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IPPL Clinical Practice and Policy round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health, highlight any new priority projects and events, as well as updates to our Workplace Notes and Custom Workplace Skills. We’ll also highlight new publications we’re supporting and maintaining including policies, clinical practice support guides, clinical resources on the intranet and clinical learning modules.

Dynamic Health Updates

We receive feedback submissions on an ongoing basis through the Suggest an Edit form and through partnerships with departments and teams. This month, the following customizations have been added:

New Workplace Note

Revised Workplace Note

Reviewed: No Workplace Note

Custom Skills

Clinical Practice Supports

Renal Dialysis, Urinary Catheters and Radial Compression Devices

Clinical Practice Supports for Health Care Providers are subject guides created with clinical leaders, educators and frontline staff for use at the point-of-care and when acquiring or refreshing clinical competencies. Clinical Practice Support subject guides are maintained by Interprofessional Practice and Learning (IPPL) - Clinical Practice and Policy. The goal is to adopt evidence-based clinical resources that can be implemented without re-inventing the wheel. Where novel contexts or gaps exist, we support the creation and maintenance of resources that support nursing and allied health professionals with working to scope and with providing evidence-based, quality patient care.

We are pleased to launch three new Clinical Practice Supports for Nursing:

  • Renal Dialysis
    • Custom Dynamic Health skills from the Renal Care Program, including policies, appendices (with images) and patient education pamphlets.
  • Urinary Catheters
    • Adopted Dynamic Health skills with workplace notes, care directives, patient education pamphlets, NSWOC guidelines and decision aids, and key practice points.
    • Note: The Urinary Catheters page on the Clinical Practice Supports for Nursing guide replaces several outdated policy documents. Read more in this recent memo.
  • Radial Compression Devices
    • Custom Dynamic Health skill for reapplying a Teruma TR band, and background guidance to support competency in this skill. Includes key info like relevant order sets, anatomy, patient education and alternative device (Zoom Hemostop) support.

Health Promotion in January and Dynamic Health Topics

January 2025 marks the promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggestions for Skills form with your notes and we will get in touch!

Alzheimer's Awareness Month

Let's Talk Day

 

IPPL Clinical Practice and Policy

Gloria Connolly, RN, BScN, NCA, WOCC(c), GNC(c)
Clinical Nurse Educator
Interprofessional Practice and Learning

Leah MacDonald, RN, BSc, BScN
Professional Practice Leader
Interprofessional Practice and Learning, ERIN Network

Katie McLean
Librarian Educator
Interprofessional Practice and Learning, ERIN Network Hub, Library Services

Margaret Poitras
Policy Lead
Policy Office

Valorie Shaddick, BNRN, CCNP, CVAA (c)
Clinical Nurse Educator
Interprofessional Practice and Learning

Ann Slaunwhite
Library Technician
Interprofessional Practice and Learning, Library Services

12/16/2024
Library Staff

Ethics Nova Scotia Health can provide input at any stage of the policy development process. In this blog post, we outline how we help policy developers and working groups with ethics input at different stages of the process.

Ethics support during the initial policy development stage

It may be useful to reach out for ethics support early in the policy development process if you are developing or revising a ‘high stakes’ policy, e.g.:

  • A policy that affects equity-seeking populations
  • A policy that involves curtailing the liberty of patients, or other kinds of value-based tensions

At this stage, our team can assist with assessing policy options from an ethics lens. We can work with you to identify how well these options align with our organizational principles and values, as well as other relevant principles and values. Depending on the complexity of the policy (or the complexity of the related ethics issues), it may also help to include a member of Organizational Ethics and Policy Support on the policy development group.

Ethics support during the policy writing stage

It is not always easy to identify and weigh the principles and values that should inform a policy. We can assist policy working groups to identify and formulate relevant principles and values specific to the policy they are developing.

We can also support your group to facilitate a discussion if there is disagreement about how different values should be weighted within the policy, especially if some of these values are in tension with each other.

To help you determine the type of ethics support that may be most beneficial for your working group, or when to reach out to Ethics Nova Scotia Health for ethics support with a policy, visit:

How can Ethics Nova Scotia Health help you develop policies?

You can learn more about the role of ethics in health policy development in Nova Scotia Health Ethics Network’s (NSHEN) Fireside chat with Policy Manager, Michelle Helliwell. The video comes with a discussion and resource page, for use in facilitating discussions or for further reflection.

Another useful resource is NSHEN’s Ethics and Health Policy: The Nuts and Bolts. While this guide is written for a general audience and is not specific to Nova Scotia Health’s policy development process, it provides useful guidance around ensuring that the policy process is ethics-informed, including:

  • Addressing power dynamics
  • Managing conflicts
  • Identifying and considering relevant principles and values

Ethics review of a policy

If you are sending out a draft policy for feedback, you may want to include Ethics Nova Scotia Health in the collaborating-partners feedback survey.

Organizational Ethics and Policy Support, a core function group with Ethics Nova Scotia Health, meets on the second Friday of each month. At these meetings, we review draft policies from an ethics lens. We summarize both general and section-specific feedback and highlight any potential ethical implications or concerns that the group may have. We are always happy to answer questions and are available to assist with implementing our feedback.

Please submit your policy review request according to our submission deadlines. Requestors can expect to receive feedback about one week after the meeting date.

For ethics input on a policy:

Complete our Ethics Input on Policy request form

Email: ethicssupport@nshealth.ca

For more information about ethics support:

Visit: Ethics Nova Scotia Health

Phone (toll-free): 1-833-392-1413

Lisbeth Witthoefft Nielsen

Ethics Program Manager, Ethics Nova Scotia Health

Dynamic Health round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health. They highlight any new priority projects and events as well as updates to our Workplace Notes and Custom Workplace Skills.

