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
Showing posts with label SPANC Meeting Minutes. Show all posts
Showing posts with label SPANC Meeting Minutes. Show all posts
Thursday, November 6, 2008
SPANC Minutes
Friday, July 4, 2008
Approved Minutes from May 30th
PACU STAFF MEETING
Friday May 30, 2008 – 0900
Present: Carol Deriet, Ramona Hackett, Delia Muresan, Eric Staines, Cathy Bendayan, Julie King, Clyde Vivares, Vicky Lloyd, Shelley Warwick, Dale Peterson, Hong Ling Wu
Recorder: Joan Munro
Team Leader Role Profile: Carol Deriet distributed copies of the Team Leader role profile to be reviewed by the staff. Carol will put a sheet on the window for everyone to sign after reading the role profile. The Team Leader position will be posted once the schedule has been voted on.
New Schedule: The new schedule will be in effect by September, 2008. According to NAPAN standards, there must be two nurses to recover a patient in PACU which means two nurses must be scheduled for weekends. The workload and acuity of patients has increased over the past year. Having two nurses will provide a safe environment for patients and staff. If PACU is quiet for a period of time, the second PACU nurse should be involved in other duties, i.e. stocking or committee work. Carol Deriet will support these activities, rather than having the second PACU nurse pulled to another area by the shift manager.
TWO MASTER SCHEDULES HAVE BEEN DISTRIBUTED. PLEASE VOTE FOR MASTER #1 OR #2 AND PLACE YOUR BALLOT IN BALLOT BOX AT NURSING STATION.
OPANA: Sunnybrook staff have not been involved with OPANA in recent years, and Carol Deriet encourages PACU staff to become involved. Carol has committed to a poster presentation at the OPANA conference in October. The focus will be development of a hand-over tool to improve communication between departments. Carol welcomes any suggestions or involvement in this SPANC project.
PACU Absenteeism Policy: Copies of the policy were distributed to the staff, and will also be emailed to all staff members, to serve as information for new staff, and a reminder to all staff.
Safety Walkabout: Carol discussed the focus issues of the safety walk-about that was recently conducted. The full report will be emailed to all staff.
Handover of patients from OR to PACU: Action - Carol and Ramona are working on a tool, including questions to ask anaesthesia. The draft will be sent to PACU staff for comments and suggestions.
OR Activity varies from day to day: Action – There are some engineering graduate students working on an OR Calming project, to adjust OR bookings to be more equal from day to day. This will take time to implement, as it will impact doctors’ office hours. Patient Flow staff are more involved with OR and PACU. There is a bed huddle every day at the OR desk at 1330hrs to discuss the following days OR activity and potential bed issues. If M-Ground ORs are not using the SSSU beds, they become available for appropriate M2 patients, but M2 cannot pre-book SSSU beds at this time. The PACU holding area will open next week, Monday to Friday, 1300 – 2100.
Inadequate labeling of narcotics: Action – The PACU nurse will no longer accept narcotics from anaesthesia. Anaesthesia can give the narcotic and document it should the patient require analgesic directly on admission to PACU. If the nurse is to give narcotics, (s)he must draw own medication.
Communication: Action – Ramona posts information on her blog. SPANC opens communication within peri-anesthesia services.
Physician care of critically ill patients in PACU: Action – Carol will be meeting with OR Executive, CrCU physicians and Dr. Keith Rose to establish a policy. In the meantime, CrCU and PACU are working together for the benefit of the patients. Please forward any suggestions to Carol. Meeting is set up for July 10 with OR Management and CrCU management.
Near Misses: Action – There is a new on-line safety report for incidences and near misses. The staff reaction is that the process is long and time consuming and discourages staff from completing reports. Carol will pass this information to Cynthia Bailey.
Intimidating behavior from physicians and other units: Action – All incidents of intimidation or disrespectful attitude should be reported to Carol, who will follow-up with the individuals involved.
Nurse Safety Concerns on M-Ground: The nurses can’t see the patients well, and suggested a change in the configuration of the beds. Julie King will send an email to all staff with proposed new lay-out and ask for feed-back. Carol will investigate implementation of a new bed lay-out.
