Innovation Roundtable Videos
Fall 2024 Innovation Roundtable
Discharges with Dignity
Background: As a large tertiary care centre situated in the heart of downtown it is not uncommon for our staff to care for patients with both medical and psychosocial complexities. Although the vast
majority of patients admitted to the medical-surgical intensive care unit (MSICU) transfer to other facilities or inpatient units, there is no consistent process for safely discharging patients home, or
optimizing the health of patients who choose to leave against medical advice.
Purpose: To develop a safe streamlined discharge process that staff can enact for patients, especially those experiencing homelessness and substance misuse.
Method: A literature review was conducted. Informal interviews were conducted with both members of the MSICU care team, and other hospital inpatient and outpatient services. A review of community resources was conducted. Results: Discharge checklists were created as a reference for the staff. For patients that are underhoused and/or have substance misuse issues, additional resources were created consisting of: care kits comprised of clothing, hygiene products, and resource materials, harm reduction kits, patient-specific care plans, and referrals to community supports. Conclusion: This low cost clinically responsive initiative supports the autonomy and dignity of patients and ensures a safe discharge process for both staff and patients.
Melissa Guiyab completed her Bachelor of Science in Nursing from McMaster University and has worked in the realm of critical care and emergency nursing for the over 20 years. She completed her Master of Nursing at the University of Toronto with a cross appointment there as an adjunct lecturer with the Lawrence S. Bloomberg School of Nursing and is a Clinical Nurse Specialist in the Medical-Surgical Intensive Care Unit (MSICU) at Unity Health – St. Michael’s Hospital in Toronto. Melissa is passionate about quality improvement and is currently involved in several initiatives including patient and family engagement, responsive behaviours, and pressure injury prevention.
Dorinda Sinnott completed her Bachelor of Social Work with a minor in Public Administration at Ryerson University in 2008. She completed her Master of Social Work (Gerontology specialization) and a Collaborative Graduate Program in Aging, Palliative, and Supportive Care Across the Life Course at the University of Toronto in 2009. More recently she completed a certificate in Health Services Management at Toronto Metropolitan University in 2023. Dorinda has worked at Unity Health – St. Michael’s Hospital for 15 years and currently works as a Care & Transitions Facilitator in the MSICU where she facilitates repatriations and other discharges from ICU. Dorinda previously worked as an ICU Social Worker and a Patient Relations Specialist.
"Can ChatGPT help my patient?" An Overview of Artificial Intelligence (AI) in Critical Care.
ABSTRACT:
Research has shown that the role of the preceptor is crucial to the successful integration of nurses new to the critical care setting. However, most critical care nurses have not had the opportunity to become formally prepared for this vital role. There are many responsibilities associated with being a preceptor, including supporting the development of clinical judgement and decision making, giving effective feedback, and assessing learning. Preparation in adult learning theory and practice, together with the opportunity to engage with and apply various techniques in a safe learning environment, prepares and supports preceptors to undertake these responsibilities.
In 2003, Tashina McCluskey graduated with a Bachelor of Nursing degree from the University of New Brunswick. She went on to earn her Master of Nursing degree from Athabasca University in 2018. Since the start of her career, she has always been drawn to the challenging and dynamic settings of emergency and intensive care nursing. Currently working as an ICU Clinical Nurse Educator at the Saint John Regional Hospital and as an instructor for the New Brunswick Critical Care Nursing Program, Tashina is dedicated to advancing clinical practice through education, collaboration, and embracing innovation.
Spring 2024 Innovation Roundtable
Brain-Based definition of death: Overview of new Canadian Guidelines and implications for nursing practice.
Allana LeBlanc: is a clinical nurse specialist for Vancouver Hospital’s ICU and HAU. She is also currently pursuing her PhD in Nursing with an interest ICU Rehabilitation Strategies.
References & Resources
SPECIAL ISSUE: of the Canadian Journal of Anesthesia, Published in 2023. Volume 70, Issue 4. Here is the link https://link.springer.com/journal/12630/volumes-and-issues/70-4
CANADIAN DECLARATION OF DEATH GUIDELINE: here is the link – https://link.springer.com/article/10.1007/s12630-023-02431-4
Session Description: This was one of the presentations shared on April 18, 2024 for the BC Chapter of the CACCN’s Spring Roundtable. Clinical Nurse Specialist, Allana LeBlanc introduces findings from the recently published guidelines outlining how death is defined, and outlines implications for nursing practice, as it relates to declaring death, providing end-of-life care, and supporting families.
