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Practice

Nurses at CHEO care for children and youth and their families across inpatient and ambulatory care settings.

Inpatient medical care to patients from birth to their 18th birthday with a variety of medical conditions is primarily provided on 4East and 4West.

  • The Medical Outpatient Clinics include multidisciplinary teams that provide consultation, diagnostic and follow-up services within each specialty.

  • Patients requiring the services of Gastroenterology, Nephrology, Rheumatology, Dermatology, General Pediatrics including Adolescent Health, Infectious Diseases including HIV, Respirology including Asthma and Cystic Fibrosis as well as Endocrinology including Diabetes are seen in the clinics or admitted to the inpatient units.

  • The Paediatrics Patient Service Unit (PSU) also provides diagnostic, consultation, investigative and follow-up services through the Neurophysiology and Pulmonary Function Labs.

  • Nurses working in the Pediatric PSU are directly supported by clinical managers, clinical leaders, nurse educators and an Interprofessional health care team including physicians, social workers, and dieticians.

Nurses working in the Mental Health PSU provides a range of specialty, bilingual, multidisciplinary mental health services for children and youth, achieving a balance between prevention, early intervention and more intensive diagnostic and treatment services.

  • Our Mental Health PSU is partnered with the Royal Ottawa Mental Health Centre (Youth Program) in providing Specialized Psychiatric and Mental Health Services (SPMHS) for children and youth in Eastern Ontario. CHEO and ROMHC have unique roles in this partnership. CHEO is the lead hospital for SPMHS.

  • Inpatient units include a 15-bed Adolescent Unit and a 10-bed Children’s Unit that provide crisis stabilization, assessment and transitional care.

  • Nurses working in the Mental Health PSU are supported by a clinical manager, nurse educator and an advanced practice nurse.

Our critical care units include the Neonatal Intensive Care Unit, and the Pediatric Intensive Care Unit.

  • The neonatal intensive care unit (NICU) at the Children’s Hospital of Eastern Ontario (CHEO) provides specialized nursing care for sick infants of all gestational ages and is a designated Level III NICU. As such, we are a referral center for eastern and southeastern Ontario and Baffin Island. Infants who come to our NICU have a multitude of diagnoses or problems including: prematurity; the need for cardiac, neurological, respiratory, renal, ophthamalogic, genetic, and surgical services; the need for ventilatory support, high frequency ventilation and nitric oxide administration, extensive cardiopulmonary monitoring, and/or treatment for sepsis. Infants in this unit receive 1:1 or 1:2 hands-on nursing care depending on their acuity status.

  • NICU nursing staff is supported by a clinical manager, clinical leaders, nurse educator and advanced practice nurse.

  • The pediatric intensive care unit (PICU) provides specialized nursing care for children and youth aged newborn to 18 years and their families who are experiencing life threatening illness or injuries. Our ten bed unit provides comprehensive critical care and life support to children experiencing major trauma, cardiovascular surgery, neurosurgery as examples.

  • In the PICU both a nurse educator and advanced practice nurse are part of the team that support clinical nurses.

The Oncology/Medical Day PSU provides specialized care to children and youth related to oncology, hematology and dialysis.

  • The PSU includes an inpatient unit (4 North), Medical Day Unit, and IV Team. The Medical Inpatient Unit provides multidisciplinary care to all oncology, hematology and peritoneal dialysis patients from infancy to 18 years of age, in addition to patients between the ages of 2 and 10 requiring admission for other medical diagnoses.

  • The Medical Day Unit is an outpatient unit providing active day treatment for patients who would otherwise require inpatient hospitalization. Types of conditions treated include oncology, hematology, rheumatology, immunodeficiency, endocrinology, neurology and nephrology. The unit also provides nursing care to day patients undergoing tests requiring sedation or anaesthetic. The Medical Day Unit includes the Oncology and Hematology Clinics, as well as the Dialysis Unit, providing hemodialysis and peritoneal dialysis treatments.

  • The IV Team provides specialized nursing care associated with IV therapy, central line therapy and venipuncture, to both inpatient units and other hospital units/clinics as needed.

  • In the Oncology/Medical Day Patient Service Unit, patients and families are supported by a nurse educator, nurse practitioner and an advanced practice nurse.

In addition, nurses practice family centered care in our Emergency Departments which provides specialized emergency services to approximately 53,000 children and youth from Eastern Ontario and Western Quebec annually.

  • The Emergency PSU operates 24 hours a day to provide specialized nursing and medical care in response to the extremely varied needs of children requiring emergency care.

  • The Child Health Centre (CHC) addresses the health concerns of children presenting with lesser acuity conditions during the afternoon and evening. Patients present to CHEO Emergency and are triaged to the CHC according to their acuity.

  • The Sexual Assault Program offers acute sexual assault treatment services to the region’s pediatric population 24 hours a day. The team is comprised of Sexual Assault Nurse Examiners, Social Workers and Physicians.

  • Within the Emergency department, two nurse educators work together to support the practices of our nurses and Interprofessional health care team.

Nurses are part of the team caring for out patients requiring surgery in inpatient, perioperative and outpatient settings.

  • The Surgery PSU provides specialized services in the surgical care of children and youth. Services offered by the Surgery PSU include an inpatient unit (5West), the Trauma Program, the Surgical Suite, Recovery Room, Day Care Surgery Unit, Pre-Admission Clinic, Surgical Clinics and the Acute Pain Service.

  • The surgical inpatient unit specializes in the delivery of surgical care to children and youth. The Surgical Suite provides services to accommodate elective and emergency surgical procedures. Surgical specialties include Neurosurgery, Orthopaedics, General Surgery, Urology, Cardiovascular, Endoscopy, Plastic Surgery, Ophthalmology, ENT, and Oral and Dental Surgery. Services are provided from the simplest to the most complex surgeries, including Minimally Invasive Surgery, surgical procedures for sports medicine, and special programs including Cochlear Implants

  • Nurses working in the Post Anaesthesia Care Unit provide post-operative care to patients who have received a general or regional anaesthetic.

  • The Day Care Surgery Unit is responsible for pre and post-operative admission of the majority of surgical patients and post-operative care and discharge for all patients undergoing elective surgery on a one-day stay basis.

  • Nurses working in the surgical PSU are supported by unit based clinical managers, clinical leaders, nurse educators and a nurse practitioner.

Ambulatory care settings are another venue in which our nurses provide exemplary family centered care. Some examples of these settings in which nurses at CHEO make a real difference in the lives of children and their families include the cardiology, neurology, neurosurgery clinics.

Clinical supports for Nurses at CHEO

  • CHEO supports nurses to continue to acquire the knowledge, skills and clinical judgment essential for excellence in nursing care. Clinical supports for staff include our preceptors who are essential to share and prepare new staff and students to meet practice expectations. In addition, nurses are supported in clinical practice by nurse educators and advanced practice nurses who have a mandate to promote excellence in nursing practice at both unit and organizational levels.

  • One support is the Nursing Development and Research Team (NDART) comprised of the CHEO Advanced Practice Nurses (APNs) Nurse Educators (NEs) and the Director of Nursing Practice and Education and the Director of Nursing Research and Knowledge Transfer Consultant. NDART’s mission is to empower nurses through education, practice support and research to enhance the quality of patient care through best practice. Our vision is the support of all nurses to achieve their potential in providing excellent pediatric nursing care.

  • In addition to CHEO’s values of pursuing excellence, family centered care, collaboration and teamwork, continuous learning and improvement, NDART also values clinical expertise grounded in novice-expert competency development, a supportive work culture, open communication and autonomy and accountability for work.

 

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