Child Life Conference
Annual conference which allows Child Life Therapists to learn improved medical procedures and encourage normal development and the emotional well-being for children in the healthcare setting. It is a great networking opportunity with other professionals from Canada and the US. The conference was attended by the Child Life Rec Therapists in Regina.
MEDEC – Metabolic & Diabetes Education Centre
“Diabetes in Children and Teens: A Survival Guide” DVDs and pamphlets are given to the families of newly diagnosed children/teens with type 1 diabetes. These resources are also shared with teachers/schools who work with children with diabetes. Each DVD and pamphlet given out proudly displays a Children’s Hospital Foundation of Saskatchewan logo. The booklet and DVD help parents with a newly diagnosed child and their child, if old enough, to understand what type 1 diabetes is. It helps illustrate how children can live well with the diagnosis and do well at school. It makes it easy to follow and is a good introduction to the family before education is provided for all the skills and knowledge they need to self-manage their diabetes. It also reinforces that good communication with the school can help both parents and teachers provide safe environment for the child.
Pediatric Nursing: Care of the Hospitalized Child
The conference strengthens nursing assessment skills, provide evidence based patient care, communicate effectively, and learn about various topics in pediatrics from babies to adolescents. The conference is comprised of various educational speakers that address issues related to this line of work.
Pediatric Trainee Research Fund
This final payment is to establish a pediatric trainee research fund to promote and facilitate child health related research by trainees at the University of Saskatchewan allowing their skills and knowledge to continue and to participate in research during their future careers. The program is to provide opportunities for mentoring that generate high quality, relevant research results. The research undertaken has prompt and direct impact on improving health. Trainees play integral roles in advancing these and other research agendas.
Health Care Provider Information Library
With the enhancement of team communication and team spaces the information library will have the best in medical references available at their fingertips. The annual subscriptions are available to approximately 30 physicians.
The three day conference includes topics on breastfeeding, community health, perinatal mental health neonatal, perinatal care education for nursing and women’s health by expanding their understanding and exploring how culture affects women and their families. This conference focuses to maternal and newborn care as well as health and home. The attendee was also a presenter on the topic of “accuracy and Prevision Testing of Transcutaneous Bilirubin Meters.
Pediatric Website Re-Design
The Pediatric Department was looking for fresh stories and pictures to use to promote the department on the website. A freelance writer along with a professional photographer was used to provide information for not only the website but material for provincial events as well.
The Loft Program
Families in need receive food and gift hampers to help throughout the holiday season.
PEDS (Respiratory Services)
SiPAP Infant Non-Evasive Ventilation Devices (2)
Non-invasive ventilation refers to providing mechanical ventilation using a mask instead of an endotracheal tube. Non-invasive ventilation has become a therapy to assist in the management of chronic lung disease by supporting an infant’s respiratory efforts until they can manage on their own. Need for SiPAP devices have continued to increase as there are not enough to meet patient demand. Patients in NICU or PICU may be given an alternative, less optimal therapy when the devices are in use elsewhere. The addition of two devices assisted in meeting the needs for therapy minimizing the need for mechanical ventilation and the risks associated with it.
PEDS (Respiratory Services)
BiPAP Infant Non-Evasive Ventilation Devices (4)
Non-invasive ventilation refers to providing mechanical ventilation using a mask instead of an endotracheal tube. Non-invasive ventilation allows the patient to communicate and eat under relatively normal conditions which is important for patient self-sufficiency. The need for BiPAP devices has continued to increase as there are not enough to meet patient demand. The therapy assists in the management of chronic condition including obstructive sleep apnea and neuromuscular disorders. As there is no currently pediatric sleep lab, some patients can be assessed with overnight oximetry but those that require a sleep lab and assessment of non-invasive ventilation therapy are required to go out of province. With the new devices, this therapy will be used more to treat chronic conditions for both in/out patients. The addition of four devices assisted in meeting the needs for therapy minimizing the need for mechanical ventilation and the risks associated with it.
PICU (Respiratory Services)
EMMA Capnograph (3)
Capnography is the monitoring of exhaled carbon dioxide concentration, however the EMMA Capnograph can also confirm proper placement of endotracheal tubes, enable clinicians to assess the depth and effectiveness of compressions, helps clinicians assess the effectiveness of CPR and guide ventilation and allows quick recognition of a patent’s return of spontaneous circulation during cardiac arrest. This small, portable device will be used on the resuscitation carts within PICU. This device is superior to others because of its quick start up time, instant breath by breath reading of carbon dioxide, minimal breath volume dead space and batteries that are easily changeable.
