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JANUARY 2020 HOSPITAL NEWS 17
PROFESSIONAL DEVELOPMENT AND EDUCATION
De-escalation training stops violent behaviour before it starts By Michael Oreskovich iolent behaviour needs to be carefully managed in a healthcare setting. It poses a danger to patients, families and staff and interferes with care delivery. Runnymede Healthcare Centre has addressed this issue with hospital-wide violence de-escalation training. By recognizing when people are at risk of aggressive behaviour and understanding its root causes, the hospital’s staff are empowered with strategies to safely resolve potentially dangerous situations. During a hospital stay, stress, anxiety and certain medical conditions may trigger some patients and visitors to use physical force or make threats against others. In 2005, more than one-third of Ontario’s nurses
reported being physically assaulted by a patient over the year, according to the Workplace Safety and Insurance Board. Healthcare workers have the second-highest rate of lost time due to injury from workplace violence among all labour sectors in the province. “A safe and respectful environment is fundamental to the delivery of quality healthcare, and we have zero tolerance for violence at Runnymede,” says Catherine Fitzpatrick, Runnymede’s Director of Flow, Quality, Pharmacy and Privacy. “Although measures were already in place to protect patients, families and staff, our hospital was committed to identifying proactive approaches to workplace violence prevention.” Hospital-wide violence de-escalation training was launched at Run-
Organizational Programs to Improve Patient Safety Improvement to hospital culture can substantially improve patient safety. Saegis has developed three professional development programs for hospital leaders and healthcare teams that are offered on-site at hospitals and healthcare institutions. Just Culture is an innovative professional development program that will help engender a culture of learning that can improve patient safety. Leaders will learn how to reinforce behaviour that supports and protects the organization’s values as well as improve systems, reduce negative outcomes and improve team morale. The Strategies for Managing Unprofessional Behaviour workshop helps leaders recognize and address unprofessional behaviour within their healthcare teams. The workshop includes the development of personal and institutional improvement plans to ensure the program has a lasting impact. Communicating Unexpected Outcomes is a workshop that will improve transparency with patients and families after unexpected clinical outcomes, including those resulting from errors in care. Healthcare teams who participate in this program will learn to disclose clinical errors with empathy and respect, as well as to improve their support of other team members in these often-difficult circumstances. Hospital and healthcare leaders interested in learning more can CALL 1-833-435-9979 or EMAIL firstname.lastname@example.org
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Through violence de-escalation training, Runnymede Healthcare Centre empowers staffto safely resolve potential conflicts before they escalate. nymede in May, 2019. The aim was to provide staff with knowledge and techniques to safely resolve potential conflicts before they escalate. The training also helps staff recognize and address warning signs from people who are at risk of violent behaviour. These include non-verbal cues like pacing, and verbal cues like changes in tone of voice. A key de-escalation technique taught to staff is rational detachment. “This helps staff control how they react to others’ aggressive behaviour and stay calm,” says Halima Arush, health & safety specialist at Runnymede. Key to the practice of rational detachment is understanding that hostility from others should not be taken personally. According to Arush, “this keeps staff members’ response to an aggressive person measured, and helps them focus on resolving the situation in a rational way.” Staff are also trained to raise their awareness to what are known as precipitating factors, stressors in a person’s life that can trigger violent behavior. Recognizing these factors and being empathetic are key to improve communication with a patient or vis-
itor before they become aggressive. “It helps the person feel understood and that their concerns are validated, so they’ll be more likely to cooperate with staff in a productive way,” Arush says. Runnymede’s training consisted of an online learning module followed by an in-person workshop. Facilitated by a violence de-escalation expert, the in-person workshops provided staff with an opportunity to role-play their responses to potentially violent scenarios. This includes using a collaborative, team-based approach to resolving tense situations. According to Raj Sewda, Runnymede’s VP, Clinical Operations & Quality, Chief Nursing Executive & Chief Privacy Officer, there are many benefits to rolling out violence de-escalation training. “It ensures our hospital continues to provide safe, high-quality care by proactively reducing the risk of harm to patients, family members or our staff,” he says. “The training also refines our staff’s ability to be empathetic to their needs – another example of how Runnymede puts patients and families at the centre H of their care experience.” ■
Michael Oreskovich is a communications specialist at Runnymede Healthcare Centre. www.hospitalnews.com
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PROFESSIONAL DEVELOPMENT AND EDUCATION
Translational simulation connects learnings to patient outcomes By Emily Dawson uch like the aviation industry uses flight simulators to train pilots, health care professionals introduced simulation techniques to learn first-hand how to care for patients and respond to critical situations in a controlled, safe environment. Health care simulation has significantly evolved over the last decade. In addition to the essential role it plays in teaching and learning, there’s an equally important role in research, quality improvement and patient safety initiatives, and space and policy design – and every simulation is designed to positively impact patient care in some way. Dr. Andrew Petrosoniak is an emergency physician and trauma team
leader at St. Michael’s Hospital as well as the clinical integration and translational simulation lead for Unity Health Toronto. We caught up with Dr. Petrosoniak and Kristen Daly, a simulation educator, to discuss the opportunities to transform how we think about and leverage health care simulation. There have been rapid advancements in the role of health care simulation. Can you explain how this shift is changing how we approach simulation design? AP: Traditionally, simulation was about making teams and people better, more confident, and more adept in their practice. We now realize that health care is more than simply having a good team; it’s about working in an incredibly complex environment.
Kristen Daly is a simulation educator at Unity Health. In-situ simulation enables us to recreate events in the actual space where people work. It’s become a testing ground for latent safety threats, things that lie beneath the surface that might not manifest themselves on a daily basis but that, under certain circumstances, impact how we deliver care. More recently, we’ve seen a shift to focus on translational simulation, which is a relatively new field. It’s less about the space where you’re doing the simulation, and more about the direct links between simulation and patient outcomes or system priorities. It’s essentially about translating learnings from the sim environment to actual patient care. Can you give us an example of translational sim in practice? AP: We supported a usability testing simulation for a new institutional Heparin protocol with our hematology department. Heparin is a blood thinner used to treat clotting, and while it’s commonly used, it’s finicky and requires constant patient monitoring, which was identified as a quality improvement opportunity at St. Michael’s. Part of the issue is that it’s a computer-based protocol and algorithm within our electronic medical records. The team had designed a new proto-
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col to overcome some identified issues so we ran some usability testing simulations with medical residents and nurses – the actual “end-users.” This is critical, since sometimes the changes we make during a committee meeting don’t work for the users in the clinical space. In this case, we used computer workstations in a boardroom to run the teams through different case scenarios. We used techniques like “think aloud” where users tell us what they’re doing, where they’re looking on the screens and when they can’t find items they need. We directly observe how they use the protocol and quickly determine if any deficiencies exist. Most importantly, these sessions informed further changes to the protocol before any patient care began. So here, we applied simulation as a technique to ensure the best possible protocol. It’s all about how to make systems and care better, no matter where the simulation happens. How does translational sim lead to better patient outcomes? KD: Where Dr. Petrosoniak really shines is in how he captures and evaluates the data and learnings that arise from simulations. Back to the Heparin protocol, Dr. Petrosoniak followed up with their committee several times to check on how the feedback we gathered was translating into protocol changes. Our goal is to demonstrate, with data and evidence, how the simulation contributed to a successful implementation of the protocol. AP: Our simulation educators work closely with the team to design the simulation exercises, ensure objectives line up and build case scenarios. My role is to provide ideas for measuring outcomes, how we’ll initiate the feedback loop, how we can think about change management strategies and how we can link the simulation directly to patient outcomes. What’s important for clinicians interested in simulation to know? www.hospitalnews.com
AP: People think of simulation as “the answer” but we like to think about it as a tool or a strategy. Sim is one tool to help you meet the stated objectives. And what type of simulation you might use will vary depending on the objectives. KD: I also want to point out how valuable it is for the simulation educators to have the physician lens that Dr. Petrosoniak brings. We worked on another simulation that looked at how issues are escalated in clinical settings from front-line nurses to physicians on-call. One of the biggest successes was the opportunity to have stakeholders from Quality as well as staff physicians, residents, and nurses in the same room discussing the challenges they face on a daily basis. We created a psychologically safe environment in this sim where frontline staff were able to openly share feedback and it was incredibly powerful. The simulation had nothing to with individual staff performances in the exercises, but everything to do
Dr. Andrew Petrosoniak is an emergency physician and trauma team leader at St. Michael’s Hospital as well as the clinical integration and translational simulation lead for Unity Health Toronto. with answering the question of “does this new protocol give you the tools and empowerment you need to care for patients?” Do you have any final thoughts to share?
