A monthly summary of activities and announcements relating to personal care in Winnipeg. Occupational and Environmental Safety and Health Training

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Personal Care Home A monthly summary of activities and announcements relating to personal care in Winnipeg Occupational and Environmental Safety and Health Training Occupational and Environmental

1 Personal Care Home A monthly summary of activities and announcements relating to personal care in Winnipeg Occupational and Environmental Safety and Health Training Occupational and Environmental Safety and Health Training for Personal Care Homes was held at Deer Lodge Centre on October 13 and 14. The two day session was attended by representatives from Oakview Place, Holy Family Nursing Home, Foyer Valade, Vista Park Lodge, Poseidon Care Centre, West Park Manor and Deer Lodge Centre. Topics covered included Roles and Responsibilities of Health and Safety Committee Members, Facilitating Productive Meetings and Group Decision Making, What Does the Law Say? Current Regulations and Proposed Changes, OESH Issues in Healthcare, Inspections and Creating Checklists, Investigations and Case Studies and Making Safety Fun. Thanks to Shirley Layne and Kathy Kelly for their presentations. For further information related to Occupational and Environmental Safety and Health please contact Shaun Haas, Deer Lodge Centre Safety Coordinator and Consultant to the Personal Care Home Program at or shaas@deerlodge.mb.ca. Misericordia: Director, Long Term Care Programs I am pleased to announce the appointment of Patty Johnson, RN, BN to the position of Director, Long Term Care Programs effective November 14, Patty joins the Misericordia Team with extensive experience in the Long Term Care area at both site and regional levels. Patty comes from the Interlake Regional Health Authority where she has had responsibility for the Regional Long Term Care Services. Her experience in the area of program planning and standards reviews will assist the Long Term Care Program and staff in continuing to provide a high standard of care ans service. Patty can be reached at and her office will be located in Misericordia Place on the main floor Room 147. Please join me in welcoming Patty to the Misericordia Family. Pat Hales Acting Chief Nursing Officer Volume 2, Number 8 1 October, 2005

Passage to Excellence Skills Review: River East Personal Care Home The staff at River East Personal Care Home took part in a 3-day Annual Skills Review on June 21-23, 2004.

Lisa Martens, DOC started this program 5 years ago in an attempt to assure that all staff has carried out their annual review and that there was a record of such maintained on their individual file.

There is space on the passport for the attending management staff to validate that the skill has been successfully demonstrated.

understood. They also re-sign their pledge of confidentiality. Body Mechanics staff must satisfactorily demonstrate good body mechanics while using a slider or lifting an object.

2 Passage to Excellence Skills Review: River East Personal Care Home The staff at River East Personal Care Home took part in a 3-day Annual Skills Review on June 21-23, The annual review of the 6 skills is mandatory for all staff of this East Kildonan Personal Care Home. Lisa Martens, DOC started this program 5 years ago in an attempt to assure that all staff has carried out their annual review and that there was a record of such maintained on their individual file. Each staff member is issued a passport which outlines the 6 skills required to be completed. There is space on the passport for the attending management staff to validate that the skill has been successfully demonstrated. The 6 Skills Booths were as follows: PHIA Personal Health Information Act staff must review posted information and answer a series of questions to ensure that the Act & how it applies to them is understood. They also re-sign their pledge of confidentiality. Body Mechanics staff must satisfactorily demonstrate good body mechanics while using a slider or lifting an object. Code Green Evacuation Technique The Sheet Slide staff must satisfactorily demonstrate the sheet slide technique for removal of bedridden residents in a disaster scenario. The use of new door identifiers was demonstrated. A plastic flag has been installed on each door so that it can be turned to signify that the room has been checked during either a fire or disaster. Code Red Review staff must satisfactorily demonstrate knowledge of the procedures to be followed in case of a fire using the acronym REACT. Hand Washing staff must satisfactorily demonstrate a 10 second medical hand wash. There was an ultra violet light for staff to hold their hands under to assure that they had been properly cleansed. Restraints staff must identify 3 alternatives to employing the use of a restraint. They then had to demonstrate the proper procedure in applying a restraint if the alternatives were unsuccessful. When all of the skills have been completed the passport is given to the Staff Development coordinator and is recorded on their individual file. From the completed passports a draw for various prizes was held. The staff appeared to be having a lot of fun with this and were eager to complete the challenge. What a great way to assure that all your staff maintains their skills! Congratulations Staff and Management of River East Personal Care Home! 2

CNS Palliative Care Program presented at Provincial Health Conference (From left to right) Deanne O Rourke, CNS PCH Program, Kathleen Klaasen, CNS PCH Program and Suzanne Wowchuk, CNS Palliative Care