LifePak Monitors (2)
The Pediatric Intensive Care Unit (PICU) provides inter-facility transport of critically ill and injured children. The PICU team facilitates 300 trips per year. The monitors are necessary in rapid provision of advanced pediatric critical care to the seriously ill patients and are crucial in management and continuance of intensive care throughout transport. With this item, the team can continue to support the safe and efficient transport of the children of Saskatchewan
Handheld Doppler – Infant BP Measurement
The technology currently being used to measure blood pressures are designed for use in adults. Due to how high the machine inflation pressure goes and how aggressive it seeks to find pressure, the slightest movement will throw off the measurement. The handheld Doppler ultrasound is an attractive alternative for quick accurate assessment of systolic blood pressure when used in combination with a manual blood pressure cuff. The rhythmic heartbeat sound has a soothing effect on infants and helps them to become calm while the blood pressure is measured to get a more accurate reading
Emergency or difficult airway management requires advanced equipment and access to video laryngoscopes. The Laryngoscope is a necessity for all emergency airway carts.
Capnograph/Pulse CO2 Monitor
A non-invasive portable monitor for early detection of evolving respiratory failure and monitoring during procedural sedation. Refines and improves objective data for recognition of respiratory failure as well as a clear picture of the patient’s respiratory status.
INVOS Oximeter Monitoring System
Monitoring cerebral oxygenation following traumatic brain injury, during septic shock or in patients with low cardiac output syndrome has become standard of care in more centers and allows provision of advanced refined neuro-protective care. The INVOS Oximeter Monitoring System gives you a non-invasive “window” that allows for the ability to follow the perfusion of other organ systems including the renal and splanchnic flow. Real-time monitoring of site specific blood oxygen saturation in the brain and other body tissues helps surgical and intensive care teams detect and correct ischemic problems that can lead to complications.
Smart Pump Technology Syringe Pumps (6)
Syringe pumps are used to deliver small doses of medication in acute care settings. These syringe pumps, resembling an insulin pump, are used in the medication delivery to patients in the Pediatric Intensive Care Unit (PICU).
Acute Care PEDS
Digital Baby Scale
The scale has the ability to weigh infants with precision to .01 pound resolution. This precision is extremely important when monitoring growth to the precise degree. This scale is specifically beneficial for infants who may fail to thrive or are medically compromised.
Acute Care PEDS
Stand Up Digital Weigh Scale for Children and Adolescents (4)
The scale has the ability to weigh children and adolescents with precision to .01 pound resolution being specifically beneficial to oncology patients where precise weight is required for medication quantities.
Acute Care PEDS
The bladder scanner is a 3D ultrasound instrument that provides quick, accurate, reliable, and non-invasive bladder volume measurement.
Monitors the respiratory status of critically ill infants by measuring oxygen and carbon dioxide levels in the blood through the infant’s skin – without having to draw blood. This allows for a quicker response to changes in oxygen and carbon dioxide levels in very ill infants that are usually on mechanical ventilators.
A Biliblanket is a portable medical device for an infant that treats jaundice. The Biliblanket exerts a blue/white light that helps break down high levels of bilirubin in the infant’s bloodstream. The new system delivers therapy, decreases stress and allows for improved exposure to the light along with faster recovery time.
Labour & Delivery
This bed is designed to provide comfortable and effective support for the mother, and functionality for nursing staff through all stages of the birthing process.
EMMA Capnograph & Neopuff (2)
Capnography is the monitoring of exhaled carbon dioxide concentration, however the EMMA Capnograph can also confirm proper placement of endotracheal tubes, enable clinicians to assess the depth and effectiveness of compressions, helps clinicians assess the effectiveness of CPR and guide ventilation and allow for quick recognition of a patent’s return of spontaneous circulation during cardiac arrest. The Neopuff allows bagging of infants under 10kg while achieving controlled target Peak Inspiratory Pressure while delivering consistent pressure to the lungs. It is a small portable device for the resuscitation carts within PICU. This device is superior to others because of its quick start up time, instant breath by breath reading of carbon dioxide, minimal breath volume dead space and batteries that are easily changeable.
NICU Respiratory Therapy
High Frequency Jet Ventilators (2)
This highly specialized ventilator is designed to provide ventilation therapy to only pediatric patients, specifically the most vulnerable and complicated infants in NICU. The main principle of the jet is that it is gentler to send gas in and out of the lungs by delivering smaller breaths more often which is what the jet does. The goal is to introduce as little pressure as possible into the fragile new lungs and the jet ventilator assists in achieving this goal. Having access to two ventilators ensures that more than one infant could benefit from this lifesaving device at one time.
