Hospital Spotlight INSIDE THIS ISSUE TORONTO CHAPTER NEWSLETTER S U M M E R Hospital Spotlight HRH...1. President s Message...

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Caren Patrick
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.....7 Hospital Spotlight dd The Humber River Hospital (HRH) is one of Canada's largest regional acute care hospitals, serving a catchment area of more than 850,000 people in the northwest GTA.

The ICU currently operates 40 beds and expects to reach full occupancy in the next 3 years. Our ICU environment of care was designed to enhance patient and family experience.

1 S U M M E R INSIDE THIS ISSUE Hospital Spotlight HRH...1 President s Message...2 Hospital Spotlight TWH...3 Education Review/Update...4 TORONTO CHAPTER NEWSLETTER Posters for Upcoming Events Upcoming Events and Conferences...7 Executive Team Contact US Hospital Spotlight dd The Humber River Hospital (HRH) is one of Canada's largest regional acute care hospitals, serving a catchment area of more than 850,000 people in the northwest GTA. We have a total of 656 beds, 3,300 staff, approximately 750 physicians and 650 volunteers. The HRH Intensive Care Unit (ICU) has 48 physical beds that occupy the entire 6 th floor. The ICU currently operates 40 beds and expects to reach full occupancy in the next 3 years. Our ICU environment of care was designed to enhance patient and family experience. All of the patient rooms are private with a window, have patient reclining chair, and sleeper chair for family members use during their stay. We have a 24 hour visiting policy, and family members can stay overnight to our two courtesy rooms with shower capabilities. We have a diverse inter-professional team with a wide range of expertise and experience who delivers patient centred-care and evidence- based practices grounded on HRH values of compassion, professionalism and respect. We also provide a Nurse led Care Response Team (CCRT) in the hospital. Our current ICU initiatives are the implementation of the ABCDEF bundle and Family Satisfaction (FS) ICU 24 Survey. Our digital ICU utilizes and operates different electronic and information technologies and other state of the art ICU equipment. Each room has an integrated bedside terminal (IBT), a multi-purpose device for entertainment, communication, access to electronic record and education resources, control of environment such as light, temperature and tinting of windows, and scanning patient s medications and arm bands to ensure safety. We have an integrated system that links Patient/Nurse Call system, electronic medical record, physiologic monitors, ventilators, and communication devices to support workflow efficiency, effective communication, easy access to patient information, documentation, and data management. Our ICU s goals and objectives are aligned with HRH vision of becoming a high reliability organization. We are the first advanced digital facility in North America and we are continuing to expand our digital capabilities. Thank you CACCN for highlighting our Critical care facilities at Humber River Hospital. Jane Cornelius, RN, BScN ICU Manager Francis Cacao, RN, BScN, MN, CNCC (C) ICU Clinical Practice Leader Humber River Hospital

2 President s Message S U M M E R Welcome to Summer 2017 Edition of Critical Connection Toronto Chapter Newsletter-It is bitter sweet that this will be my final newsletter submission as our Chapter President. After an amazing 7 year experience working alongside you and within the structure of this wonderful organization I can t help but feel proud of all we have accomplished together and excited for all that is to come. I have enjoyed the privilege of leading our chapter and I have met many amazing people along the way; our members, supporters, sponsors and our amazing executive partners across the organization. What has been consistent across the years no matter what the issue or project I have been involved in is that critical care nurses are well positioned to impact the quality of critical care Canadians receive. Critical care nurses have the ability and agility to connect large numbers of people both in the clinical setting and within our organization. Nursing & Critical care nursing is an extraordinary field, so remember to be proud of what you have/can accomplish, keep exploring, keep engaged and stay focused on excellence. Serving on an executive is a wonderful experience; often invisible and thankless, however your Toronto executive has served our members tirelessly and with great enthusiasm. My sincerest thank-you to all the executive members for sharing their time, knowledge, commitment, creativity and many ideas to offer you the best in critical care nursing. The end of this term ( ), we are wishing farewell to Raaj Sekhon (Secretary) and Christine Wong (Education/Evolutions Coordinator), it has been a pleasure to work alongside both and witness your passion and commitment to our specialty. I would also like to reflect on the current time, new goals and the future direction for our Toronto Chapter. Over the last year the Toronto Chapter has updated our website as we continue our partnership with The Wire. Website is now easier to navigate. Please twitter us with any new updates in practice or anything you feel our members would benefit from knowing. We partnered & will continue to partner with two great community organization-sleeping Children Around the World and Canadian Food for Children and all our vendors/sponsors who help to support our educational events. We held three successful OTN/In-person Lunch and Learn sessions in Oshawa, Toronto & Barrie. I would like to thank our Liaison from Lakeridge Health-Shelley Hinds for arranging the Oshawa lunch & learn and Carranza LLP for sponsoring the event. I would also like to thank Jo Ann Fernando for assisting with the Toronto lunch & learn & Trillium Gift of Life for sponsoring speaker and event also thanks to Jennifer Kluszczynski at Royal Victoria Regional Health Center Hospital and Phillips HealthCare who sponsored speaker and lunch and learn event in Barrie. We also want to say a special thank-you to Patricia Connick Clinical Educator at Muskoka Algonquin HealthCare for assisting in providing information from the chapter for our northern members and non-members. We held two review workshops at North York General Hospital, facilitated by Michelle Cleland. Thanks very much too all our members who attended the workshops and contributed to our sleeping Kit & food & clothing drive. We registered with Go-To-Meeting to have an easier forum to hold our executive meetings. Please join us to see what s up with your Chapter executive team. Meetings remained very effective & engaging. Looking ahead: Quality educational activities on changes in critical care Roadshow recruitment to promote/market Toronto Chapter & CACCN Starting Journal Club using Go-To-Meeting Update regarding our Annual Evolutions Conference; Evolutions will return on Monday, April 16th/2018. Our AGM was held at Toronto General Hospital and also Go-To- Meeting webinar on Wednesday, July 12 th /2017. Please see our website for meeting minutes & presentation. We as critical care nurses are a dynamic force with strong voices that need to be heard, please support your Executive committee in attending the best educational sessions, updates, and issues surrounding current trends in critical care. We want to hear from our members and non-members either through offering your voice through our newsletter, which is distributed quarterly, Twitter or ing at caccn.executive@gmail.com We are looking forward to everyone s continued support of our Chapter and we encourage all our colleagues to join CACCN- Toronto Chapter. As a critical care community we really need to work together and support each other to keep us strong and updated. I would to like to introduce everyone to your hard-working 2017/2018 Toronto Chapter Executive Committee: Veronica Dekker-Interim President & Treasurer, Teresa Robitaille-Secretary, Audra Huxtable-Newsletter Coordinator, Jo-Ann Fernando-Website Coordinator, Michelle Cleland-Membership Coordinator, Karen Dryden-Palmer-Pediatric Consultant & myself Ingrid Daley- Education/Evolutions Coordinator. Enjoy your summer everyone!! We will resume Chapter updates in September!!! I want to leave everyone with two beautiful quotes from strong and wise leaders: It is not how much you do, but how much love you put into the doing that matters Mother Theresa They may forget your name, but they will never forget how you made them feel Maya Angelou Thanks Ingrid Daley, Immediate Past-President