AP: More and more, we’re using simulation when designing new spaces. We watch how people work and then use it to test design prototypes before going live. Every day, we design new facilities and eventually, one patient
– someone’s family member – is the first person in that space. No patient should ever be the first “test case” for a new space, just like we would never drive a car that hasn’t been crash H tested. ■
Emily Dawson is a Senior Communications Advisor at Unity Health Toronto.
JANUARY 2020 HOSPITAL NEWS 21
Inspiring future nurses By Victoria Alarcon
or many nursing students, instructors play a huge role in their quest to become a nurse and a member of
their professional association, the Registered Nurses’ Association of Ontario (RNAO). Academic instructors guide students in the classroom, while clin-
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22 HOSPITAL NEWS JANUARY 2020
ical instructors ensure they can apply what they’ve learned.
INSPIRATION IN AN ACADEMIC SETTING For palliative care RN Mahoganie Hines, advocacy has always been a passion. During her 20s, she was a caregiver and personal support worker for a father who was dying and needed an advocate to encourage his family to support and care for him near the end of his life. She also helped a mother who lived alone, struggled with vascular dementia, and needed help on a daily basis. Seeing these vulnerable clients made Hines want to speak out: “The reality is that many of them are so…exhausted. I think it is our responsibility…to advocate for people in a meaningful and purposeful way.”
her first-year nursing professor Elizabeth Edwards in 2012. Edwards began teaching as a clinical nurse educator in the 1980s. She moved to Loyalist College in Belleville in 2001, when a full-time teaching position opened up in its new nursing collaborative degree program. “In the midst of giving the best care you can, nurses tend to lose the idealism of what brought them into nursing in the first place,” she says. By teaching undergrad students, I thought “… maybe I can communicate that idealism to them in a way that will make them hold onto it when the work gets very tough.” As an academic instructor, Edwards works hard to teach students to be curious and enjoy learning. She also makes them aware of their responsibility to speak out for nursing and speak
IN THE MIDST OF GIVING THE BEST CARE YOU CAN, NURSES TEND TO LOSE THE IDEALISM OF WHAT BROUGHT THEM INTO NURSING IN THE FIRST PLACE Hines always knew she wanted to work in palliative care. She also wanted to become a political advocate. She just didn’t know how to combine them. That is, until she met
out for the health of their patients, and all citizens of the province. “That’s part of what a nurse does,” she says. It’s a lesson she learned from one of her nursing professors. Continued on page 24 www.hospitalnews.com
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PROFESSIONAL DEVELOPMENT AND EDUCATION
Inspiring future nurses Continued from page 22 And it was part of the reason she joined RNAO when she graduated in 1975. Years later, Edwards became a member of RNAO’s Provincial Nurse Educators Interest Group (PNEIG). In fact, she co-chaired the group between 2011 and 2016, and became the chair again this year. When Edwards met Hines in 2012, she could see a student with an outgoing personality who wanted to learn and understand what it took to be an advocate. “The word ‘no’ or ‘you can’t do that’ was not in her vocabulary or her world view,” says Edwards. Thanks to Edwards, Hines learned how nurses can be change agents by staying informed about government policies and getting involved in events outside of school. Edwards says she always introduces RNAO to her students, and tells them about opportunities to advocate for healthy public policy. As an active nursing student associate, Hines attended chapter and polit-
ical events. Her favourite was Queen’s Park Day, where she joined fellow members to sit down and speak with MPPs in her region. “It helped me understand policy development and how to interact with politicians in a professional manner,” she says. Hines graduated in 2016 with her bachelor’s degree in nursing. She now works as a palliative pain and symptom management consultant at Hospice Niagara, and is the policy and political action executive network officer for RNAO’s Niagara Chapter and its Palliative Care Nurses Interest Group. She looks back with a lot of gratitude to Edwards for being her mentor and introducing her to RNAO: “There are no…words for the influence and impact she’s had to my nursing practice.”
INSPIRATION IN A CLINICAL SETTING As a first-year nursing student at Western University in 2017, Alanna Peplinski learned everything from
human anatomy to health promotion. She completed her first-year exams and did well in all her classes, but still had a lot of doubt and fear about working with patients. “I was afraid to make mistakes,” she admits. Hoping to overcome her fears, Peplinski reached out to certified diabetes educator (CDE) Andrea Zides, a CDE for nine years and a nurse educator for 14. Zides didn’t begin her career as a teacher. She started in the emergency department at a Buffalo hospital in 1996, commuting from Niagara until she left for an extended maternity leave in 1997. Three years later, Zides went in search of opportunities that would give her time with her kids during the day. She became a night school teacher for Niagara College in 2000. The job opened her eyes to how gratifying teaching could be, and the students she could help. “They were enriched with…drive and passion, and they were trying to better themselves,” she says of her
students. Zides returned to frontline emergency nursing in 2003, and didn’t go back to teaching until 2007, when she started as a diabetes nurse educator for the Niagara Diabetes Centre. She taught patients about food, nutrition and exercise, and also did oneon-one counseling. Two years later, she opened her own diabetes education centre in Welland. She became certified in 2010, and began mentoring nursing students. “Some teachers along my path made an enormous difference in my life, and I knew that I wanted to give back,” she says. When Peplinski reached out and asked to shadow her over the summer, Zides was excited. Peplinski remembers one of the first lessons: you don’t need to know everything right away, and making mistakes is part of the learning process. “(She was) really encouraging,” Peplinski says. The pair was together throughout Zides’ daily routine, and, from time
Nurses expertise and skills are needed Feet for Life School of Podortho® Nursing (FFLSPN) is an educational facility based in central Ontario with two locations in Burlington and Barrie Nurses are trained to specialize in the field of foot and lower limb care. FFLSPN prides itself on short theory programs to accommodate a nurse’s busy schedule. The self directed learning technique and superior hands on practical experience working alongside experienced mentors has been proven to be the optimal formula for success. This program is eligible for reimbursement up to $1,500.00 through the Nursing Education Initiative in Ontario. This post graduate nursing program is available to RN’s, RPN’s and NP’s. Podortho® Nurses are supported by the Ontario Podortho® Nursing Association Inc. (OPNA) is a not for profit organization recognized by the College of Nurses of Ontario. If you’re an RN, RPN or RN (Ec) looking to redirect your nursing career, deliver optimal patient care in a relaxed environment working one on one with patients, and value quality work life balance, then this is the career for you. Upon completion of this program nurses may elect to work in community environments such as; foot or interdisciplinary clinics, nursing homes, home care and health care centers.