Dynamic Health Updates

We receive feedback submissions on an ongoing basis through the Suggest an Edit form and through partnerships with departments and teams. This month, the following customizations have been added:

New Workplace Note

Revised Workplace Note

Reviewed: No Workplace Note

Custom Workplace Skills

Archived Policy Documents

As of November 13, 2024, all outdated, former DHA policy and related documents listed in this memo have been archived. This change is the result of a consultative process involving IPPL leadership, the Policy Office, the IPPL Clinical Practice and Policy Program, and Clinical Nurse Educators with expertise in specific clinical areas where required.

As part of our ongoing commitment to supporting practice and learning, we are actively working to empower staff through a procedure-first approach to creating and managing clinical practice supports, pointing to current procedural guidance in Dynamic Health (when appropriate) or supporting clinical teams with custom solutions where gaps exist, or organizational alignment is required. If you have any questions about the recently archived documents and wish to provide a review with additional notes on any of the Dynamic Health skills that replace outdated guidance, please email the IPPL Clinical Practice and Policy team.

Focused Search Results in Dynamic Health

There’s a lot of evidence-based guidance summarized across Dynamic Health’s Topic Sections – from Diseases & Condition Summaries to Skills. The only content that can be annotated with a Workplace Note is labelled as a Skill. Understanding how to Filter Results can help you make the most of your time searching and ensure you have all the relevant information you need if you plan to adopt one or multiple skills from Dynamic Health.

Let’s say you are looking for skills about taking blood pressure in adults:

  1. From the main page of Dynamic Health, enter “blood pressure” in the search box.
    Do not choose one of the autosuggestions that populate as you type.
    Click the spy glass to run the search.
  2. To the left of the results page, note the Filter Results column. Under CONTENT TYPE check off Skills. Note the filter is applied immediately, resulting in fewer results.
  3. Under PATIENT POPULATION, check off Adult. Note that results are reduced further and that the Skills and Adult filters are highlighted at the top.
  4. Click the X on each filter at the top of the results page to remove them.

Health Promotion in December and Dynamic Health Topics

December 2024 marks the promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggest an Edit form with your notes and we will get in touch!

World AIDS Day

International Day of Persons with Disabilities

National Day of Remembrance and Action on Violence Against Women

 

IPPL Clinical Practice and Policy

Gloria Connolly, RN, BScN, NCA, WOCC(c), GNC(c)
Clinical Nurse Educator
Interprofessional Practice and Learning

Leah MacDonald, RN, BSc, BScN
Professional Practice Leader
Interprofessional Practice and Learning, ERIN Network

Katie McLean
Librarian Educator
Interprofessional Practice and Learning, ERIN Network Hub, Library Services

Margaret Poitras
Policy Lead
Policy Office

Valorie Shaddick, BNRN, CCNP, CVAA (c)
Clinical Nurse Educator
Interprofessional Practice and Learning

Ann Slaunwhite
Library Technician
Interprofessional Practice and Learning, Library Services

IPPL Clinical Practice and Policy round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health, highlight any new priority projects and events, and updates to our Workplace Notes and Custom Workplace Skills. We’ll also highlight new publications we’re supporting and maintaining including policies, clinical practice support guides, clinical resources on the intranet and clinical learning modules.

Dynamic Health Updates

We receive feedback submissions on an ongoing basis through the Suggest an Edit form and through partnerships with departments and teams. This month, the following customizations have been added:

New Workplace Note

Revised Workplace Note

Reviewed: No Workplace Note

New Look: Workplace Notes

We are now able to use a bit more style when laying out our workplace notes in Dynamic Health, thanks to a recent system update! We can now add headers, bullets and bolding more easily. We can also embed links within the text of workplace notes.

If a suite of skills is connected to a Clinical Practice Support guide, the note may look like this:

If a skill is standalone and unconnected to a Clinical Practice Support guide, the note may look like this:

There will continue to be diversity of layout of notes, but this style will be applied to all new and updated content moving forward. If you have any feedback, questions, etc., reach out to DynamicHealth@nshealth.ca.

Health Promotion in November and Dynamic Health Topics

November 2024 marks the promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggestions for Skills form with your notes and we will get in touch!

Fall Prevention Month

National Pain Awareness Week

Diabetes Awareness Month

 

IPPL Clinical Practice and Policy

Gloria Connolly, RN, BScN, NCA, WOCC(c), GNC(c)
Clinical Nurse Educator
Interprofessional Practice and Learning

Leah MacDonald, RN, BSc, BScN
Professional Practice Leader
Interprofessional Practice and Learning, ERIN Network

Katie McLean
Librarian Educator
Interprofessional Practice and Learning, ERIN Network Hub, Library Services

Margaret Poitras
Policy Lead
Policy Office

Valorie Shaddick, BNRN, CCNP, CVAA (c)
Clinical Nurse Educator
Interprofessional Practice and Learning

Ann Slaunwhite
Library Technician
Interprofessional Practice and Learning, Library Services

10/28/2024
Library Staff

In September 2024, Ethics Nova Scotia Health launched its new model for delivery of ethics support. This was done to:

  • better align ethics support with the organization’s movement towards provincial approaches to program delivery and administration.
  • promote greater availability of ethics support across the province.

This post looks at the structure for ethics support and the changes we have made, and the types of ethics support available to health care providers, staff members, volunteers, and patients and families.

