiday pay compared to casuals who are paid 12.2% for vacation and stat holiday pay and no sick)
• all nursing units/programs will have vacation relief lines that cover at least 80% of the unit/programs vacation.
• Other departments/services will have vacation relief lines as appropriate.

• Vacation leave is granted to regular employees based upon the operational requirements of the unit/department/service and the terms of the collective agreement(s).
• Vacation entitlement is to be taken in full by December 31, except as otherwise specified in the collective agreement(s).
• There is no carry over of vacation for Facilities Bargaining unit staff.
• There is no carry over of vacation for Nurses Bargaining Association staff except for operational reasons. When this occurs every effort will be made to reschedule based on a date that is mutually satisfactory.
• There is no carry over of vacation for Paramedical staff except for operational reasons or as requested by an employee and approved by the Employer.

• Concern for the health and wellness of PHC employees precludes the pay out of vacation leave, except on termination or for employees on sick leave who have exhausted all sick leave credits and are not in receipt of other income replacement (i.e. LTD, WCB). In this case they are permitted to request a payout of earned vacation leave credits from their vacation bank.
• Employees on WCB, Maternity Leave, or extended illness at the end of their leave take their vacation or may have their vacation paid out.

• Each unit/department/service has a coordinated plan for vacation coverage in place well in advance that provides appropriate coverage.
• Approximately 10 - 15% of staff in each job category in a unit/department/service scheduled in a 24-hour period should be on vacation at any point in time. (Unless bed/program closures allow staff to be off without replacement)
• Vacation should be scheduled in blocks.
• Banked overtime is approved sparingly in the summer months and is not approved unless it is part of the staff guideline quota and there is the ability to relieve at straight time.

• Vacation should be smoothed throughout the year.
• The selection of vacation and the posting of the approved vacation are to be completed by December 31 of each calendar year.
• Approximately 10 - 15% of staff in each job category in a unit scheduled in a 24-hour period should be on vacation at any point in time. (Unless bed/program closures allow staff to be off without replacement) for example:

• The Paramedical Professional Bargaining Association contract requires that each staff member have the opportunity to have 2 consecutive weeks off between June and September unless this unduly interrupts the Employer's services.
• Devolved Allied staff (OT,PT,SW) vacation requests should be considered collectively (site or program rather than individual unit).
• The selection of vacation and the posting of the approved vacation are to be completed by January 31 of each calendar year.

• The Facilities collective agreement requires that 60% of staff have the opportunity to take vacation between June and September.
• Facilities staff working in nursing units/departments will submit their first, second and third choices for their vacation requests on or before January 31 in each calendar year.
• All other areas/departments/services will submit all three of their vacation requests on or before March 31, in each calendar year.

• Vacation planning begins in September/October of each year
• Payroll distributes a leave entitlement report to all leaders/managers for planning purposes in late September/early October;
• Staff are required to indicate their preferred choices according to established dates;
• Staff must request 80% - 100% of their vacation entitlement by the deadlines provided by their leader, otherwise vacation may be assigned by the leader;
• Vacation choices are granted according to seniority as per each collective agreement;
• The approved unit/department/service vacation will be posted by December 31 for the NBA, by January 31 for Allied and Facilities staff working in nursing units/departments, and by March 31, for the remaining Facilities staff.

Posted by at 7:53 AM | Permalink

REIMBURSEMENT:
Nursing staff will be fully reimbursed for the below CPR courses, as it is mandatory.
For all other staff please refer to PHC’s CPR reimbursement policy.
REGISTRATION REQUIREMENTS:
Classes will be canceled if there are less than 6 people registered. In case of cancellation Life Consultants Inc. will notify
you. Therefore there is REQUIRED information for registration (see “To Register”).

SEPTEMBER - DECEMBER 2006
CODE DATE TIME LOCATION

ST. PAUL'S HOSPITAL

SPH 031 MON, SEP 11 1630 -0930 Conference Room 4/5
SPH 032 MON, OCT 02 1230 - 1530 Conference Room 4/5
SPH 033 MON, OCT 02 1600 - 1900 Conference Room 4/5
SPH 034 THURS, OCT 12 1730 - 2030 Conference Room 4/5
SPH 035 TUES, OCT 24 1230 - 1530 Conference Room 6
SPH 036 TUES, OCT 24 1600 - 1900 Conference Room 6
SPH 037 TUES, NOV 07 0800 - 1100 Conference Room 4/5
SPH 038 TUES, NOV 20 0800 - 1100 Conference Room 4/5
SPH 039 TUES, NOV 20 1300 - 1600 Conference Room 4/5
SPH 040 MON, DEC 04 1230 - 1530 Conference Room 4/5
SPH 041 MON, DEC 04 1600 - 1900 Conference Room 7
SPH 042 FRI, DEC 15 0800 - 1100 Conference Room 6