3 CNS Palliative Care Program presented at Provincial Health Conference (From left to right) Deanne O Rourke, CNS PCH Program, Kathleen Klaasen, CNS PCH Program and Suzanne Wowchuk, CNS Palliative Care Sub-program, with their poster presentation titled Enhancing Clinical Capacity and Knowledge in Winnipeg Personal Care Homes, at the 2005 Provincial Health Conference. The CNS Clinical Corner Question: One of the residents in my facility had a Hollister HeelBoot. When the resident died, the family donated the Hollister HeelBoot to our facility. Can we use the HeelBoot for another resident? Answer: Absolutely. However, you need to keep in mind the following: The liner of the Hollister HeelBoot needs to be replaced between residents. Replacement liners are available at Diamond Athletic Medical Supplies (1387 Grant Avenue), Medimart Pharmacy (756 Pembina Highway), PharmaPlus (233 Kennedy Street), Tache Pharmacy (400 Tache Avenue). The shell of the Hollister Heel Boot needs to be cleaned with Hydrox or a similar disinfectant (the same solution that you use to clean down bedside tables, railings, etc.). Ask your Occupational Therapist to ensure the Hollister HeelBoot is the appropriate size for the next resident. Regular Heel Boots are sized for residents with less than 16 inch mid-calf circumference. Large HeelBoot are sized for residents with 16 inch or greater mid-calf circumference. For other types of heel offloading devices, please check with your Occupational Therapist and/or the vendor to ensure the devices are appropriate for multiperson use. If you have any other questions you wish to see answered in this column, please them to either Deanne O Rourke at dorourke@wrha.mb.ca or Kathleen Klaasen, CNS, at kklaasen@wrha.mb.ca 3

4 IS IT A COLD or IS IT INFLUENZA? GET THE SHOT - NOT THE FLU! Did you know that getting immunized is an important resident safety issue? Did you know healthcare workers can spread influenza to residents, possibly leading to influenza-related illness and death; and did you know healthcare workers could also spread influenza to their co-workers? Did you know when healthcare workers get sick with the flu; the result is absenteeism and disruption of care? Did you know that last year reported immunization rates for the WRHA Personal Care Home staff ranged from 20.7% to 89% with an overall average of 42.2%? Did you know as a healthcare worker getting the flu shot protects the resident, families, your co-workers and you. Did you know as a healthcare worker getting the flu shot helps prevent illness and death. And did you know as a healthcare worker getting the flu shot decreases sick leave. HELP PROTECT THE RESIDENTS AND OTHERS. GET YOUR FLU VACCINE, AND ENCOURAGE YOUR CO-WORKERS TO DO THE SAME. Reference: 4

5 WRHA Infection Prevention & Control Routine Practice Project Update The purpose of this project is to provide education on Infection Prevention and Control Routine Practices and precautions to all health care providers employed in the region. This education is essential to satisfy accreditation requirements and is in accordance with WRHA Routine Practice Guidelines and Policies. Although Personal Care Homes have implemented an Infection Prevention and Control Routine Practices policy/procedure and have incorporated it into their practice, this project will give sites an opportunity to ensure direct and indirect health care providers are current in Routine Practices. Training in our sites will resemble a refresher and return demonstration to verify skill. We plan to start an Educational Blitz in November to provide Routine Practices training to the majority of staff. Initial sessions will be made available in all sites. In addition, Train-the-Trainer sessions will be offered to designated PCH staff. We will be starting to contact your designated Site Leads to make arrangements for this education. For this education to be Personal Care Home specific, we have developed an Infection Prevention and Control Routine Practices Self Learning Package and video for the Personal Care Home Program. We would like to extend a special thank you to Bethania Personal Care Home and their staff for participating in the development of the Routine Practices video. To support the success of the Routine Practices each PCH will have a designated Site Lead. This individual will be the main contact during the course of the project, coordinate the local RP educational sessions, forward staff names for Train-the-Trainer sessions, and provide evaluation information to the RP project team as requested. All sites should have provided the name of your Site lead. If you have not already done so, please provide the name of your designated Site Lead to Betty Taylor at or to btaylor@wrha.mb.ca If you have any questions about this project, please contact either Betty Taylor at or Marianne Woods at