S U M M E R 2 0 1 7 3 Hospital Spotlight Thanks, Karen Bennet Patient Care Coordinator

3 S U M M E R Hospital Spotlight Thanks, Karen Bennet Patient Care Coordinator Karen Meredith Patient Care Coordinator Rebecca Sinyi Advanced Practice Nurse Educator

The good news is due to better early recognition and early management strategies approximately 80% of stroke patients survive.

4 Every year approximately 62,000 Canadians are affected by stoke and transient ischemic attacks. It is estimated that for each symptomatic stroke there are nine silent strokes that affect subtle changes in cognitive function. The good news is due to better early recognition and early management strategies approximately 80% of stroke patients survive. New management strategies include the administration of tpa within the first hours of stroke onset as well as the inclusion of mechanical thrombectomy within the first six hours of symptom onset have increased survival rates tremendously. STROKE CARE UPDATE S U M M E R Looking after a patient with a newly diagnosed stroke requires frequent neurological assessments by health care providers. This monitoring will help to quickly detect any patient who develops a hemorrhagic conversion. Hemorrhagic conversion occurs when ischemic brain tissue begins to hemorrhage causing a hemorrhagic stroke to occur. Patients who experience a hemorrhagic conversion may require life saving brain surgery to evacuate the blood. The most common neurologic assessment tool used at the bedside is the Glasgow Coma Scale (GCS). Unfortunately this scale does not capture subtle neurological changes in conscious and aphasic stroke patients. The Heart and Stroke Foundation recommends the Canadian Neurological Scale to be used to assess acute stroke patients for the first 24 hours from stroke onset. This tool is easy to use and is well tested for reliability and validity. To learn more about stroke recognition and treatment consider signing up to attend the CACCN s Neuro Review course. See page 7 for Workshop.

5 POSTERS OF UPCOMING EVENTS S U M M E R

6 S U M M E R CACCN TORONTO CHAPTER EXCUTIVE TEAM

CNA Critical Care Certification Application: June 1- September 1/2017 Exam Period: November 1-15 Dynamic Early Bird Registration/Tuition Coupons Expire August 24 th /2017 Educational Award September

ca for Award Information Advance Ostomy Care and Management September 4 th - November 12 th 2017 o University of Toronto Bloomberg Nursing: Centre for Professional Development Toronto, ON Dynamic

Cardiovascular Congress October 21-24 th /2017 Vancouver, BC S U M M E R 2 0 1 7 7 Thank EXECUTIVE Yous TEAM MEMBERS Thank Executive you Term: for attending July 1st/2017 to May 30th/2018 Dynamics

7 CNA Critical Care Certification Application: June 1- September 1/2017 Exam Period: November 1-15 Dynamic Early Bird Registration/Tuition Coupons Expire August 24 th /2017 Educational Award September 1 st /2017 Visit for Award Information Advance Ostomy Care and Management September 4 th - November 12 th 2017 o University of Toronto Bloomberg Nursing: Centre for Professional Development Toronto, ON Dynamic 2017 Registration closes Spetember 7 th /2017 Dynamics of Critical Care 2017 September th /2017 Toronto, ON Critical Care Canada Forum 2017 October 1-4 th /2017 Toronto, ON Canadian Cardiovascular Congress October th /2017 Vancouver, BC S U M M E R Thank EXECUTIVE Yous TEAM MEMBERS Thank Executive you Term: for attending July 1st/2017 to May 30th/2018 Dynamics 2014 Veronica Dekker Interim President Ingrid Daley Immediate Past President Secretary Teresa Robitaille Michelle Cleland Membership Coordinator Ingrid Daley Education/Evolutions Coordinator Veronica Dekker Treasurer Karen Dryden-Palmer Pediatric Consultant Jo-Ann Fernanado Website Coordinator Audra Huxtable Newsletter/Editor Coordinator CACCN TORONTO CHAPTER Mail: P.O. Box Weston Road, Toronto, ON, M9N 3W9 caccn.executive@gmail.com Website:

Use of water swallowing test as a screening tool in acute stroke unit

Use of water swallowing test as a screening tool in acute stroke unit Amy Wong 1, Fanny Ip 2 & Ripley Wong 1 Queen Mary Hospital Presentation quote 1: Speech Therapists, Speech Therapy Department 2: Ward