ST. VINCENT'S LANGARA SITE

LAN 012 TUES, SEPT 05 1630 - 1930 Multipurpose Room
LAN 013 WED, SEPT 20 0830 - 1230 Multipurpose Room
LAN 014 WED, OCT 11 1600 - 1900 Multipurpose Room
LAN 015 TUES, OCT 31 1600 - 1900 Multipurpose Room
LAN 016 FRI, NOV 24 0800 - 1100 Multipurpose Room
LAN 017 TUES, DEC 12 0800 - 1100 Multipurpose Room
MOUNT SAINT JOSEPH HOSPITAL
MSJ 013 TUES, SEP 12 1600 - 1900 Harvest Room A
MSJ 014 WED, SEP 13 1700 - 2000 Harvest Room A
MSJ 015 THURS, SEP 21 0800 - 1100 Harvest Room A
MSJ 016 TUES, OCT 10 1630 - 1930 Harvest Room A
MSJ 017 THURS, OCT 26 0800 - 1100 Harvest Room A
MSJ 018 WED, NOV 08 0800 - 1100 Harvest Room A
MSJ 019 WED, NOV 08 1300 - 1600 Harvest Room A
MSJ 020 WED. DEC 06 1300 - 1600 Harvest Room A

HOLY FAMILY HOSPITAL

HFH 010 THURS, SEP 14 0800 - 1100 Education Room
HFH 011 THURS, SEP 14 1300 - 1600 Education Room
HFH 012 TUES, OCT 03 0830 - 1130 Education Room
HFH 013 WED, NOV 01 0800 - 1100 Education Room
HFH 014 THURS, NOV 23 0830 - 1130 Education Room
HFH 015 THURS, NOV 23 1200 - 1500 Education Room
HFH 016 TUES, DEC 05 0830 - 1130 Education Room
HFH 017 TUES, DEC 05 1200 - 1500 Education Room

For HR Education information please call 604-806-8361 or fax: 604-806-8144 or email

registration@providencehealth.bc.ca 

Posted by at 5:49 AM | Permalink

Background:

Studies have established that physiologic instability and services mismatching precede adverse events in hospitalized patients. In response to these considerations, the concept of a Rapid Response System (RRS) has emerged. The responding team is com- monly known as a medical emergency team (MET), rapid response team (RRT), or critical care outreach (CCO). Studies show that an RRS may improve outcome, but questions remain regarding the benefit, design elements, and advisability of implementing a MET system. Methods: In June 2005 an International Conference on Medical Emergency Teams (ICMET) included experts in patient safety, hospital medicine, critical care medicine, and METs. Seven of 25 had no experience with an RRS, and the remainder had experi- ence with one of the three major forms of RRS. After preconfer- ence telephone and e-mail conversations by the panelists in which questions to be discussed were characterized, literature reviewed, and preliminary answers created, the panelists con- vened for 2 days to create a consensus document. Four major content areas were addressed: What is a MET response? Is there a MET syndrome? What are barriers to METS? How should out- come be measured? Panelists considered whether all hospitals should implement an RRS. Results: Patients needing an RRS intervention are suddenly critically ill and have a mismatch of resources to needs. Hospitals should implement an RRS, which consists of four elements: an afferent, “crisis detection” and “response triggering” mecha- nism; an efferent, predetermined rapid response team; a gover- nance/administrative structure to supply and organize resources; and a mechanism to evaluate crisis antecedents and promote hospital process improvement to prevent future events. (Crit Care Med 2006; 34:2463–2478) KEY WORDS: medical emergency teams; rapid response teams; cardiac arrest; resuscitation; process improvement; consensuspanel; patient safety; critical care

Posted by at 3:18 PM | Permalink

• Decrease residential care admission rates from acute care
• Ensure the appropriate use of emergency departments and inpatient beds by seniors by facilitating timely and appropriate discharge to the community with necessary supports
• Improve the satisfaction of seniors, their families and care providers
• Identify gaps in services for seniors care

• Decreased residential care admission rate for seniors from PHC's acute care
• Decreased length of stay in emergency for seniors discharged to their home
• Reduction in numbers of admissions to acute care due to early intervention
• Decreased acute care length of stay by one day for seniors who have been admitted through the ED
• Decreased alternate levels of care days for seniors being transferred to residential care

• Reduce the need for repeat emergency visits by seniors
• Increased satisfaction for seniors, family members and providers
• Improvements identified in areas within acute, community and primary care where resources/services will be enhanced to better meet the needs of seniors.