Changes to Ethics Nova Scotia Health’s structure

The main change to our structure is the formation of three Core Function Groups:

  • Clinical Ethics Support
  • Organizational Ethics and Policy Support
  • Ethics Education

These groups replace the previous Local Ethics Teams, Zone Ethics Committees, and the Ethics Leads group.

As of October 2024, Ethics Nova Scotia Health's updated structure and community includes about 55 members from all four zones. Each Core Function Group consists of health care providers and staff members from a wide range of programs and services, and community members. These Core Function Groups provide ethics support within Nova Scotia Health, with support from the Ethics Collaborations Team in the Department of Bioethics at Dalhousie University.

Types of ethics support available

While the delivery of ethics support has changed, the types of ethics support available remain the same and include:

  • Clinical Ethics Support offers ethics support pertaining to a specific patient’s care or to a particular clinical situation involving questions of professional ethics.
  • Ethics Education is available for education days or if there is an ethics topic that your team would like to explore. We can tailor the education session(s) to your needs. Some recent topics we have worked on include “ethics issues in health care documentation” and “moral distress.” We also develop ethics education resources, such as a guide for patients and families about Making Health Care Decisions for Someone Else: Acting as a Substitute Decision-Maker (SDM), and our Ethics Tool: Help with Ethical Issues.
  • Organizational Ethics and Policy Support addresses broader, systems-level issues that typically affect larger groups of patients and other stakeholders. Organizational ethics may involve overall direction for programs, zones, and Nova Scotia Health as a whole, where an ethics perspective can contribute to analysis and strategic choices. This can also include support with policy development and/or ethics review of policies. This Core Function Group is available to review draft policies through an ethics lens, as well as offer support in applying our feedback.
    For upcoming deadlines and details on how to submit policies for an ethics review, see our Ethics Review of Nova Scotia Health Policies – Submission Deadlines.

In part 2 of this post, we will take a closer look at ethics support available for policy developers and the process for requesting and obtaining stakeholder feedback on draft policies from Ethics Nova Scotia Health.

If you need ethics support, you can:

Lisbeth Witthoefft Nielsen

Ethics Program Manager, Ethics Nova Scotia Health

IPPL Clinical Practice and Policy round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health, highlight any new priority projects and events, and updates to our Workplace Notes and Custom Workplace Skills. We’ll also highlight new publications we’re supporting and maintaining including policies, clinical practice support guides, clinical resources on the intranet and clinical learning modules.

Updates: Workplace Notes and Custom Workplace Skills, Transfusion Medicine – Blood Product Administration Clinical Practice Support (CPS) Guides

We receive feedback submissions on an ongoing basis through the Suggestions for Skills form and through partnerships with departments and teams. This month, the customizations below have been published.

New Workplace Note

Revised Workplace Note

Reviewed: No Workplace Note

Custom Workplace Skill

Auto-generate Checklists with Dynamic Health

Did you know that skills within Dynamic Health have an associated Checklist function that you can use in practice and for instructing new staff and learners? If you’re updating procedures and need associated competency checklists for documentation, save yourself some time and adopt this function. The Checklist function is available for all skills in Dynamic Health, including any Custom Workplace Skills we create.

Let's say you are interested in precepting a fellow health care provider using the Dynamic Health Custom Workplace Skill PACU: Assisting with Endotracheal Extubation in Adults:

  1. Navigate to the skill through Dynamic Health by searching “PACU Extubation” (1), navigating to Skills > Your Workplace, or through the direct Skill link (above).
  2. From the Skill menu, select Checklist (2).
  3. Select the printer icon to the upper right of the Checklist (3).
  4. Select the sections to include in the Checklist (Pre-procedure Steps, Procedure Steps, Post-procedure Steps), or Select All (4).
  5. Select Print (5). Note that the printable version of this checklist contains a form to allow you to record evaluator and examinee names and signatures, date and pass/fail status as appropriate.
  6. Choose to print a physical copy or to export a PDF to your computer, depending on your settings and needs.

CPS Guides: Transfusion Medicine – Blood Product Administration

The Blood Product Administration Policy and Procedure NSHA: CL-BP-030; IWK-625 has been revised, effective as of October 1, 2024. We supported our Transfusion Practice Coordinator and Pathology & Laboratory Medicine colleagues with building a resource guide that helps make accessing blood product administration resources easier and is embedded within the updated policy. All blood product guidelines, product monographs, the Competencies for Safe Transfusion Tool, Adverse Events Algorithm have also been updated to align with the revised policy and procedure.

This project is a great example of collaborating across the organization to build and update a knowledge support resource that is easily accessible to all health care providers that work for or interact with Nova Scotia Health. It’s also a great example of clinical practice guidance and competency being created outside of the content we adopt from Dynamic Health. We’re ready to help you customize solutions where practice or organizational gaps exist versus the content we can access through our Dynamic Health subscription.

Health Promotion in October and Dynamic Health Topics

October 2024 marks the promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggestions for Skills form with your notes and we will get in touch!

Breast Cancer Awareness Month
Occupational Therapy Month
World Psoriasis Day

IPPL Clinical Practice and Policy

Gloria Connolly, RN, BScN, NCA, WOCC(c), GNC(c)
Clinical Nurse Educator
Interprofessional Practice and Learning

Leah MacDonald, RN, BSc, BScN
Professional Practice Leader
Interprofessional Practice and Learning, ERIN Network

Katie McLean
Librarian Educator
Interprofessional Practice and Learning, ERIN Network Hub, Library Services

Margaret Poitras
Policy Lead
Policy Office

Valorie Shaddick, BNRN, CCNP, CVAA (c)
Clinical Nurse Educator
Interprofessional Practice and Learning

Ann Slaunwhite
Library Technician
Interprofessional Practice and Learning, Library Services

The team operationalizing usage of Dynamic Health has broadened their scope to include supporting use of evidence at the point of care, across nursing and allied health, and within policies and other guidance materials Interprofessional Practice and Learning (IPPL) leads or collaborates on. This means we’re back with Dynamic Health Round-ups after a summer hiatus with a new name – IPPL Clinical Practice and Policy.