Friday May 30, 2008 – 0900
Present: Carol Deriet, Ramona Hackett, Delia Muresan, Eric Staines, Cathy Bendayan, Julie King, Clyde Vivares, Vicky Lloyd, Shelley Warwick, Dale Peterson, Hong Ling Wu
Recorder: Joan Munro
Team Leader Role Profile: Carol Deriet distributed copies of the Team Leader role profile to be reviewed by the staff. Carol will put a sheet on the window for everyone to sign after reading the role profile. The Team Leader position will be posted once the schedule has been voted on.
New Schedule: The new schedule will be in effect by September, 2008. According to NAPAN standards, there must be two nurses to recover a patient in PACU which means two nurses must be scheduled for weekends. The workload and acuity of patients has increased over the past year. Having two nurses will provide a safe environment for patients and staff. If PACU is quiet for a period of time, the second PACU nurse should be involved in other duties, i.e. stocking or committee work. Carol Deriet will support these activities, rather than having the second PACU nurse pulled to another area by the shift manager.
TWO MASTER SCHEDULES HAVE BEEN DISTRIBUTED. PLEASE VOTE FOR MASTER #1 OR #2 AND PLACE YOUR BALLOT IN BALLOT BOX AT NURSING STATION.
OPANA: Sunnybrook staff have not been involved with OPANA in recent years, and Carol Deriet encourages PACU staff to become involved. Carol has committed to a poster presentation at the OPANA conference in October. The focus will be development of a hand-over tool to improve communication between departments. Carol welcomes any suggestions or involvement in this SPANC project.
PACU Absenteeism Policy: Copies of the policy were distributed to the staff, and will also be emailed to all staff members, to serve as information for new staff, and a reminder to all staff.
Safety Walkabout: Carol discussed the focus issues of the safety walk-about that was recently conducted. The full report will be emailed to all staff.
Handover of patients from OR to PACU: Action - Carol and Ramona are working on a tool, including questions to ask anaesthesia. The draft will be sent to PACU staff for comments and suggestions.
OR Activity varies from day to day: Action – There are some engineering graduate students working on an OR Calming project, to adjust OR bookings to be more equal from day to day. This will take time to implement, as it will impact doctors’ office hours. Patient Flow staff are more involved with OR and PACU. There is a bed huddle every day at the OR desk at 1330hrs to discuss the following days OR activity and potential bed issues. If M-Ground ORs are not using the SSSU beds, they become available for appropriate M2 patients, but M2 cannot pre-book SSSU beds at this time. The PACU holding area will open next week, Monday to Friday, 1300 – 2100.
Inadequate labeling of narcotics: Action – The PACU nurse will no longer accept narcotics from anaesthesia. Anaesthesia can give the narcotic and document it should the patient require analgesic directly on admission to PACU. If the nurse is to give narcotics, (s)he must draw own medication.
Communication: Action – Ramona posts information on her blog. SPANC opens communication within peri-anesthesia services.
Physician care of critically ill patients in PACU: Action – Carol will be meeting with OR Executive, CrCU physicians and Dr. Keith Rose to establish a policy. In the meantime, CrCU and PACU are working together for the benefit of the patients. Please forward any suggestions to Carol. Meeting is set up for July 10 with OR Management and CrCU management.
Near Misses: Action – There is a new on-line safety report for incidences and near misses. The staff reaction is that the process is long and time consuming and discourages staff from completing reports. Carol will pass this information to Cynthia Bailey.
Intimidating behavior from physicians and other units: Action – All incidents of intimidation or disrespectful attitude should be reported to Carol, who will follow-up with the individuals involved.
Nurse Safety Concerns on M-Ground: The nurses can’t see the patients well, and suggested a change in the configuration of the beds. Julie King will send an email to all staff with proposed new lay-out and ask for feed-back. Carol will investigate implementation of a new bed lay-out.
Thursday, April 10, 2008
SPANC Meeting Minutes
SPANC Meeting Minutes
Thursday April 3, 2008
In Attendance
Carol Deriet, PCM
Ramona Hackett, CE
Betty Mannino, RN PACU
Sandi Weir, RN PACU
Pam Giroux, RN PAC
Seema Ratanshi, RN SSSU
Meeting Commenced at 18:10
Minutes from Jan 31, 2008 amended. Staff representation at S.P.A.N.C. to include only RN’s from the Peri-Anesthesia group for now.
Meeting Times: the group agreed that lunch times work best as it is difficult to commit to after work hours for meetings. Also, with having meeting over lunch hours, more RN’s may be willing to attend SPANC. Agreed that the first Wednesday of each month (after Nursing Council) a SPANC meeting will be held between 11:30-13:30. Carol and Ramona will be unavailable for the first Wed in May; however on May 14, 2008 room MB206 has been booked for our meeting. June 4, 2008 room MB206 has also been booked.