Posted by at 12:33 PM | Permalink

Have you ever woken up under the operating table or in a crumpled heap in a corner of day surgery or spent most of an amniocentesis with your head between your knees? Jessica Whitworth used to...

Posted by at 12:23 PM | Permalink

• October 17 & 18             1130 - 1300        MSJ (outside cafeteria)
• October 19 & 20      1130 - 1300     SPH (outside cafeteria)
• October 23                    1230 - 1430    St. Vincent's Langara (main lobby)
• *Time TBA    Marion Hospice
• October 25                   1000 - 1200      Brock Fahrni Pavilion (main lobby)
• October 25         1230 - 1430    Youville Residence (main lobby)
• October 27         0830 - 1030    Holy Family Hospital (main lobby)

Posted by at 12:02 PM | Permalink

Posted by at 10:40 PM | Permalink

 To     All PHC Staff & Physicians
 From     Bonita Elliott, Operations Leader, ICU, St. Paul's Hospital
 Date     October 13, 2006
 Re     Improving Patient Care through the ICU Outreach Project

 I am pleased to announce the launch of the first phase of the ICU Outreach program at St. Paul’s Hospital. Beginning October 16, all staff on the medical units (7A, B, C, D & 8A) at St. Paul’s Hospital will have access to the ICU Outreach services.

The ICU Outreach program is a phased hospital-wide approach to critical illness that aims for safety and prevention by education and action. The concept is to have an outreach team of health providers who are experienced at assessing patients’ symptoms and the trajectory of their health. If a patient shows early warning signs of developing a critical illness any staff member or physician can call the ICU Outreach team to see the patient. The outreach team will assist staff in assessing the patient and work with them to form a plan of action and call on medical advice if necessary. Our goal is to reduce mortality and morbidity through early intervention and treatment.

ICU Outreach will be available 24 hours a day, seven days a week. The team will also be available to follow patients recovering from a period of critical illness and provide follow-up support to patients and families recently transferred from the ICU settings.

A key component of the ICU Outreach program is to share knowledge and enhance the skills and understanding of all staff in the delivery of critical care. This sharing of knowledge and expertise and improvement in patient safety should increase patient, family and staff satisfaction. Staff will also be able to help with the ongoing tailoring and structuring of the program by evaluating the services and providing feedback.

After this first phase of the project is complete, the program will be rolled out to other units in the hospital at a later date. Once the program is well underway at St. Paul’s Hospital we hope to also implement it at Mount Saint Joseph Hospital.

The planning for this new delivery model of care has moved forward as a result of collaboration between clinical areas, health care providers, Quality Improvement and multiple supports services.  Everyone has pulled together to make this happen for improved outcomes and care for our patients.  Thank you to all those involved and especially the ICU Outreach planning team who has worked tirelessly to make this happen.   
 
For more information about the ICU Outreach project please contact Kevin Carriere. Kevin can be reached at kcarriere@providencehealth.bc.ca or local 6-3218.

Posted by at 10:26 PM | Permalink

EFFECTIVE OCTOBER 31, 2006

THE OTOTOXIC MONITORING ORDER WILL BE AVAILABLE IN SUNRISE CLINICAL MANAGER (SCM) FOR SPH, MSJ & HFH

Click to Enlarge

Posted by at 10:13 PM | Permalink

EFFECTIVE OCTOBER 31, 2006

THE FOLLOWING REFERRAL ORDERS WILL BE AVAILABLE IN SUNRISE CLINICAL MANAGER (SCM) FOR AREAS ORDERING THROUGH SCM

  Click to Enlarge

Posted by at 10:09 PM | Permalink

EFFECTIVE OCTOBER 31, 2006

CYTOLOGY ORDERS WILL BE AVAILABLE IN SUNRISE CLINICAL MANAGER (SCM) FOR SPH AREAS ORDERING THROUGH SCM.

Click to enlarge images 

Posted by at 9:59 PM | Permalink

EFFECTIVE OCTOBER 31, 2006

PULMONARY FUNCTION ORDERS WILL BE AVAILABLE IN SUNRISE CLINICAL MANAGER (SCM) FOR AREAS ORDERING THROUGH SCM.

  Click to Enlarge Images

Posted by at 9:51 PM | Permalink

Posted by at 9:31 PM | Permalink

The Medtronic 5388 Dual Chamber Temporary Pacemaker is intended for use in a clinical environment by trained personnel. Safe operation
of the 5388 requires the operator to be trained in the use of the device and to understand the content of the 5388 Technical Manual.