Round-up posts will keep you informed about implementation and use of Dynamic Health at Nova Scotia Health, highlight any new priority projects and events, and updates to our Workplace Notes and Custom Workplace Skills. We’ll also highlight new publications we’re supporting and maintaining including policies, clinical practice support pages, clinical resources on the intranet and clinical learning modules.

Read on to get caught up on what we’ve been up to over the summer months, so you are ready for Fall!

Dynamic Health Updates: Workplace Notes, Custom Skills

New Workplace Note

Revised Workplace Note

Reviewed: No Workplace Note

Custom Skills

Policy Clean-Up and Clinical Resources (Intranet)

The IPPL Policy and Practice Team continues to work through our policy document cleanup, focusing on former DHA guidance documents in OP3. To date we have issued updates on Chest Tubes and Nasogastric Tubes. We’re finishing up our Pain Assessment and Documentation items and will soon be focused on Urinary Catheters. Watch for updates on the Intranet’s Clinical Resources page, under Memos and Updates.

Nursing CE Credits Due in October

Nursing Leadership and Practice Points are due to health services managers in October! Make sure you’ve created a Dynamic Health personal account and have exported your points. If you haven’t made a personal account yet, it’s easy to do through the in-app pop-up running in Dynamic Health until the end of October. Learn more about setting up a personal account, earning and exporting CE credits, and consult our table on how Dynamic Health credits and activity convert to Leadership and Practice Points in the Dynamic Health support guide.

Health Promotion in September and Dynamic Health Topics

September 2024 marks promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggestions for Skills form with your notes and we’ll get in touch!

Fibromyalgia Awareness Week

Arthritis Awareness Month

World Sepsis Day

IPPL Clinical Practice and Policy

Gloria Connolly, RN, BScN, NCA, WOCC(c), GNC(c)
Clinical Nurse Educator
Interprofessional Practice and Learning

Leah MacDonald, RN, BSc, BScN
Professional Practice Leader
Interprofessional Practice and Learning, ERIN Network

Katie McLean
Librarian Educator
Interprofessional Practice and Learning, ERIN Network Hub, Library Services

Margaret Poitras
Policy Lead
Policy Office

Valorie Shaddick, BNRN, CCNP, CVAA (c)
Clinical Nurse Educator
Interprofessional Practice and Learning

Ann Slaunwhite
Library Technician
Interprofessional Practice and Learning, Library Services

Dynamic Health round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health. They highlight any new priority projects and events, as well as updates to our Workplace Notes and Custom Workplace Skills.

Updates: Reviewed Skills, Workplace Notes and Custom Skills

We receive feedback submissions about Dynamic Health skills on an ongoing basis through the Suggest an Edit form and through partnerships with departments and teams.

Reviewed: New Workplace Note

Reviewed: No Workplace Note

Custom Skills

Archived Custom Skills

Using the PronatorPlus (Melior Motus) for Positioning, Repositioning and/or Lateral Transfer

  • The vendor for the PronatorPlus has made the organization aware that they will no longer be providing service, repair, technical support, replacement parts, nor supply of the PronatorPlus. The product is removed from service/use at Nova Scotia Health.

Custom Skill Case Studies: C&S Swab and Clinical Frailty Scale

What are custom skills?

In addition to adding Workplace Notes at the top of skills, Dynamic Health also has the functionality to create standalone custom skills. You’ll find all our Custom Skills in Dynamic Health by selecting Skills (1) > Your Workplace (2) from the main menu.

When should a custom skill be created?

When a need for procedure/skill support relevant to nursing and/or allied health is identified, a custom skill may be offered if it is determined that:

  • Dynamic Health does not have an existing skill that matches the need (content gap), or,
  • Dynamic Health’s content does not align enough with NS Health practice to support use of existing skill content with a Workplace Note.

Case Studies by Purpose

Two custom skills are highlighted below, including context around why a Custom Skill was selected to meet the local need. If you feel you have a unique clinical practice need that would benefit from a Custom Skill, reach out!

Dynamic Health contains more content than just skills. There is some general guidance regarding lab tests, medication, etc. that may differ from unique, local practices and terminology. The Skin and Wound Care Program identified a need to point users to their local guidance about performing a C&S swab. We created this custom skill to direct users to their recommendations when searching. For example, if you search “C&S” or “Wound Swab” across all Dynamic Health, their custom skill is the top result.

Think Frailty was recently published as a subject guide to support education about, and use of, the CFS for patients 65 and older across Nova Scotia Health. To ensure the CFS and related supports were available through the Dynamic Health Skills menu and when users search, we created a custom skill to connect to the scale through the subject guide. Like the C&S example above, you can search a term like “Frailty”, and Custom Skill is the first result.

Health Promotion in June and Dynamic Health Topics

June 2024 marks promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggestions for Skills form with your notes and we will get in touch!

Migraine Awareness Month

Cataract Awareness Month

PTSD Awareness Day

Dynamic Health Project Team

Gloria Connolly, RN, BScN, NCA, WOCC(c), GNC(c)
Clinical Nurse Educator, (CNE)
Interprofessional Practice & Learning

Leah MacDonald
Professional Practice Leader
Interprofessional Practice & Learning, COVID-19 Response

Katie McLean
Librarian Educator
Interprofessional Practice & Learning, Library Services

Margaret Poitras
Policy Lead
Policy Office

Ann Slaunwhite
Library Technician
Interprofessional Practice & Learning, Library Services

Dynamic Health round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health. They highlight any new priority projects and events, as well as updates to our Workplace Notes and Custom Workplace Skills.