These lunch sessions can be more of a drop in to facilitate more input from more RN’s across the peri-anesthesia group.
Nursing Council Structure
We need to consider how we want to structure out group. Do we want a Primary leader, co-chairs, representative from each sub-group?
For now, the group has decided that Betty Mannino will be SPANC’s representative at Corporate Nursing Council meetings which are held on the last Wednesday of each month.
It was also suggested that one person from each sub-group could attend every month so everyone can have an opportunity to see what council is all about.
Update from Betty on Nursing Council Meeting Agenda for March 2008
*Recertification for WHIMIS
*Nurse Externs (STUDENT NURSES) to work at SHCS during the summer months (not in Peri-anesthesia) to ease the transition from student RN to Graduate RN.
*Nursing Nomination Forms: RN Research, Education, and Best Practice. Can nominate individuals, or a group. Review Nurses week web page for further details. Nominations are due April 18, 2008. Submit to Dawn Ashman or to Frances Flint.
*The Allergy Documentation Record expected by the end of April.
*The Double Check Policy’ Implemented for high-risk drugs. The goal is a systematic approach to double checking drugs. Target date is June 2008. It will be a standard for accreditation for 2009.
*Look for the DNR Documentation Record Sheet in the FRONT of the chart by the end of April *The DNR Confirmation Form” mandated by the Ministry of Health by the EMS.
Braden Scale documentation record. revised. A more objective format due end of April.
*Nursing Voice wants your written articles. Submission of articles to nursing council can be done online or given to Betty .
*All nurses are reminded to watch the VTE Web Video http://mysb/data/dre/vte/player.html
Blog Feedback: Not everyone is familiar with the concept of a Blog, but those who have looked at it seem to like the idea. Sandi suggested weekly trivia quizzes/ case studies. Ramona has also been interviewing nurses and will post the interviews on the blog. The idea is to continue getting to know each other amongst our varying subgroups. A Journal Club has been suggested to keep our nurses current, or give them ‘Food for Thought’
Nursing Week is May 12-18
Betty has poster ideas; they will be forwarded to Frances Flint. All members of SPANC agreed that we need to have representation this year. We will work on posters, and also design a tour so that other staff from around Sunnybrook will have an idea of who we are, where we work, and what we do.
Projects:
Subgroups can start working on Revision of unit pamphlets
Best Practice: Airway Management, throughout all the areas. Ie: Home CPAP, Extubation etc.
Policy & Procedures. There has been a discharge policy draft for review in PACU. So Far, no RN has commented on it. Input is requested so that changes can be made while the policy is still in draft form.
There will be more Policies and Procedures that need to be implemented across all groups
Ultimate goal is to work together andpresent at an OPANA meeting.
Meeting Adjourned 19:55
Thursday April 3, 2008
In Attendance
Carol Deriet, PCM
Ramona Hackett, CE
Betty Mannino, RN PACU
Sandi Weir, RN PACU
Pam Giroux, RN PAC
Seema Ratanshi, RN SSSU
Meeting Commenced at 18:10
Minutes from Jan 31, 2008 amended. Staff representation at S.P.A.N.C. to include only RN’s from the Peri-Anesthesia group for now.
Meeting Times: the group agreed that lunch times work best as it is difficult to commit to after work hours for meetings. Also, with having meeting over lunch hours, more RN’s may be willing to attend SPANC. Agreed that the first Wednesday of each month (after Nursing Council) a SPANC meeting will be held between 11:30-13:30. Carol and Ramona will be unavailable for the first Wed in May; however on May 14, 2008 room MB206 has been booked for our meeting. June 4, 2008 room MB206 has also been booked.
These lunch sessions can be more of a drop in to facilitate more input from more RN’s across the peri-anesthesia group.
Nursing Council Structure
We need to consider how we want to structure out group. Do we want a Primary leader, co-chairs, representative from each sub-group?
For now, the group has decided that Betty Mannino will be SPANC’s representative at Corporate Nursing Council meetings which are held on the last Wednesday of each month.
It was also suggested that one person from each sub-group could attend every month so everyone can have an opportunity to see what council is all about.