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Trauma training program for The Canadian Forces By Carrie Stefanson to time, Zides would give Peplinski opportunities to interview patients on her own, and take vitals. During a lunch break one day, Peplinski admitted she had never given an injection to a patient. Zides took a plum from the fridge, grabbed a needle with saline, and demonstrated different techniques. “(I was feeling) a little bit nervous, but overall, I was excited,” Peplinski recalls. Throughout the mentorship, Zides encouraged Peplinski to join RNAO to take advantage of a community that would always be willing to help her. Peplinski took her advice. “She really enforced the impact RNAO has on nurses and being part of a community,” H she says. ■ Victoria Alarcon is communications specialist/co-ordinator for RNAO, the professional association representing registered nurses, nurse practitioners, and nursing students in Ontario. This article was originally published on RNJ.RNAO.ca.
anada doesn’t have military hospitals, so it’s important for military doctors to see injuries typical of the battlefield. The Canadian Forces Trauma training program began about 20 years ago, and is instrumental in keeping Canada’s military medical personnel trained in advanced trauma care so they can deploy when needed. Dr. Philip Dawe heads up Canadian Forces Trauma Training Centre West in Vancouver. He’s a trauma and acute care surgeon at Vancouver General Hospital, who comes from a long military family. His father and three brothers served in the Canadian Forces and his youngest brother Matthew, died in a roadside bombing in 2007. “If I could save one military persons’ life overseas, then my career will be worthwhile,” says Dr. Dawe. “Preventable deaths occur in deployment and if I could prevent one of those it would be a good day.”
Dr. Philip Dawe Dr. Dawe is the third military surgeon to head up Canadian Forces Trauma Training Centre West. The centre’s mandate is to facilitate trauma training for Canadian Forces physicians, physician assistants, and nursing officers. Many of Canada’s military medical personnel have trained at centres in Vancouver and Montreal prior to their deployments.
“As care for the wounded continues to gain more importance in both public opinion and policy, the mutual benefits of a robust civilian-military relationship have become increasingly evident,” says Dr. Dawe. “On one hand, lessons learned from our overseas experiences are being delivered to our colleagues at home to enhance patient outcomes. On the other, our colleagues at home have helped us to get ready for those deployments by affording us cross-training and refresher opportunities to ensure we’re providing best-possible care to our troops in our limited-resource deployed environments.” Dr. Ross Brown, trauma physician at Lions Gate Hospital in North Vancouver, was the first embedded military trauma surgeon in Canada and is credited with establishing the program in Vancouver. “It’s a win-win for the health authority to have this additional expertise, as well as the health care professionals who are continuously H learning new skills.” ■
Carrie Stefanson works in communications at Vancouver Coastal Health.
Are You Meeting Accreditation Canada Requirements For Physician Training And Education Related To Blood And Blood Products? Introducing Bloody Easy Lite developed by the Ontario Regional Blood Coordinating Network (ORBCoN) An eLearning program providing practical information for physicians and healthcare professionals who prescribe blood and blood products. The program offers an assessment and an optional learner tracking mechanism to assist healthcare facilities in providing transfusion medicine education for healthcare professionals involved in transfusion medicine. Also available in SCORM compliant ﬁles for hospitals with Learning Management Systems (LMS).
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JANUARY 2020 HOSPITAL NEWS 25
PROFESSIONAL DEVELOPMENT AND EDUCATION
A unique model for training and care By Sarah Quadri aylor McMonagle has hope – and happiness – for the future. As a young, single mother to twin boys, almost four years old, she’s found a home in health and a true passion, caring for other people. But her journey to happiness hasn’t always been easy. “I found out I was pregnant one month before I was supposed to leave for a post-secondary program in respiratory therapy; I was 19 years old,” says the former competitive soccer player from London, Ontario, who’s juggling a full schedule between home, school and work. “Soccer was my first love
AS PART OF SE HEALTH’S COMMITMENT TO CARE AND HEALTH LEADERSHIP, THE ORGANIZATION HAS A REGISTERED AND PROVINCIALLY REGULATED CAREER COLLEGE. and I had to make sacrifices; I had to pay rent for the school semester and I wasn’t even there. I gave birth two weeks after my 20th birthday. It was a really difficult time. I am so grateful I found SE Health.” SE Health, an award-winning, notfor-profit social enterprise and one of the largest health care providers in
The Importance of Hospital Medical Laser Safety Officers (MLSO) & Training As the use of medical laser technology continues to increase, so do the risks and safety concerns associated with surgical lasers. So much so that it continues to draw attention from the highest federal & provincial regulatory bodies. Establishing a dedicated MLSO is critical for your OR. To be compliant with the American National Standards Institute (ANSI) Z136.3 Standard for “Safe Use of Lasers in Health Care,” every facility that uses a medical laser must establish a formal Laser Safety Program that is documented and managed by an appointed Laser Safety Officer (LSO). Designating an MLSO requires that person to obtain the appropriate education and training to be able to effectively administer the laser safety program. This training is critical as laser systems are rapidly changing and becoming increasingly more complex, making it very difficult for hospital staff to stay up to date. As a result, the Canadian Laser Safety MLSO training provides much-needed foundation for establishing a safe and effective laser safety program with credibility, expertise, and knowledge – assets necessary to ensure safety for facilities, staff, and patients. Online Registration is now open for our next
Medical Laser Safety Officer course March 7 & 8, 2020 in Toronto, Ontario REGISTER ONLINE TODAY
www.canadianlasersafety.com 26 HOSPITAL NEWS JANUARY 2020
Canada has been delivering exceptional health care in people’s homes and communities, pioneering health practices and sharing cutting-edge knowledge for over a century. The organization is proud to help McMonagle to realize her love for health care and practice her passion in a new and innovative way. “I’m doing what I’ve always wanted to do and it feels so good,” says McMonagle, described by her family and friends as ambitious, hardworking and passionate. “I was working at Tim Horton’s because I didn’t have a lot of options and I needed to support my boys; but then one day I was looking online and I came across the SE Health HSW-PSW Program and it was screaming my name, I needed to do that!”
livery Centres (SDCs) across Ontario. In the 29-week, integrated program, students begin with a fourweek paid HSW training program. Then, as HSWs, they complete the PSW program while working as an HSW at the same time. The flexible, five-hour schedule, each day – classes begin at 11:00a.m. – allows students to work before and after classes. There are no tuition costs and they earn a pay cheque for their work as an HSW. As part of the program, students sign a Return of Service agreement which helps to meet the care needs of SE Health’s SDCs across Ontario. Upon completion of the program, graduates are eligible for employment in many different health care settings, including community and long-term care. The program is also helping to highlight the importance of the HSW role in the scope of home care services. As an SE Health HSW, these employees are an essential part of the overall health care team. Together with their Personal Support Supervisor, they work with a variety of clients
THE COLLEGE CREATED A ONE-OF-A-KIND HOME SUPPORT WORKER (HSW) AND PERSONAL SUPPORT WORKER (PSW) PROGRAM – THAT RUN-IN SEQUENCE – TO MEET THE NEEDS FOR PSWS IN ITS SERVICE DELIVERY CENTRES (SDCS) ACROSS ONTARIO. As part of SE Health’s commitment to care and health leadership, the organization has a registered and provincially regulated career college. In 2018, the college created a one-of-a-kind Home Support Worker (HSW) and Personal Support Worker (PSW) program – that run-in sequence – to meet the needs for PSWs in its Service De-
and other health care professionals to promote client independence and provide excellence in client-centered care. By integrating the HSW into the care team SE Health is maximizing the use of its health care resources and providing a complete care experience for the client. Continued on page 28 www.hospitalnews.com
MEDICAL LASER SAFETY OFFICER TRAINING Our Medical Laser Safety Officer (MLSO) training program is designed for registered nurses, physicians, surgeons, surgical technicians and all operating room personnel Covers speciﬁc laser safety protocols as they relate to medical and health care environments in Canada. Developed in accordance with the NEWEST version ANSI Z136.3 – 2018 Standards, Safe Use of Lasers in Health Care, as well as the Canadian Safety Standards Z386-14 & Z305.13-13 – Plume scavenging in surgical, diagnostic, therapeutic, and aesthetic settings.
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PROFESSIONAL DEVELOPMENT AND EDUCATION Taylor McManagle with her boys.
