New practice for prescreening BSRx patients
Nicole Brown stepped up in early March when the nursing team recommended a prescreen call for every single patient to ensure the safety of our patients and our staff at our national network of infusion clinics. Within hours Nicole had her team mobilized and updated her process to ensure each and every patient received a prescreening call. Working closely with the nursing team, Nicole’s team of central schedulers ensure that this new practice happens every single day, month after month. Safe clinical practice is supported by our team of schedulers!
Filling an infusion referral a priority for new area director
On June 4, 2020 we received a referral from a discharge planner at Milton Hospital for in-home antibiotic therapy via infusion. Our Area Director (who was on day 4 on the job) resolved to say that we were going to figure it out and service the client. Our pharmacy turned around the drug and supplies in record time and the AD worked on staffing.
We had nurses interested but needed to have the IV skill validated by a Bayshore staff member. Kate Lawrence picked up training supplies at another location, drove them to the branch and trained the nurse who could then provide the care. The family was so grateful that their loved one could return home from the hospital.
Getting it done for the patient
We have a client who is on a clinical trial for a rare form of emphysema. She receives a weekly infusion in her home. Last week she had a fall and sustained multiple fractures to her pelvis and is now hospitalized.
Not wanting to miss her infusions, the patient asked our DCM, Monique L if it would be possible to receive her infusions while in hospital. Due to drug trial regulations, only trained and approved staff are able to administer the medication.
Monique contacted the clinical trial site and together they coordinated with the patient’s local hospital to make the necessary arrangements. The client will receive her infusion today, in hospital, only having missed one dose.
Bayshore’s frontline staff includes NDC Intake and Reception
During these times of COVID-19, front line workers everywhere are being recognized for their hard work and dedication. I want to, in particular, recognize a group of people that may not first come to mind when thinking of a ‘front line worker’ but are no doubt part of that category. The Intake and Reception staff at our National Development Centre is essential workers and are bringing people home each day. They are providing support to our clients, and despite 90% of NDC employees working remotely, they are going in every day (even weekends) to assist in navigating our clients and patients through this pandemic. Every day, these in-takers are coming to work with a positive attitude and spirits held high. Thank you Intake and Reception staff for all that you do, your hard work does not go unnoticed and we appreciate you!
Outstanding service provided by Bayshore Home Health Saskatoon Branch team
The team at Bayshore Home Health Saskatoon recently showed exemplary service for a family that was faced with an extremely stressful and difficult situation. On Tuesday April 28, 2020, Bayshore Home Health Saskatoon branch received a phone call at approximately 2:00pm from the son of an elderly couple who was in a dire situation and in urgent need of care for his mother.
The couple resides in an independent living facility an hour outside of Saskatoon. The husband is the primary caregiver for his wife, who has been diagnosed with Alzheimer’s and Dementia, and as a result can not be safely left alone. The husband had a sudden medical emergency and had to be rushed to hospital and admitted for treatment. Due to Covid-19 and the resulting visitor restrictions in the independent living facility in which the couple reside, the family was unable to go in and care for their mother. The son reached out to Bayshore Home Health, explaining the urgency of the situation, and inquired about 24 hour care for his mother, which needed to start that evening.
Bayshore Home Health Saskatoon’s Manager of Clinical Practice was just completing a nursing visit with another Bayshore client, when she received the message regarding the urgent request for service. The MCP returned to the Bayshore office at approximately 2:30pm and consulted with the team at Bayshore to get service set up and staffing in place in order to assist the family in their urgent need for 24 hour care. The MCP also consulted with the client’s Independent Living Facility Director to allow Bayshore staff access to the facility in order to provide the necessary care for the client. Within an hour and a half of receiving the call, the care plan was completed and delivered to the Personal Support Worker that was going to be starting the care that evening. The Bayshore PSW was at the client’s residence, which is an hour away, and started service at 7:00pm that evening.
The family was extremely grateful and relieved. The son stated, “You are the only ones who helped us out with this situation. We can’t thank you enough!”
Team effort to ease patient pain
A call was received on a Tuesday night at around 10 pm for an urgent infusion – required the very next day. The home visit confirmed with caller’s daughter for 9 am the next morning. During initial call, the daughter stated they will be ordering necessary supplies from local pharmacy. Our Client, diagnosed with end stage pancreatic cancer, was unable to keep food or fluids down, deteriorating and dehydrated. Client was advised by the local hospital to avoid coming in and try to arrange this service privately in own home.
We contacted a nurse trained on IV Therapy and placed her on standby and ready for next day service. The next morning our MCP completed the assessment with the family. The daughter called their family’s pharmacy, but due to COVID-19 – were out of supplies. We assisted in calling other pharmacies, but none had any supplies that day. The Vancouver Infusion Clinic was closed that day, however we contacted the Infusion Clinic Manager who ultimately authorized supplies to be picked up from the Surrey Infusion Clinic Location – and to confirm availability prior to pick up. We drove one hour round trip to obtain adequate supplies and delivered to client’s home, in time for service start that same morning at 11 am. Our nurse, was able to start this urgent service, on very short notice, in the comfort of the client’s own home. The whole team came together in time of need!
New Brunswick starts new home infusion patient with unique assessment process
An infusion nurse in New Brunswick figured out a way to start a new patient on her infusion treatment! The patient was nervous to have a stranger in the home during this pandemic, and the nurse was also nervous to see a new patient, not knowing the patient’s lifestyle and living habits. The nurse parked in the driveway, did the pre assessment questions over the phone from the driveway of the patient home, injected the patient at the entrance way and then parked in the driveway and monitored the patient over the phone. The patient’s spouse was present during the entire process, so even though the nurse was “monitoring” over the phone from her car, the patient was not physically alone. This innovative visit with limited contact put the patient at ease and she was really appreciative!