Portable Sleep Study Monitors (2)
In children, problems with breathing are the leading cause of chronic illness and hospitalization. Health begins in childhood especially for respiratory diseases. A common breathing problem for children is called Obstructive Sleep Apnea. (OSA) There are serious diagnostic challenges and assessing patients based on history may underestimate the proportion of children with OSA. The portable study device has a smaller nasal catheter which allows the measure of airflow on children as young as two. These portable sleep study monitors are essential in order to better diagnose children with OSA.
Triple Channel Infusion Pump & Monitor
A new vital signs monitor and IV infusion pump was needed for the road/air transport team. The current monitor was at the end of its service and parts were no longer available. The monitor allows measurement of all vital signs and has a battery life of up to 6 hours. The Med System Triple Channel IV Infusion pump is designed for transport and is compact, light-weight and allows for three different infusions to be running. With the addition of these two pieces, NICU has two complete transport set ups which is necessary with the high volume of neonatal transports in Saskatchewan.
Pediatric Echocardiography Machine
The wait list for children with cardiac concerns prior to the purchase of this machine was 8-14 months. The addition of another Pediatric Echocardiography machine was projected to add another 40% of patients to the usual schedule. The new Echo machine provides high quality images in children born with cardiac defects avoiding further invasive procedures.
The omnibed is an incubator and radiant warmer in one compact mobile environment. The shuttle allows for consistent environmental temperatures of the neonate during transport within the hospital.
Criticool Control Unit (2)
The Criticool is a non-invasive approach to cooling therapy. Studies show that cooling improves neurological outcome and reduces mortality. Whole body cooling provides homogenous cooling to peripheral and central brain structures. This whole body cooling solution is common during stays in NICU.
Intellivue MX800 Patient Monitor
This monitor is a patient monitor and a clinical informatics workstation at the bedside. The monitor is designed to simplify access to the patient information needed to enhance diagnostic confidence throughout NICU.
Pediatric Patients Wait Room Enhancements
Renovations to refurbish the wait area for pediatric outpatients included chairs, couches and ottomans to enhance the atmosphere that the patients experience within the waiting room.
PEDS Rec Therapy
Nickie Training Doll
The Nickie Training Doll is an anatomical doll used to teach caregivers and families of infants and children with special medical needs allowing caregivers to “train on the doll, not on the child”. Examples of gastrostomy tube, nasal gastric tube, tracheostomy tube, injections stomas, PICC lines, diastat administration and urethral catheterizations all help to teach families and patients.
ACPEDS Recreational Therapy Playroom Enhancements
High quality products to be provided for the children and families in the playroom that meet infection control guidelines. Table and chairs for families to partake in family centred play and therapeutic recreational programming. This area encourages “kids to be kids” and meet developmental needs while admitted, there are accessible book and toy shelves along with a comfortable reading corner and an infant and toddler play zone.
Designated Funds Enhancements
NICU/PICU/PEDS and Child Life designated funds enhancements are used to fund items such as capnographs, Medvac Infant Immobilizer, the Cherished Memories fund, computer equipment and more.
RQHR & SHR
Funds used to enhance the playrooms in Saskatoon and Regina.
Air Canada Transport Program
Dr. Bingham, Director of Child Services – Department of Pediatrics
“Viral Illness in Pediatric Critical Care: Incidence, Timing & Severity of Associated Myocardial Dysfunction & Acute Kidney Injury”
Viral respiratory illness is the leading cause of pediatric hospitalizations in North America. It is commonly associated with extra pulmonary manifestations and complications such as myocardial dysfunction and acute kidney injury. The incidence, timing and severity of these complications have not been well determined in pediatric literature and a better understanding on these two extra pulmonary complications will lead to earlier recognition and management.
The primary objective of this study will be to describe the incidence, timing and severity of myocardial dysfunction or AKI following a documented respiratory viral illness. This data-collection and analysis pilot study is expected to be received and discussed on an International stage.
Bette Boechler, Director of Child Services – Department of Pediatrics
“Developing a Child Life Program in Pediatrics”
To develop and lay the groundwork for implementation of a Child Life Program at Children’s Hospital of Saskatchewan. Designed to support the psychosocial needs of children, youth and families, the program will reduce the stress and trauma of illness and hospitalization for all. Developing a “made in Saskatchewan” child life program that is based on best practices to enhance the heath care of a child during illness and hospitalization.
Research included investigation of other Child Life programs within Canada, developing therapeutic programs and materials to implement at the current Department of Pediatrics and transfer to the new Children’s Hospital of Saskatchewan. This project will lay the groundwork for what the program would comprise and will identify the ongoing operating costs including staffing and material resources