REGIONAL PAEDIATRIC
PROGRAM: CONTINUING
MEDICAL AND NURSING
EDUCATION

In support of our purpose – enabling consistent delivery of safe, quality maternal, newborn, child and youth care across our region – the MNCYN Regional Paediatric Program was designed to provide all of the partner hospitals within our network with continuing medical and nursing education in relation to paediatric care.

Who We Are

The Regional Paediatric Program was established in 2010 to provide all MNCYN partner organizations with nursing and medical education in relation to paediatric care based on current best-practice guidelines.  Our vision is for all paediatric patients to have access to safe, quality paediatric care that is family-centered, standardized, timely and as close to home as appropriate. Effective and efficient management and coordination of paediatric services is facilitated by the collaboration, cooperation and communication amongst our regional partners.

Specific objectives, achieved through promoting evidence-based practice, include:

To help ensure paediatric patients receive optimal care from birth to 18 years of age

To promote an equally high standard of care throughout the region

To reduce paediatric mortality and morbidity rates

To promote optimal and equitable use of paediatric services

To foster improved communication between regional hospitals and the tertiary centre

To foster improved repatriation rates between the tertiary centre and regional hospitals

Many members of the Regional Paediatric Program are also involved with other provincial and national paediatric programs and organizations.  These may include, but are not limited to:

Canadian Association of Paediatric Nurses (CAPN)

Canadian Association for Rural & Remote Nursing (CARRN)

Children’s Healthcare Canada (CHC)

Canadian Paediatric Society (CPS)

Emergency Nursing Paediatric Course (ENPC)

National Emergency Nurses Association (NENA)

Paediatric Advanced Life Support (PALS) Heart & Stroke

Provincial Council for Maternal and Child Health (PCMCH)

What We Do

The MNCYN Regional Paediatric Program offers the following services:

KNOWLEDGE SHARING

The Regional Paediatric Program is not only a platform to facilitate and coordinate knowledge sharing and implementation strategies; it also provides opportunities for learning and collaboration between regional partners.  Through annual meetings, OTN and webinar events, and the sharing of emerging paediatric guidelines and best practices, MNCYN’s regional partners are better able to provide safe, quality paediatric care.

EDUCATION

Nursing educational sessions are offered by the Paediatric Nurse Consultant and are based on the identified learning needs for each organization.  Sessions combine both lecture and hands-on practice of nursing competencies which may include low fidelity paediatric simulation to supplement skill development.  Typically, sessions are between 2-3 hours in length, depending on the agreed upon agenda.  The Paediatric Nurse Consultant and the partner organization can collaborate on how best to offer the sessions in order to reach as many nursing staff as possible during the MNCYN visit.

Here are some examples of topics that may be reviewed: 

Respiratory Review

  • Anatomical differences between children & adult airways
  • Signs of respiratory distress, failure & arrest

Cardiovascular Review

  • Unique anatomical differences between children & adults

Paediatric Trauma (Traumatic Brain Injuries)

  • Initial assessment & management

Fluids, Fluids, Fluids

  • Sepsis, Septic Shock
  • Dehydration

Systematic Head to Toe Review

  • Completing a comprehensive health history with parents

Nursing Skills Review

  • Airway management, positive pressure ventilation, correct mask placement & sizing
  • IV & IO placement, insertion & care
  • NG insertions
  • Capillary blood sampling

THE PAEDIATRIC REVIEW

The Paediatric Review is a monthly informative newsletter, which contains current best-practice information and paediatric care guidelines. Though the content has a nursing focus, other allied health care providers, physicians and nurse practitioners may also find the topics of interest.  Each edition is reviewed by one of the MNCYN paediatric physician team members to add any additional information such as medication dosing or initial management and care suggestions.

Some of the topics covered in The Paediatric Review include:

  • Sepsis & Septic Shock
  • Children vs Adults & Paediatric Nursing Tips & Tricks
  • Concussions in Children
  • Febrile Seizures & Convulsive Status Epilepticus
  • Acute Gastroenteritis, Functional Constipation, Oral Rehydration Therapy & Oral Ondansetron
  • Diabetic Ketoacidosis (DKA)
  • Cardiopulmonary Arrests in Children (Code Pinks) & Emergency Medications
  • Capillary Blood Sampling
  • Paediatric Trauma & Traumatic Brain Injuries, including initial management
  • Paediatric Submersion Injuries, including initial management
  • Paediatric Burns & Skin Rashes
  • Respiratory Infections, Upper & Lower Airway Obstruction & Lung Tissue Disease
  • Anaphylaxis
  • Thermoregulation, BRUE’s, Urinary Tract Infections
  • Ingestion of Edibles & Cannabinoid Hyperemesis Syndrome

COURSES

A priority identified by our regional partners was the need for a standardized paediatric education program to help support nurses who may have little or no experience, training or opportunity to care for paediatric patients.  MNCYN recognized this essential learning request as an opportunity to promote the consistent delivery of safe, quality paediatric care across our region.  With this in mind, core paediatric nursing competencies, which had previously been developed by the Regional Steering Committee, were updated and used as the foundation to create a curriculum for the Regional Paediatric Orientation© (RPO) program.  On April 1, 2019, the RPO program was launched via an online learning platform. Please Note: This is not a credit course.