Stepping in to make breakfast for all
One morning recently, the Integrated Care Solutions (ICS) branch received a call from our staff at one of our local transitional care programs. This program operates within a local retirement home where meals are provided by the home outside of our (ICS) usual services. Due to an outbreak in this retirement home, the retirement home staff had almost all refused to come to work that day. As of nine am that morning, the patients and retirement home residents did not have any breakfast. ICS Senior Manager Stacy and Clinical Coordinator Marion stepped in to help. Stacey went to a nearby grocery story to purchase a large quantity of food for breakfast. Stacey, Marion and the ICS staff then proceeded to provide breakfast for the residents by 10 am. They all made a difference to not only our ICS patients but also the residents during this very difficult time!
Northern Nurse adds COVID teaching to her daily work
One of our nurses, Lysanne, has been in a northernmost Inuit community in Quebec. She decided to roll up her sleeves and do prevention during the COVID crisis, even if her role was exclusively to screen for tuberculosis. Since the onset of the crisis, she has been teaching – in addition to her daily work -about the disease, hand washing and how to safely put on and take off protective equipment. She created tools that she shared with all of her colleagues from Bayshore and other agencies. Thus, she was able to educate dozens of patients at the clinic where she works, in addition to reducing the risk of contagion in the clinic by teaching a ‘’lunch and learn’’ to her colleagues at work. Her exemplary work, her patience and calm demeanor since the beginning of the crisis were noticed by the doctors and nurses of the clinic. They asked her to extend her contract with them – for a full 3-month contract up north, without seeing her family and friends.
Bayshore Therapy & Rehab clinic implements at-home rehab plan
Bayshore Therapy and Rehab services in BC (BTRBC) had to close the Langley clinic branch on March 18, 2020 in response to COVID-19. This impacted over 40 clients who used to attend the clinic daily for their rehabilitation. Within 12 hours of closure, the staff (including OT, PT, Kiniseologist, Counselor, Physician, and Admin) implemented a structured at-home rehabilitation plan for every client using telehealth services. Thanks to their hard work and dedication, they ensured minimal disruption to our clients’ rehab plans and we were able to coordinate a smooth transition to remote services. Well done Bayshore Langley rehab team!
Quebec BSRX Pharmacy team submits same day oncology proposal for infusions
The BSRX Quebec pharmacy team and Zoe Vernham (Director of Nursing, Quebec) met with an oncologist on March 22nd to provide an overview of the services that we could provide for people who need an oncology infusion during this pandemic. Later that week, with a Sunday meeting request, Bayshore was able to provide a proposal for the province of Quebec the same day (Sunday) thanks to the great work of our proposal development team.
Bayshore and major infusion providers partner to ensure continuity of care
Bayshore’s Director of Nursing in Quebec, organized a task force with three other major infusion providers in Canada, in order to take on each other’s clients so that no one patient will miss a visit. “We are normally competitors, however I am so impressed that our patients are at the heart of our decisions and we have agreed to support each other to ensure continuity of care. We continue to meet each week and help each other with important issues, such as lobbying local provincial government which has allowed all infusion clinics to be named an essential service.”
She was leaning towards hospice until she realized the restrictions were in place with visitors
I have been doing virtual visits for 3 weeks now with a patient that has a glioma, I have been speaking to his mom during each call as he is a 14 year old young man. He has been declining and has been given a poor prognosis as treatments were exhausted, so I was trying to support mom and help find some options for her in terms of EOL plans.
We spoke at length several times about Bethell house and Mathews place Hospice’s and the restrictions that both places are under due to the COVID situation, as well we spoke about EOL care at home and what that looks like. She was leaning towards hospice until she realized the restrictions were in place with visitors.
I connected her to Social work in the community for herself, her husband and her 2 daughters – as they are providing online and group-chat supports for both parents and siblings of patients like this, as well as connecting them to a Palliative MD in Bolton. Over the weekend, he was taken to Sick Kids via ambulance as there was an issue (I think he was seizing) and today he came home for EOL care – she has decided to keep him home moving forward and I have also convinced her to resume in home nursing care, as well as initiate PSW for support.
Even though we don’t have overnight on call in the BCM area his primary visiting nurse has also agreed to be available for the part time and family overnights if anything were to happen, as she is close by to where they are.
I hope we have made somewhat of a difference for them and will continue to do so.
Samantha, RPN
There was never a concern of infection because of Bayshore’s superb COVID protocol
Our family used the services of Bayshore for about 2 years to assist with the care needed for our mother. The aid you sent was a godsend not only to our mother but to us as a family. We know that Rosemary, Crystal, and the other PSWs brought sunshine to our mother each and every day of the week with their cheery, upbeat, yet professional visit. In these uncertain times, there was never a concern of infection because of Bayshore’s superb COVID protocol and meticulous technique in caring for our mother’s needs. In mid-February, our mother’s condition started to decline. The lady’s never wavered from cheerful support and willingness to provide additional care required for wound care and assistance our mother needed with activities of daily living.
As our mother’s condition became extremely challenging in her last few weeks, Rosemary and Crystal remained vigilant to what was needed to sustain her home care. Mom was able to stay in her home through her journey with Bayshore’s dedication to her growing physical needs as well as support for her emotional and medical needs. We commend Bayshore for having employees as skilled as my mother’s caregivers were. They really went above and beyond our expectations to care for Mom and Patchy moms beloved family cat until their very last moments. Maura, I cannot thank you and Marie enough for always being soooo very accessible when I needed to add more support for mom. You both truly have a heart that cares for those you serve.
Pauline and Family