January 31, 2019 - Supporting oral feeding skill development in preterm infants: an evidence-based approach
Objectives
- To describe challenges associated with supporting oral feeding skill development in preterm infants
- To review current practice related to supporting preterm infant’s oral feeding skill development in the Neonatal Intensive Care Unit (NICU) at St. Michael's hospital
- To discuss a current NICU research study investigating parent-infant relationship in supporting oral feeding skill development
Presenters
- Alyson Martinez
- Natalie Puccio
References
- Bracht, M., et al. (2013). "Implementing family-integrated care in the NICU: a parent education and support program." Advances in Neonatal Care 13(2): 115-126.
- Crapnell, T. L., et al. (2015). "Neurodevelopmental Profile, Growth, and Psychosocial Environment of Preterm Infants with Difficult Feeding Behavior at Age 2 Years." Journal of Pediatrics 167(6): 1347-1353.
- Delac, K., Blazier, D., Daniel, L., & N.-Wilfong, D. (2013). Using Mock Code Simulation to Improve Responder Performance During the First 5 Minutes of a Code. Critical Care Nursing Quarterly, 36(2), 244–250.order through Interlibrary Loan.
- Harding, C., et al. (2018). "Identification of premature infant states in relation to introducing oral feeding." Journal of Neonatal Nursing 24(2): 104-110. Full text not available, order through Interlibrary Loan
- Jinhee, P., et al. (2015). "Factors Associated With Feeding Progression in Extremely Preterm Infants." Nursing Research 64(3): 159-167.
- Jinhee, P., et al. (2016). "Effects of Psychological Distress on Mothers' Feeding of Their Preterm Infants...28th Annual Scientific Session, June 2-6, 2017, Baltimore, Maryland." Nursing Research 65(2): E67-E67.
- Lau, C. (2015). "Development of Suck and Swallow Mechanisms in Infants." Annals of Nutrition & Metabolism 66 Suppl 5: 7-14.
- Shaker, C. S. (2013). "Cue-based Co-regulated Feeding in the Neonatal Intensive Care Unit: Supporting Parents in Learning to Feed Their Preterm Infant." Newborn & Infant Nursing Reviews 13(1): 51-55.
- Soos, A. and A. Hamman (2015). "Implementation of the NTrainer System into Clinical Practice Targeting Neurodevelopment of Pre-oral Skills and Parental Involvement." Newborn & Infant Nursing Reviews 15(2): 46-48. Full text not available, order through Interlibrary Loan.
- Stevens, E. E., et al. (2014). "Parental experience learning to feed their preterm infants." Advances in Neonatal Care 14(5): 354-361.
- Vargas, C. L., et al. (2015). "Premature: growth and its relation to oral skills." Codas 27(4): 378-383.
March 28, 2019 - My patient is for P.L.E.X. What does that mean anyway?
Objectives
- To review the background and history of the Apheresis Unit at St. Michael’s Hospital
- To Outline the Mechanism of P.L.E.X, the reasons for it and its outcomes
- To describe the role of the Apheresis and the bedside Nurse when caring for a patient on P.L.E.X
- To review a case study of a patient undergoing P.L.E.X from admission to discharge
Presenters
References
- Gerogianni, S. K., Panagiotou, M. C., & Grapsa, E. I. (2015). REVIEW PAPER. The Role of Nurses in Therapeutic Plasma Exchange Procedure. International Journal of Caring Sciences, 8(1), 194-200.
- Harmon, P., Cojocari, E., Mader, C. L., Galloway, C., Buchholz, M., Lewis, B., & Sinclair, S. (2018). Nurses best practices for the management of thrombotic thrombocytopenic purpura. Transfus Apher Sci, 57(3), 437-444. doi:10.1016/j.transci.2018.05.001
- Henson, A. (2015). Discovering tandem plasma exchange and haemodialysis: a single-centre, 18-month experience. Renal Society of Australasia Journal, 11(3), 104-111.