The Regional Paediatric Orientation includes:

  • Core Paediatric Nursing Competencies
  • Six self-directed learning modules based on current best-practice guidelines
  • Module 1: Paediatric Assessment
  • Module 2: The Respiratory System
  • Module 3: The Cardiovascular System
  • Module 4: The Nervous System
  • Module 5: Fluid Management & Medication Administration
  • Module 6: Nursing Skills Review
  • Additional Module: Procedural Sedation
  • The primary goal of the RPO is to review the importance of using a systematic approach when performing paediatric assessments, supporting nurses to critically think through the findings.
  • Not only beneficial as a guide for preceptors and/or educators as they mentor new learners during the orientation process, it is also a valuable tool for experienced nurses wishing to refresh their paediatric knowledge.

The feedback from learners who have completed the RPO program has been very positive:

“It’s really great in the small centers for emergency department staff that don’t get a lot of paediatric training. It gives them a really good overview of what they need to know. I think it’s perfect for that group”. (RN, Manager)

 

“From basically having no paediatric knowledge or confidence, this course has greatly increased both. Very informative and easy to learn material, very relevant for smaller rural hospitals”. (RN, ED)

 

“The content was very in-depth and it was a very good overview of any acute issue a nurse might experience with a paediatric patient, even when we don’t keep those patients. It is good to know about those more acute issues so we know how to better handle them to stabilize before we can transfer to a more tertiary centre. As an RPN and although more acute patient care is assigned to the RN, it is still important for the RPN to be able to recognize issues and be able to assist in the care of the patient with the RN”. (RPN, In-patient Paediatric Unit)

 

“Finished the course and I will say I learned or re learned a lot, what an amazing review.  I liked that it went thru the systems; at times it was challenging and had me on to google reading up on things I have forgotten or perhaps never did know.  I’ve taken so many great notes.  Loved being able to work on it on my own time and would be interested in other courses that you may have to offer”. (RN, ED)

This course requires participants to self-register here: Simple Sign-Up.  Participants have 45-days to complete the course.

OTHER RESOURCES

  • Telephone consultation is available as needed to all of our regional partners
  • Annual paediatric case reviews for individual hospitals with inpatient paediatric beds
  • Critical event reviews which are done in collaboration with Children’s Hospital, LHSC
  • Access to an online Paediatric Lecture Series presented by Children’s Hospital, LHSC’s PROP team
  • High-Fidelity Simulation: MNCYN has partnered with the CME’s PROP group at Children’s Hospital, LHSC to offer these half or full-day sessions (fee associated with these sessions) (For more information, please contact Vanessa Jones, CME Coordinator jones@lhsc.on.ca or 519-685-8500, Ext. 77566.

PAEDIATRIC HOSPITAL SURVEYS

One of the initiatives the Regional Paediatric Program has been working towards is offering Paediatric Hospital Surveys.  The team developed a similar framework to the Perinatal Hospital Surveys offered by the Regional Perinatal Program.  Implementation is two-fold: Stage One has begun with our five regional partner hospitals that have inpatient paediatric beds. Once these reviews are complete, we will move forward with implementing Stage Two, which will look at the 31 partner hospital emergency departments. Ideally, the surveys will be offered every 5 years, but this will be re-evaluated depending on capacity on the Regional Paediatric Program team.

Who We Serve

We serve individuals and organizations in the Paediatric health care sector, as well as the families in their care, including:

Paediatric health care providers practicing in our region (primarily Southwestern Ontario)

Nurses
Doctors
Midwives
Nurse practitioners

Paediatric patients, along with their partners and families:

Children
Youth

Educators and academics in Paediatric health disciplines

Program Staff

Kristine Fraser, RN, BN, MN, CNCCP (C)Paediatric Nurse Consultant
Janice Tijssen, MD FRCPC FAAPPaediatric Medical Co-Director, Paediatric Critical Care
Tim Lynch, MD FRCPCPaediatric Medical Co-Director, Paediatric Emergency
Rahul Ojha, MBBS, DCH, MD FRAPC Paediatric Medical Co-Director, Paediatrics
Anita BunnieProgram Assistant