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[music] This is a gift that will help
us meet the challenges over the next 25 years.
(Dan McGann) The Erin Mills Development
Corporation has made an extraordinary gift
of $6 million towards the new Regional Women's
and Children's Health Centre. We're fortunate to be able to
do this, and it goes to a very, very worthy cause.
Thank you again. (Dan McGann)
Erin Mills Development Corporation is owned by a group
of five families that started this community by building
the homes, shopping centre, and buildings
that surround the hospital. Their generous gift now gives
back to the community that it built, by leaving
a legacy that secures the health of future generations.
Erin Mills! Future generations start here
in the new Birthing Suites and the Neonatal
Intensive Care Unit.
[music]
(Vanna Boghossian) We are preparing now to move
into the new Birthing Suites in May of 2011.
We will be leaving a unit that was built for 2700 births,
having 8 birthing rooms, into a new unit
that will accommodate the current births of 5,000.
And we will have 15 birthing rooms,
as well as 3 operating rooms. We'll have a separate unit
that is for assessing our outpatients,
and that'll be called the Labour Assessment Unit,
where all our families will come and meet us first,
and we'll determine whether they need to be admitted into this
new Birthing Suite or not.
So our new birthing rooms are equipped to completely manage
a patient in active labour. If she were to have
pain management it would happen
in that room. She would labour, deliver, and
postpartum for a brief period.
We also have a bereavement room for those families
who have suffered a perinatal loss.
We find in the new build that we're meeting new
Ministry Standards with our hallways and our rooms,
and that makes it much more bright, spacious,
more comforting environment for our patients in labour.
We will be bringing midwives onboard in the fall of 2011,
and they will completely care for their own patients
in one of our Birthing Suites. So, in the immediate postpartum
period, once baby's born, we deliver the baby up
to the mother's chest, and encourage skin to skin
care right after delivery. The baby should not
be disturbed for the first half hour
after birth, and shortly thereafter,
if mom is breastfeeding, we would put the baby to breast,
or assist the baby in finding its way to breast, and we would
make sure that that's all done before the mom and baby
are transferred to the Mother Baby Unit.
A small percentage of our babies
would require high risk care. So, staff from the Neonatal
Intensive Care Unit would be present
during delivery, and would help stabilize
the baby, and determine whether
the baby required care in our Neonatal
Intensive Care Unit.
[music]
During the design phase, there was a lot of input
from nursing staff and paediatricians,
and we were able to accommodate larger bed space,
so that we would be able to have
the families at the bedside. The families will enter the
unit via secure door access. They'll gain entry
by communicating with the reception area.
The amenities that we put in are
two care by parent areas, a place for mothers
to stay with their babies prior to discharge.
But the baby would be in the room with the mum,
or dad, and/or support person.
For the families to feel more comfortable
away from the actual bed space
that they may have been cared in for numbers
of days or weeks, and the family
can then prepare for the baby's discharge.
So, the family would do all the care on their own,
with a nurse close by, within the unit.
Want the families to be at the bedside,
and learning about the care of the baby,
and participating as much as they're able,
and advancing to total care prior to discharge.
(Vanna Boghossian) Through all of this
expansion and new facility, we will be living our
promise to our community, to meet their needs
in health care.
[music]
Throughout the year our staff receive training
in the latest medical innovations and procedures.
This ensures that we are able to provide high quality
and safe care for our patients. Let's take a look at a recent
Code Pink training session.
(Lena Lloyd, RN) Today we were working
together with the paediatric department and the emergency
department, to work through some training
sessions on different scenarios of children that could present
to our emergency department, and get some
hands-on practice, providing the best
possible care that we can to those children.
It's very important too, for us to get together
as a team to practice. Every other team practices.
If you were playing soccer, or any other event,
you would be practicing as a team, and so,
in order for us to be able to provide optimal care in our
emergency department, the team that would be providing
that care needs to work together and practice together
to be able to do that successfully. And so we feel, that by doing these different
sessions, that we pick typical scenarios
of patients that would be seen in our emergency department,
so that the team gets practice working through those
different situations together. Okay.
So, your patient is an 8-month-old boy,
who's had 2 days of fever, irritability, poor feeding,
nasal congestion, and cough. First thing I do,
is I look at a child. So, just get the parents
to first undress the child. And what are my first
impressions when I first approach?
So, the child appears pale, he's crying,
he has slight tachypnea, breathing quickly with no
retractions, the heart rate was over 200, it was too fast,
they couldn't actually determine how fast it was,
the blood pressure was unable to measure,
although you can feel a good pulse.
I would check the fontanel. Look for signs of any
dehydration in the mouth, sign of infection, dehydration.
I'd look for, focus on infection,
and this child has a fever right now, so listen to the lungs,
check the belly, look at the skin, turn the child over.
Is there anything that I see?
He is pale, cool, and mottled,
with a refill of 3 seconds, a rapid heart rate,
but no murmurs. He's crying and
moving all limbs, and he is slightly
cool to touch. So right now as a group,
we're thinking that this child probably has sepsis.
We have the child on a heart monitor here.
Let's get a 12 ECG, if we can as well.
Let's get this child some Tylenol.
I'm getting the Tylenol. Thank you.
All right. So this is
a very fast rhythm. I don't see any P waves,
so this could still be sinus tachycardia.
The child becomes less responsive, begins sweating,
has a diminished pulse, and the heart rate goes up to 270.
Let's call a code pink, get paediatrics down here,
get anesthesia down here. This child needs
to be intubated. (Dr. Michael Zaldman)
Given the fact that we're a Regional Paediatric Centre
and we're becoming a teaching hospital,
I think it's important for us to be as good as we can be.
And ultimately, if we practice this,
it'll be to the benefit of the kids that come in here.
We'll give them the best care they can get.
And there's good studies to show that people that,
when you work in this kind of situation,
if you work as a team, then the outcome is better.
And so, by practicing, and by getting the roles
straightened out, and by bouncing ideas off each other,
it actually works well, and it allows us to work as a unit
much more cohesively. (Dr. Ray Lim)
Being able to go through a run like this
is actually very important, because in reality, we don't see codes like this very frequently,
so you can get rusty very easily.
You know, being able to practice under a pressure situation
is very important. And it allows you to practice
your communication with your team.
So it's very good. It was extremely successful.
The feedback we received from the staff that have gone through
the session, they feel that having this practice and working together as a team will optimize
the care that they're able to provide
to our community, and to the children
who present in our emergency department.
[music]
Thanks for joining us. We hope you enjoyed the show.
On behalf of everyone here at Credit Valley Hospital,
we wish you good health.
Remember, do your best, and life will do the rest.
For Credit Valley Contact, I'm Dan McGann.
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