DP 2021 Annual Nursing Report

Dubai Parks Vaccination Center

2021 Nursing Annual Report 1

2021 Annual Nursing Report

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2021 Annual Nursing Report

Contents Compendium Message from the Nurse Manager Nursing Glimpse Research, Education & Training Nursing Audit Infection Prevention & Control Health and Safety Tele-Consultation Medication Preparation Nurse Supervisor’s Update and Awards Nursing team Snippets Photos

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2021 Annual Nursing Report

Annual Report Committee Over-all Chair:

Bassam Hussein Abu Haifa, Nurse Manager

Co-Chair:

Ronald Soriano Gamiao, Asst. Nurse Manager

Members: Mark Anthony De Vera, Nurse Supervisor Nino Paulo Perena, Nursing Audit Coordinator Glenda Arugay, MedPrep Team Leader / Nurse Educator Joe Lourence Osorio, IPC Link Nurse Jinky Limos, Safety Officer / IC Nurse

Technical Team: Tara Erin Ligarte, Nurse Auditor Nadine Cabrillas, MedPrep Team Leader Janellyn Cayanan, Nurse Auditor

Mark Louie Rasalan, Safety Officer

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2021 Annual Nursing Report

Compendium Nurses play a vital role in the day-to-day monitoring of patient’s health. In the history of nursing, the ancient records proof that nursing has been around for thousand years. Nurses maintain their commitment to caring for a patient’s basic physical needs.

The nursing organization embraces a team or nursing administration to oversee the structure of nursing work, its leadership facets and to render an excellence of nursing services.

To uphold an exemplary quality nursing service to the health consumers, a peer-review is being conducted and a progress report that must be reviewed and appraised. The assessment and evaluation are the keys to improve performance indicators as a mandate of the Abu Dhabi Health Services (SEHA) and the Department of Health (DoH - Abu Dhabi).

Dubai Parks Vaccination Center has been started in December 2020. Administration of vaccines (Sinopharm and Pfizer) to all residents and locals in the United Arab Emirates is part of the services of the Center. Aside from vaccination, a DPI and PCR also included in the scope of work/ services of the Center.

The Health Care Facility Management is in adept on the operations and administration of the Vaccination Center that caters hundreds of thousands from the beginning of the Center.

The nursing department of the Dubai Parks Vaccination Center is reporting to the HCF Management to give pertinent information on the progress and development of the department especially on the compliance of operational services.

Concise data and other details related to the management and administration of the nursing services is being presented in order to have a peer-review and come up with the affirmation to achieve the goal – accessing the quality of nursing services.

This 2021 Nursing Annual Report aims to disseminate facts and data related to nursing services that helps other facilities with same nursing practices to embrace. Moreover, this will help other staff and the management to have the knowledge on the nursing performances from the start of its operation up to date.

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2021 Annual Nursing Report

Message from the Nurse Manager

Dear Colleagues,

Welcome to the 2021 Nursing Annual Report for Dubai Parks Vaccination Center. We are very proud to share our report as we reflect the remarkable care that is delivered by the nurses to our patients or candidates.

In looking back since the commencement of the Center, I am proud of our accomplishments and activities.

The role of the professional nurse is the hallmark of Dubai Parks Vaccination Center. The foundations of nursing are reflected and demonstrated in our professional practice model. In this report we share examples how our nurses participated with evidence-based and outcome-based practices, research and education, and processes which implemented changes in practice.

I value the ongoing and open conversations I have with the nurses regarding their practice environs, which includes opportunities to make innovative developments.

On behalf of the nursing team, we hope you enjoy learning about the important contributions of our nurses.

Thank You!

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Bassam Hussein Abu Haifa, MBA, RN Nurse Manager

2021 Annual Nursing Report

Nursing Glimpse

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2021 Annual Nursing Report

Research, Education & Training The SEHA Vaccination Center established an Education & Training to conduct continuous education of staff nurses, allied health and auxiliary staff.

The Education & Training is formed in order to educate the ASPEN Staff and other staff in the Vaccination Center on a regular basis to reach the high standard quality of nursing and health services.

Keeping and maintaining staff equipped with current knowledge and practices, the team is conducting a continuous education/training, re-evaluation and re-education. This may lead into an improvement of quality services and

Ronald Soriano Gamiao, PhD.NSc, MSN, RN Asst. Nurse Manager / Education Supervisor

Nursing education has developed its own reforms in tandem with higher education and with other health professions education. These reforms echo the need for nursing education to re-examine the values of environmental health in policy, nursing research, education, practice, and service (AACN, 1991; NLN, 1992).