- Hussein, E. (2018). Therapeutic Plasma Exchange Performed Via 2 Apheresis Devices and its Impact on the Blood Profile of Hematological and Neurological Patients. Laboratory Medicine, 49(4), 347-354. doi:10.1093/labmed/lmy022
- Jacob, S., Friedmann, R., Firpo-Betancourt, A., Tindle, S., Choo, S. Y., & Ding Wen, W. (2017). Impact of Nursing Schedule Change on Therapeutic Apheresis Service. Nursing Economic$, 35(4), 218-222.
- Maggioni, S., Allal, A., Kamar, N., Hermelin, M., Faubel, E., & Rostaing, L. (2015). Immunoadsorption and hemodialysis as a tandem procedure: a single-center experience of more than 60 procedures. International Journal of Artificial Organs, 38(6), 304-310. doi:10.5301/ijao.5000420
- Peyvandi, F., Scully, M., Hovinga, J. A. K., Cataland, S., Knöbl, P., Haifeng, W., . . . Mansouri Taleghani, M. (2016). Caplacizumab for Acquired Thrombotic Thrombocytopenic Purpura. New England Journal of Medicine, 374(6), 511-522. doi:10.1056/NEJMoa1505533
- Raval, J. S., Mazepa, M. A., Brecher, M. E., & Park, Y. A. (2014). How we approach an acquired thrombotic thrombocytopenic purpura patient. Transfusion, 54(10pt1), 2375-2382. doi:10.1111/trf.12794
- Scully, M., Cataland, S. R., Peyvandi, F., Coppo, P., Knöbl, P., Hovinga, J. A. K., . . . Metjian, A. (2019). Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura. New England Journal of Medicine, 380(4), 335-346. doi:10.1056/NEJMoa1806311
- Shah, B. V., Rajput, P., Virani, Z. A., & Warghade, S. (2017). Baseline Anti-blood Group Antibody Titers and their Response to Desensitization and Kidney Transplantation. Indian Journal of Nephrology, 27(3), 195-198. doi:10.4103/0971-4065.202402
June 27, 2019 - Getting to the Heart: Optimizing team performance during cardiac arrest in CICU
Objectives
- To discuss the importance of teamwork during cardiac arrest
- To describe the development of our interprofessional team response to internal cardiac arrest
- To share lessons learned about the role of simulation and reflection on team performance.
Presenters
- Dong Wei, Staff Nurse, CICU
- Natalia Escalante Solana, Staff Nurse, CICU
References
- Cant R, Porter J, Cooper S, et al. (2016). Improving the non-technical skills of hospital medical emergency teams: The Team Emergency Assessment Measure (TEAM). Emergency Medicine Australia, 28, 641-646.
- Cooper S, Cant R, Porter J, et al. (2010). Rating medical emergency teamwork performance: Development of the Team Emergency Assessment Measure (TEAM). Resuscitation, 81, 446-452.
- Delac, K., Blazier, D., Daniel, L., & N.-Wilfong, D. (2013). Using Mock Code Simulation to Improve Responder Performance During the First 5 Minutes of a Code. Critical Care Nursing Quarterly, 36(2), 244–250.
- Herbers, M. D. (2016). Implementing an in Situ Mock Code Quality Improvement Program. American Journal of Critical Care, 25(5), 393–399.
- Mahramus T, Penoyer D, Waterval E, Sole M, & Bowe, E. (2016). Two hours of teamwork training improves teamwork in simulated cardiopulmonary arrest events. Clinical Nurse Specialist, 284-290.
- Mahramus, T., Frewin, S., Penoyer, D. A., & Sole, M. L. (2013). Perceptions of Teamwork Among Code Team Members. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 27(6), 291–297.
- Price J, Applegarth O, Vu M, & Price J. (2012). Code blue emergencies: A team task analysis and educational initiative. Canadian Medical Education, 3(1), e4–e20.
- Prince, C. R., Hines, E. J., Po-Huang Chyou, & Heegeman, D. J. (2014). Finding the Key to a Better Code: Code Team Restructure to Improve Performance and Outcomes. Clinical Medicine & Research, 12(1/2), 47–57.
- Knight, L. J., et al. (2014). Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. Critical Care Medicine 42(2): 243-251.