Training and care Continued from page 26 “This is a wonderful program and we are ecstatic to offer this opportunity in communities across Ontario,” says Nancy Lefebre, SVP and Chief Clinical Executive at SE Health. “As the only health care organization in Ontario with a Ministry approved PSW program,” SE Health has the unique opportunity to deliver this as a mobile program and set up courses in cities where we have the greatest need for this type of learning and training. We’ve had incredible results and we are truly excited to be bringing care training opportunities ‘closer to home’ for everyone.”
“SE Health has given me the opportunity to attend a full-time, recognized program while still earning an
The Benefits of Revolutionizing Health Care Delivery It might come as no surprise that Health Information Management and Health Informatics are in-demand career paths. Health information systems use technology to gather, analyze, and manage volumes of health information by transitioning records from paper to digital formats. This process alone has revolutionized health care delivery. From increased access and accuracy of patient care and administrative data to reduce personnel costs and optimized inventory levels, the overall results equate to improved quality of patient care. An educational investment in health information technology allows health professionals to not only increase efﬁciency but improve the experiences of staff, patients, and families. This will not only lead to higher success for your health centre, but it will also ensure you stand out from your peers and will give you a competitive edge. With the rise of health information systems, more health professionals are seeking courses like the ones offered at McMaster Continuing Education. Programs such as Health Information Management, and Health Informatics will help you gain the skills and education you need to advance in your health career and become a leader in revolutionizing health care delivery.
income,” adds McMonagle. “It can be extremely difficult to attend classes full time and keep a part time job while juggling the rest of life. But since I am working for the same organization that I am learning from; working for two to three hours before and after class is great; it’s the ideal situation for me and my boys.”
of a mobile HSW-PSW integrated program benefits everyone.” McMonagle adds that the support in the program has exceeded her expectations and the concurrent learning and working opportunity is ideal for understanding and applying health care protocols and policies and providing client care.
“WE RECOGNIZE THAT POTENTIAL PSWS DO NOT ALWAYS HAVE ACCESS TO A COLLEGE, OR THE ABILITY TO PAY THE REQUIRED TUITION; NOR ARE THEY IN A POSITION TO BE OUT OF WORK FOR THE TIME REQUIRED TO TAKE THE PROGRAM,” “We recognize that potential PSWs do not always have access to a college, or the ability to pay the required tuition; nor are they in a position to be out of work for the time required to take the program,” says Kim Miller-Utley, Senior Lead of SE Health Learning and an instructor in the program. “We also recognize the immediate need of our SDCs to have support workers on the ground working. Our solution
This innovative HSW-PSW learning opportunity is one of several programs offered by the SE Career College – a not-for-profit, regulated school, operated by SE Health. The Career College and PSW program is registered and approved by the Ministry of Advanced Education and Skills Development. Widely acclaimed for innovative practices, SE Career College of Health is at the forefront of delivering excelH lence in health care education. ■
Sarah Quadri is Head of Communications at SE Health. 28 HOSPITAL NEWS JANUARY 2020
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Timely two day medical course helps ensure trauma room success By Tracey Richardson t was early evening in May this year – a weeknight – at the tiny Lion’s Head Hospital on the Bruce Peninsula. The day had been warm, 20 degrees, with a heat wave right around the corner, but still too early in the season for the waves of tourists gliding up and down Highway 6, heading to the national park or Tobermory and the Chi-cheemaun ferry. There was nothing to suggest it would be an atypical shift in the emergency department for the one nurse and the RPN on duty, while the doctor, Dr. Jonathan Thomas, slipped home to eat dinner with his family. Nothing except for the unending sirens suddenly piercing the air. RN Dana Fries wondered if something was up, but it wasn’t until an
THE CARE COURSE (COMPREHENSIVE APPROACHES TO RURAL EMERGENCIES) IS DESIGNED FOR SMALL RURAL HOSPITALS WHERE GENERALISTS (FAMILY PHYSICIANS), NURSES AND PARAMEDICS TEND TO MEDICAL EMERGENCIES WITHOUT THE SUPPORT OF A LARGE, SPECIALLY TRAINED TEAM. ambulance roared up to the back doors that she sprang into action. And quickly realized that what she had on her hands was no broken ankle or chest pain complaint. On the stretcher was an adult male patient in critical condition after an ATV crash. Fries knew immediately she’d need all the resources at her disposal – her RPN, Margaret Thompson, the doctor, and the on-call X-Ray technician. ORNGE too, and whatev-
PREPARES HEALTHCARE STUDENTS FOR SUCCESS Canadian healthcare students choose D’Youville because of a 20% discount and their ability to study abroad, then practice at home. D’Youville has a special relationship with Canadian students. Many of our undergraduate and graduate programs were developed WTIGMƼGEPP][MXL]SYMRQMRH4PYW our convenient campus is located just a few blocks away from the 4IEGI&VMHKIGVSWWMRKMRXS'EREHE D’Youville offers in-demand degrees for students interested in healthcare including: • Chiropractic • Dietetics • Exercise and sports science • Health services administration • Occupational therapy ƍ4LEVQEG] ƍ4L]WMGMEREWWMWXERX ƍ4L]WMGEPXLIVET] We know how to support our Canadian students when it comes
30 HOSPITAL NEWS JANUARY 2020
to the details. Our admissions team will help you through the process of getting your student visa taken care SJ4PYWWXYHIRXWJVSQ'EREHEEVI also eligible for a 20% discount on net tuition at D’Youville College. With North America in urgent need SJUYEPMX]LIEPXLGEVITVSJIWWMSREPW D’Youville is poised to be a leader in those efforts. With the construction of XLI,IEPXL4VSJIWWMSRW,YFPEXIVXLMW ]IEVIZIV]WXYHIRXMRSYVLIEPXLGEVI TVSKVEQW[MPPFIRIƼXJVSQPIEVRMRK in a state-of-the-art facility. The Hub will serve as a community clinic and [SVOXSETTVIRXMGIXVEMRERHYTWOMPP the future healthcare workforce and serve as a model for other communities nationally and abroad. Learn more about our academic programs and support for Canadian students at DYC.EDU
er help she could get from the paramedics and even the police. All would be pressed into action. Without the ability to intubate, without a CT scan or MRI, with no other doctors to call upon and the regional hospital – Grey Bruce Health Services Owen Sound Hospital – more than 65 kilometres away, Fries and Thomas were limited. What wasn’t limited was their determination that night to save a life. With the patient hemorrhaging blood and his breathing compromised, Thomas and Fries got to work on the basics – circulation, airway, breathing. A laryngeal mask airway, two separate chest tubes, blood transfusions. Even then, the patient was barely hanging on as ORNGE rushed to the scene and police officers tag teamed to Grey Bruce Health Services Wiarton Hospital to retrieve blood for the patient. “A lot of mistakes happen when you try to do more than that early on,” Thomas says of their treatment plan that night. “You’ve really got to stick to the fundamentals.” Following that standardized approach helped them to “stay organized, to compartmentalize,” he says, “especially when we don’t have a giant team or different parts of the team attending to different parts of the case.” And if they’d had a large team at their disposal? Thomas insists the same protocols would have been followed for stabilizing the patient. “If this had been at a Level 1 Trauma Centre like Sunnybrook, the treatment would have been no different. Again, you stick to the basics.” They knew the patient had catastrophic injuries, even though at the
time it wasn’t known how bad. “Basically, any one of his injuries could have and should have killed him,” says Thomas. The patient, who is still recovering, had suffered a ruptured spleen, a ruptured diaphragm, lacerated liver, lacerated aorta, a perforated bowel, and his stomach was in his chest wall. When Thomas and his team later discovered the extent of the man’s injuries, and better yet, his positive prognosis, “to be honest, it was pride at that point.” For Fries, a nurse for 18 years, “it’s one of those things where all your education paid off, the training and everything. Makes you proud of your career choice. And proud of our little facility, proud of our physicians, our team.” Thomas likes to call it “frontier medicine. We’re just used to not having the same resources as elsewhere, so we just take care of it. It may not be a perfect solution, but we’ll come up with a solution that’s workable.” Both health care professionals credit teamwork as the key to success in such a small emergency department. The Lion’s Head Hospital is a fourbed facility with a 24-hour ED, one of the six hospitals under the Grey Bruce Health Services umbrella, and one of the smallest in Ontario. “In a situation like (the one in May), we need the team,” Thomas says. “If I was on the hook as the sole leader who’s making (all) the choices, that (patient) would have died, for sure.” It’s the isolation of the hospital that promotes that much needed teamwork, Thomas says, because “it promotes self-reliance, and that drives the necessary teamwork.” A timely two-day rural emergency medicine course on the Bruce Peninsula just two months before May’s incident also played a critical role in the successful outcome, Fries and Thomas says. The CARE Course (Comprehensive Approaches To Rural Emergencies) is designed for small rural hospitals where generalists (family physicians), nurses and paramedics tend to medical emergencies without www.hospitalnews.com
the support of a large, specially trained team. “It was excellent and it certainly did help us in this scenario,” Fries says. The course originated in British Columbia and offers healthcare providers working in isolated areas opportunities to hone their emergency response skills in simulated emergency situations. It was the first time the course had been offered in Ontario, and dozens of nurses, doctors, and EMS on the Bruce Peninsula participated. The course is being piloted as part of a rural medicine initiative of the Ontario College of Family Physicians’ Collaborative Mentoring Networks. Thomas called May’s incident “a once-in-10-years case for us.” But it’s one he and the team were better prepared for than at any other time, he says. “I feel to a certain extent that we’ve been preparing for that case for years. We’ve been slowly, slowly learning little bits and pieces here. …We’re more prepared now than we were five H years ago.” ■
RN Dana Fries and Dr. Jon Thomas in the Lion’s Head Hospital ER.
