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INSIDE THIS ISSUE Hospital Spotlight HRH...................................1

President’s Message.......................................2

Hospital Spotlight TWH...................................3

Education Review/Update..............................4

Posters for Upcoming Events......................5-6

Upcoming Events and Conferences...............7

Executive Team 2017-2018 ...........................7

Contact US........... .........................................7

TORONTO CHAPTER NEWSLETTER

Hospital Spotlight

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 6th 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

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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 (2016-2017), 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 12th/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 e-mailing 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

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Hospital Spotlight

Thanks, Karen Bennet Patient Care Coordinator Karen Meredith Patient Care Coordinator Rebecca Sinyi Advanced Practice Nurse Educator

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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 3-4.5 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.

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.

STROKE CARE UPDATE

To learn more about stroke recognition and treatment consider signing up to attend the CACCN’s Neuro Review course. See page 7 for Workshop.

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POSTERS OF UPCOMING EVENTS

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CACCN TORONTO CHAPTER EXCUTIVE TEAM 2016 -2017

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Thank Yous

Thank you for attending

Dynamics 2014

CNA Critical Care Certification Application: June 1- September 1/2017 Exam Period: November 1- 15

Dynamic Early Bird Registration/Tuition Coupons Expire August 24th/2017 Educational Award September 1st/2017 Visit www.caccn.ca for Award Information

Advance Ostomy Care and Management September 4th- November 12th

2017 o University of Toronto Bloomberg Nursing: Centre for Professional Development Toronto, ON

Dynamic 2017 Registration closes Spetember 7th/2017

Dynamics of Critical Care 2017 September 25-27th/2017 Toronto, ON

Critical Care Canada Forum 2017 October 1-4th/2017 Toronto, ON

Canadian Cardiovascular Congress October 21-24th/2017 Vancouver, BC

Executive Term: July 1st/2017 to May 30th/2018 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 79660 1995 Weston Road, Toronto, ON, M9N 3W9 Email:

caccn.executive@gmail.com Website:

http://www.torontocaccn.ca Twitter:

@caccntoronto

EXECUTIVE TEAM MEMBERS