Going for gold Apps? eBooks? Internet? #ResearchAtHorizon RN competes in Olympic-style What Library Services is – Check out our current photo competition and isn’t COVID-19 Studies Page 5 Page 6 Page 14 Issue No. 22, Vol. 5 June 2020 HorizonSTAR A publication for the staff of Horizon Health Network

Official Languages team helps ensure language choice remains priority during challenging times Page 18

Deliveries of pizza and appreciation are ‘not cancelled’ at Horizon’s MRH Page 8 Top 10: The characteristics our employees value most in a co-worker Page 17 Contents 5 6 8 9 10 11 12 Going for gold: TMH RN Apps? eBooks? Internet? Deliveries of pizza and Orthopedic oncology “Freedom Bell” rings at An ”EPIQ“ idea to help Physician recruitment competes in Olympic-style What Library Services is – appreciation are ‘not success in Miramichi Horizon’s DECRH babies stay warm advisor wins national photography competition and isn’t cancelled’ at Horizon’s MRH leadership award It takes a team to end TB: SJRH long-term care patient Horizon staff work Social Shout-Out grateful for care together

13 14 15 16 17 18Wear a mask. Community celebrates #ResearchatHorizon: Horizon’s COPD Health Top 10: The characteristics Language choice Prevent the spread 10 years of HOPE Current COVID-19 Studies Literacy Project receives you value most in a remains important during of COVID-19 Wellness Centre international attention co-worker challenging times

On our cover: This magazine is published by Horizon Health Network’s Communications In Every Issue Lorna Mansfield, Official Languages Advisor Department, and is distributed free of charge to Horizon staff, physicians Message from CEO in the area, is photographed at and volunteers. A French version can be found online at fr.horizonnb.ca. Editor’s Note Horizon’s Dr. Everett Chalmers Regional Colleagues’ Corner Editor: GinaBeth Roberts Hospital in late June. Design and layout: Hudson Creative Agency Look Who’s Shining Top 10 Printed by: Advocate Printing Please send comments and/or story ideas to [email protected]. A welcome Going for gold: TMH RN competes in note from the editor Olympic-style photography competition

Amanda Beers, registered nurse (RN) in the Amanda had planned to attend the event in Medical Surgical unit at Horizon’s The Rome and will hopefully have the chance to Hospital, has always had a passion for make it to Italy once the event is rescheduled. photography and began exploring the world “Creative people tend to be their own through her camera lens more than ten worse critics,” she said. “Sometimes I get years ago. discouraged and don’t know why I do this A self-taught photographer, much of her anymore. Being recognized in this way helps. Dear Staff, Physicians and Volunteers, Welcome to the 22nd edition of the Horizon Star! practice came from “taking a lot of photos If I can do this, it must be worth continuing to From introducing a collaborative provincial health care reform plan earlier this June marks the halfway point in the year. of ducks at Centennial Park.” take photos.” year to responding to unprecedented global pandemic over the past several Usually in this space in the June issue, I’m reflecting on what we Her preferred subjects are wildlife. Amanda To see more of Amanda’s beautiful work visit months, it has been an extraordinary year for Horizon. have accomplished in the first six months, and looking forward take photos in her backyard or drives hours to her website, amandabeers.com/ or scroll to what’s to come in the next six months. capture a great animal shot. Through it all, you have quickly shifted your priorities to build capacity within through her photography page on Instagram your teams and adjust your daily workload — all while prioritizing safe and Looking back, this year has been different. It’s been full of lots of Last year she even managed to snap a shot of (@Amanda_Beers_Photography). quality patient care. highs and lows, success stories and challenging situations. And, a saw-whet owl, who was sitting in her yard, looking forward, it will continue to be different. The daily changes and challenges of the novel just eight feet away from her window. You can learn more about the World Photographic Amanda Beers, registered nurse (RN) in the Medical coronavirus (COVID-19) still exist, and there While we’re working in a much more virtual environment, there “Bird watchers will look for saw-whet owls for Cup at worldphotographiccup.org. Surgical unit at Horizon’s The are many of you — on the ground and behind- is still so much direct and meaningful patient care everywhere years,” said Amanda. “It made some of the the-scenes — who continue to work diligently you look. I see it daily, even if it’s on a phone call or through birders jealous, since he was sitting outside my Skype. to support one another and our health care house all day.” partners across the province during these I saw it recently during a Facebook Live (if you didn’t get the Nursing is her full-time job, but she shares her 4 challenging times. You have gone above and chance to watch it live, you can check it out on Horizon’s 5 beyond your call of duty in this work, and it Facebook page). Jessica and Heather, two nurses at Horizon’s photographs