Tracey Richardson works in communications at Lion’s Head Hospital.
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JANUARY 2020 HOSPITAL NEWS 31
PROFESSIONAL DEVELOPMENT AND EDUCATION
Educational modules available for hospitals and the public to support
new mandatory reporting requirements be used ffective Decemberr 16, use as entire modules, individual slides or 2019, reporting of adverse dverse o selected content for individuDocumenting al learning, or incorporated into predrug reactions (ADRs) DRs) lear the Serious sentations for information-sharing. and medical device ice sen ADR or MDI Sharing the The incidents (MDIs) within 30 cal-T modules include: Learning Module 1 – Overview of endar days of first documentaVanessa’s Law and Reporttion became mandatory for all ing Requirements: explains Canadian hospitals. The Prothe purpose of Vanessa’s law, tecting Canadians from Undescribes the regulations for safe Drugs Act, also known mandatory reporting of seas Vanessa’s Law, is intended rious ADRs and MDIs by to increase drug and medical hospitals, and outlines the redevice safety in Canada by quired data elements for manstrengthening Health Candatory reporting. ada’s ability to collect inford Reporting Module 2 – Reporting Promation and to take quick and d to Health Communicating Canada cesses to Health Canada: deappropriate action when a serious ous cess Findings scribes the expectations for mandahealth risk is identified. tory reporting, provides samples of Four educational modules have re the for reporting and how to been developed to support and d rraise i th fforms r Reviewing and Assessing Reports and Other Data Sources submit reports to Health Canada, and awareness of mandatory reporting reMedication Practices Canada (ISMP includes a number of case studies as quirements. Available in PowerPoint Canada), Health Standards Organizaexamples. The module also includes a and PDF formats, these presentation (HSO), and the Canadian Patient Guidance document for reporting and tions were developed collaboratively Safety Institute. The materials can options for voluntary reporting. by Health Canada, Institute for Safe Module 3 – Strategies to Promote and Support Mandatory Reporting: identifies potential barriers to serious ADR and MDI reporting, how to facilitate documentation and reporting, and outlines strategies to support implementation. Examples of various reporting systems in place are also included. Module 4 – Health Canada’s Review and Communication of Safety CELEBRATING 135 YEARS of educational history and more than 70,000 Findings: summarizes the importance graduates, Westervelt Colleges' four locations in southwestern Ontario of health product vigilance, the pro(London, Kitchener, Brantford and Windsor) offer top notch training in the cess that will be used to share informaareas of healthcare, business, law and IT. At Westervelt College, our mission is to not only provide you with quality tion on ADR and MDI reporting, and instruction but also give you a lot of hands on training to master your new how data will be secured and shared. skills. No need to worry about day one of your new career as you will be All four modules can be accessed on trained, ready and confident. the Canadian Patient Safety Institute Whether you are just starting your career or looking for a new career, the programs at Westervelt College will ensure you are well prepared! website at: https://www.patientsafetyFocused comprehensive career training has you job ready faster by attendinstitute.ca/en/toolsResources/Vanesing classes 20-25 hours per week with a consistent predictable schedule that sas-Law/Pages/default.aspx allows you to plan life around college. Program Advisory Committees and dedicated faculty ensure students receive skills training for today’s employPatients for Patient Safety Canament world. da have also created a presentation Westervelt College is one of the oldest colleges in Canada - having first to help patients and the public unopened our doors in 1885 in London, Ontario. Through the years, a lot has changed and evolved, but our dedication to our students and our communities derstand and promote the reporting remains the same. At Westervelt College, we offer assistance every step of of serious adverse drug reactions and your educational journey. From career counseling to developing a financial medical device incidents. package, from personalized instruction to one-on-one graduate employment For the purposes of mandatory reservices, our staff and instructors are committed to your success. As we like to state, “Be a Westervelt Graduate, so you do not compete with porting, a serious adverse drug reacone!” tion is defined as a noxious and unin-
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32 HOSPITAL NEWS JANUARY 2020
tended response to a drug that occurs at any dose and that: • requires in-patient hospitalization or prolongation of existing hospitalization, • causes congenial malformation, • results in persistent or significant disability or incapacity, • is life threatening, or • results in death. The mandatory reporting requirements for hospitals apply to therapeutic products, including: • Pharmaceuticals (prescription and non-prescription drugs), • Biologic drugs (biotechnology products, fractionated blood products, plasma proteins and vaccines (excluding vaccines administered under a routine immunization program of a province or territory), • Radiopharmaceutical drugs, • Disinfectants, • Medical devices, and • Drugs for an urgent public health need. Mandatory reporting does not apply to natural health products, however reporting is encouraged. A medical device incident is an incident related to a failure of a medical device or a deterioration in its effectiveness, or any inadequacy in its labelling or its directions for use that has led to the death or a serious deterioration in the state of health or a patient, user, or other person, or could do so were it to recur. All classes of medical devices are included in mandatory reporting by hospitals, including those classified as Class I (lowest risk) to Class IV (highest risk). Examples are: • Class I – Hospital beds, wheelchairs, leg prostheses, • Class II – infusion sets, syringes, tracheostomy tubes, urethral catheters, • Class III – infusion pumps anesthesia gas machines, intrauterine devices, and • Class IV – pacemakers, defibrillators, breast implants, bone grafts. More information on mandatory reporting is available on the Health H Canada website. ■
This article was contributed by the Canadian Patient Safety Institute. www.hospitalnews.com
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PROFESSIONAL DEVELOPMENT AND EDUCATION
Using augmented reality (AR) to train health-care providers from virtually anywhere By Monica Matys irtual reality systems are increasingly finding their place in health care. They allow patients to â€œseeâ€? and experience stressful medical procedures in a safe space before their actual treatment. Research has shown that by knowing what is involved in the process, this can help ease a patientâ€™s concerns and anxiety. New systems in development are now hoping to train future health care workers from literally anywhere. Sunnybrookâ€™s Collaborative Human Immersive Interaction Laboratory has been advancing virtual reality for years, and three of the experts involved provide an update on their exciting work. â€˘ Dr. Fahad Alam, Co-Founder, Collaborative Human Immersive Interaction Laboratory (CHISIL)
â€˘ Dr. Julian Wiegelmann, Anesthesiologist, AR Development Lead â€˘ Dr. Bill Kapralos, Associate Professor, Ontario Tech University How is VR is currently being used at Sunnybrook? Fahad: Weâ€™ve been using VR for various applications. For example, some patients who are anxious about having surgery, or certain medical procedures, can first go through the steps virtually. In our studies, weâ€™ve found this approach decreases the anxiety that patients feel, and actually improves their outcomes. So whatâ€™s the latest system you are working on? Fahad: There are a lot of medical emergencies that can happen, so weâ€™re creating an AR system called HoloSIM that will literally immerse the learner inside one of their choosing; things
like cardiac arrest or anaphylactic shock. A special headset is worn that interacts with sensors in the room, so learners can walk around and control the simulated environment with their hands and movements. If a mistake is made, they can see the patientâ€™s vital signs will react. That feedback can all be reviewed afterwards as part of the learning experience. Julian: Right now, HoloSIM is in the prototype stage. The idea is that any room a medical student is in can be used for training by overlaying interactive holographic resources onto it. Weâ€™re currently working on creating a platform in this system where different variables can be changed, like medical props and types of patients, and their physiology can be adjusted to any parameter to simulate almost any situation in health care.
