Providence I.C.U.

Monday, June 18

0700 hours Medical Student Teaching Session, Dr. S. Millington, Chief Resident, Dining Room 3

0800 hours CTU Morning Report, Dining Room 3

0900 hours General Surgery Pathology Rounds, GI Clinic Conf. Room

1200 hours Endocrinology Round:  “Polycystic Ovarian Syndrome”

Drs. J. Chou and T. Firoz, Hurlburt Auditorium

1315 hours Medical Student Bedside Teaching Session, Dr. S. Millington, Chief Resident, 7CD Conf. Room

Tuesday, June 19

0730 hours Medical Grand Round:  General Internal Medicine*

“Medical Humanities”

Dr. I. McCormick, Lecture Theatre

0830-0915 hours Combined Neurology-Neurosurgery Rounds, Radiology Library

0900 hours Pathology Lecture:  “Clinical Application of Genotyping Technologies”

Dr. S. Tebbutt, Gourlay Conf. Room

1100 hours Neurology Professor Rounds, Dr. R. Keyes, 7CD Conf. Room

1200 hours Rheumatology Round:  “Surprise Rheumatology Presentation”

Dr. S. Huang, Hurlburt Auditorium

1400-1530 hours CTU Multidisciplinary Rounds

1500 hours 10C Rounds, 10CD Conf. Room

Wednesday, June 20

0730 hours Department of Medicine Business Meeting

Hurlburt Auditorium, Level 2, Providence Bldg.

0800 hours CTU Morning Report, Dining Room 3

0900 hours Pathology Lecture:  “Apoptosis:  Basic Mechanisms and Its Role in Health and Disease”

Dr. D. Granville, Gourlay Conf. Room

1300 hours Medical Student Pharmacy Teaching Session, Dr. M. Legal, Dining Room 3

Thursday, June 21

0700 hours Medical Student Teaching Session, Dr. S. Millington, Chief Resident, Dining Room 3

0715 hours Cardiology/Cardiovascular Surgery Round: “Case Review and Discussion”

0800  hours “Regional STEMI Management Algorithm and PPO's”

Dr. K. Ramanathan, Hurlburt Auditorium

0730 hours Medical-Surgical GI Rounds, GI Clinic Conf. Room, Level 2, Providence Bldg.

0730 hours Pulm X-Ray Rounds, 8AB Conf. Room

0800 hours CTU Morning Report, Dining Room 3

0900 hours Pathology Lecture:  “Acute Lung Injury/Acute Respiratory Distress Syndrome (ARDS)”

Dr. R. MacRedmond, Gourlay Conf. Room

0900-1100 hours Rheumatology Rounds:  “Case of the Week and Topic Review”, 7CD Conf. Room

1200 hours Clinical Research Round:  “Developing a System for Organ-specific Gene Therapy”

and “Improving Access to Diagnosis and Treatment for Sleep Apnea Patients”

Dr. J. Boyd and Dr. A. Mulgrew (respectively), Hurlburt Auditorium

1200 hours CCU Teaching Rounds, CCU

1215 hours Infectious Diseases Round, Room KO-155 Amb. C. C., Children's & Women's Health Centre of BC

Friday, June 22

0800 hours CTU Morning Report, Dining Room 3

1200 hours HID/ID Round:  “Doctor – My Brain Hurts”

Dr. I. Mackie, Hurlburt Auditorium

1300 hours Clin Path Radiology Pulm Round, Gourlay Conf. Room, Hugh McDonald Research Wing

1300 hours Medical Student ID Teaching Session, Dr. M. Hull, Dining Room 3

1315 hours Junior Resident Bedside Teaching, Dr. S. Millington, Chief Medical Resident, 7CD Conf. Room

*"This event is an accredited group learning activity as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada"

Nursing Week offers an opportunity to celebrate the unique contributions of both the nursing profession and the 2,300 individual nurses who work at Providence Health Care.