on her website and Instagram has not gone unnoticed. Dr. Everett Chalmers Regional Hospital answered breastfeeding page, but didn’t expect her photography to be questions from new and expecting parents. viewed on a international stage. You understand the severity of this disease, and also the small, everyday actions we need While their advice and tips were fantastic, their patient-centered, That is, until a fellow photographer friend to take to ensure we play a part in preventing conversational way of responding to those who asked questions suggested she enter the World Photographic its spread. This includes washing your hands was exceptional. The care was still there — even through a Cup (WPC). frequently, physically distancing from colleagues camera. On a whim and with the encouragement whenever possible, and wearing masks when Speaking of cameras, it’s difficult to look at my work now from her friend, she entered the WPC, a entering and in all Horizon facilities. without the lens of COVID-19. There are many considerations unique Olympic-style competition where By doing these things, you are living your and changes to my daily work environment, but they are all photographers and artists represent their Karen McGrath truly minor inconveniences when compared to the hours, weeks Horizon values. You are a role model for the country. President and CEO and months of adapting to change experienced (with grace) by patients, clients and essential family caregivers all of you. “I can’t win if I don’t try,” she thought to who enter our facilities and the community members who see you out herself at the time. and about. This issue includes some COVID-19-related stories, as well as stories from earlier in the year that I planned on sharing in the And win, she did. Not only Our staff and physicians, stakeholders and communities continue to be a major April issue. We’ve revisited some of these stories, updating them source of guidance for Horizon. to reflect our current realities. Here, I will note that some photos did she make the top three As you know, over the last year Horizon reviewed current strategic plan and were taken at different stages in our mask-wearing policy and I for the Nature (Landscape began consultation to develop a new strategic plan. Due to health care reform will re-iterate how important it is to wear a mask. and our COVID-19 response that work has been put on hold, but, before You can read how our Official Languages team is supporting our and Wildlife) category, she these delays, in-person consultations with more than 600 major stakeholders organization in providing access to reference material in a crisis was crowned the Best of — including staff and physicians, patients and clients, provincial health care on Page 18, and how our Research Services team is contributing partners, and community leaders — were held. As well, our online engagement to advancement in COVID-19-related studies on Page 14. Nation for Canada. platform, LetsTalkHorizon.ca, had more than 2,400 visits. And if you’re looking for ways you can support your co-workers Finalists were determined through a vote, The information collected through this consultation is integral to our strategic (which is so crucial all the time, but especially during challenging which Amanda was able to watch live online. planning process, and will help us identify future priorities for our organization times), turn to Page 17 for our Top 10 list of characteristics your When her name was announced as a finalist, and serve as the roadmap in achieving them. colleagues’ value most in a co-worker. she screamed so loudly she was sure her neighbours would call the police. Times such as this can be extremely challenging. The COVID-19 pandemic As always, it’s an honor to share your stories, and I hope you’ll is something health care systems all over the world are coping with, and it is continue to reach me at [email protected] with new “It was so unexpected,” she said. “And I’m something none of us has experienced in our lifetime. We do not know for ideas. very happy.” certain what the summer and fall will bring, but I want to assure you that we, as Happy reading, Her winning photo of two common terns in One Horizon, are prepared for whatever comes our way. flight was taken in . Common I encourage you to take time to rest and recharge this summer, exploring all the terns are seabirds, who can be found in North beauty and charm New Brunswick has to offer with your family and loved ones. America, Europe and Asia. Sincerely, Despite being in the top ten and named as the GinaBeth Roberts Best of Nation for Canada, the competition Editor, Horizon Star isn’t over. Final voting was scheduled to take Karen McGrath place in Italy in March, but due to Coronavirus President and CEO (COVID-19), the event is being rescheduled. Amanda’s award-winning photograph of two common terns in flight. Horizon Health Network Look Who’s Shining! Know someone who’s accomplished something outstanding outside the workplace? Nominate a colleague, peer or volunteer for this feature by emailing [email protected]. Colleagues Corner Apps? eBooks? Internet? BY THE NUMBERS* What Library Services is – and isn’t Horizon’s Library Services team is back!