- Martin, H. A. and S. M. Ciurzynski (2015). Situation, Background, Assessment, and Recommendation–Guided Huddles Improve Communication and Teamwork in the Emergency Department. JEN: Journal of Emergency Nursing 41(6): 484-488. Full text not available, order through Interlibrary Loan
- Olson, K. and R. Maietta (2014). Sim Huddles: A Team STEPPS Approach for Emergency Preparedness. JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing 43(Supp 1): S92-S92. Full text not available, order through Interlibrary Loan
- Reed, D. J. W., et al. (2017). Interdisciplinary onsite team-based simulation training in the neonatal intensive care unit: a pilot report. Journal of Perinatology 37(4): 461-464.
September 26, 2019 - IVs and You: Innovative Teaching Strategies To Improve Patient Care
Objectives
- Review the background and objective of the new IV authorization process at St. Michael's hospital
- Describe the impact to date, including the outcomes from the education blitz on the units
- Discuss the improvements made to the delivery of patient care
Presenters
- Nida Irshad, BA, BscN., MScN, CVAA, Clinical Nurse Educator, Respiratory/IV Therapy
References
- Barrow JM, Toney-Butler TJ. [Updated 2019 Jun 18]. Change Management. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan.
- Canadian Vascular Access Association. (2019). Canadian Vascular Access and Infusion Therapy Guidelines. Prembroke, ON: Pappin Communications. Can be purchased here.
- Chang, Wen-Yin., Sheen, Shu-Tai Hsiao. Chang, Pi-Chen., Lee, Pi-Hsia. (2008). Developing an e-learning education programme for staff nurses: Processes and Outcomes. Nurse Education Today, 28 (7), 822-828. https://doi.org/10.1016/j.nedt.2008.02.003
- Glover, K., Stahl B., Murray C., LeClair M., Gallucci S., King M., Labrozzi L., Schuster C., Keleekai N.(2017). A Simulation-Based Blended Curriculum for Short Peripheral Intravenous Catheter Insertion: An Industry–Practice Collaboration. Journal of Continuing Education in Nursing. 48(9), 397-406. doi: 10.3928/00220124-20170816-05
- Infusion Nurses Society. (2016). Infusion Nursing standards of practice. Journal of Infusion Nursing, 39 (1 Supplement), S1-156. Order through Interlibrary Loan.
- Phillips, Janet M., Vinten, Sharon A. (2010). Why Clinical Nurse Educators Adopt Innovative Teaching Strategies: A Pilot Study.\Nursing Education Perspectives, 31 (4), 226-229.
- Rouleau, G., Gagnon, M. P., Côté, J., Payne-Gagnon, J., Hudson, E., Bouix-Picasso, J., Dubois, C. A. (2017). Effects of e-learning in a continuing education context on nursing care: a review of systematic qualitative, quantitative and mixed studies reviews (protocol). BMJ open, 7(10), e018441. doi:10.1136/bmjopen-2017-018441.
- Wahl, Stacy., Latayan, Monica. (2011). Nursing Education Innovations: Using e-learning technology to meet learner’s needs. The Journal of Continuing Education in Nursing, 42 (11), 483-484. doi.org/10.3928/00220124-20111024-03
October 31, 2019 - Code Stroke & Code ELVIS At St. Michael's Hospital
Objectives
- Basic physiology of ischemic stroke
- Code Stroke & Code ELVIS protcol at St. Michael's Hospital
- Reasons for the recent changes in protocols
- Evidence based practice for stroke care
Presenters
- Emily Ovcjak RN, BScN
- Danielle Bender RN, BScN
References
References
- Emberson, J., Lees, K. R., Lyden, P., Blackwell, L., Albers, G., Bluhmki, E., et al. (2014). Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: A meta-analysis of individual patient data from randomised trials. The Lancet, 384(9958), 1929-1935. doi:10.1016/S0140-6736(14)60584-5
- Fugate, J. E., & Rabinstein, A. A. (2015). Absolute and Relative Contraindications to IV rt-PA for Acute Ischemic Stroke. The Neurohospitalist, 5(3), 110–121. doi:10.1177/1941874415578532
- Hankey, G. J. (2017). Stroke. The Lancet, 389(10069), 641-654. doi:10.1016/S0140-6736(16)30962-X
- Hart, R.G., et al. (2007) Meta-analysis: antithrombotic therapy to prevent stroke in patients who have nonvalvular atrial fibrillation. Ann Intern Med, v.146, p.857 Order through Interlibrary Loan.