Bill: Whatâ€™s great about this is youâ€™re not stuck to one static scene. Educators can come in and develop new scenarios or modify existing ones. Are there limitations? Julian: Right now, the HoloSIM system responds to some hand gestures and head movements, but there are still many interesting problems that need solving. For example, how do you convey a sensation like pulse when itâ€™s something the learner canâ€™t actually touch? Bill: The plan is to develop a pair of gloves that deliver haptic feedback, or touch sensation. But weâ€™re not there yet. Right now, weâ€™re also unable to realistically convey smells that are authentic to various environments. So how realistic is the experience a person is getting? Fahad: Itâ€™s quite realistic, Iâ€™d say at least 80 per cent for AR.
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34 HOSPITAL NEWS JANUARY 2020
Bill: Yes, and with VR you definitely feel immersed in it. While thereâ€™s still work to be done on the haptic side of VR, the cognitive decision-making side is very realistic. Sunnybrook has a Simulation Centre that uses mannequins to train students. How do VR and AR fit in? Fahad: The SIM Centre definitely plays an important role, and in the future, maybe these two worlds can connect. For example, bringing students into the SIM Centre, and using AR to overlay different scenarios. Bill: VR and AR technologies allow us to develop additional training tools. Since the haptic side of training still isnâ€™t totally realistic yet, currently these tools can, for example, be used to prep students before their experience in the SIM Centre. Fahad: And there are benefits for remote students with AR and VR, as you can literally do the training anywhere. As the technology advances and gets more affordable, hopefully weâ€™ll see more and more people at
home with these special goggles and headsets. Do you wish VR and AR existed during your own medical training Julian: Absolutely! I recently completed my anesthesia training, and thatâ€™s why Iâ€™m creating the HoloSIM technology. You realize that youâ€™ll
never encounter all of these different crisis scenarios in real life during your training, so this software would have helped put me in the hot seat to practice in a safe environment. While HoloSIM is still in the testing phase, the hope is to roll it out to our anesthesiology residents by early 2020.
Fahad: As long as this is developed properly, itâ€™s can be such a great training tool. Imagine as a student, during 15 minutes of downtime, popping on a headset and doing a run through of any procedure. Bill: Plus, this is a really engaging, H immersive and fun way of learning. â–
Monica Matys is a communications advisor at Sunnybrook Health Sciences Centre.
Student Testimonial Not only does McMaster University is a research-intensive institution, but it also provides a supportive environment to help students to pursue career goals as a clinician scientist. The dual MSc. (Occupational Therapy)/ PhD (Rehabilitation Science) allows me to conduct my research in cancer rehabilitation and learn about how occupational therapy addresses the needs of cancer survivors during my professional OT program concurrently. With the great support from Dr. Jackie Bosch (My Supervisor), Dr. Julie Richardson (Assistant Dean of School of Rehabilitation Science) and my committee, I have the opportunities to join the world-renowned multidisciplinary teams in an international multi-center study; and attend national conferences to develop professional networks. They are dedicated to address my learning needs as a direct Ph.D. student and help me succeed. Their continued support has allowed me to leverage my leadership skills and collaborate with clinicians and investigators at the Princess Margaret Cancer Centre to advance my research potential. This program will be an ideal fit for me to develop the knowledge, skills, and attitudes of a competent and compassionate clinician scientist. Name: Vanessa Fan (Dual OT/PhD Candidate, HBSc.) Supervisor: Dr. Jackie Bosch www.hospitalnews.com
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Guided meditation and relaxation
help offset the technofilled world of health care By Michaela Schreiter ew guided meditation and relaxation recordings are available to all staff at The Ottawa Hospital. They were developed by in-house wellness experts to help staff maintain balance in the busy and technology-focused world of health care. “We need to take care of our employees and physicians,” says Dr. Amanda Pontefract, Psychology Profession Leader at The Ottawa Hospital. “Change and stress require additional care.”
It’s getting harder to control how much time we spend using technology as our world becomes more and more digital. “Many of us spend long hours tied to a computer, with little natural light or exercise,” says Dr. Kerri Ritchie, Professional Practice Coordinator in Psychology at The Ottawa Hospital. “This is hard on our bodies and our minds. The more time we spend on technology, the more revved up we become (through dopamine) and the
Workplace Violence Prevention Tools for Healthcare Organizations The Violence, Aggression and Responsive Behaviour (VARB) Toolkits are evidence-informed resources developed by Public Services Health & Safety Association (PSHSA) to help address workplace violence in hospitals, long-term care and community care organizations. Free toolkits on Workplace Violence Risk Assessment, Individual Client Risk Assessment, Risk Communication, Security and Personal Safety Response Systems are available now. An additional four toolkits are under development. The new toolkits will focus on Incident Reporting and Investigation (root cause analysis), Patient Transit (both inside the facility and to another facility), Code White, and Work Refusals. These toolkits are being developed with the input and guidance of a broad range of stakeholders across healthcare to ensure they meet the needs of those working in the sector. The resources are also being informed by research and best practices identiﬁed in other jurisdictions. Each toolkit includes step-by-step prevention strategies, customizable elements and a variety of support materials to enable robust workplace violence program planning and implementation. The toolkits can be used together as a complete resource or accessed as stand-alone resources to address an immediate priority. Organizations with existing workplace violence prevention program can also use these tools to evaluate or enhance program components. The new toolkits are expected to be released in early 2020. For more information and to stay up-to-date on this project, visit www.workplace-violence.ca.
New guided meditation and relaxation recordings by wellness experts at The Ottawa Hospital help staff like Linda Miller find balance in health care. more disconnected we can become from ourselves.” Staff can access these guided meditations and relaxation recordings whenever they need them. Dr. Caroline Gerin Lajoie, Medical Director of Physician Health and Wellness at The Ottawa Hospital, knows that wellness initiatives like this one can have a positive effect on staff, and help them perform at their best. “Sometimes we get so caught up in our work that it’s easy to lose perspective,” she says. “Taking small breaks, using visualization, or distraction can help us feel refreshed so that we can carry on our day.” Many people who work in a hospital spend a lot of time thinking, planning and adjusting activities to meet shifting demands. Some of us can get so wrapped up in our thoughts that we experience cognitive overload. These guided meditations and relaxations are one way to help staff re-establish their sense of balance.