In the January 2020 edition of the Horizon Star (https://online.flippingbook.com/view/400730/), we shared how the team came together as One Horizon Library. In this issue, the team shares more about the changing library world and how they can support you! Database eJournal Book and Articles Print Books Reference Hours of Searches Searches Completed Inquiries Visits eBook Delivered Consulted Questions Instruction Completed 582 MYTHBUSTERS 741,183 36,172 Check Outs 6,441 1,056 Answered 265 582 8,442 2,897 MYTH TRUTH Service Standards Libraries are an endangered species. Libraries aren’t dying — they’re evolving! Same day For urgent patient search 1 to 3 days For article delivery Library staff love books. We love information, which used to be *Based on data from the almost exclusively in books. But now that 5 days For non-urgent patient search 2018-19 fiscal year it’s moved to other places, like the internet, so have we. We’re also passionate about customer service and providing access to WHAT OUR COVID-19 information from trusted, reliable sources. CLIENTS SAY and LIBRARY SERVICES At Horizon, Library Services is for Our services extend to all clinical staff along Thank you so much for your involvement in research. In particular the assistance with Do we really need to disinfect books? How medical staff only. 6 with management, researchers, continuous the COS project! We have so appreciated your requesting permission to use assessment many computers can we keep available for 7 learners and Horizon-affiliated students. SERVICES insight, expertise and mentorship throughout tools has been extremely appreciated. I feel I staff and physicians while still respecting this process. Your attention to detail and have a partner in Paul an d consequently with Library staff get to read all day. physical distancing? How can we provide the Library staff are busy finding, reviewing, getting it RIGHT is going to make a huge Library Services. I often tell teams ask the evaluating and providing information for • Systematic literature searches same instruction and help everyone as we impact on the care we deliver to our patients Librarians, they will help you! always do? quality patient care. within Horizon Health. Thank you! • Instruction & in-services Diane Murray, Regional Standards Like all services within Horizon, Library Libraries are a repository for books and Yes, but we’re so much more; our services • Article retrieval Christie Ruff, Regional Lead Corrections & Coordinator, Fredericton area journals. can save you time and make you look smart. Clinical Order Sets, Saint John area Services has had to reorganize, rearrange and We continually check to make sure we have • Article summaries I wanted to send a quick note to let you rethink how many of our services will look current evidence-based information, not When I took on the role of Standards know how much I appreciate the service you going forward. And, we’ve been doing this outdated materials. • Copyright guidance Coordinator for Horizon, the diversity and and your team provide to Horizon staff and as trailblazers, being one of (if not the only) breadth of subjects was overwhelming: How patients! They (Karen and Shannon) are both hospital library systems in Canada who kept Google has made your job obsolete. • Journal club support Not everything is available on the internet, could I support teams as they searched for so pleasant and accommodating – quick to the physical library spaces open throughout and articles you find through Google are not • Evidence synthesis best informed practice guidelines? Library reply to email, which I really appreciate now the last few months! always free. Library staff help you locate and Services, in particular Paul Clark has made that I am not in the building! You’ve done an access resources you might otherwise not be • Exam invigilation my job possible. I have been challenged to excellent job of creating a friendly, helpful, While we’ve been supporting many of you able to find. quickly access the most current information welcoming place within Horizon - way to go! with your COVID-19 related requests, • eLearning support ensuring you have current information to Libraries are quiet. about topics teams are working on and Paul Laurie Bouvier, Primary Health Care Access It depends who’s there, the time of year, • Skyline navigation has partnered with me as we look at the Coordinator, Moncton area base care, policies and research on, we’ve or what’s going on. Our libraries have been available also for regular requests, and computers/printers, instructional spaces and • Mobile app support adding a few new things to our daily work to collaboration space. And, some library staff keep the physical libraries safe for you to use. aren’t that quiet! • Information organization • Departmental purchases We’ve modified our physical library spaces to allow for physical distancing and prioritizing THEN NOW • Formatting reference lists computer access. If you’ve been to a library location in the last few months, you know A repository for books and journals Active, evolving spaces for capability and • Critical appraisal of information there are wipes, gloves and hand sanitizer at capacity building Go to library the ready! While we’ve been consulting with Library at your fingertips Quiet space Infection Prevention & Control and other Dynamic space libraries to make sure the physical library Print books and journals spaces are safe for all staff and physicians to Electronic resources Walk-in service keep using, we’ve also been leading the way Service via email, phone, Skype Computer access in creating and trying out these measures. Mobile access So, bring your mask, wave at us behind the Reference books Plexiglas, wipe down the computer before and Point-of-care tools Card catalogue after you use it, and know that our spaces are Mobile charging stations still there for you.

