- Email: [email protected]
VAPING: ARE E-CIGARETTES MORE THAN SMOKE AND MIRRORS?
CCCN Abstracts
safe environment amenable to learning. A semi structured education guide starts the process, allowing for flexibility in learning and to permit issues to arise from the group. Discussion and problem solving are encouraged, with the educator acting as facilitator, not lecturer. The use of simulation strategies is an effective tool that may be transferred to any setting. In a large scale project to standardize corporate practice this strategy has proven consistently effective not only as an educational tool, but as an informal evaluation method.
NP025 VAPING: ARE E-CIGARETTES MORE THAN SMOKE AND MIRRORS? D Fitch1, L Avery1, E Estrella-Holder2, M Kvern1, T Warner2, J Tam2 1
Winnipeg Regional Health Authority, Winnipeg, MB, 2 St. Boniface Hospital, Winnipeg, MB
Approximately 4.6 million adult Canadians are current smokers. Smoking is one of the most attributable risk factors leading to cardiovascular related diseases and premature death. The reduction of the number of cigarettes smoked is a common strategy used by Canadians as a bridge to smoking cessation. There is confusion among the public and professionals related to the safety and efficacy of e-cigarettes (EC) as a smoking cessation aid. EC are devices that emit vaporized solutions. The essential components of EC include the battery, an atomizer, cartridges with or without nicotine, and other substances. Nicotine- delivering EC devices are not approved for sale by Health Canada and may not be marketed as a smoking cessation aid. There is a paucity of research to demonstrate either the safety or efficacy of EC as a smoking cessation aid. In addition, the variable nicotine levels found in EC may lead to compensatory smoking. The purpose of this presentation is to highlight the current Canadian policy and position related to EC as a smoking cessation aid and the evidence used to inform policy recommendations. Implications for nursing practice in relation to counseling and evidence informed smoking cessation or harm reduction strategies will be presented. Cardiovascular nurses play a pivotal role in health promotion and secondary prevention strategies related to tobacco use. In addition, practitioners require knowledge and awareness of the current state of evidence related to EC to enable the public to make informed decisions regarding smoking cessation aids.
NP026 BRIDGING THE GAP BETWEEN HOSPITAL AND HOME: OPENING A RAPID CARDIOLOGY ASSESSMENT CLINIC M Galapin, S Michaud, D Bello-Aqui, J Ng Lee Sunnybrook Health Sciences Centre, Toronto, ON
A pilot project for a Rapid Cardiology Assessment and Heart Failure Clinic was organized at Schulich Heart Centre,
S373
Sunnybrook Health Sciences Centre. The clinic aims to quickly review consultations so as to prevent hospitalization and re-hospitalization of cardiology patients and to serve as bridge to outpatient care when patient is discharged to the community. However, the clinic is not intended to replace outpatient cardiology care or assume long term care of cardiology patients. The clinic receives referrals from: Emergency Department (ED), Cardiac Intensive Care Unit, Cardiology Ward, General Internal Medicine (GIM) Ward, and Family Physician’s clinic within Sunnybrook Health Sciences Centre and its catchment area. Clinic criteria was developed to include: patients referred from ED with congestive heart failure not requiring urgent admission, low-risk chest pain of coronary etiology, and arrhythmias that require urgent follow-up; rapid review of discharged patients as a bridge to their usual outpatient cardiology care; GIM patients with cardiology diagnosis that require subspecialty expertise; and patients referred from family physician’s clinic as an option to an emergency room assessment. Pilot project evaluation after three months of implementation shows growth in clinic referrals and diversion of unnecessary hospital admissions. Challenges identified included triage of referrals and medical manpower in the clinic.
NP027 BETTER TOGETHER: BOOKING THE OR COLLABORATIVELY M Bellows, T Peters Alberta Health Services, Edmonton, AB
An innovative approach was needed to reduce cardiac surgical postponements in a climate of finite operating room time, fiscal restraint and growing waitlist. The cardiac surgical slate, booked by several Surgeons’ Offices using an individualized approach, lacked an omniscient perspective; one that is cognizant of case mix, procedure complexity and bed availability within the Cardiovascular Intensive Care Unit and Cardiovascular Ward. Postponing surgeries can cause undue physical and psychological stress to patients and families. To improve the patient experience and care quality, a cost neutral, synergistic approach was applied. The Cardiovascular Surgery Collaborative Booking Team was born. A strategic alliance of Nurse Navigators, Unit Managers, Surgeon’s Administrative Assistants, and Cardiac Operating Room (OR) and Zone Program Nurse Managers meet weekly to plan the next week’s slate. This Team discusses and makes adjustments to the draft slate, planning for complex cases, potential unplanned emergencies and patient flow. Bringing stakeholders together and fostering shared decision making, decreased postponements due to “no beds” from 4.5% to 0.6%. Added benefits of the collaborative team approach include building relationships with adult congenital patients and families prior to surgery and increased OR utilization.
safe environment amenable to learning. A semi structured education guide starts the process, allowing for flexibility in learning and to permit issues to arise from the group. Discussion and problem solving are encouraged, with the educator acting as facilitator, not lecturer. The use of simulation strategies is an effective tool that may be transferred to any setting. In a large scale project to standardize corporate practice this strategy has proven consistently effective not only as an educational tool, but as an informal evaluation method.