Updates: Reviewed Skills and Workplace Notes

We receive feedback submissions about Dynamic Health skills on an ongoing basis through the Suggest an Edit form and through partnerships with departments and teams.

Reviewed: New Workplace Note

Reviewed: No Workplace Note

National Nursing Week and Dynamic Health in Practice

National Nursing Week is May 6-12, 2024, and this year's theme is Changing Lives. Shaping Tomorrow.

Dynamic Health™ in Practice: RSV from EBSCO on Vimeo.
Select the full screen symbol to watch.

Watch in this video as Dynamic Health supports the decision making and skill development needs of a nurse and her nurse resident during their shift as they deliver exceptional care to a young patient suffering from Respiratory Syncytial Virus (RSV) and their mother.

In actual practice, Dynamic Health flexes from Changing Lives and providing nurses with current guidance for urgent care, to Shaping Tomorrow and supporting learners with acquiring or updating practice skills through clear procedures and checklists.

Dynamic Health is available to all Nova Scotia Health staff from the Intranet’s Clinical Applications page or Library Services website. Save the friendly URL (https://library.nshealth.ca/dynamic-health) to your desktop or mobile device home screens for easy access. Once you make a personal account, you can also install the app on your mobile device for consistent access without internet connectivity.

Could your care team benefit from getting support from our team with integrating Dynamic Health into your day-to-day work, competency requirements or policy/procedure documents? Reach out to DynamicHealth@nshealth.ca. We’re ready to connect and put this tool to work for you.

Health Promotion in May and Dynamic Health Topics

May 2024 marks promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggestions for Skills form with your notes and we will get in touch!

Celiac Disease Awareness Month

Cystic Fibrosis Awareness Month

Melanoma and Skin Cancer Awareness Month

Dynamic Health Project Team

Gloria Connolly, RN, BScN, NCA, WOCC(c), GNC(c)
Clinical Nurse Educator, (CNE)
Interprofessional Practice & Learning

Leah MacDonald
Professional Practice Leader
Interprofessional Practice & Learning, COVID-19 Response

Katie McLean
Librarian Educator
Interprofessional Practice & Learning, Library Services

Margaret Poitras
Policy Lead
Policy Office

Ann Slaunwhite
Library Technician
Interprofessional Practice & Learning, Library Services

Dynamic Health round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health. They highlight any new priority projects and events, as well as updates to our Workplace Notes and Custom Workplace Skills.

Updates: Reviewed Skills and Workplace Notes

We receive feedback submissions about Dynamic Health skills on an ongoing basis through the Suggest an Edit form and through partnerships with departments and teams.

Reviewed: New Workplace Note

Reviewed: No Workplace Note

New Custom Skills

Patient Handouts in More Languages, Including French (Canada)

226 Patient Handout titles are now available in multiple languages including French (Canada), Arabic, Chinese Simplified, Chinese Traditional, Russian and Tagalog. More titles are expected to be available in multiple translations over time. Click on the hyperlinked language after  Get PDF: to access a specific translation.

Example:

Dynamic Health’s Patient Handouts can be used at the point of care (e.g., printed and shared with a patient) when there is nothing applicable within the Nova Scotia Health patient education pamphlet collection or when creating or updating site/unit specific material by putting the information in your own words and citing Dynamic Health.

Find more information about creating patient education pamphlets by visiting: https://library.nshealth.ca/CreatingContent/Pamphlets.

Health Promotion in April and Dynamic Health Topics

April 2024 marks the promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggestions for Skills form with your notes and we will get in touch!

Advance Care Planning Day

National Immunization Awareness Week

Rosacea Awareness Month

Dynamic Health Project Team

Gloria Connolly, RN, BScN, NCA, WOCC(c), GNC(c)
Clinical Nurse Educator, (CNE)
Interprofessional Practice & Learning

Leah MacDonald
Professional Practice Leader
Interprofessional Practice & Learning, COVID-19 Response

Katie McLean
Librarian Educator
Interprofessional Practice & Learning, Library Services

Margaret Meier
Policy Lead
Policy Office

Ann Slaunwhite
Library Technician
Interprofessional Practice & Learning, Library Services

Dynamic Health round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health. They highlight any new priority projects and events, as well as updates to our Workplace Notes and Custom Workplace Skills.

Updates: Reviewed Skills and Workplace Notes

We receive feedback submissions about Dynamic Health skills on an ongoing basis through the Suggest an Edit form and through partnerships with departments and teams.

We continue to process skill reviews received as a part of our second skill review push up to and including March 8th, 2024.

Reviewed: New Workplace Note

Reviewed: No Workplace Note

New Custom Skills

Health Promotion in March and Dynamic Health Topics

March 2024 marks the promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggestions for Skills form with your notes and we will get in touch!

Colorectal Cancer Awareness Month

National Poison Prevention Week

The Atlantic Canada Poison Centre provides our local guidance on poisoning information. Dynamic Health content may be used in combination with their recommendations.