6 Technological Advancements in the Personal Care Home Program continues with the use of the RAI/MDS 2.0. We are the children of a technological age. We have found streamlined ways of doing much of our routine work. Printing is no longer the only way of reproducing books. Reading them, however, has not changed... Author: Lawrence Clark Powell These are wise words, and not so unlike the words that should be chosen to describe the Regional efforts to bring computerized resident information into everyday life. As care providers, we try very hard to be sure of our judgments and decisions when developing care plans and interventions to meet the individual residents needs in our Personal Care Homes. Ongoing education and training is necessary to keep up to the ever-challenging demands of today s health needs. Adopting technological approaches for the assessment of Resident needs has been a Regional, Provincial and National focus in Long Term Care. The Resident Assessment Instrument (RAI), which includes the MDS assessment, has been a great leap into technology for the Personal Care Home Program. This assessment tool has been introduced to act as a support for evidenced based decision-making. However, we remain very aware that our mandate to care for the residents has not changed. The resident remains our priority. The Region s Non-proprietary Personal Care Homes had sent sixty seven of their staff for training in the RAI process between the months of April and November in These staff went through training that involved computer education, assessment training and software program training. Those sixty-seven persons, in turn, have trained well over 800 interdisciplinary team members throughout the PCH program. This effort will benefit future projects that have demands for technological skills. Computer competencies have sharply increased and the foundation is set for any other systems that may require personal care home staff to have this knowledge. At this time the data that has been entered into the RAI/MDS 2.0 is being used by the PCH sites to make decisions about resident care for over 5300 persons in the region. Care Plans are being designed to meet specific, individual care needs based on consistent and team-based information collected by the MDS. Sites now have measurable data that allows for evidenced based quality care and interventions. Anyone wishing to know more about the RAI/MDS 2.0 is welcome to contact Caroline Boyd, RAI Coordinator for the PCH Program, or cwboyd@wrha.mb.ca We want your stories! Do you have news stories, resident profiles or successes in the services you deliver? There are many great things happening in Personal Care Homes in Winnipeg, and we want to share stories from PCH s with others through the PCH View. If you have questions about submitting articles, please contact Leanne Drad at or ldrad@wrha.mb.ca. 6

7 Web Picks from the J.W. Crane Memorial Library This month s Web Picks focus on three websites which promote best practice in geriatric nursing. Gerontological Nursing Demonstration Project website The goal of the GNDP Project is to enhance care provided to older people by establishing a network to develop, disseminate, implement and demonstrate best practices in gerontological nursing. Includes a selection of best practice statements, a newsletter, a statement of principles for caring for older people, and links to other resources. John A. Hartford Foundation Institute for Geriatric Nursing website This site includes position papers; the Try This assessment series, Nursing Counts a column which appears in the Amerian Journal of Nursing and numerous other publications and links. John A. Hartford Center of Geriatric Nursing Excellence website The Harford Center of Geriatric Nursing Excellence seeks to train nurse scientists and clinicians to ensure that best geriatric practices are produced and used by educational programs to that prepare geriatric nurse clinicians; practicing clinicians and clinical agencies; policy-makers and the public. In the Nurses section of the site you ll find the Toolkit for Promoting Evidence- Based Practice. And don t forget: If you re interested in this or any other healthcare related topic, the J. W. Crane Memorial Library at Deer Lodge Centre is now offering free literature search services and article delivery service for all Winnipeg personal care home staff. Library staff will perform literature searches on your topic of interest, and provide a list of references and abstracts to journal articles, books and websites. You may then identify and request any articles, books or videos on this listing from the Library. To request a literature search, , fax or phone Laurie Blanchard, Outreach Librarian at lblanchard@deerlodge.mb.ca, FX: (204) or by phone at (204) Web Picks highlights recent web-based resources of interest to staff working in long term care settings. If you have difficulty accessing any of the links provided, or need help in locating web - based or other resources in your particular area of interest, please let us know. Need more information? Check the Crane Library catalogue search_catalogue.asp for additional print, video or web based resources in your area of interest, or contact library staff for assistance at

8 J.W. Crane Library available to personal care home staff Many personal care homes have taken advantage of the Crane Library located at Deer Lodge Centre. For all your research and information needs, the library can help you. The Crane s collection houses over 10,000 books, monographs and reports, 800 audio-visual titles and 220 journals. The library can be contacted at: J. W. Crane Memorial Library Deer Lodge Centre; 2109 Portage Avenue Winnipeg, Manitoba; R3J OL3 Tel: (204) ; FAX (204) jwclib@deerlodge.mb.ca Or on the web at Do you need information on a health topic? The J. W. Crane Memorial Library at Deer Lodge Centre is now offering free literature search services and article delivery service for all Winnipeg personal care home staff. Library staff will perform literature searches on your topic of interest, and provide a list of references and abstracts to journal articles, books and websites. You may then identify and request any articles, books or videos on this listing from the Library. To request a literature search, , fax or phone Laurie Blanchard, Outreach Librarian at lblanchard@deerlodge.mb.ca, FX: (204) or by phone at (204) Please include: your full name name and address of the personal care home where you work phone number the date you need the information by Reference Search Request forms are available on request. More services will be available to personal care home staff in the future. These will be announced in future issues of PCH Views. For further information contact: Laurie Blanchard, or Tania Gottschalk, Your search results will be better if you provide as many specific details about your search as possible, including: any authors, or organizations you know about that have written on the topic whether you are interested in a specific format such as books, videos, journal articles, web sites the publication date range (eg. current year, last 5 years) the purpose of your search (for a presentation, research project, course work, etc.) how you want your literature search delivered (by , fax or through the Medical Carrier System). Please note that due to copyright restrictions, journal articles cannot be ed. 8

A monthly summary of activities and announcements relating to personal care in Winnipeg

Personal Care Home A monthly summary of activities and announcements relating to personal care in Winnipeg Luther Home: RAI/MDS Pilot site revisited During the first phase of the RAI/ MDS Implementation