Paediatric Regional Outreach (PRO) Program
The purpose of the Southwestern Ontario Maternal, Newborn, Child and Youth Network (MNCYN) is to enable the consistent delivery of safe, quality maternal, newborn, child and youth care across our region. Our Network is seen as adding significant value through its ability to:
- Provide better health outcomes through systematic improvements in health promotion, illness and injury prevention, acute and follow-up care and patient safety.
- Provide better operational management through improved asset management within the organization and across the region resulting in greater return on investment.
- Provide better systems integration through improved communication, program planning, and support resulting in greater coordination across the region.
- Enhance learning and growth by promoting and advocating for a consistent standard of care throughout the region.
This program was designed to provide all of the partner hospitals within the Southwestern Ontario Maternal Newborn Child and Youth Network with continuing medical and nursing education in relation to paediatric care.
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 community hospitals and the tertiary centre.
- To foster improved repatriation rates between the tertiary centre and regional hospitals
We facilitate the adoption of evidence-based paediatric practices, through education sessions which combine both lecture and skills components. Agendas are determined in conjunction with partner hospital education staff, and are based on specific needs. Paediatric simulation and task trainers may be used to supplement the learning of skills and procedures.
- Lectures presented at regional partner organizations
This format offers a targeted and specific agenda on content requested by partner physicians and nurse educators. Past half day sessions presented by Paediatric Critical Care physicians included:
- Management of paediatric drowning;
- Management of difficult airway in paediatrics;
- Management of critical head injury in paediatrics, etc.
Feedback for half-day sessions has been positive due to recognizing time commitments of staff and providing learning sessions at home hospitals, allowing for optimal attendance. These presentations often promote spontaneous secondary discussions.
Lectures and workshops presented onsite at regional partner organizations. This format is used to present a comprehensive paediatric day workshop. These sessions follow a systematic review of the paediatric patient. Presentations to date include:
- Physical assessment of the paediatric patient
- Growth and development
- Fluids and electrolytes
The remainder of the agenda is created to specific needs of the participants. These sessions have the option of incorporating simulation utilizing “hands on skills” with use of own paediatric equipment.
Evaluations for previous full-day workshops have been very positive:
“ I really enjoyed it… very informative information- everyone should go “
“Very appropriate information for our demographics”
While most courses are offered free of charge to MNCYN partner organizations, there may, on occasion, be an added cost related to the addition of speaker(s) and materials. MNCYN will offer paediatric education resources to health care providers beyond our region on a fee for service basis.
MNCYN’s Paediatric Advancement Program is providing a platform to facilitate and coordinate knowledge sharing and implementation. Opportunities for learning and collaboration include annual meetings, OTN and webinar events, as well as assisting partners with the uptake of emerging paediatric guidelines and best practices.
The Southwestern Ontario Maternal, Newborn, Child and Youth Network (MNCYN)’s Paediatric Advancement Program has developed a Regional Paediatric Orientation (RPO) to promote the consistent delivery of safe, quality paediatric care across our region. RPO is modular-based with self-directed learning packages which are based on current best-practice guidelines. Core paediatric nursing competencies are a fundamental building block of the curriculum and will support staff to develop the theoretical knowledge to support care provision for the paediatric patient population. The primary focus of the program is to teach nurses an ordered methodology when performing paediatric assessments and to critically think through the findings, helping to establish a sense of confidence in their skills. The regional program is designed to guide and facilitate preceptors and educators/clinical nurse leads (CNL) as they mentor learners during the orientation process. This course is also a valuable tool for experienced nurses wishing to refresh their paediatric knowledge. Please note, this is not a credit course. More information can be found under Education/ Knowledge Sharing.
Regional Data Sharing
In collaboration with our regional partners, we are developing a paediatric data collection tool aimed to provide actionable information to leaders, educators and staff in the following areas:
- Stomach Pain/GI
- Viral / Unspecified pneumonia
Provincial and National Collaborations
- The Provincial Council for Maternal and Child Health
- The Canadian Association of Paediatric Health Centres
Highlights of ongoing project work includes:
- A regional approach to standardized paediatric nurse competencies;
- Harmonizing paediatric policies and guidelines;
- Creating opportunities for experiential learning
Kristine Fraser, RN, MN, BN, BA, CNCCP (C)
Janice Tijssen, MD FRCPC FAAP
Tim Lynch, MD, FRCPC
Rahul Ojha, MBBS, DCH, MD, FRAPC (Australia)
Paediatric Education Consultant
Paediatric Medical Co-Director, Intensivist Critical Care
Paediatric Medical Co-Director, Paediatric Emergency
Paediatric Medical Co-Director, In-Patient Paediatrics