Breaking the Ice – Orienting Physicians to the Pattison Outpatient Centre

_ _ _ _ _

New to Our Pattison Outpatient Blog Series?

Read the preceding posts:

The Final Chapter

In the final posting in this series outlining our accomplishments at the Jim Pattison Outpatient Care and Surgery Centre in Surrey, we will highlight our work in organizing Education, Training and Orientation (ETO) for physicians to this new facility.

Jim Pattison Outpatient Care and Surgery Centre

Prior to opening on June 1st 2011, there was a need for over 175 physicians to be educated on the various clinical services and features of the building, trained on existing and new Fraser Health processes and programs and, finally, oriented to the building.  This need resulted in the development of an orientation program designed by physicians for physicians.

Physician Orientation

Through collaborative efforts with a Physician Orientation team at Fraser Health, Iridia assisted in developing the program, communicating with physicians, and conducting both group and individual orientation sessions prior to the opening of the facility. 

The tour of the facility was led by Iridia employees acting as patients with different “appointments” to attend throughout the Centre. Not only did this provide physicians with a thorough induction to the different clinics within the Centre, it also served as a reminder of the “one-stop” function of the facility. Interspersed with the physical orientation of the building were training sessions on the new computer systems and health and safety policies applicable to the Centre, all conducted by Fraser Health staff.

Jim Pattison Outpatient Care and Surgery Centre

The most rewarding part of this whole project?  The fact that all of the 175 physicians attended an orientation session and that over 80% of them rated the clarity of the presentations, usefulness of the site tour and the hands-on computer training as “Good” or “Excellent”.

Evidently, orientation and training doesn’t always have to be boring, even when the sessions are lengthy!  By being mindful of physicians’ time and interests, we were able to create a stimulating orientation program which was able to effectively inform and engage physicians. 

You Don’t Need to be a Doctor… AED Facts

These days anyone can save a life. Automated External Defibrillators (AEDs) make it possible for bystanders to perform life saving actions with little or no training. Voice prompts and simple instructions make AEDs incredibly easy to operate, giving any rescuer the chance to act.

For those of you who don’t know, an AED is a small machine that can analyze a heart rhythm. It can determine whether or not the heart rhythm is beating effectively, if not, the AED can deliver a shock that will likely restart the heart.  An AED will only advise the individual using the device to deliver a shock if the heart is in a rhythm which can be corrected by defibrillation.

AED Facts

Signs of cardiac arrest include: no breathing, no movement or response to initial rescue breaths, and no pulse. Often the only “cure” of sudden cardiac arrest is rapid defibrillation with an AED. 

AED Facts
http://www.heartandstroke.com

• In Canada, 35,000 to 45,000 people die of sudden cardiac arrest each year

• AEDs are safe, easy to use, and can be used effectively by trained medical and nonmedical individuals. Trained responders have effectively used AEDs in many public settings, including casinos, airport terminals, and airplanes. Trained laypersons can use AEDs safely and effectively.

• An AED is an efficient and effective means of achieving rapid defibrillation in both the out-of-hospital and in-hospital setting.

• Sudden cardiac arrest occurs with a frequency of roughly 1 per 1000 people 35 years of age or older per year.

• Any location that has 1000 adults over the age of 35 present per day during normal business hours (7.5 hours/day, 5 days per week, 250 days per year) can expect 1 incident of sudden cardiac arrest every 5 years.

• For every one minute delay in defibrillation, the survival rate of a cardiac arrest victim decreases by 7 to 10%. After more than 12 minutes of ventricular fibrillation, the survival rate of adults is less than 5%.

• Currently there is evidence to support a recommendation to use AEDs for children over the age of 1, but not for children under the age of 1.

• Across Canada, some provinces regulate the use of AEDs, while other provinces do not. Information about individual provincial regulations can be obtained from the provincial Heart and Stroke Foundation offices.
___________________________________________________________

With time being a major critical factor for surviving cardiac arrest, it is imperative that the public have widespread access and training to AED devices. Public Access Defibrillation (PAD) trials have demonstrated a doubling of survival rates (from 15% to 30%) in facilities with high likelihood and with trained staff always available.

Spread the word, AEDs = Lives Saved