PROVIDENCE HEALTH CARE HOSPITAL APPROVAL CONTACTS

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1 PROVIDENCE HEALTH CARE HOSPITAL APPROVAL CONTACTS Please contact the following individuals to obtain hospital approvals (departments listed in alphabetical order below). Each hospital department or service area will advise you of their specific requirements for approval of the research project. Administration and Decision Support Atherosclerosis Specialty Laboratory (ASL) Ambulatory Care SPH Outpatient Department - Vascular Lab, Foot and Ankle Clinic, Hand and Wrist Clinic SPH GI Clinic ENT Clinic/Audiology Ophthalmology Clinic Mt. St. Joseph's Breast Clinic Communications - Display of Posters, Study Recruitment Advertisements Please note that communications departmental approval of posters and study recruitment advertisements is no longer required. In order to be displayed at a Providence Health Care site, all such material must have Research Ethics Board approval, and must comply with the following criteria. ECG Emergency Department Heart Centre Units and Clinics Cardiac Intensive Care Unit (formerly Coronary Care Unit) Cardiac Obstetrics Clinic Cathy Helliwell Vice President, Innovation, Patient Safety & Information Management George Lee Operations Leader, Healthy Heart Ambulatory Care Operations Leader Anastasia Elworthy 1. The PHC logo must be inserted on the material. PHC logo 2. The material must state that the study has received Ethics approval from one of the UBC Ethics Boards. 3. The material must be attached to notice boards and not taped to walls. Lorraine McGrath Supervisor - Cardiology Lab Pat Munro Operational Leader Bonnie Kong Please complete the Summary of Proposed

2 Cardiac Surgery Intensive Care Unit Cardiology Telemetry Unit (5A) Cardiac Surgery Telemetry Unit (5B) Cardiac Short Stay Unit Cardiac Catheterization Laboratories Echocardiography Laboratory Electrophysiology Laboratory Heart Transplant Clinics Heart Function Clinic Heritable Aortopathies Clinic Hypertrophic Cardiomyopathy Clinic Inherited Arrhythmia Clinic Pacific Adult Congenital Heart Clinic Pacemaker and Device Clinic TAVI Clinic Atrial Fibrillation Clinic Healthy Heart Program (includes Cardiac Rehab and Cardiac Prevention) Health Information Management (HIM, formerly known as Health Records NOTE: HIM is responsible for the storage and maintenance of discharged patient's charts. PHC Institutional Approval and Ethics Approval is required before HIM can provide access to patient charts for research study purposes. A 'Request for Retrieval/Access to View Patient Health Records Form' will need to be completed and will be issued by HIM. If the research study involves patient charts discharged after April 1, 2006 (for all care levels except Residential Care), PHC PCIS access is required as these patient charts are only viewable electronically. (Forms can be found on PHCRI website under Institutional Approvals) Clinic charts can either be stored on the unit or within HIM. Researchers are directed to approach the Clinical Operations Leader first to obtain approval before PHC Institutional Approval and Ethics Approval can be released. ICU - Intensive Care Unit ICU Database Research for Operations Leaders and forward to Bonnie Kong, Heart Centre Administrative Assistant. Document can be found on PHCRI website under Institutional Approvals. Jane Chen Interim Manager for PHC Records Management Dr. Peter Dodek

3 ICU - Intensive Care Unit Research involving patients and/or staff Dr. Demetrios Sirounis Medical Director ICU and Interpreter/Translation Requests Laboratory (Blood/Urine collection and processing) Laboratory - Anatomical Pathology - Tissue Slides and Blocks Lupus Clinic (Rapid Access Clinic) Marion Hospice Medicine Program & Ambulatory Medical Inpatient units at St. Paul s Hospital: 7A,B,C,D 8A Mount St. Joseph 3rd and 4th Floor Ambulatory Care including; Diabetes, Medical Short Stay, Hemophilia, Hemoglobinopathy Clinics, Home Enteral and Parenteral Therapy, and the Ambulatory Care at Mount St. Joseph Nursing Janice Leonard Operations Leader Intensive Care Unit Diversity Services - Providence Health Care Interpreter Form_ Research 2009 Ms. Meghan McLennan Research Lab Coordinator ext Ms. Sue Finley Technical Leader Anatomical Pathology Dr. Jennifer Reynolds St. Paul's Hospital Division of Rheumatology Lupus Clinic Director # Burrard Street, Vancouver Simin Tabrizi Operations Leader (contact for hospice approvals for research) Sandra Barr Director, Medicine Program Providence Health Care Candy Garossino Director, Professional Practice & Nursing

4 Occupational Therapy Professional Practice Leader for Occupational Therapy ext Ophthalmology Pacific Lung Pharmacy - Inpatient Pharmacy - Outpatient Psychiatry Dr. Pierre Faber Head Ophthalmology Providence Health Care ext Lynda Lazosky Clinical Research Manager internal ext Mara Pavan Inpatient Study Pharmacist ext Iris Lee Outpatient Study Coordinator Scott Harrison Program Director HIV/AIDS & Addiction Services Jennifer Duff Program Director for Mental Health ext Physiotherapy Radiology - X-Ray, CT, MRI, and Radiology Database Gabriele Yoneda Professional Practice Leader Vivian Brooks Administrative Assistant Radiology

5 Renal Program Renal Program Renal Program Residential Care Respiratory Services Surgery Program (Operating Room) Ceclia Chow Operations Leader - Community Dialysis Units Temporary Contact: Danilyn Graham Catherine Sullivan - Operations Leader In- Centre Hemodialysis Unit (6 C/D and Vascular Access Service Michele-AnneTrask Operations Leader - Kidney Function Program, Peritoneal Dialysis Program, Renal Transplant Program and Nephrology/Urology Inpatient Unit (6B) Heather Mak Program Director Elder Care and Palliative Services, Youville Residential Hospital Chris Gagnon Professional Practice Leader Respiratory Services Linda Lemke Director Maternity Services and Surgery Program Please complete the Surgery and Maternity Areas Approval Form and forward to Jill Costantino, Maternity Services and Surgical Program Administrative Document can be found on PHCRI website under Institutional Approvals.

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