Update from Betty on Nursing Council Meeting Agenda for March 2008
*Recertification for WHIMIS
*Nurse Externs (STUDENT NURSES) to work at SHCS during the summer months (not in Peri-anesthesia) to ease the transition from student RN to Graduate RN.
*Nursing Nomination Forms: RN Research, Education, and Best Practice. Can nominate individuals, or a group. Review Nurses week web page for further details. Nominations are due April 18, 2008. Submit to Dawn Ashman or to Frances Flint.
*The Allergy Documentation Record expected by the end of April.
*The Double Check Policy’ Implemented for high-risk drugs. The goal is a systematic approach to double checking drugs. Target date is June 2008. It will be a standard for accreditation for 2009.
*Look for the DNR Documentation Record Sheet in the FRONT of the chart by the end of April *The DNR Confirmation Form” mandated by the Ministry of Health by the EMS.
Braden Scale documentation record. revised. A more objective format due end of April.
*Nursing Voice wants your written articles. Submission of articles to nursing council can be done online or given to Betty .
*All nurses are reminded to watch the VTE Web Video http://mysb/data/dre/vte/player.html
Blog Feedback: Not everyone is familiar with the concept of a Blog, but those who have looked at it seem to like the idea. Sandi suggested weekly trivia quizzes/ case studies. Ramona has also been interviewing nurses and will post the interviews on the blog. The idea is to continue getting to know each other amongst our varying subgroups. A Journal Club has been suggested to keep our nurses current, or give them ‘Food for Thought’
Nursing Week is May 12-18
Betty has poster ideas; they will be forwarded to Frances Flint. All members of SPANC agreed that we need to have representation this year. We will work on posters, and also design a tour so that other staff from around Sunnybrook will have an idea of who we are, where we work, and what we do.
Projects:
Subgroups can start working on Revision of unit pamphlets
Best Practice: Airway Management, throughout all the areas. Ie: Home CPAP, Extubation etc.
Policy & Procedures. There has been a discharge policy draft for review in PACU. So Far, no RN has commented on it. Input is requested so that changes can be made while the policy is still in draft form.
There will be more Policies and Procedures that need to be implemented across all groups
Ultimate goal is to work together andpresent at an OPANA meeting.
Meeting Adjourned 19:55
Monday, March 17, 2008
Introducing...S.P.A.N.C.
S.P.A.N.C.
Sunnybrook Peri-Anesthesia Nursing Council
Minutes of Meeting #1
Thursday January 31, 2008
Attendees:
Carol Deriet, PCM
Ramona Hackett, CE
Betty Mannino, RN PACU
Debbi Jugmohan, RN SSSU
Deborah Kinsella, RN SDS
Deborah Sergent, RN SDS
Rose Payne-Thomas, RN SDS
Meeting commenced by Ramona at 1820hrs
S.P.A.N.C defined: see above
Purpose of S.P.A.N.C
*To re-implement a unit based council
*to identify the unique role of the Peri-anesthesia nurse and to help staff from other areas understand what it is that we do
*to create a collegial atmosphere for sharing our professional experiences with the subgroups of Peri-anesthesia
*to facilitate open discussion and priority of issues relating to professional practice, education and research that impact on the quality of our work life and affect positive outcomes for our patients and their families.
Open discussion:
Date and time of future S.P.A.N.C meeting reviewed. Decided that meetings will take place during the first week of each month, and shall occur after the SHSC Nursing Council which occurs the last Wednesday of each month. Exact time and place will fluctuate depending on needs of staff wishing to attend.
Recommendations to encourage staff representation at S.P.A.N.C meeting to be interdisciplinary as all roles serve to promote positive patient outcomes
In the long term, promotion of subgroups to meet the unique needs of individual nursing units in order to facilitate Best Practice Guidelines and Nursing Research.
Sunnybrook Nursing unit council discussed. Peri-anesthesia nurses encouraged to attend meeting. In addition, share findings with S.P.A.N.C. peer group.
Briefly reviewed notes from previous S.P.A.N.C meeting .2007. Focus on revising educational pamphlets to facilitate discharge planning. Mentioned the need for Physiotherapy to implement teaching re use of crutches on stairs for SDS. How can this be achieved? In-service for Nursing staff vs. Physiotherapist presence in SDS.
Visitor policy in PACU reviewed. Focus to develop guidelines to enhance patient/family and surgeon involvement.
Meeting adjourned at 2030hrs
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