The Public Health Agency of Canada (PHAC) has provided provinces with some measles resources. Please see the Measles factsheet available in English and French. Infection Control would recommend that this fact sheet be made available in all Acute Care EDs and be provided to all patients who present with measles or probable measles.
Submitted by Infection Prevention & Control
Measles Quick Reference Guide
Manitoba Public Health developed a Measles Quick Reference Guide to support clinicians in recognizing and responding to measles cases and contacts.
Feel free to share throughout your networks.
If you have any questions, please email
Submitted by Tamara Burnham, Collaborative Practice Lead
Allocation of Air Resources During Wildfire Response
The Virtual Emergency Care and Transport Resource Centre (VECTRS), has established processes to evaluate and prioritize all interfacility transport requests. Through VECTRS, all transports are reviewed and triaged for acuity so each movement can be prioritized, based on the patient need.
The current wildfire state of emergency in northern MB has put demands on the overall health care system, in particular the finite ERS transport resources used to move patients and personal care home residents.
The evacuation demands means that the same finite medevac resources used on a daily basis have increased requests for transport. As a result, there is a risk that patients that are being moved for routine diagnostics or care, may experience a delay in transport.
The VECTRS transport score is used to prioritize patient movement based on clinical need. A life safety threat due to the wildfires may also result in an escalated priority for a transport. Throughout this evacuation, where possible, ERS has utilized additional air and ground resources to support evacuation activities. However, despite these best efforts, there may be times when demands for resources exceeds supply.
Printable version of the Allocation of Air Resources During Wildfire Response Memo.
Submitted by Tamara Burnham, Collaborative Practice Lead
Electronic Patient Record (EPR) and eChart Manitoba Upgrade & Migration Project Update
Please share/distribute as appropriate within your network.
Digital Shared Services will be upgrading the Electronic Patient Record (EPR) and eChart Manitoba on July 25, 2025. The upgrade ensures users will be brought up to date on fully-supported versions. It also includes migration to cloud-hosted services.
This will help the applications stay fully protected, supported and aligned with the latest security standards and will bring users onto a common version. It will also introduce improvements to things like viewing and searching patient information.
The upgrade impacts all current EPR and eChart users, with varying degrees of change based on the features and functions used at each site. Key changes are summarized below:
EPR changes
Most end users will notice new buttons, icons and screen colours, as well as improvements to viewing and searching.
Some end users will notice changes to Order Reconciliation Manager (ORM), Prescription Writer (Rx Writer) and Opal Scanning (Ambulatory EPR).
We do not anticipate the need for classroom training for the EPR changes; quick reference guides and other training materials will be provided as required to support end users.
eChart changes
The upgrade will bring all eChart users to the same version.
Users who access through EPR will notice a significant difference in terms of navigation, look, feel, and how the data is organized.
Users who access through an EMR or web browser will notice some changes, including the return of the tabular view for navigating three of the clinical categories.
Training videos will be available on the eChart Manitoba website.
Updates will be shared as we progress towards go-live including more details around downtime, training and go-live readiness.
Thank you for your attention and support as we work toward enhancing our digital applications across the health care system.
Printable version of the Electronic Patient Record (EPR) and eChart Manitoba Upgrade & Migration Project Update.
If you have any questions, please contact: Sneha Singh, Project Manager, EPR Upgrade John Atwater, Project Manager, eChart Manitoba Upgrade
Submitted by Tamara Burnham, Collaborative Practice Lead
Southern Health-Santé Sud (SH-SS) clinicians are requested to review this latest communication and follow the clinical care directions in this URGENT: Expanded Medical Device Recall – Bard BD 4 FR PowerPICC Catheters, English and French. In addition to the usual regional safety event and product complaint reporting, there is also specific direction for reporting complaints experienced with the use of this product to BD.
SH-SS Logistics & Supply Chain Management are actively reviewing inventory, removing/destroying affected product and sending customer responses.
Submitted by Tamara Burnham, Collaborative Practice Lead, and Tim Siran, Regional Manager-Logistics and Supply Chain Management. For more information contact Tamara at 204-371-1008 or OR Tim at 431 356 0217 or
Restraints in Acute Care Setting Policy
Purpose
To provide direction for the safe and appropriate use of restraints across acute care settings promoting the least restraint approach to care.