Want to tell your colleagues about the services you provide for patients and staff throughout Horizon? Email [email protected]. Deliveries of pizza and appreciation of health care Orthopedic oncology success in Miramichi

Horizon’s Miramichi Regional Hospital (MRH) cancers are often complex and are typically providers are ‘not cancelled’ in Miramichi may not be the biggest of Horizon’s hospitals, but done in tertiary centers dedicated to tumour Two employees at Horizon’s Miramichi Regional it certainly has big talent in orthopedic surgery. surgeries – until now. Hospital are now written in the COVID-19 Case in point: Dr. Abdurahman Adoubali. He is A few weeks ago, during the COVID-19 pandemic history books. Horizon’s only Consultant Orthopedic Surgeon that caused many delays and complications in It all started within days of the province and isn’t your typical orthopedic specialist. In our world and health care system, Dr. Adoubali shutting down nearly everything except fact, he recently performed a successful femur was presented with a 49-year-old patient that essential services. tumour reconstructive surgery at Horizon’s had a serious femur tumour who was late to MRH — the first of its kind in Atlantic Canada. be diagnosed due to the pandemic. With Dr. David Hale, owner of Pizza Delight in Miramichi, Adoubali’s expertise and experience, he and reached out to his friend Brian Geneau who Dr. Adoubali’s interest has always been in his team performed innovative reconstructive owned the other Pizza Delight on the orthopedic oncology. He graduated medical surgery to remove the tumour. Newscastle side. school in Libya in 1992 where he got his basic orthopedic surgical training. He continued with He proudly realized this surgery had never The pair wanted to show their appreciation orthopedic oncology training in Germany, the before been done in the Atlantic provinces, let for everyone in their hospital — from the staff Diagnostic Imaging Technologists James Fisher United Kingdom, and Montreal before finishing alone New Brunswick. He is planning to publish sweeping the floors, to those changing the and Cindy Coull at Horizon’s Miramichi Regional his fellowship training in December 2009, and this case in the Orthopedic International Journal. sheets, to those providing direct patient care. Hospital with a copy of Not Cancelled – Canadian Twenty of the 729 personal pizzas delivered to the making the move to Miramichi in 2010. Caremongering in the Face of COVID-19 in June 2020. many dedicated employees at Horizon’s Miramichi “I believe we can build an excellent New Brunswick Delivering party pizzas to feed everyone was a Regional Hospital in March 2020. Dr. Adoubali’s work typically involves performing team to treat bone and soft tissue sarcomas no-brainer; after all, in their experience, food Several weeks later, James Fisher, a Diagnostic regular joint replacement surgeries and general locally,” said Dr. Adoubali. “On top of delivering often lifts the spirits. Imaging Technologist, was contacted by orthopedic trauma surgery, but his biggest the many needed oncology services our community Heather Down, an author and publisher. She There were a few hurdles in executing this accomplishments in the last 10 years have members need, it’s a good opportunity to train was looking for impactful stories about acts of genuinely nice deed: because of the health been in bone and soft tissue sarcoma surgery. our local doctors and residents to deal with this kindness across Canada, and had stories from Dr. Abdurahman Adoubali, Horizon’s Consultant precautions in place, sharing party pizzas usually complex and challenging subspecialty.” all other provinces and territories except for Bone and soft tissue sarcomas are cancers Orthopedic Surgeon, performs many successful wouldn’t be possible, and with the various 8 New Brunswick. that start in the bone and cancers that affect Because of the innovative work of Dr. Adoubali, orthopedic oncology surgical procedures at Horizon’s 9 floors and shifts of all workers, timing was a tissues connecting, supporting or surrounding the patient is recovering well and the future of Miramichi Regional Hospital, some being the first of challenge. A smile came to James’ face when he thought the body’s systems. Surgeries to remove these orthopedic oncology in our province looks bright! their kind Atlantic Canada. of the pizza deliveries. He asked for his They agreed to make and deliver 729 self- colleague Cindy Coull’s help in telling the contained personal pizzas, and to deliver them story, and they connected Heather with David at different times of the day in order to feed Hale (one of the Pizza Delight owners) and everyone. added their story to the book Not Cancelled: The emotional displays of appreciation from Canadian Caremongering in the Face of COVID-19. It takes a team to end TB: Horizon staff work together to provide hospital workers spread through social media The book is now selling across Canada on TB awareness and prevention, and to end the stigma because, in a small town like Miramichi, Amazon. One of the many delicious personal pizzas delivered to hospital staff aren’t just hospital staff — the many dedicated employees at Horizon’s Miramichi Tuberculosis (TB) still exists as a global health TB is a contagious disease transmitted through they’re neighbours, friends and family. “Now, isn’t that pretty neat?” said James. Regional Hospital in March 2020. issue, remaining one of the top 10 causes of the air. It attacks the lungs and can also affect death worldwide. Although uncommon in New other parts of the body. It is preventable, treatable Brunswick, the province still sees an average of and curable, but can be fatal if left untreated. 