Quebec Region (Lisette Lafreniere).
|Publication:||Name: CANNT Journal Publisher: Canadian Association of Nephrology Nurses & Technologists Audience: Trade Format: Magazine/Journal Subject: Health care industry Copyright: COPYRIGHT 2008 Canadian Association of Nephrology Nurses & Technologists ISSN: 1498-5136|
|Issue:||Date: April-June, 2008 Source Volume: 18 Source Issue: 2|
As many of you know, April 1 was the deadline to present an
abstract for a presentation at the next CANNT annual conference, which
will be held in October 2008. Members of the association and I were
astonished and especially excited to record that more than 103 abstracts
have been submitted for approval. The CANNT annual conference looks to
be promising and very interesting. I would like to personally thank all
the people who took part in this process. Before this special event, I
would like to wish you all a wonderful springtime and I'm looking
forward to seeing you in "Old Quebec City".
--Lisette Lafreniere, Pierre-Le Gardeur Hospital
Centre de sante et des services sociaux (CSSS) of South Lanaudiere--Pierre-Le Gardeur Hospital
The population of our hospital and predialysis clinic is growing. Therefore, several new staff members have joined our team. All efforts are made and energy is used to stabilize the workforce in the expectations of our business expansion and the summertime, which is coming soon. We are proud to announce that Mrs. Ivone Coelho, RN, received an award from the "Ordre des infirmieres et des infirmiers du Quebec (OIIQ)", as well as financial support from the Department of Health and Social Services for Quebec, i.e., a scholarship award from the "Programme ministeriel d'interessement au role d'infirmiere praticienne specialisee", in order to complete her education as a nurse practitioner in nephrology. Congratulations Ivone!
As you already know, we will have a visit from the Canadian Council on Health Services Accreditation (CCHSA), and our renal unit is part of its agenda. We are well prepared and we're looking forward to their review June 9-11.
McGill University Health Centre (MUHC)
Montreal General Hospital
We have experienced a great deal of staff movement due to sick leaves, leaves without pay and resignations from nurses who wanted to pursue personal dreams. Moreover, our Nocturnal Home Dialysis Program is growing. As of today, six patients benefit from this modality and we even have a small waiting list. We also expect to increase our remote dialysis service.
Royal Victoria Hospital
Montreal General Hospital and Royal Victoria Hospital
Our CLSC project for our patients in PD (approximately 12 patients in CLSC) was updated January 1.
On April 20, all nurses attended an Education Day during which the following topics were introduced:
* Professional Model of Nursing
* The 15-minute interview: Moving from a social to a therapeutic conversation
* Case scenarios and discussion
* Quality of life and hemoglobin target: Benefits for the patients
* Solution-focused communication.
Centre de sante et des services sociaux (CSSS) of Chicoutimi
We are currently very busy, as everybody is, I presume. We have been open since last December on Mondays, Wednesdays and Fridays until midnight, as we have reached our maximum patient threshold. Since January 2008, we also made some changes to our schedule by opening on Sundays. Please take note that I will be moving to a new position as Intensive Care Nursing Manager. Mrs. Martine Gravel will be replacing me in HD, but she will start at a later and undefined date for the moment.
Centre de sante et des services sociaux (CSSS) of Gatineau--Hull Hospital
Since December 2007, Mr. Jean Bouchard has been working for the Outaouais Agency, as a temporary assignment. His position is senior consultant for the opening of two satellite units. The opening of the first satellite unit in Maniwaki (200 km far from our hospital) is expected at the beginning of 2009 and the second one in Buckingham (45 km from our hospital) is anticipated for the beginning of 2010. On April 3, during the Vascular Access Education Day sponsored by the "Regroupement visant l'excellence de la pratique infirmiere en nephrologie au Quebec (REINQ)", our clinical trainer, Mrs. Rachelle Brisson, acted as a speaker. Bravo Rachelle!
Four of our nurses will attend the annual conference of the "Societe quebecoise de nephrologie (SQN)", from May 1-3.
Since last December, we have implemented the buttonhole technique with some patients who are performing self-care hemodialysis. We are pleased with the results achieved so far. At the moment, five patients are benefiting from this new technique.
Officially, the renovations started on February 12 at the L.C.-Simard Pavilion of Notre-Dame Hospital (self-care dialysis unit). We also notice an increase in hemodialysis patients.
We are experiencing a success rate of 80% with the buttonhole technique in self-care dialysis.
Trois-Rivieres Regional Hospital Centre, St. Marie Pavilion
Home Nocturnal Hemodialysis:
Two new patients are starting their home therapy of which one is the first patient to perform hemodialysis through a catheter. She claims to be very happy withh the experience. Also, we have initiated the buttonhole technique and the results are very positive.
St. Jerome Hotel-Dieu Hospital
Since the fall of 2006, a pre- and post-transplantation clinic was created. Connie Blake, a dialysis nurse clinician, was appointed. Her challenge was to set up a pre-transplantation follow-up process to ensure proper management of eligibility of potential patients to the transplant list. We have three nephrologists who are working in collaboration within this clinic.
First, we meet with pre-dialysis clinic patients who have a glomerular filtration rate below 20 ml/min and who are in relatively good health to ask if they are interested in kidney transplant and, thus, able to initiate the evaluation process in order to register their names on the transplantation list. Concerning our PD and HD patients, we are asking them the same question in order to know their interest in a kidney transplant and to initiate rapidly the process.
When patients confirm their interest, Connie schedules an appointment to further discuss and educate on the transplant process. Next, an appointment with one of the three nephrologists is scheduled where a medical examination is performed to confirm eligibility for a transplantation.
Since the implementation of a dedicated nurse in the pre-transplantation clinic, the follow-up is faster. An average of four months is now required to complete the process versus one year before the change. In 2007, seven patients received kidney transplants--of those, five were on PD. Since January 2008, four were given kidney transplants. We expect that within one year, we will also do post-transplantation follow-up. A great improvement for our hospital!
--Lyne Beauregard, Nephrology Program Manager
In our hospital, the implantation of the NephroCare[TM] software is doing well. First, a working paper was required by our CSSS management team in order to evaluate the need for such an acquisition: presentation of a Project Organization Manual (known in French as MOP or "Manuel d'organisation de projet"). The project was approved with the cooperation of the IT, Purchasing and Finance Services of the hospital. The current success of this operation is partially due to the availability of one dedicated nurse who is working full-time on this project. Before getting involved in this journey, it was mandatory to persuade our managers to allocate a special budget to purchase the application pilot, to customize the software and to train our team of nurses, nephrologists and other health care professionals. The whole team is very excited and focused to learn to use this software very quickly.
Four nurses of our dialysis unit chose to invest their time and energy to complete their certification in nephrology with the Canadian Nurses Association (CNA). We wish them all the best to obtain this certificate!
Two nurses from France, who have been working at the dialysis unit since their arrival, will pass the exam of the "Ordre des infirmieres et infirmiers du Quebec (OIIQ)" in September. We wish them the best of luck!
This year, the struggle is especially fierce between hospitals to hire newly graduated nurses ("candidate to the profession"). We have observed a decrease in college registrations ("CeGEPs"). Therefore, after "shopping for a position," the best offer is chosen. Summer won't be easy.
Several nurses will attend the CANNT annual meeting in Quebec City, and we're hoping for great weather.
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