To differentiate between what is considered a restraint and what is not considered a restraint, in light of the individual patient’s goals of care and the necessity of a specific therapeutic intervention.
Accreditation Canada requirement to develop a restraint policy for use in Acute Care settings.
Key Message
Use of restraints in an Acute Care setting must be done according to policy under strict guidance to ensure safety of clients and staff are maintained.
A restraint is:
Used only after all other options to address the safety risks for the patient and others in the immediate environment have been thoroughly attempted;
Used in the best interest of the patient;
Used judiciously and the least restrictive possible restraint;
Used over the shortest period of time needed;
Applied in accordance with the manufacturer’s directions where applicable; and
Applied in a manner that can be easily removed by staff.
Recommendation(s)/Action Required
Participate in formal education as provided by Staff Development.
Print and have available appropriate forms, supporting documents for use at all facilities.
Timeline:
‘Go Live’ date – once formal education has been offered.
If you have any questions, please contact:
Site Director or Manager
Submitted by: L Cassan, Regional Lead – Acute Care & Chief Nursing Officer
Pressure Injury Prevention and Treatment policy update
Purpose
Pressure injuries continue to be a significant health concern as the population ages and the complexity of care increases across all care settings. Early identification of persons at risk for pressure injury development and prompt intervention remains key to pressure injury prevention.
Pressure injury prevention and treatment crosses all care areas in SH-SS. Policy reviewed and updated to meet accreditation ROPs and to incorporate suggested revisions from differing care areas. The policy was reviewed by the Wound Care Committee policy review team.
Key Message
Clarification of Braden Scale assessment intervals in home care
Care plans: Acute care can utilize Pressure Injury Prevention and Management Intervention Checklist OR Braden Scale Standard Care Plan. Long Term Care and Transitional Care to utilize newly developed Braden Scale Standard Care Plan for Personal Care Homes (PCH).
Included table into policy to outline which supporting documents are to be used in each care area. Key changes: Clients that are expected to be immobile for 2+ hours will need a Braden Scale assessment complete. For example, clients with an expected surgery greater than 2 hours in length, or a client in ER that has altered LOC and unable to reposition self.
Included high risk factors for surgical patients
Braden Scale for Predicting Risk of Pressure Injuries
Pressure Injury Prevention and Management intervention Checklist
Pressure Injury Prevention and Management Individualized Care Plan Home Care
Health Care Aide Skin Observation Form
Home Care Attendant Skin Observation Form
Braden Scale Standard Care Plan for PCH
Wound and Skin Discharge Summary Form
Acute Care
x
x
x
x
Outpatient Ambulatory Care Clinics
x *expected immobility over 2hrs or high risk
x (if required)
Community Programs
Emergency Department/ Observation
x * expected immobility over 2hrs or high risk
x (if required)
Home Care/ Palliative
x
x
x
x
LTC
x
x
x
x
SDS / OR Perioperative
x * expected immobility over 2hrs or high risk
x (if required)
TCU
x
x
x
x
Health Care Aide Skin Observation Form and Home Care Attendant Skin Observation Form updated to include diagrams of feet for documentation
Newly created pamphlet to be utilized in long term care and transitional care to be provided to residents and families regarding pressure injury prevention “Skin Health: Help us Protect Your Skin and Prevent Pressure Injuries: Information for you and your family”
Audit process clarified
Recommendation(s)/Action Required
Review policy with staff – “read only” changes
Update supporting documents – Skin Observation forms, PCH pamphlet, Braden scale implementation in additional care areas, Braden Scale Care Plan for Personal Care Homes
Timeline:
As soon as possible after posted
Submitted by: L Cassan, Regional Lead – Acute Care & Chief Nursing Officer
Nurse-to-Patient Ratio Committee Update
Please share with managers and nursing staff within your portfolios
The Nurse-to-Patient Ratio Committee is a key commitment from the 2024-2028 Collective Agreement with the responsibility to recommend a made-in Manitoba framework to establish nurse-to-patient ratios for Manitoba’s nurses. This is important work to help inform how care should be delivered for Manitobans. A final report will be presented to the Minister of Health, Seniors and Long-Term Care no later than March 1, 2026.