Nursing education must supply the nation with RN’s for a wide range of roles and responsibilities: providing direct care to patients, helping to safeguard the health, assisting with ambulatory care, administering nursing services, conducting nursing research, and providing professional and educational leadership to the profession.

Responsibilities of RNs vary greatly among the different settings in which they practice.

Face-to-face teaching and learning were converted to virtual remote learning and clinical experiences suspended to protect the nurses from the pandemic.

To be able to continue teaching and learning during the COVID-19 pandemic, while complying with the COVID-19 prevention protocols, learning switched from the traditional face-to-face teaching and learning to the virtual mode.

The Nursing Education and Training Team (NETT) provides training and workshops as face-to-face to maintain the high quality standards of nursing practice specifically those nurses deployed in the Dubai Parks Vaccination Center.

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2021 Annual Nursing Report

Road Map A roadmap is a strategic plan that defines a goal or desired outcome and includes the major steps or milestones needed to reach it. It also serves as a communication tool, a high-level document that helps articulate strategic thinking – the why – behind both the goal and the plan for getting here.

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2021 Annual Nursing Report

Salamatak / Documentation Training

IV Fluids Management Training

Infection Prevention & Control Training

Life Support Competency Training

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2021 Annual Nursing Report

Participants’ Evaluation Analysis The Oxford English Dictionary defines training as “the action of teaching a person a particular skill or type of behavior.”

SEHA Health Information Management training should be tailored to the different educational needs of incumbent employees and new hires and should be scheduled accordingly. In the Dubai Parks Vaccination Center Education Team, trainers are requested to prepare a Clinical Teaching Plan to facilitate the quality of nursing education to be rendered.

Training solidifies staffs’ existing skills and helps them improve lacking area. An effective training program spots individuals areas of improvement in order to address them properly.

Goal of Training Analysis 1.

To identify the weaknesses and strengths of educating the staff nurses.

2.

To design an appropriate teaching strategies and methods related to the working conditions of the staff nurses and environment.

3.

To devise or create an effective clinical teaching plan associated with acquired knowledge and skills of the staff nurses.

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2021 Annual Nursing Report

Research Conducting research is essential in every facility in order to identify the gaps and have an evidence-based practices to implement within the organization especially in nursing.

Research Title: “Nurses’ Knowledge, Skills, Attitude and Level of Compliance of Infection Prevention & Control: Basis for the Development of Clinical Education & Teaching Plan”

Researchers:

Ronald Soriano Gamiao Bassam Hussein Abu Haifa

Aim of the Study:

To assess the effectiveness of knowledge , skills, attitude and level of compliance of infection prevention and control amongst staff nurses in the Dubai Parks Vaccination Center as a basis for the development of clinical education and teaching plan.

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Nursing Audit

A Nursing Audit is the process of evaluating the quality of nursing care through the review of clinical records made by healthcare professionals.

An audit is conducted in terms of documentation, MAR, productivity for nurses and physicians, registration issues, and other related quality improvement. A special team was created with daily tasks in order to have onelink at the facility. The Audit Team became

Nino Paulo Perena, RN Nursing Audit Coordinator

Nursing documentation is essential for good clinical communication. Appropriate documentation provides accurate reflection of nursing, assessments, changes in clinical state, care provided and pertinent patient information to support the multidisciplinary team to deliver great care. Documentation provides evidence of care and is an important professional and medico -legal requirement of nursing practice.

Nurses as being deployed in the Dubai Parks must be knowledgeable in terms of proper documentation in the system. It is therefore mandatory to all new and old nurses to attend the enhancement training program in order to update the current or any changes on the documentation.

A nursing audit helps health care institutions to ensure that patients consistently receive quality patient care and allows nurse administrators to determine healthcare improvement opportunities.

Purpose: 

Evaluate nursing care given/rendered.



Achieve deserved and feasible quality of nursing care.



Stimulate better nursing records maintenance.



Focus on patient care provided and not on care provider.



Contribute to research in nursing.

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Nursing Audit Team formally started on February 2021 that the main purpose is to review the documentations of the nurses in order to ensure accuracy. The team has been designated to safeguard the quality of documentations and adherence to vaccination processes.

An internal audit is done on a daily basis following concurrent and retrospective evaluation to make sure the compliance in the nursing process is being followed. Monthly audit review also helps to identify the areas that needs improvement and an action plan be made for the betterment of the nursing services.