Dynamic Health Project Team

Gloria Connolly, RN, BScN, NCA, WOCC(c), GNC(c)
Clinical Nurse Educator, (CNE)
Interprofessional Practice & Learning

Leah MacDonald
Professional Practice Leader
Interprofessional Practice & Learning, COVID-19 Response

Katie McLean
Librarian Educator
Interprofessional Practice & Learning, Library Services

Margaret Meier
Policy Lead
Policy Office

Ann Slaunwhite
Library Technician
Interprofessional Practice & Learning, Library Services

Dynamic Health round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health. They highlight any new priority projects and events, as well as updates to our Workplace Notes and Custom Workplace Skills.

Updates: Reviewed Skills and Workplace Notes

We receive feedback submissions about Dynamic Health skills on an ongoing basis through the Suggest an Edit form and through partnerships with departments and teams.

This month we have a large list of updates due to our recent Skill Review push that closed January 31st, 2024. We continue to process submitted reviews and will report on more next month.

Reviewed: New Workplace Note

Reviewed: No Workplace Note

Highlights: One Year of Dynamic Health

February marks one year since we launched Dynamic Health with Nova Scotia Health customizations (Workplace Notes, Custom Skills, etc.). Thank you to all our collaborators, users and supporters. We include analytics below, including data from a system report run on January 26, 2024, that reflects our collective success this past year.

  • 70,609 unique Topic Section views
  • 1,157 Skills assigned and/or reviewed
  • 487 Workplace Notes published
  • 8 Custom Workplace Skills published
  • 5 Skills linked or embedded into new or updated Nova Scotia Health policy and/or LMS
  • 385 attendees at online education sessions
  • 139 post-session recording watches
  • 1,265 Personal user accounts created
  • 157.5 Continuing Education Hours Claimed

Dynamic Health is intended to make using evidence at the point-of-care easy for nursing and allied health care professionals. Using Dynamic Health procedures supports standardizing practice for nursing and allied health across the organization. Our implementation efforts target empowering leaders and staff to engage with evidence-based decision making through easy access to procedure level guidance. Procedures in Dynamic Health are reviewed and edited regularly by the publisher’s editorial team. Additionally, we track all changes from the publisher and cross-reference this information with all customizations made at Nova Scotia Health. Where relevant, we link to organization policy within Workplace Notes and Custom Skills.

The analytics above indicate excellent uptake in year one, with room to grow in terms of utilization of continuing education credits for individual professional development. We’re encouraged by the high number of Skills reviewed and annotated with Workplace Notes versus the more labour-intensive Custom Workplace Skills. Several groups have adopted Dynamic Health for nursing and allied health procedures. Dynamic Health continues to facilitate discussions about which nursing and allied health procedures require policy-level documentation versus practices that benefit from a procedure-first approach.

Health Promotion in February and Dynamic Health Topics

February 2024 marks the promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggestions for Skills form with your notes and we will get in touch!

World Cancer Day

Wear Red Day

Mental Health Nurses Day

Dynamic Health Project Team

Amanda Revels
Professional Practice Leader
Interprofessional Practice & Learning, Western Zone

Leah MacDonald
Professional Practice Leader
Interprofessional Practice & Learning, COVID-19 Response

Katie McLean
Librarian Educator
Interprofessional Practice & Learning, Library Services

Margaret Meier
Policy Lead
Policy Office

Ann Slaunwhite
Library Technician
Interprofessional Practice & Learning, Library Services

Dynamic Health round-up posts keep you informed about the implementation and use of Dynamic Health at Nova Scotia Health. They highlight any new priority projects and events as well as updates to our Workplace Notes and Custom Workplace Skills.

Skill Reviews Due by January 31, 2024

Our second skill review push is underway. A huge “Thank you!” to all of our volunteer reviewers! Reviewers received their assigned skill(s) to review earlier in December. All reviews must be submitted through the skill review form by January 31, 2024. If you have any questions about the process or would like assistance completing a review, reach out to us at DynamicHealth@nshealth.ca. We’re available by email or Teams to talk things through and provide guidance. Learn more about the Skill Review process on the Dynamic Health Support subject guide.

Health Promotion in January and Dynamic Health Topics

January 2024 marks the promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggest an Edit form with your notes and we will get in touch!

Alzheimer's Awareness Month

Let's Talk Day

Dynamic Health Project Team

Amanda Revels
Professional Practice Leader
Interprofessional Practice & Learning, Western Zone

Leah MacDonald
Professional Practice Leader
Interprofessional Practice & Learning, COVID-19 Response

Katie McLean
Librarian Educator
Interprofessional Practice & Learning, Library Services

Margaret Meier
Policy Lead
Policy Office

Ann Slaunwhite
Library Technician
Interprofessional Practice & Learning, Library Services

Dynamic Health round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health. They highlight any new priority projects and events as well as updates to our Workplace Notes and Custom Workplace Skills.

Updates: Workplace Notes, Links in Care Directives

We receive feedback submissions on an ongoing basis through the Suggest an Edit form and through partnerships with departments and teams. This month, the following customizations have been added:

Focusing Search Results

There's a lot of evidence-based guidance summarized across Dynamic Health’s Topic Sections – from Diseases & Condition summaries to Skills. Remember, only content within the Skills Topic Section can be customized (e.g., through a Workplace Note). Understanding how to Filter Results can help you get the best guidance for your need.

Let’s say you are looking for skills about taking blood pressure in adults:

  1. From the main page of Dynamic Health, enter “blood pressure” in the search box (1). Do not choose one of the autosuggestions that populates as you type. Click the spy glass to run the search.
  2. To the left of the results page, note the Filter Results (2) column. Under CONTENT TYPE check off Skills . Note the filter is applied immediately, resulting in fewer results.
  3. Under PATIENT POPULATION (3), check off Adult.
  4. Note that the number of results is reduced further and that the Skills and Adult filters are highlighted at the top (4). Click the X on each filter at the top of the results page to remove them.

