SPANC Minutes

SPANC Meeting Minutes
November 5, 2008

In Attendance
Ramona Hackett
Sandi Weir
Janet Stimec
Jane Atkinson
Rose Diamond
Betty Mannino
Debbi Jugmohan
Delia Muresan
Anna Jackson
Mila Kaplanski
Carol Deriet

Meeting commenced at 11:35

1. It was noted that many months have passed since there has been a formal SPANC meeting. Minutes from Jan 31, Apr 3, and June 4 reviewed and discussed.
2. Meeting times discussed and revised. Decision made to conduct SPANC meetings first Wednesday of every month between 11:30-13:30 in room MB206
3. As SPANC is intended to be inclusive of ALL PeriAnesthesia areas, it has been decided that it is necessary to have a representative, and co-representative for each unit. The representatives will encourage staff to attend SPANC meetings
Janet Stimec has agreed to be the representative for PACU with Sandi Weir being the co-representative.
Debbi Jugmohan has agreed to be the representative for SSSU.
Volunteers are required to be representatives and co-representatives for PAC and SDS

4. Betty Mannino and Sandi Weir have agreed to take turns attending Corporate Nursing council every other month. Jane Atkinson has indicated an interest in rotating through.
5. Ramona would like to see more people contributing towards the Blog. Ideas are needed that will address concerns, promote education and information, quizzes, etc.
6. Handover Tool discussed. It has been noted that SDS has not been completing their section of the tool. It is felt that there is already so much documentation to do and that there is not enough time to fill in one more document when the priority is preparing the patient for the OR. Some of the information in their section is redundant. Discussed that this project was to promote continuity of communication, and to be one of the first PeriAnesthesia areas in the country to trial this. Agreed that as it is a trial, there is room for adding/eliminating sections. In the meantime, SDS encouraged to try to complete their section, or at least the areas pertaining to CPAP and patient Belongings.
7. Carol added that there have been too many cases now where CPAP machines have gone missing and that there needs to be a sign-over sheet from one RN to another, or porter to RN etc.
8. PACU is trialing new lunch hours 11, 12, 13,1400hrs. Evening shift would like to change their break hours as well---is this possible?
9. Discussion of Policies that need to be worked on:
-Visitor policy in PACU
-Medication policy for RN’s working in PAC/Ambulatory assessment
-Pre-op diabetic protocol (what should the RN’s be telling patients who are insulin dependant?)

10. SDS would like to update patient discharge information. Tracey DasGupta (APN from Odette) would also like to be involved with this project. Need to determine Surgeon’s preference as well.
11. Poster presentation at the NAPAN conference regarding Handover Tool.
*possible poster presentation regarding Best Practices in normothermia---something to think about


ACTIONS REQUIRED PRIOR TO DEC 3 MEETING
1. Book MB206 for the first Wednesday of every month 11:30-13:30. DONE
2. SSSU Co-Reprehensive: ___Seema Ratanshi____
PAC Representative: _____________________________________
PAC Co-Representative:__________________________________
SDS Representative: _____________________________________
SDS Co-Representative:___________________________________
3. Sandi Weir to addend Corporate Nursing Council November 26th. Betty to give Sandi the package. -Sandi to arrange schedule with Vicky.
-Jane to arrange schedule if she would like to attend this month.
4. All members to forward ideas for Blog to Ramona
5. All areas to complete their section of the Handover Tool during this trial period
6. CPAP sign-over sheet to be designed and implemented
7. Bring PAC Booklet to Dec 3 meeting to start discussion re: policy development surrounding visitors and medications
8. SDS RN’s to develop list of surgeries requiring discharge information
9. Discuss with SSI group regarding temperature discharge criteria for laparotomy patients
Meeting adjourned at 13:10
Next SPANC meeting Wednesday, December 3, 2008 - MB206 - 1130-1330