- Heart & Stroke Foundation. (2018). Stroke: What is Stroke?
- Jahan R, Saver JL, Schwamm LH, et al. Association Between Time to Treatment With Endovascular Reperfusion Therapy and Outcomes in Patients With Acute Ischemic Stroke Treated in Clinical Practice. JAMA. 2019;322(3):252–263. doi:10.1001/jama.2019.8286
- Lima FO, Mont'Alverne FJA, Bandeira D, Nogueira RG. Pre-hospital Assessment of Large Vessel Occlusion Strokes: Implications for Modeling and Planning Stroke Systems of Care. Front Neurol. 2019;10:955. Published 2019 Sep 13. doi:10.3389/fneur.2019.00955
- Porth, C. (2014). Essentials of Pathophysiology: Concepts of Altered States. Wolters Kluwer. Wisconsin, Missouri. Order through Interlibrary Loan.
- Quinn, T.J., Dawson, J. , Walters, M. , and Lees, K.R. (2009) Reliability of the modified Rankin Scale: a systematic review. Stroke, 40 (10). pp. 3393-3395. ISSN 0039-2499.
- Stroke Team Leadership. (2017). Code Stroke and Code Endovascular Large Vessel Ischemic Stroke (ELVIS) Protocol. St. Michael’s Hospital. Toronto, ON.
- Toronto Paramedic Service. (2016). Central Ambulance Communication Centre Quadrant Desk Training Manual.
- Toronto Stroke Network (2019). Regional Stroke Centres.
November 28th, 2019 - Advancing Patient Care Through Nurse-Led Best Practice Guideline Implementation
Objectives
- To discuss the evolution of the St. Michael's Hospital BPSO Canadidacy, Designation and Sustainability
- To describe the evolution of nurse-led best practie guideline implementation
- To present a case scenario pf organization-wide best practice guideline spread and sustainability
- To share the experiance of a BPG Nurse Champion
Presenters
- Susan Beswick, RN, MN, Evidence Based Practice Nursing Manager
- Cecilia Santiago, RN,MN, CNCC(C), Nursing Practice Manager
- Victoria McLean, RN,BScN, CHPCN(C), Palliative Care Unit
References
- Azoulay E., Pochard F., Chevret S., Arich C., Brivet F., Brun F., et al. (2003) Family
participation in care of the critically ill: opinions of families and staff. Intensive Care Medicine,
29 , 1498 1504
- Davidson, J. E., Powers, K., Hedayat , K. H., et al. (2007). Clinical practice guidelines for
support of the family in the patient centered intensive care unit: American College of Critical
Care Medicine Task Force 2004-2005. Critical Care Medicine, 35(2), 605 622
- Jeffs
, L., Lo, J., Beswick, S., Campbell, H. (2013). Implementing an Organization wide Quality
Improvement Initiative: Insights from Project Leads, Managers and Frontline Nurses. Nursing
Administration Quarterly, 37(3), 222 230.
- Jeffs
, L., Beswick, S., Campbell, H., Lo, J., Byer, C., & Ferris, E. (2013) Hospital Nurses’
Perceptions Associated with Implementing Multiple Guidelines: A Qualitative Study. Journal of
Nursing Education and Practice, 3(2), 31 40.
- Quality Improvement Guide. (2012). Health Quality Ontario. Retrieved from
- Henderson, A. (2006). The evolving relationship of technology and nursing practice:
Negotiating the provision of care in a high tech environment. Contemporary Nurse, 22(1), 59
65 Order through Interlibrary Loan.
- Rycroft
Malone, J. (2004). The PARIHS Framework A Framework for Guiding the
Implementation of Evidence based Practice. Journal of Nursing Care Quality 19(4), 297 304.
- HWright, L. M. &
Leahey , M. (2005). Nurses and families: a guide to family assessment and
intervention. Philadelphia: F.A. Davis. Order through Interlibrary Loan.