Health Promotion in December and Dynamic Health Topics

December 2023 marks the promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggest an Edit form with your notes and we will get in touch!

World AIDS Day

International Day of Persons with Disabilities

National Day of Remembrance and Action on Violence Against Women

Dynamic Health Project Team

Amanda Revels
Professional Practice Leader
Interprofessional Practice & Learning, Western Zone

Leah MacDonald
Professional Practice Leader
Interprofessional Practice & Learning, COVID-19 Response

Katie McLean
Librarian Educator
Interprofessional Practice & Learning, Library Services

Margaret Meier
Policy Lead
Policy Office

Ann Slaunwhite
Library Technician
Interprofessional Practice & Learning, Library Services

UPDATED: May 15, 2024

Dynamic Health round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health. They highlight any new priority projects and events as well as updates to our Workplace Notes and Custom Workplace Skills.

Updates: Workplace Notes

We receive feedback submissions on an ongoing basis through the Suggest an Edit form and through partnerships with departments and teams. This month, the following customizations have been added:

Checklists

Did you know that Skills within Dynamic Health have associated Checklists you can use in practice and for instructing new staff? Let’s say you were interested in mentoring a colleague using the Dynamic Health skill Changing Peripheral IV Catheter Dressings in Adults.

  1. Navigate to the skill through Dynamic Health by searching “Changing IV Catheter” or through direct link (above).
  2. From the Skill menu, select Checklist.
  3. Note that the printable version of this checklist contains a form to allow you to record evaluator and examinee names and signatures, date and pass/fail status as appropriate.
  4. Select the printer icon to the upper right of the Checklist.
  5. Select the sections to include in the Checklist (Preprocedure Steps, Procedure Steps, Postprocedure Steps.
  6. Select Print.
  7. Choose to print a physical copy or to save a PDF to your computer, depending on your settings and needs.

Calling all Reviewers! Skills Review Push – Fall 2023

What’s a skills review push?

Back in the Winter of 2023, you may have supported Dynamic Health implementation by volunteering to evaluate skills within Dynamic Health. This process involved determining if a skill was part of current practice and if it aligned with Nova Scotia Health resources like policy. This process enabled us to review over 500 skills at the time! There are a lot of skills left in Dynamic Health that need a look! Many could better align with practice at Nova Scotia Health, so we’re asking for your support to do another round of review.

How do I get involved?

Be curious and engage! Explore Dynamic Health and look up skills that:

  • You and/or your colleagues know a lot about
    • Is there a workplace note? Do you have any edits?
    • Does it need a workplace note?
  • You and/or your colleagues have frequent questions about
    • Is it helpful?
    • Is there room for improvement?

After you explore, take a moment to fill out our brief form to indicate your intention to participate as a reviewer: https://library.nshealth.ca/DH-Call-Reviewers. Please express your interest through this form by November 30th, 2023. We will follow up with you directly after this date with the number of skills that you indicated you are willing to take on.

How can I learn more and help spread the word?

You’ll find the recording and slides from our recent Lunch and Learn – Skills Review 101 here: https://library.nshealth.ca/Dynamic-Health-Support/Lunch-Learn#s-lg-box-16713274. Content from this session can be reused to help you in your efforts. Share the following information about the skills review push:

  • Links to relevant skills with workplace notes
  • Call for Reviewers form (above)

Continuing education credit is another great incentive to get involved. Check out our latest update about Practice and Leadership Premiums here: https://library.nshealth.ca/Dynamic-Health-Support/CE-Credits.

Health Promotion in November and Dynamic Health Topics

November 2023 marks the promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggestions for Skills form with your notes and we will get in touch!

Fall Prevention Month

Movember

World Diabetes Day

Dynamic Health Project Team

Amanda Revels
Professional Practice Leader
Interprofessional Practice & Learning, Western Zone

Leah MacDonald
Professional Practice Leader
Interprofessional Practice & Learning, COVID-19 Response

Katie McLean
Librarian Educator
Interprofessional Practice & Learning, Library Services

Margaret Meier
Policy Lead
Policy Office

Ann Slaunwhite
Library Technician
Interprofessional Practice & Learning, Library Services

Dynamic Health round-up posts keep you informed about implementation and use of Dynamic Health at Nova Scotia Health. These posts highlight any new priority projects and events as well as updates to our Workplace Notes and Custom Workplace Skills.

Updates: Workplace Notes, Leadership Topic Section and Nursing Practice Premiums

We receive feedback submissions on an ongoing basis through the Suggestions for Skills form and through partnerships with departments and teams. This month, the following customization has been added:

Leadership Topic Section

Dynamic Health has added new leadership content with point-of-care nursing and health professional leaders in mind (managers, supervisors, charge nurses, etc.). It is designed specifically for those looking to take their professional growth and team development to the next level. Each Leadership topic includes an overview, best practices, and strategies. While more than 350 topics are anticipated, all topics will not be released at once – they will be released over time to ensure thoughtful, evidence-based information is included in each one. You’ll find this new Topic Section in Dynamic Health on the main menu:

Dynamic Health CE and Nursing Practice Premiums

When you make a personal account for using Dynamic Health, you can track and collect Continuing Education (CE) credits. Dynamic Health CE credits are worth Nursing Practice Premiums!

Learn more on the Dynamic Health Support Subject Guide, which includes this table Note that participating in our skills review or creating a custom skill is worth points too!

Lunch and Learn + Second Skills Review Push – Join in!

Our Applying Evidence Lunch and Learn events are in full swing! Register for one or all the events here.