Common Documentation Errors

From April 2021 to November 2021, common documentation errors that have been observed and recorded are as follows: 1.

Vaccine not signed

2.

Incomplete documentation

3.

No documentation

4.

Wrong encounter/appointment documentation

5.

Incorrect entry of vaccine LOT number and expiration date

6.

Registration-related errors.

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Nursing Documentation Process Nursing documentation is aligned with the ‘nursing process’ and reflects the principles of assessment, planning, implementation and evaluation.

Assessment Upon the entrance of the candidate in the vaccination room, nursing assessment starts already by visually scanning the candidates for any immediate or special needs to be prioritized. Following the IPSG protocols, nurses will thoroughly identify the candidate, using at least two (2) identifiers, to make sure that the right care will be given to the right client.

Any discrepancies with the information will be escalated right away to the registration department for proper action. Vital signs will be taken and recorded considering the normal values for each measurements. Any abnormality in the vital signs will be endorsed to the physician on duty for further investigation and evaluation.

Reviewing of candidate’s vaccination history, medical conditions, allergies and history of COVID19 infection (if applicable) are need to complete in the assessment process.

Plan of Care With the information gathered from the start of the assessment, the plan of care can be developed in collaboration with the candidate and family/carers to ensure clear expectations of care.

Based on the nurse’s clinical judgement, the client may proceed to the vaccination (Nurse Led) or they may be needed to be referred to the physician for further evaluation and management (Physician Led). Before vaccine administration, candidates must be educated about the vaccine they are going to receive and any possible side effects and its management. Consent form must be signed if needed and all questions and doubts must be answered before administering the vaccine.

Implementation and Evaluation Vaccine administration is carried after the plan of care has been safe guarded. Nurses administer the vaccine following the 10 Rights of Vaccination Administration. Nursing documentation entries should be accurate and relevant to the candidate’s encounter. Duplication should be avoided and the encounter must be documented in to the correct forms. Real time notes should be signed off after the first entry and in case of documentation errors, modifications or re-documentations may be necessary.

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2021 Annual Nursing Report

Based on the report, the most common nursing documentation error was the incorrect entry of vaccine LOT number and expiration date. It was highest on the month of May 2021 with 497 counts, it also displayed a dramatic drop on the number of errors recorded on October 2021 with 56 entries.

Registration related concerns was second on the list with seemingly improved numbers as well. Incorrect documentation was the next in line with an up and down trend. The next in the row is the wrong appointment documentation followed by incomplete documentation. Vaccine not signed was only recorded on April and May 2021 while no documentation is highest only on the first month.

Medication error was only marked on May 2021.

As part of ensuring the quality of the nursing documentations, the Audit Team also identifying the common documentation errors and the contributing factors to have an action plan to minimize or totally avoid the same inaccuracies.

In line with this, a Performance Improvement Plan (PIP) was implemented as part of the pilot study on August 2021 that aims to identify the reasons and the challenges faced by the nurses and to address the same issues to improve their documentations.

One-on-one coaching to the responsible nurses was conducted and made a tailored-fit goal-oriented approach to help them improve their performances.

The figure above shows the great improvement in nursing documentations as the number of errors consistently drops from August to October 2021 as a result of the PIP program. This platform is an effective tool for the improvement of the nurse’s performances.

The Dubai Parks Vaccination Center Nursing Audit Team will always make sure that the standards in the documentation is being adhered and the vaccination processes is being followed in every client’s encounter to ensure the quality of nursing care.

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Census Monitoring

TOTA L VACCINATION

120000

120000 105,082

100000

100000 85,950

80000

81,288

87,294

80000 66,967

62,919

60000

60000

52,770 40000 20000

37,642

37,078

33,048

40000

30,359

20,575

20000

0

0

SINOPHARM

PFIZER

PCR Census

DPI Census

Saliva Testing

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Infection Prevention & Control

Infection Prevention & Control is a serious public issue and it is vital for healthcare workers and others working with the public to understand how to prevent infection. Infection refers to the policy and procedure implemented to control and minimize the dissemination of infections in hospitals and other healthcare settings with the main purpose of reducing infection rates.

The Dubai Parks Vaccination Center created a team—IPC Team as headed by the Nurse Manager to oversee the safety practices of all the staff within the health care facility. Infection prevention and control measures aim to ensure the protection of those who might be vulnerable to acquiring an infection both in the general community and while receiving care due to health problems, in a range of settings. The basic principle of infection prevention and control is hygiene.