A Nurse-led Quality Improvement Project to Combating Risk Factors for ICU Delirium
Fiona Howarth is a clinical nurse specialist for the critical care network at Fraser Health. She currently is working on improving delirium prevention and management using objective measures of sedation.
Session Description: Clinical Nurse Specialist, Fiona Howarth shared her teams work to improve delirium prevention and care in the ICU. This projects outlined evidence-based strategies such as reducing noise, and lights especially at night, ICU diaries, as well as novel strategies such as using P-EEG monitoring to measure and titrate sedation.
Policy Competencies for Nursing
Angela Wignall is a Registered Nurse serving as the Director, Professional Practice & Health Policy with the Nurses and Nurse Practitioners of British Columbia (NNPBC), BC’s unified professional nursing association. Angela is a policy nurse whose practice centres nursing at the intersection of policy and governance.
Session Description: Nurse Leader, and self-proclaimed “policy nerd” Angela Wignall shares her presentation on what nurses need to know about policy. She reviews what a policy is, how it helps shape our healthcare system, as well as how nurses can shape policy and impact our healthcare system.
Fall 2023 Innovation Roundtable
Transitioning from Tenecteplase (TNK) in Acute Ischemic Stroke
Dr. Kimia Ghavami is a Stroke Neurologist and Clinical Assistant Professor in the Division of Neurology at the University of British Columbia. She is also service as the Stroke Services BC Clinical Medical Chair.
Session Description: Brief overview of evidence for the use of tenecteplase (TNK) in acute ischemic stroke. Discussion of the upcoming provincial and regional implementation and transition from the use of altepase (tPA) to TNK in acute stroke care.
Lived Experiences of the New Grad Transition to Critical Care Nursing
Saemy Cho & Carmen Naujokat are graduateds from BCIT’s BSN program and were among the first students to successfully complete the BSN critical care learning pathway established in 2022. Both currently work at St. Paul’s Cardiac ICU.
Session Description: In 2022, BCIT and Providence Health Care collaborated to create a learning pathway for BSN students to transition into critical care upon graduation. With five cohorts established to date, including the successful completion of the first cohort in March and the second cohort nearing completion this September, our presentation will delve into the firsthand experiences of our students on this transformative journey.
Spring 2023 Innovation Roundtable
Quality Improvement Project Guidance for Critical Care Nurses & Educators
Sybil Hoiss took the stage to present on Quality Improvement and project guidance tailored for critical care nurses and educators, offering valuable insights for enhancing patient care.
Using a Value-Based Tool for Prioritizing Care - Surviving Your Shift
Sharon Hicken shared about using a value-based tool for prioritizing care, aptly named “Surviving Your Shift.” Her team developed this innovative approach in response to the COVID-19 pandemic.
Supporting Novice Critical Care RNs
Caroline Penner delved into the topic of supporting novice critical care nurses, shedding light on effective strategies to nurture and guide the next generation of healthcare professionals.
Supporting Pediatric Safety & Care Across BC
PICU nurses Jason Marchand and Parker Mills shared their impactful project focused on supporting pediatric safety and care across British Columbia through telephone support.
Fall 2022 Innovation Roundtable
Presenters: Alyson Parker, Brandi Dan, Elan Nattress & Jessica Key
This competency tool was developed collaboratively to support people working at Vancouver Coastal Health providing healthcare and all other related services. This tool is meant to support the individual and collective journey of ongoing self-assessment, learning, and commitments to incorporating Indigenous Cultural Safety and anti-racism into clinical practice.
This tool is designed to guide the learning journey towards Indigenous Cultural Safety and culturally safe practice. This journey requires ongoing learning, reflection, and action. The learning process is circular rather than linear and it is not about reaching an endpoint of expertise, but rather about a humble and ongoing commitment to change and improving the quality and safety of health-care experienced by Indigenous people.
Presenter: Hannah Rosenberg
Historically, nursing has been perceived by the public to be a calling. Nurses have been described as heroes, doctors’ assistants, or even, angels. This presentation uses a brief survey of relevant literature, with examples from television shows, news, and social media, to discuss how and why these perceptions harm the nursing profession and the patients and clients we care for.