The history of PHC and our seven sites are filled with the stories of great nurses. Some have famous names like Sister Charles Spinola who invented the St. Charles Ether Vaporizing Machine in 1918 and Irene Goldstone from the BC Centre for Excellence in HIV / AIDS who is one of Canada's most admired and respected nurses in HIV care - while the selfless deeds of others live on in nameless heroism.

Most nurses do not get their names or stories in history books. They serve quietly, humbly and without pretension. Ask any one of them why she or he chose to become a nurse and the answer is simply and invariably “because I wanted to care for people.”

That is one of the reasons why I became a nurse. As many of you know, I began my career as a staff nurse at Royal Jubilee Hospital in Victoria. Since then I have worked exclusively in our Providence Health Care facilities.

I’m very proud of my nursing background and the way it has informed my understanding of the healthcare system. Nurses have always played a pivotal role in the delivery of care, but today their profession has never been as varied or as challenging.

Nurses are a diverse group of health professionals. Some are RNs, others are Licensed Practical Nurses or Registered Psychiatric Nurses. They work as caregivers for the frail elderly and conduct research in the Heart Centre, as nurse practitioners on the cutting edge of practice, as leaders with management responsibilities, and as educators-both at the hospital and at colleges and universities

Across Providence’s sites, numerous activities are being held this week to mark Nursing Week, providing an opportunity to reflect back in time as well as looking ahead at what the future may hold for the profession.

Graduates from the St. Paul’s School of Nursing will gather May 27 to mark the 100th anniversary of the school’s founding.

At Mount Saint Joseph, a highlight is the third annual MSJ Idol competition, where singing talents take centre stage.

Immediately following Nursing Week, the Imagine Nursing conference will be held at St. Paul’s on May 15. Sponsored by the PHC Nursing Councils, topics will range from the Eden philosophy in residential care to infection control in cath lab device implantations. Keynote speaker Michael Villeneuve will discuss what nursing may look like by the year 2020.

As well, the latest issue of d’Vine takes a closer look at nursing, with a variety of articles on the many facets of a rapidly changing profession that remains grounded in compassionate care.

Please take a minute this week to consider the nurses who have affected your life. I’m sure that there have been many of them. I definitely will.

Dianne Doyle
President and CEO
Providence Health Care

The first phase of the ICU Outreach project began in October 2006. Initially, all Medicine units had access to the ICU Outreach services. In February the program was expanded to the Surgical units, resulting in all units, inclusive of the 7th floor and above in the Providence building, being covered.

We are now preparing to roll out ICU Outreach services to other clinical areas. On May 14, 2007 the Renal units on the 6th floor will be able to access the Outreach Team. Then on June 5, 2007 the Cardiac units on the 5th floor will have access. Education will be arranged with each of these areas and teams, to provide an overview of the program, processes, calling mechanisms, etc.

The ICU Outreach project 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 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.
Our early results show:
· The team made 1,557 visits to 298 patients;
· The team handled an average of two new cases a day with eleven visits;
· Response time from the team is less than three minutes;
· The ICU LOS of those patients seen by Outreach has decreased by two days and the ICU mortality rate significantly decreased in the third quarter.

The staff satisfaction survey results are overwhelmingly positive. Some comments included:
· ICU outreach is a very good program, very helpful, because I know I'm not left alone.... It takes a lot of the stress off me;

· Excellent patient advocacy and communication between ICU and CTU;
· Service is well needed. ICU outreach programs advocate for the nurses and patients;
· They helped me identify areas that needed greater assessment with my patient such as ↑ vitals monitoring, output monitoring;

· Feeling supported by the team;
· I believe this program will improve patient outcomes and assist ward RNs in managing acutely ill patients.

We are anxiously awaiting our next data set to confirm and maintain this improvement.

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 support 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 and Outreach Nurses who have worked tirelessly to make this happen.