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Joe Lourence Osorio RN IPC Link Nurse

2021 Annual Nursing Report

The implementation of best infection control practice is a key action for the organization in reducing avoidable healthcare associated infections (HAIs) to both healthcare staffs, nonhealthcare staffs and candidates. Ensuring infection control policies are in place and implemented is fundamental. Infection prevention and control is central to all aspects of health care, from concept and planning to implementation.

Effective infection prevention and control requires the following elements:

1. Surveillance 2. Audit 3. Education 4. Policy development

5. Commitment from all members of the healthcare community

COVID-19 global pandemic was the most significant issue faced in relation to Infection Prevention and Control in the year 2020-2021.

Hand Hygiene remains to be the focus of the IPCT and the organization to prevent spread of infection together with proper PPE and cough etiquette, especially in time of pandemic. Daily & monthly auditing of hand hygiene practices has continued in the vaccination center during the year using an observational audit tool based on the ‘5 Moments for Hand Hygiene’. Designated members of staff, who each receive training from one of the Infection Prevention and Control Team, are able to objectively observe practice. It was also noted whether hand hygiene occurs during each opportunity that naturally arises within clinical practice. There is no identifiable consistently missed ‘moment’ of hand hygiene during each patient care.

Decontamination of equipment is routinely done in all clinics before and after each use and frequent reminder is being provided.

Trainings and Re-education were provided throughout the year for all staffs including the nonhealthcare staffs (admin/registration, security and housekeeping). These trainings were focused on hand hygiene, cough etiquette and social distancing, proper waste management, sharps & needle stick management, and proper use of PPE. Isolation, Quarantine and Contact Tracing as per protocol was strictly observed, together with all other precautionary measures done by everyone, the number of COVID cases in the facility was reduced exponentially, almost zero cases (1 positive case in 4 months). Frequent PCR swab testing was done and COVID-19 vaccination was encouraged. Flu Vaccines were also provided for all the staffs at the beginning of Winter Season to prevent surge of infection during the season.

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2021 Annual Nursing Report

Training on IPC has been conducted from July 31 to August 7, 2021 in order to be aware on the infection control safety measures and protocols among nurses, physicians, allied health professionals, security guards, housekeeping staff, ancillary services, administration and registration staff.

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2021 Annual Nursing Report

Hand Hygiene Monitoring

PCR Swabbing of Staff

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Compliance Report of Flu Vaccine for Staff

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2021 Annual Nursing Report

Health & Safety

Safeguarding and maintaining health & safety in the workplace is an important prerequisite for motivated and productive working processes, both for employers and employees.

Manage occupational health and safety hazards and risks resulting from Dubai Parks Vaccination Center operations to protect the health and safety of the staff, other persons at work and the environment, specifically to: 1.

Establish a framework for the protection of the health and safety of workers and the surrounding community.

Jinky Patricio Limos, RN

Safety Officer

2.

Eliminate, at source, risks to the health, safety and welfare of employees and other persons at work.

3.

Ensure the health and safety of the public and patients at facilities by employers and contractors.

4.

Provide guidance on occupational health and safety risks at the facility.

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TeleConsultation

TeleConsultation is created to perform telehealth and assess the candidates who received the Sinopharm vaccines.

Prior to the start of the TeleConsultation, identification of staff nurses has been made and training was done on the first week of August 2021. Its purposes include: 1) to understand the process of teleconsultation or telehealth among the DP Vaccination Center candidates or applicants; and 2) to know the protocol and manner of documentation in the Salamatak (Cerner) system.

Ronald Soriano Gamiao, PhD.NSc, MSN, RN

Asst. Nurse Manager / Education Supervisor

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Medication Preparation

Dubai Parks Vaccination Center had its fair share and brawls, the team was able to come up with a systematized and well-structured plan for every department to follow. This is to ensure committing the highest standard of care.

April 2021, the Center introduced the administration of Pfizer-BioNTech that the Medication Preparation has been established. This section is responsible for the production and provision of vaccines throughout the Center.

Glenda Arugay, RN

Med Prep Team Leader / Nurse Educator

The Med Prep Team sees to it the every member of the team is knowledgeable and equipped with proper training. Coaching was used in order to improve the performances of the staff nurses. A regular conduct of huddles and an open forum and brainstorming were implemented to help our nurses to gain confidence and trust towards work’s responsibility and accountability.

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Supervisor’s Update & Awards

The COVID-19 pandemic brought challenges to the staff and seen changes as to adapt what need to be acted upon by the communities especially in the health sector.

