For Manitoba nurses… Psychosocial wellness tool kit. Video and other resources to learn simple, purposeful, deliverate actions you can easily implement to help you revitalize!
Removal of a Peripherally Inserted Central Catheter (PICC)
This module provides a standardized, evidence-informed process for the safe removal of a PICC
Public Health Act and Surveillance
As a public health professional in Manitoba, Public Health Nurses need to know the key features of their provincial public health legislation. You are part of a larger network that is watching, listening and gathering information on key health areas.
Protection for Persons in Care Office (PPCO)
A 20 min self-learning package encompasses information from the PPCO of Manitoba website, as well as videos from RNAO and references Southern Health Santé Sud policy. Developed for the primary purpose of supporting staff working in health care facilities and community settings (materials, questions are based on PPCO, PPCA, RNAO and SH-SS policy).
Proof of completion will be generated by working through the online learning package.
Preceptorship | HCA
Orientation video and document for health care aide preceptors
Preceptorship | LPN (ACC Program)
Preceptors are used in Senior Practicum where students are partnered for the duration of their clinical experience.
Session 1 – video
Topics covered
- Introduction to the College of Nursing Clinical Program
- What is a Concept Based Curriculum?
- Student Assessment:
- Where do I start?
- What do I watch for?
- Who do I contact to discuss student performance or progress?
- What are the next steps when a student is not progressing as expected?
- Next Steps
Session 2 – video
Topics Covered
- Student assessments
- Providing feedback
- Supportive learning contracts
- Remediation
- Completion of the clinical evaluation tool (CET)
PCH Standards
For nurses/health care aides and support staff. Access the module appropriate self-learning package and respective practice answer sheets below.
Nurses/Health Care Aides – Self-learning package
Patient Safety Critical Incidents
A 30 min video on reporting and reviews of patient safety critical incidents.
Submit completion of learning package
Nipple Shields
Access the module for nipple shields (use, risks and complications, etc). Practice quiz below.
Quiz
- If a baby is unable to latch, name three factors that should be explored before using a nipple shield?
Answer
- breastfeeding self-efficacy; 2. breastfeeding history – including with this baby; 3. baby’s oral anatomy; 4. birth
- If the health care provider is unable to support the breastfeeding dyad they should give the dyad the nipple shield so they can continue breastfeeding on their own. True or False
Answer
False. A plan should be created that works for the family and communicate with someone that can support the dyad. Mom and Baby can go home even if not latching if there is a good follow-up plan to ensure baby is fed and milk supply is maintained. *Communication between care providers is critical
- Name three risks/complications with using a nipple shield for mom or baby.
Answer
- In the first days after birth, moms and babies benefit from time to connect and recover. Babies begin to use their neuromuscular abilities to latch. The introduction of a nipple shield at this time can interfere with this process.
- Imprinting in babies is oral/tactile and when they become exposed to artificial nipples in their mouths at an early age they may have difficulty replacing it with their mother’s nipple.
- Nipple shields may decrease milk transfer by 25%.
- Nipple shields may put pressure on milk ducts and cause plugged ducts or mastitis.
- Some babies become so accustomed to the shield that they do not breastfeed without it, exposing mom and baby to risk #1 and #2 for much longer and decreasing duration of breastfeeding.
- Name two reasons why the correct nipple shield size and are fit important?
Answer
When nipple shield is too large:
- The nipple shield will cause the baby to choke on it and the baby will not effectively feed, which can lead to a nipple aversion making the baby not want to breastfeed.
- The baby will not take in enough of the breast tissue, causing a decrease in milk transfer and a reduction in milk supply.
When the nipple shield is too small:
- it may not stimulate active sucking, causing a decrease in milk transfer and reduction in milk supply
- the shield can interfere with milk flow and traumatize nipple tissue
- How is a nipple shield put on?
Answer
- Turn the shield almost completely inside out, so that the tip is still in the right position but the sides are folded up around it
- Moisten the side that goes against the breast to help the shield stay in place
- Centre the tip over the nipple and smooth the rim against the breast
- Wiggle the nipple section to pop it out, by using a series of small rotations while holding the tip of the shield
Newborn Assessment
Routine physical assessment of the newborn is an important skill for maternity nurses. Initial examination should be carried out before 24 hours of age.