The committee is a tri-partite committee comprised of the following representatives:
Manitoba Nurses Union (MNU)
Darlene Jackson, President MNU –
Leona Barret, Manager Labour Relations, MNU – Darlene Jackson, President MNU –
Mary Anne Lynch, Regional Lead Health Services and Chief Nursing Officer (WRHA) –
Chad Munro, Vice President Health Services Acute Care and Chief Nursing Officer (NRHA) –
Lorraine Cassan, Regional Lead, Acute Care and Chief Nursing Officer (SH-SS) –
Conne Newman, Vice President, Health Workforce (Shared Health) –
Government
M.L.A. Carla Compton – Chair (Premier’s Advisor on Nursing Culture and Safety) –
Treena Slate, Chief Executive Officer, PMH –
Mikaela Brooks, Director of Compensation and Medical Remuneration Strategies, Manitoba Health, Seniors and Long-Term Care –
Ex-Officio Members
Mike Sutherland, Executive Director, MNU –
Wanda Reader, Interim Executive Director, Provincial Health Labour Relations Services –
The Committee started meeting in late 2024 with a focus on gathering current state information across our system, conducting a comprehensive jurisdictional scan and engaging with other jurisdictions to learn from their best practices. An engagement strategy is being developed to ensure the voices of the front-line nurses’ help inform this work.
In the coming months, a survey will be distributed to nurses across the province and focus group sessions will be held to gather in-depth insights. The focus is on acute care, with engagement from nurses working in these settings with additional input from nurses working in long-term care and community settings. Stay tuned for more details as we continue this important work!
If you have any questions, please feel free to reach out to any of the committee members.
Submitted by: L Cassan, Regional Lead – Acute Care & Chief Nursing Officer
Public Guardian and Trustee of Manitoba Committeeship Policy Update
Purpose
To outline individual roles, expectations, implications and limitations of an Order of Committeeship pursuant to the Mental Health Act and to provide a greater understanding in supporting the client’s wellbeing; given the client has been deemed mentally incompetent to manage personal care and/or property.
In compliance with the Brian Sinclair inquest recommendation #1, this policy provides a standardized process for communicating that a client is under a Committeeship of the Public Guardian and Trustee of Manitoba (PGT) to all service providers who are actively involved in that client’s care, including primary care providers and fee for service physicians.
Provincial direction to add language about notification of next of kin.
Key Message
Provincial direction to add language about notification of next of kin.
Recommendation(s)/Action Required
All staff to review updated policy published on StaffNET and print as needed.
Timeline:
Policy to be actively used effective date published on StaffNET.
If you have any questions, please contact your Manager, Director or Educator.
Submitted by: L Cassan, Regional Lead – Acute Care & Chief Nursing Officer
Reporting Real-Time Emergency Department Closures
Purpose
Ensure accurate reporting and communication of emergency department (ED) service disruptions according to standardized definitions, in compliance with the Manitoba Health Seniors and Long-Term Care policy directive (HCS 200.7) and the Provincial Capacity Management Standard.
As part of the Provincial Patient Flow Strategy and in collaboration with Manitoba Health, efforts are underway to develop and implement standardized practices for reporting and communicating Emergency Department (ED) operational status updates and changes.
Key Message
EDs will report any unplanned changes to ED operations, which is reflected on the Provincial Capacity Dashboard.
Risks of ED closures are reviewed as part of Regional Bed Flow daily calls and brought to the Provincial table for awareness.
Changes are effective immediately once saved into EPR; the Dashboard is refreshed every 5 minutes.
Approval is required from site Manager/on-call process for all unplanned ED closures.
For up to date service disruptions, each facility is responsible to reference the Capacity Management Dashboard.
Indefinite closures require Senior Leadership Team approval.
Recommendation(s)/Action Required
Directors and Managers please review the procedure and ensure site specific process have been developed where indicated using Job Aid template.
Circulate above information to relevant HIS and ED staff.
Timeline:
‘GO LIVE’ May 13, 2025
If you have any questions, please contact: Shelley Emerson or Jenn Sager.
Submitted by: L Cassan, Regional Lead – Acute Care & Chief Nursing Officer