For more information about the ICU Outreach project please contact Sandra Bazley at local 63218 or sbazley@providencehealth.bc.ca.

I am pleased to inform you that, after a national candidate search, David Byres has been appointed as the new Chief of Professional Practice and Nursing. David was part of five short-listed candidates considered for the position. His appointment is effective today.

David brings with him over 16 years of professional experience in the health-care field, including in the areas of mental health and nursing. He has been with PHC since 2001 in various capacities, including as Director of our Mental Health program and Director of Nursing Practice.

David’s excellent leadership, administrative, management and communications skills are well known at PHC. His insight and knowledge of best practices, people development and compassionate care solutions for patients will be extremely valuable to the Senior Leadership Team (SLT) as we work with our health-care partners and guide PHC through current and future challenges and opportunities.

As you may recall, David, as Director of Nursing Practice, and Gabriele Yoneda, as Professional Practice Leader Physiotherapy, had assumed the responsibility for the Chief of Professional Practice and Nursing portfolio after Lynette Best’s departure earlier this year. On behalf of the SLT, I would like to express PHC’s gratitude to Gabriele for her exemplary leadership contribution over the past months in assisting with this transition. I have asked Gabriele to continue this support on an interim basis, reporting to David, until he has had a chance to fully transition into his new role and until a new Director for Nursing Practice is recruited.

Please join me in welcoming David to his new position.

Dianne Doyle, President & Chief Executive Officer 

One of our most powerful recruitment tools is word of mouth - namely promotion and marketing by our own employees. 

PHC is proud to have an Employee Referral Program known as Hire Power.  Although this program has been in place for several years, we are currently making some exciting changes to it, which will be introduced in mid April.

Stay tuned for more information on this program and the exciting changes being made.

To All Staff and Visitors,

        This is to inform you that the Davie St. Alley way, between Burrard St. and Thurlow St. will be closed to all traffic on Saturday, March 3rd 2007 starting at 0800hrs until 1600hrs.  This closure is necessary to facilitate the removal of equipment from the 4th floor Roof Garden by a High Lift crane. 

        Please pass along this information to any vendors you have scheduled for deliveries so that prior arrangements can be made.  If you have any questions or concerns, please don't hesitate to call me and discuss.

Regards,
Marko

Marko Kujala
Manager, Physical Plant Services

April 26 is the application deadline for St. Paul's Hospital Foundation Enhanced Patient Care Fund.
The St. Paul's Hospital Foundation Enhanced Patient Care Committee invites applications for funding to directly enhance patient care on the St. Paul's Hospital site.

An application form is attached to this e-mail. If you have more than one project, please submit separate applications for each project. In addition, funding guidelines and application forms may be found on the Foundation's new Intranet page (Programs and Services/Other Support Services), or in the e-mail public folders section under 'Public Folders/ All Public Folders/ PHC Public Folders/ SPH Foundation/Enhanced Patient Care Fund'.

If you do not have access to the Intranet or the public folders, you can also contact Wendy Leslie at 68921 or email: wleslie@providencehealth.bc.ca to have an application form sent out to you.

Complete applications are to be submitted via internal mail to the Foundation office, attention: Enhanced Patient Care Committee, before        5:00 p.m. April 26.

The Enhanced Patient Care Fund gives precedence to requests that not only enhance patient care, but are also unlikely to receive funding through any other means. Proposals are reviewed and funding recommendations made by the multi-disciplinary Enhanced Patient Care Committee.

Thus far, progress on the installation of the new Chiller has been moving along smoothly and on schedule.  1st and 2nd Phases of the piping installation are near completion, with the 3rd Phase moving forward into the 3rd floor hallway of the Burrard Building.

        Please be advised that Noisy construction work will continue during the hours of 8am to 6pm until further notice, in both the Providence and Burrard Buildings.

 
        We will however, continue to keep the disruption to patients and staff to a minimum and request your patience during this process.