“Spending a few minutes to intentionally focus on incoming information via the five senses helps to re-anchor our brains in the here-and-now,” explains Dr. Bryce Mulligan, Clinical, Rehabilitation, and Neuropsychologist. “It can reduce cognitive overload by shifting to an emphasis on experiencing information gathered by our sensory systems rather than on judging, classifying, responding to, or planning with that information.” The recordings can also be used to complement gentle physical activity. Dr. Rose Robbins, Clinical, Health, and Rehabilitation Psychologist from the Chronic Pain Program highlights the negative impact that staying immobile for long periods can have on pain. “The nervous system becomes more sensitive and pain sensitivity is increased,” says Dr. Robbins. “Along with gentle movements like stretches and going on a short walk, relaxation techniques can help ease pain by releasing tension, calming the mind, and H soothing the nervous system.” ■
Michaela Schreiter is the Media Relations Officer for The Ottawa Hospital. 36 HOSPITAL NEWS JANUARY 2020
Safe health care workers mean better care. Together we are reducing violence in health care.
Our free Workplace Violence Prevention resources for Hospitals, Community Care & Long Term Care are making a signiďŹ cant impact. Findings from a recent evidence-based evaluation indicate that health care organizations are using the tools to improve processes for assessing and managing workplace violence.
Access the tools & evaluation report at
JANUARY 2020 HOSPITAL NEWS 37
PROFESSIONAL DEVELOPMENT AND EDUCATION
Bluewater Health welcomes community members to
“Mini Med School” By Dr. Michel Haddad to access the latest evidence on a wide range of health topics: a monthly series called “Mini Med School”. The inaugural presentation in October 2019 was a discussion on screening for breast, lung and colon cancers, led by a Dr. Youssef Almalki, Chief of Radiology. The November presentation was on prostate health, led by Dr. Paul Martin, Urologist. Based on the success of the first two sessions, others will be scheduled that focus on other areas of medicine that affect large numbers of people, such as Diabetes, Vaccinations and Advanced Care Planning. At this time, we anticipate offering four to six interactive talks each year. Each 90-minute class is held in the hospital auditorium and includes a
embers of the public have an appetite for investigating information about their own health. “Dr. Google” is a now a common phrase, referring to individuals attempting to diagnose themselves or loved ones before visiting their own physicians. But the information available online is notoriously unreliable, and can include wild opinions with no factual basis. As a result, those undertaking internet research may worry unnecessarily or may make decisions based on inaccurate information. At Bluewater Health, an innovative community hospital with locations in Sarnia and Petrolia, we have a new approach to assist members of our public
Probiotics, The Immune System, & Mental Health Special Seminar To Be Held Can health be improved by microbes found in our bodies? Clinical evidence shows that internal microbes can help treat obesity, diabetes, depression, periodontal disease, and bipolar disorder. The scientiﬁcally-based six-hour course, “Probiotics, the Immune System, and Mental Health” is designed to provide health professionals with information on how internal microbes affect health. The seminar will cover such diverse subjects as binge eating, brain substances, sugar substitutes, and popular diet plans. The seminar will be presented four times in Alberta Province: Thu., Apr. 23, 2020, the Royal Hotel Trademark, 2828 - 23rd Street NE, Calgary, Alberta; Fri., Apr. 24, 2020, the Radisson and Convention Center, 4520 - 76th Ave., NW, Edmonton, Alberta; Wed. May 6, 2020, Edmonton Inn, 11834 Kingsway Avenue, Edmonton, Alberta; Thu., May 7, 2020, Royal Hotel Trademark, 2828 - 23rd Street, NE, Calgary, Alberta; and Fri., May 8, 2020, Royal Hotel Trademark, 2828 - 23rd Street, NE, Calgary, Alberta. The seminar times will be 8:30 A.M. to 3:40 P.M. The instructor will be Dr. Laura Pawlak (Ph.D., RD emerita), one of North America’s leading experts on biochemistry, immunology, and nutrition. The course will examine serotonin (a neurotransmitter), autistic microbes, and the secrets of people who live to be 100. It will also cover factors – found in food, water, and furniture – that disrupt the endocrine system.
38 HOSPITAL NEWS JANUARY 2020
Dr. Michel Haddad presentation from a physician followed by an opportunity for participants to have their questions answered. Mini Med Schools are currently offered by some university medical schools. But we are not aware of any others based in community hospitals. Bluewater Health certainly has many physicians with the teaching experience needed to provide insightful and informative sessions: at least half of the hospital’s physicians are also on faculty at Western University’s Schulich School of Medicine. Bluewater Health already has a strong relationship with its community – Mini Medical School will build on it, providing benefits to both the public and the hospital. While
individuals will learn the latest evidence-based information about health, diagnosis and treatment, the hospital will benefit from future patients who understand the health system better and be fully engaged and informed partners in their care. With increased education, individuals may even be able to take preventive steps for improved health. Bluewater Health is fully committed to offering patient-centred care. Care can only improve when patients are knowledgeable partners who understand their own health and are equipped to make informed decisions on healthcare, treatments, and preventive actions to ensure their own H optimal health. ■
Dr. Michel Haddad is Chief of Staff, Bluewater Health. www.hospitalnews.com
PROBIOTICS, THE IMMUNE SYSTEM, & MENTAL HEALTH A Seminar for Health Professionals TUITION $109.00 (CANADIAN) Instructor: Laura Pawlak, Ph.D., M.S., R.D. (emerita) Conference registration is from 7:45 AM to 8:30 AM. The conference will begin at 8:30 AM. A lunch break (on your own) will take place from approximately 11:30 AM to 12:20 PM. The course will adjourn at 30DWZKLFKWLPHFRXUVHFRPSOHWLRQFHUWLÂżFDWHVDUHGLVWULEXWHG
7:45 AM to 8:30 AM â€“ Registration 8:30 AM to 10:00 AM â€“ Morning Session â€˘ The Western Lifestyle: Toxic Environments and Immune Dysfunctions. Â‡ %HQHÂżFLDO%HQLJQRU3DWKRJHQLF"Types of Microbes Found in Our Body. â€˘ Anatomy and Biology of Human Microbiota: Are We Just 10% Human? â€˘ Diagnosis of Diseases and Syndromes Caused by Bacterial Imbalance. â€˘ Clinically Proven Probiotic Treatments: Obesity, Diabetes, Depression, Bipolar Disorder, 3HULRGRQWDO'LVHDVH,QĂ€DPPDWRU\%RZHO'LVHDVH&ROLWLVDQG9DJLQRVLV â€˘ Pathological Appetite, Binge Eating, Sugar Metabolism, and Gut Microbes. â€˘ The 2017 Breast-Feeding Guidelines: The Role of Probiotics. Innate Immunity. 10:00 AM to 10:10 AM â€“ Break 10:10 AM to 11:30 AM â€“ Mid-Morning Session Â‡ :KDW$UH3UHELRWLFVDQG+RZ,PSRUWDQW$UH7KH\"Common and Exotic Sources of Prebiotics. Â‡ 5HJXODWLRQRIWKH,QĂ€DPPDWRU\&DVFDGHDeadly Antibiotic Resistance. â€˘ â€œLeaky Gutâ€?: A New-Age Invention or a Serious Condition? â€˘ Immune Processes in the Uterus. Microbiome and Infertility: Is There Hope? â€˘ Lantibiotics and Hidden Food Additives. â€˘ Serotonin, Fluoxetine (ProzacÂŽ), Levodopa (SinemetÂŽ) and Gut Probiotics: Depression, the Vagus Nerve, and Parkinson's Disease. â€˘ Gluten and the Body: Separating Fact from Fiction. Mental Health Manifestations of Non-Celiac Gluten Sensitivity.