The nursing team handled themselves in uncertain circumstances as to navigate the complexities of the pandemic while continuing to care for the clients.

Dubai Parks Vaccination Center of SEHA made it possible to serve over 5,000 clients/candidates a day. Our nurses have amplified the profession by exhibiting calm, professional, and rational vigor even when faced with difficult situations. Nurses have the toughest job, and the pandemic has highlighted this fact.

Mark Anthony De Vera, RN Nurse Supervisor

From assisting clients in every step of the way, ensuring that they have the best possible care, until their needs are Nurses not only provide care but they fulfill other roles, they are advocates, teachers, leaders, partners… and a lot more.

In line with this, we would like to acknowledge the following nurses and team leaders who excelled this year. These are based on the total vaccinated candidates and documentation errors.

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Best Team Leaders JULY

AUGUST

Rodster Solomon

Rodster Solomon

Jose Mari Galura

Jose Mari Galura SEPTEMBER

Edmon Odtojan

Ma. Carmela Dawn Temporaza

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MONTH OF JULY

MONTH OF AUGUST

KRISTILE GAY CABARO

JINU ALEXANDER

SARA ORLINA

KRISTALYNE CABRERA

FLORIANNE LATOJA

KIRON SARA MATHEW

KIRON SARA MATHEW

ANNA DOMINIQUE YANONG SARA ORLINA

MONTH OF SEPTEMBER

MONTH OF OCTOBER

KRISTILE GAY CABARO

KRISTILE GAY CABARO

KRISTALYNE CABRERA

KRISTALYN ECABRERA

MOIRA JULIENNE COLLADO

ATHIRA RATHEESH

EPHRAIM CORPUZ

AILEEN MARASIGAN

SOLEDAD FLORESCA

GRETCHEN BOCATERA

MIA FRANCES RIOJA SUTHA SILUVAI MUTHU

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Nursing Team Structure

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Nursing Administration Bassam Hussein Abu Haifa, Nurse Manager Ronald Soriano Gamiao, Asst. Nurse Manager / Education Supervisor Mark Anthony De Vera, Nurse Supervisor Nino Paulo Perena, Nurse Audit Coordinator Tara Erin Ligarte, Nurse Auditor Janellyn Cayanan, Nurse Auditor Glenda Arugay, Nurse Educator Joe Lourence Osorio, IPC Link Nurse Jinky Limos, IC Nurse / Safety Officer Mark Louie Rasalan, Safety Officer Jyothi Joseph, Medical Supplies

Team Leaders Marc Evan Laluces Rodster Solomon Benedict Tan Edmon Odtojan Nadine Cabrillas

Luluba Blavathu Vigimol Karunakaran Priyanka Das Ma. Carmela Dawn Temporaza Nida Kamel Ahmad Khalil

Clinic Nurses Adrian Seares Aileen Marasigan Allan John Abao Aneesh Mathew Angelica Baldoz Angiela Ramos Anna Dominique Yanong Arlieh Tumbaga Arlyn Joy De Vera Athira Ratheesh Benielyn Filipino Beverly Ann Casor Cheryl Mae Morfon Clarish Tablarin Danica Anna Aguilar Dhanya Varghese Eduardo Jr. Cuevas

Efremel David Erica Joy Manalo Erika Ianah San Juan Francis Thomie Caranay Glenn Anne Narte Gretchen Bocatera Hertroot Ernesta Imelda Estrada Ivy Dolorosa Jart Vono Pasigon Jelyn Vanessa Viray Jennifer De Guzman Jinu Varghese John Benedict Briones Karen-Ann Acoba Kiron Sara Mathew Kristalyne Cabrera Kristile Gay Cabaro

Lorraine Angela Porras Maria Minchet Canete Maria Venetta Arellano Marie Mae Magarcenio Marie Rose Tasis Moira Julienne Collado Neethu Domi Reynold Montoya Rudolph Villareal Sangeetha Vengatesan Sarah Orlina Sarrah Jane De Guzman Sheeba Varghese Shefeena Ibrahim Sophy George Tyrone Banate Yhelen joy Pambid

DPI - PCR Lorella Rivera, Team Leader Ryan Dexter Mejia, Team Leader Bijy Thomas Romina Reyes

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Savitha Mathew Sheena Thomas Sussene Danne Dalid

2021 Annual Nursing Report

Nurse Manager’s Desk

Audit Team

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Receiving of Flu Vaccine

Sinopharm Team

Block 400 Pfizer Team

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Nursing Annual Report

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