An important part of Dynamic Health implementation at Nova Scotia Health is connecting with nursing and allied health professionals across the organization. One way we do this is through periodic skill review “pushes” where we identify a batch of skills that need review and match them to team members throughout Nova Scotia Health. Reviewing a skill can result in a new Workplace Note or creation of a Custom Skill.

Find out more about this key process during the October 25th Lunch and Learn event at noon. Register today!

User Experience Survey – Deadline Extended

We want to check in with Nova Scotia Health nursing and allied health units and teams about their awareness of and user experience with Dynamic Health. We need your help to ask nursing and allied health staff to fill out this short survey – even if Dynamic Health is new to them!

Please share and encourage completion of the survey here: https://library.nshealth.ca/DH-UX

How are Customizations Updated?

We’re often asked about how Dynamic Health customizations (Workplace Notes, Custom Skills) are kept current when evidence, local practice, policies, learning modules, and other guidance changes. It’s a good question, and a valid concern given the volume and fluid nature of information. We make sure local customizations are current through three avenues:

  • Publisher Updates
    EBSCO’s Editorial Team for Dynamic Health sends a report on content changes every two months. We cross-reference this report with our list of workplace notes and skills to determine if we need to edit and/or reach out to key contributors about making a change.
  • Local Monitoring
    We monitor updates from Nova Scotia Health departments and teams, such as The Policy Office, to identify changes that need to be reflected in Dynamic Health. We also rely on input through our Suggestions for Skills form.
  • Built-in Review Cycle
    We template and track every customization we make by date and last reviewer. In alignment with Nova Scotia Health’s Policy Office review cycle, we will follow up with the last author(s) on record of a customization every 4 years to make sure the existing Workplace Note or Custom Skill reflects current practice within the organization.

Health Promotion in October and Dynamic Health Topics

October 2023 marks the promotion of:

In recognition of these health promotion events, we encourage you to engage with the curated list of Dynamic Health content below.

If you spot any Skills below that you feel need a Workplace Note, consider being a reviewer! Fill out our Suggestions for Skills form with your notes and we will get in touch!

Breast Cancer Awareness Month

Occupational Therapy Month

World Psoriasis Day

Dynamic Health Project Team

Amanda Revels
Professional Practice Leader
Interprofessional Practice & Learning, Western Zone

Leah MacDonald
Professional Practice Leader
Interprofessional Practice & Learning, COVID-19 Response

Katie McLean
Librarian Educator
Interprofessional Practice & Learning, Library Services

Margaret Meier
Policy Lead
Policy Office

Ann Slaunwhite
Library Technician
Interprofessional Practice & Learning, Library Services

 

12/28/2022
profile-icon Amanda Andrews

Time is a valuable commodity for all nurses. Now, you can save time with Nursing Reference Center Plus!

Nursing Reference Center Plus (NRC Plus) is an excellent evidence-based information resource. Developed by nurses for nurses, NRC Plus is unmatched in scope and helps to meet nurses’ practice, education, and research needs (EBSCO, 2022).

It is easy to access care plans in NRC Plus. Problem-based care plans help to address patient issues and support patients in reaching their goals. There are fifty different care plan topics available, including Risk for Injury, Fatigue and Nutritional Imbalance and more.

Access NRC Plus

You can access NRC Plus from Library Services’ Databases page. From the Library’s homepage:

  • Click on the Databases tab. Click on the Select a Database… drop-down menu and select Nursing Reference Center Plus from the list.

OR

  • From the top menu bar, click on the Search Sources drop-down menu and choose Databases. This brings you to the Databases A-Z list, where you can search alphabetically for Nursing Reference Center Plus.

Once you’ve accessed NRC Plus:

  • Click on Care Plans on the home page.

OR

  • Select the Diseases tab in the top menu bar. You can then enter search terms for a specific care plan in the search box.

Search for care plans

For example, let's search for ‘risk for injury’:

  1. In the Diseases tab (A), enter ‘risk for injury’ in the search box and click on the Search button.
  2. On the results page, under Material Types, select the checkbox next to Care Plans (B). 3. From the filtered results, select the “Injury: Risk for” care plan (C).

Once you have selected a care plan, you will find a list of Tools (D) along the right-hand side of your screen. These include:

  • E-mail Alert (E): You can save your searches as alerts and have NRC Plus email you any new results. Simply enter your email address and use the drop-down menu to choose how often you would like to receive alerts.
  • Print (F): Click on the Print button to display the care plan in your browser window. To print, simply click on the Print button in the dialog box.

For further assistance with care plan tools and how to use them, please visit the Nursing Reference Center Plus Help section.

Access care plans on the go

NRC Plus offers mobile access for iOS (iPhone, iPad, and iPod Touch) and Android devices. You can utilize care plans and all of NRC Plus’ other great content on the go. Follow the detailed mobile app instructions in the Mobile Apps and Resources subject guide to download the NRC Plus app.

NRC Plus will save you time by enhancing your access to evidence-based, nursing-related content. Whether you are interested in care plans, quick lessons, competency checklists, or skills with videos, NRC Plus is an excellent tool to incorporate into your daily work.

For more information on Nursing Reference Center Plus or other nursing-related resources, please reach out to Library Services at asklibrary@nshealth.ca. We are here to help!

References

1. EBSCO (2022). Nursing Reference Center Plus. https://support-ebsco-com.libraryproxy.nshealth.ca/help/?int=nup&lang=en&feature_id=&TOC_ID=Always&SI=1&BU=0&GU=0&PS=0&ver=&dbs=nup.

 

Amanda Andrews

Librarian Educator, Education & Training Lead
Cape Breton Regional Hospital, Eastern Zone

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