11:30 AM to 12:20 PM â€“ Lunch 12:20 PM to 2:00 PM â€“ Afternoon Session Â‡ 3UR,QĂ€DPPDWRU\DQG$QWL,QĂ€DPPDWRU\)RRGV0HGLFDO,QGLFDWLRQV(IÂżFDF\DQG$YDLODELOLW\ â€˘ Omega-3, Omega-6, Omega-9, and Now Omega-7 Fatty Acids. â€˘ Toxicity of Excessive Omega-6: Are GMO Corn and GMO Soybeans Dangerous? Â‡ ,V%XWWHU%DFN"Surprising Findings from Clinical Studies. Â‡ 'RHV)LVK2LO&DXVH5HSURGXFWLYH&DQFHUV"The Mercury Connection. â€˘ Choosing a Safe Supplement: Interactions of Herbal Remedies with Prescription and Over-theCounter Medications. â€˘ Sugar Substitutes and Amino Acids: Weight Loss, Depression, ADHD, Diabetes, Bipolar Disorder, and Autoimmunity. 2:00 PM to 2:10 PM â€“ Break 2:10 PM to 3:40 PM â€“ Mid-Afternoon Session â€˘ Endocrine Disrupters in Food, Water, and Furniture: Medication Interactions. â€˘ Oral Health and Vaccination Against Caries. Periodontal Disease. Â‡ &DQDQ,PPXQH0RGXODWRU0HGLFDWLRQ+HOS5H*URZ/RVW7HHWK" A Breathrough. â€˘ Mediterranean, MIND, Neanderthal, or Low Glycemic: Popular Diet Plans. Â‡ $XWLVWLF0LFUREHV"Developmental and Mental Health Consequences of Dysbiosis. Â‡ 'LHWDU\'HWR[LÂżFDWLRQ Can Detox Prevent Cancer and Dementia? â€˘ Secrets of People Who Live to Be 100: Exercise, Sleep, Diet, Supplements,and Toxin Eradication. Evaluation, Questions, and Answers
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MEETING TIMES & LOCATIONS CALGARY, AB
Thu., April 23, 2020 8:30 AM to 3:40 PM 5R\DO+RWHO7UDGHPDUN 2828 23rd Street NE Calgary, AB T2E 8T4
Fri., April 24, 2020 8:30 AM to 3:40 PM 5DGLVVRQ &RQYHQWLRQ&HQWHU 4520 76th Avenue NW Edmonton, AB T6B 0A5
Wed., May 6, 2020 8:30 AM to 3:40 PM (GPRQWRQ,QQ 11834 Kingsway Avenue Edmonton, AB T5G 0X5
Dr. Laura Pawlak [Ph.D., M.S., R.D. (emerita)] is a full-time biochemist-lecturer for INR. Dr. Pawlak undertook her graduate studies in biochemistry at the University of Illinois, where she received KHUPDVWHUVDQGGRFWRUDOGHJUHHV$XWKRURIVFLHQWLÂżFSXEOLFDWLRQVDQGPDQ\DFDGHPLFERRNV she conducted her postdoctoral research in biochemistry at the University of California San Francisco Medical Center. On such subjects as brain biochemistry, geriatric care, pharmacology, womenâ€™s health issues, and nutrition, Dr. Pawlak frequently speaks to audiences of health professionals. Biomed reserves the right to change instructors without prior notice. Every instructor is either a compensated employee or independent contractor of Biomed.
FEE: CHEQUES: $109.00 (CANADIAN) per person with pre-registration or $134.00 (CANADIAN) at the door if space remains. CREDIT CARDS: Most credit-card charges will be processed in Canadian dollars. Some charges will be in U.S. dollars at the prevailing exchange rate. The tuition includes all applicable Canadian taxes. At the seminar, participants will receive a complete course syllabus. Tuition payment receipt will also be available at the seminar. ACCREDITATION INFORMATION NURSES (RNs, RPNs, & LPNs)
7KLVSURJUDPLVGHVLJQHGWRSURYLGHQXUVHVZLWKWKHODWHVWVFLHQWLÂżFDQGFOLQLFDOLQIRUPDWLRQDQGWR upgrade their professional skills. Numerous registered nurses in Canada and the United States have completed these courses. This activity is co-provided with INR. Institute for Natural Resources (INR) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
Thu., May 7, 2020 8:30 AM to 3:40 PM 5R\DO+RWHO7UDGHPDUN 2828 23rd Street NE Calgary, AB T2E 8T4
Fri., May 8, 2020 8:30 AM to 3:40 PM 5R\DO+RWHO7UDGHPDUN 2828 23rd Street NE Calgary, AB T2E 8T4
ACCREDITATION INFORMATION (cont'd) PHARMACISTS
$OEHUWDOLFHQVHGSKDUPDFLVWVVXFFHVVIXOO\ÂżQLVKLQJWKLVFRXUVHZLOOUHFHLYHVWDWHPHQWV of credit. Biomed is an accredited provider through the Accreditation Council for Pharmacy Education. The ACPE universal activity number (UAN) is 0212-9999-20-001-L04-P. This is a knowledge-based CPE activity.
Biomed, under Provider Number BI001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDâ€™s) and dietetic technicians, registered (DTRâ€™s) will receive 6 hours worth of continuing professional education units (CPEUâ€™s) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. CDR is the credentialing agency for the Academy of Nutrition and Dietetics. This course has Activity Number 131385 and Performance Indicators: 8.1.1, 8.1.2, 8.1.3, and 8.1.4. CPE Level: II.
SOCIAL WORKERS The Institute for Natural Resources, Provider #1356, is approved as a provider for social work education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. The Institute for Natural Resources maintains responsibility for the program. ASWB Approval Period: 02/28/2019 â€“ 02/28/2022. Social workers should contact their regulatory board to determine course approval. Social workers participating in this course will receive 6 clinical continuing education hours.
Please check course date:
Please return form to: Biomed General Box #622 Unit 235, 3545-32 Avenue NE Calgary, AB T1Y 6M6 TOLL-FREE: 1-877-246-6336 TEL: (925) 602-6140 ÂŠ FAX: (925) 687-0860
(This registration form may be copied.)
Thu., April 23, 2020 (Calgary, AB)
Thu., May 7, 2020 (Calgary AB)
Fri., April 24, 2020 (Edmonton, AB)
Fri., May 8, 2020 (Calgary, AB)
Wed., May 6, 2020 (Edmonton, AB)
Please print: Name: Profession: Home Address: Professional License #: City: State: Zip: Lic. Exp. Date: Home Phone: ( ) Work Phone: ( ) Employer: E-Mail: QHHGHGIRUFRQÂżUPDWLRQ UHFHLSW
Please enclose full payment with registration form. Check method of payment. Cheque for $109.00 (CANADIAN) (Make payable to Biomed General) Charge the equivalent of $109.00 (CANADIAN) to my Visa
Most credit-card charges will be processed in Canadian dollars. Some charges will be in U.S. dollars at the prevailing exchange rate.
Card Number: Signature:
(enter all raised numbers)
(Card Security Code)
Please register early and arrive before the scheduled start time. Space is limited. For American Disability Act (ADA) accommodations or for addressing a grievance, please send the request by email to email@example.com or by fax to (925) 363-7798. For ADA matters (including sign-language interpreters), Biomed would appreciate advance notice so as to ensure our ability to provide the appropriate accommodation. Registrations are subject to cancellation after the scheduled start time. A transfer at no cost can be made from one seminar location to another if space is available. Registrants cancelling up to 72 hours before a seminar will receive a tuition refund less a $35.00 (CANADIAN) administrative fee or, if requested, a full-value voucher, good for one year, for a future seminar. Other cancellation requests will only be honored with a voucher. Cancellation or voucher requests must be made in writing. If a seminar cannot be held for reasons beyond the control of the sponsor (e.g., acts of God), the registrant will receive free admission to a rescheduled seminar or a full-value voucher, good for one year, for a future seminar. A $35.00 (CANADIAN) service charge applies to each returned cheque. A $15.00 fee will be charged for the issuance of a duplicate FHUWLÂżFDWH)HHVDUHVXEMHFWFKDQJHZLWKRXWQRWLFHThe rate of exchange used will be the one prevailing at the time of the transaction.
ÂŠ Biomed, 2020, CODE: PIM-D1000-HospitalNews
For all inquiries, please contact customer service at 1-877-246-6336 or (925) 602-6140.
JANUARY 2020 HOSPITAL NEWS 39