Please refer to the enclosed ‘tip card’ which clarifies the user manual operations for Safe Handling Practices and the Emergency Mode feature.

Posted by at 4:05 PM | Permalink

Objective: Quality improvement is an important activity for all
members of the interdisciplinary critical care team. Although an
increasing number of resources are available to guide clinicians,
quality improvement activities can be overwhelming. Therefore, the
Society of Critical Care Medicine charged this Outcomes Task Force
with creating a “how-to” guide that focuses on critical care, sum-
marizes key concepts, and outlines a practical approach to the
development, implementation, evaluation, and maintenance of an
interdisciplinary quality improvement program in the intensive care
unit.

Posted by at 8:43 AM | Permalink

All too often, well-intentioned people in healthcare institutions choose not to speak up
when they’re concerned with behavior, decisions, or actions of a colleague. For example,
• A pharmacist receives a prescription that is clearly
incorrect but fills it anyway because the doctor has
been hostile when challenged in the past.
• A nurse quits reminding a colleague to put up the
safety rails on a child’s bed because she decides it’s
not her job to deal with her.
• An administrator is reluctant to drive quality
improvements in the hospital because some
doctors have been uncooperative with past
initiatives.
The Seven Crucial Conversations in Healthcare
David Maxfield, Joseph Grenny, Ron McMillan, Kerry Patterson, Al Switzler

Posted by at 6:31 PM | Permalink

If you want to attend the Wound Link Workshop and do not require staffing replacement, you can register online quickly and easily.
If you have never registered for a course online, you need to sign up first. Make sure you have your employee number available.
1.    Open Internet Explorer and type in ccrs.vch.ca
2.    If you have never registered online for a course before, you need to sign up.  Have your employee number available (from your pay stub). To start, click on ‘Sign Up’ at the top of the page.
3.    Choose the appropriate option for your employment status and click ....

Posted by at 11:43 PM | Permalink

Posted by at 11:31 PM | Permalink

THE PURSUIT OF EVIDENCE-BASED MEDICINE IS NOW AT
the core of the agenda for improving health care in
the United States. All major quality measurement
systems use science-based indicators of proper pro-
cesses of care, such as the ORYX measures of the Joint Com-
mission on Accreditation of Healthcare Organizations,1 the
Health Employer Data and Information Sets measures of the
National Committee on Quality Assurance,2 the measures
used by the Quality Improvement Organizations under con-
tract with the Centers for Medicare & Medicaid Services,3
and at least 70 of the 179 measures in the 2004 National
Health Care Quality Report from the Agency for Health-
care Research and Quality.

Posted by at 10:56 PM | Permalink

If you want to attend PEP Days and do not require staffing replacement, you can register onlin quickly and easily

If you have never registered for a course online, you need to sign up first. Make sure you have your employee number available.

Open Internet Explorer and type in ccrs.vch.ca

If you have never registered online for a course before, you need to sign up. Have your employee number available (from your pay stub).

To start, click on ‘Sign Up’ at the top of the page.

Choose the appropriate option for your employment status and click ‘Submit’.

Enter your last name and click ‘Search’.

Click on your name from the list.

Type in your employee number from your pay stub and click ‘Validate’.

Complete the employee information section. Anything with an asterisk (*) is required to create your account. Don’t forget to give us a personal or a work email address so you can receive a confirmation email whenever you register for a course.

Once you complete this section, create a username and password, and provide a personal secret question, click on ‘Submit’.

The system may ask you for more information.

Once you reach the ‘Thank you for registering’ screen you are done! Choose ‘Logon’ to continue and register for your course.

Once you have signed up you can register for your course.
If you are not already there, open Internet Explorer and type in ccrs.vch.ca. Choose ‘Logon’ and sign in with your username and password.

To find PEP Days, click on ‘Courses’ and then choose ‘Search’.

Enter PEP as the term to search for and click ‘Search’.

Click on ‘PHC – PEP Days’ and scroll down to find the session you want to register for. Check the status.

Open means seats are available; wait list means the course is full and you will be wait listed. Click ‘Register’ for your session.
A message at the top of the page will tell you whether you have registered successfully. If the course is full you may be put on the waitlist. If this happens we encourage you to choose another session with seats available.

The system will email you the details of the course you registered for. It’s a good idea to also make a note of the date and location of your session. You can logon any time to see what courses you are registered for if you need to check.

If you are finished, click “Log Off” from the top menu bar.

That’s it!

If you need to change your registration, you can do it from this web site as well. When you log on the home page will show you the course you are registered for. You can choose ‘Reschedule’ to see other sessions or ‘Cancel’ to cancel your registration completely.

Posted by at 6:45 PM | Permalink