        I would like to thank-you in advance for your co-operation.  If you have any questions or concerns about this project, please don't hesitate to contact me at 604-806-9612.

Regards,
Marko Kujala

Join world-renowned bio-ethicist Dr. Thomas Murray and others with expertise in health care ethics for a day of inspiration, education and challenge to reflect upon the challenges and opportunities of the changing demographic in our patient and residential care populations.


When
Friday, April 20, 2007
8:15 am - 4:00 pm

 Click on thumbnail to read

Topics
• Changing Values, Changing Goals: New Insights into Aging Populations and End of Life Care (Dr. Thomas Murray)
• Intergenerational Dimensions of Medical Decision Making - Families, Trust & Multiculturalism (Dr. Anita Ho)
• Care or Cure? The Symbolism of Abandonment (Dr. Romayne Gallagher)

Who …should attend?
People from clinical, administrative, pastoral or service settings.

One of the most difficult roles of a leader is to make organizational decisions that effect individuals who have made significant contributions to the organization. However, I have recently been engaged in discussions with Senior Leadership Team members regarding the current SLT structure to look for opportunities to align the work, clarify accountabilities, and to reallocate costs to support other SLT .... 

I am pleased to announce Bonita Elliott as the Program Director - Acute (ED, ICU, RT, Trauma) and Access Services, effective January 8, 2007.

Bonita obtained her nursing diploma from Royal Columbian Hospital in 1972.  She later went on the secure her Bachelor of Science in Nursing, with Distinction, from the University of Victoria in 1996.  Throughout her career, Bonita has continued to both upgrade her current qualifications and improve and augment her skills.

Bonita has over 30 years experience in critical care nursing and has spent the last 16 years in leadership roles.  In these roles, Bonita has been instrumental in implementing major quality care and operational initiatives.   Since joining PHC in 2003, Bonita has been the Operations Leader of the SPH ICU.  In addition to providing operational leadership to the ICU, she has provided leadership and team support to various quality improvement and safety initiatives such as the ICU Ventilator Associated Pneumonia project, the ICU/ED collaboration on Early Goal Directed Sepsis Management, Adverse Drug Events, and the implementation of the ICU Outreach team.  As well, Bonita is currently co-chair of the Regional Critical Care Council and has made valuable contributions in the development of Service Delivery Models for Integrated Critical Care in the region, and the Interqual Critical Care Level of Need Report.

Bonita's experience and leadership will be a valuable contribution to the program leadership teams and PHC as we continue to work collaboratively to provide strategic and operational support to our clinical programs and staff/physicians.

I wish to thank the members of the selection committee for their participation in this process.

Please join me in welcoming Bonita to her new role with Providence Health Care.

Here is a 'Mark your Calender' notice and 'Call for Abstracts for the Imagine 2007 Nursing Conference, which is being coordinated by the PHC Nursing Councils. This day is a great opportunity to spotlight all the work being done by PHC Nurses in different areas. We encourage all nurses who want to share their work to submit an abstract, regardless of whether they have ever presented before.

Where: St. Paul's Hospital Cafeteria, 4th Floor Providence
Building

In the New Year, Dianne will hold staff forums across Providence to
discuss some of the key topics surrounding health care today. During
these forums staff will be able to ask questions about issues of concern
to them - whether they are regarding changes at the provincial level or
issues at specific Providence sites. More information on these forums
will be distributed at a later date.

Hello all.

Another successful Nursing Education Forum - PEP!  

The information presented at the Nursing Education Forum - PEP are now on line.  To view the material please follow the path below on the intranet.

PHC intranet site - Programs and Services - Nursing - Education - Education Materials and Resources - PEP Presentations - Fall 2006

Candy

Candy Garossino, RN, MSN
Director, Nursing Education
Providence Health Care
1081Burrard Street, Vancouver V6Z 1Y6
552 Burrard Bldg, St. Paul's Hospital
604-806-8265

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.

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 

 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.