2022 Spring Innovation Roundtable
MAiD Legislation: Process, Overview & Practice Implications
Amanda Stewart, RN BSN CHPCN(C)
In March 2021 the Canadian government changed the legislative guidelines regarding eligibility and safeguards for Medical Assistance in Dying (MAiD). In this presentation we will review this unique care option, summarize the MAiD process in relation to the legislation changes, and identify the potential impacts on practice, which includes a growing number of MAiD and organ donation cases.
Behind the Scenes with IPAC: Supporting the ICU during COVID-19
Rita Dekleer, RN CIC
The presentation will outline roles, recommendations and relationships between IPAC and ICU. Specifically, she will talk about her recent experience during the COVID-19 pandemic.
Trauma Informed Practice in Critical Care
Sarah Haddleton, RN BSN
In order to build on the high level of care our ICU provides and increase our capacity to be trauma-informed, our team are participating in a knowledge translation challenge. Our project focuses on embedding the principles of Trauma-Informed Care (TIC) into an ICU setting and identifying tangible TIC actions that can be demonstrated in an ICU.
BSN Critical Care Learning Pathway
Connie Clark, RN, MSN – BCIT BSN Program Head, Dione Nordby, RN, MSN Providence Health Care Senior PCM Critical Care & Lara Parker, RN, MSN, CNCC (C) BCIT Critical Care Specialty Nursing Program Head
In response to the current nursing climate, the Ministry of Health in BC has begun exploring learning pathways for registered nurses entering the profession. In response, BCIT BSN, BCIT critical care specialty and Providence Health Care have collaborated to create a pathway for BSN students to enter the critical care environment after graduation. With this pilot, students move along the pathway starting in their final year of their BSN, and throughout their first 12 months post graduation. Our presentation will describe the pathway and our experiences with the pilot as we support our first group to transition into this specialized practice environment.
2021 Spring Innovation Roundtable
Family Centred Care in BC Critical Care Services
Allana LeBlanc
Post Extubation Swallowing Screening Trial of the Yale Tool
Nicole Desjarlais
2020 fAll Innovation Roundtable
Supporting Critical Care Staff Wellness
Derek Koch & Sybil Hoiss
Proning: Awake Non-Intubated Patients
Simmie Kalan & Rys Chapple
Research Update: The Impact of COVID-19 on Critical Care RNs
Sarah Crowe
COVID-19 Practice Initiatives: A Panel Discussion.
A Panel Discussion with Health Authority Representatives
2020 Spring Innovation Roundtable
This event was held on March 2020. We had three amazing speakers share their innovative projects to enhance the delivery of critical care in BC. Sybil Hoiss, Jamie Wlodarczac and Joelle Pellegrin shared thier project on Telehealth in Pediatric ICUs in Interior Health. Maritza Dreger from Providence Healthcare presented on the transformation to electronic charting across 3 health authorities and Karen Strybos presented on family presence in ICU rounds from Abbotsford Regional Hospital.
Transforming Critical Care by Implementing an Electronic Health Record System Across 3 Health Authorities
Telehealth & Pediatric Intensive Care in Interior Health
Family Presence in ICU Rounds - Abbotsford Regional Hospital
2019 Conference - Handshake BC
ICU Nursing Across The Province
Conference Intro
Vini Bains – Clinical Nurse Specialist – Critical Care PHC.
Vancouver General Hospital's ICU & HAU
Allana LeBlanc, Clinical Nurse Specialist – ICU & HAU
Fraser Health's Critical Care Network
Emily Boorman – Clinical Nurse Specialist
Critical Care in Interior Health - An Introduction
Sybil Hoiss – Clinical Nurse Specialist
Launching A Critical Care Outreach Team at St. Paul's
Vini Bains – Clinical Nurse Specialist
2019 Spring Innovation Roundtable
Wishing Well Update
Allana Lebanc, VGH ICU & HAU Clinical Nurse Specialist (Video Timing ==> 0:00 to 29:59)
End-of-Life Care in Interior Health ICUs
Sybil Hoiss, Clincal Nurse Specialist (Video Timing ==> 30:00 to 59:59)
Communication Access in the ICU
Gail Gurprich RSLP, Tammy Vigliotti RRT; St Paul’s ICU (Video Timing ==> 1:00:00 to end)