NP025 VAPING: ARE E-CIGARETTES MORE THAN SMOKE AND MIRRORS? D Fitch1, L Avery1, E Estrella-Holder2, M Kvern1, T Warner2, J Tam2 1
Winnipeg Regional Health Authority, Winnipeg, MB, 2 St. Boniface Hospital, Winnipeg, MB
Approximately 4.6 million adult Canadians are current smokers. Smoking is one of the most attributable risk factors leading to cardiovascular related diseases and premature death. The reduction of the number of cigarettes smoked is a common strategy used by Canadians as a bridge to smoking cessation. There is confusion among the public and professionals related to the safety and efficacy of e-cigarettes (EC) as a smoking cessation aid. EC are devices that emit vaporized solutions. The essential components of EC include the battery, an atomizer, cartridges with or without nicotine, and other substances. Nicotine- delivering EC devices are not approved for sale by Health Canada and may not be marketed as a smoking cessation aid. There is a paucity of research to demonstrate either the safety or efficacy of EC as a smoking cessation aid. In addition, the variable nicotine levels found in EC may lead to compensatory smoking. The purpose of this presentation is to highlight the current Canadian policy and position related to EC as a smoking cessation aid and the evidence used to inform policy recommendations. Implications for nursing practice in relation to counseling and evidence informed smoking cessation or harm reduction strategies will be presented. Cardiovascular nurses play a pivotal role in health promotion and secondary prevention strategies related to tobacco use. In addition, practitioners require knowledge and awareness of the current state of evidence related to EC to enable the public to make informed decisions regarding smoking cessation aids.
NP026 BRIDGING THE GAP BETWEEN HOSPITAL AND HOME: OPENING A RAPID CARDIOLOGY ASSESSMENT CLINIC M Galapin, S Michaud, D Bello-Aqui, J Ng Lee Sunnybrook Health Sciences Centre, Toronto, ON
A pilot project for a Rapid Cardiology Assessment and Heart Failure Clinic was organized at Schulich Heart Centre,
S373
Sunnybrook Health Sciences Centre. The clinic aims to quickly review consultations so as to prevent hospitalization and re-hospitalization of cardiology patients and to serve as bridge to outpatient care when patient is discharged to the community. However, the clinic is not intended to replace outpatient cardiology care or assume long term care of cardiology patients. The clinic receives referrals from: Emergency Department (ED), Cardiac Intensive Care Unit, Cardiology Ward, General Internal Medicine (GIM) Ward, and Family Physician’s clinic within Sunnybrook Health Sciences Centre and its catchment area. Clinic criteria was developed to include: patients referred from ED with congestive heart failure not requiring urgent admission, low-risk chest pain of coronary etiology, and arrhythmias that require urgent follow-up; rapid review of discharged patients as a bridge to their usual outpatient cardiology care; GIM patients with cardiology diagnosis that require subspecialty expertise; and patients referred from family physician’s clinic as an option to an emergency room assessment. Pilot project evaluation after three months of implementation shows growth in clinic referrals and diversion of unnecessary hospital admissions. Challenges identified included triage of referrals and medical manpower in the clinic.
NP027 BETTER TOGETHER: BOOKING THE OR COLLABORATIVELY M Bellows, T Peters Alberta Health Services, Edmonton, AB
An innovative approach was needed to reduce cardiac surgical postponements in a climate of finite operating room time, fiscal restraint and growing waitlist. The cardiac surgical slate, booked by several Surgeons’ Offices using an individualized approach, lacked an omniscient perspective; one that is cognizant of case mix, procedure complexity and bed availability within the Cardiovascular Intensive Care Unit and Cardiovascular Ward. Postponing surgeries can cause undue physical and psychological stress to patients and families. To improve the patient experience and care quality, a cost neutral, synergistic approach was applied. The Cardiovascular Surgery Collaborative Booking Team was born. A strategic alliance of Nurse Navigators, Unit Managers, Surgeon’s Administrative Assistants, and Cardiac Operating Room (OR) and Zone Program Nurse Managers meet weekly to plan the next week’s slate. This Team discusses and makes adjustments to the draft slate, planning for complex cases, potential unplanned emergencies and patient flow. Bringing stakeholders together and fostering shared decision making, decreased postponements due to “no beds” from 4.5% to 0.6%. Added benefits of the collaborative team approach include building relationships with adult congenital patients and families prior to surgery and increased OR utilization.