5 to 10 cases of TB per year. Latent TB is when TB bacteria are in the body but Dear Janice, Horizon’s team of health care workers play a are not active and cause no symptoms. When a SJRH long-term care patient critical role in TB elimination in New Brunswick. person has latent TB, they cannot spread it to Just a note to let you know that it was great having Lori Many health care providers across Horizon work others, however, five to 10 per cent of people may grateful for care together to provide TB education, treatment, go on to develop active TB disease. Latent TB testing as one of my helpers. She could always make me smile. testing, contact follow up and outreach support. identifies who is at risk for possibly developing Sandra (Sandy), a long-term care patient on active TB and indicates who would benefit from 4BN at Horizon’s Saint John Regional Hospital We had a few laughs also. She put me at ease with her This team of health care providers includes treatment to prevent this from happening. recently penned a letter of gratitude to Janice wonderful bath tub (the tub room’s new whirlpool with infectious disease specialists, medical officers Oram, the unit’s Charge RN. of health, primary care providers, Public Health Anyone can be affected by TB, because it is jets). It is so relaxing and good for my circulation. Lori communicable disease teams, infection prevention spread through the air. One way health care In the letter, Sandra describes all the “little” and control nurses, pharmacists, and other providers work towards preventing the spread would poke her head in the door on her way by, which Pam Thompson-Bourque, RN, Public Health things her personal care attendant Lori partners. This year, they celebrated World TB of TB is by testing the groups that are most Communicable Disease Coordinator, Horizon’s Saint Thompson did to make her feel cared for and was nice when I was in my room most of the time. She Day on March 24 with a mission of bringing at risk for TB or latent TB. This includes those to comment on her dedication to her job. John Public Health team. would say she would like more work. I am sure good help awareness to the disease and ending the stigma. who live with, or work with people, in hospitals, The touching and well-deserved letter correctional facilities, homeless shelters or nursing demonstrates Lori’s commitment to living is hard to find for this visit on the 4th floor. The seniors homes, those with medical conditions that weaken Horizon’s value of showing empathy, need someone to talk to. They need to be cheered up. I the immune system, or those who have been in close contact with someone with active TB. compassion and respect. Thank you, Lori, for would have done that if I had been out in the halls. In a job well done! Some populations are more at risk for TB, but closing Janice, thank you very much for your help. You because this is a global disease, everyone is at made it possible for me to hear from (Joannie) Joan. risk! An important part of ending this disease, is ending the stigma associated with it. Love, Through increased testing, treatment and public awareness, and by ending the stigma associated Sandy with TB, health care providers across Horizon From left: Horizon Saint John Public Health are hopeful that there will eventually be success This letter has been edited slightly for clarity. communicable disease nurses (and registered nurses), in eradicating this disease! It’s TIME… for a Dr. Duncan Webster, Horizon Infectious Disease Krista Connell, Tracey Curtis, and Kendra Oulton. world without TB. Specialist, Saint John area. “Freedom Bell” rings at Horizon’s DECRH to celebrate An “EPIQ” idea to help babies stay warm stroke patients’ recovery Even though it’s summer, winter is coming to the occurrence of hypothermic newborns, with our staff do and the wonderful care that they the Labour and Delivery unit at Horizon’s The a primary focus on babies born via C-section. give every day.” Alex Furlong is a volunteer at Horizon’s Dr. Moncton Hospital (TMH) and the mother of To entice conference-goers to check out their The need for this research study emerged Everett Chalmers Regional Hospital (DECRH), dragons wants to ensure her babies are warm. research poster, each team develops a one- because of an increase in admitting to the working with patients twice a week. Game of Thrones (GOT) fans, will understand minute video that is shown to all conference NNICU for hypothermia following C-sections. But not that long ago, Alex was a patient here. these references to HBO’s popular show. participants. The increase began after C-sections were moved to the main operating room due to the On May 3, 2019, while on a road trip to But what does GOT have to do with newborn The team from TMH developed a GOT-themed relocation of the birthing unit. Bathurst, his partner noticed his face was babies? video, staring RN Jenny Butler as the mother starting to droop. Paula, a nurse, knew to That’s where a research project from TMH’s of dragons, Daenerys Targaryen, worried her The team implemented practice changes immediately abandon the trip and get Alex to Neonatal Intensive Care Unit (NNICU) come in. dragon babies would be too cold on the long including, among others, the purchase of a the Emergency Department in Fredericton. He journey from the operating room to the Labour Giraffe shuttle and adding blanket warmers learned he had had two strokes. By the next A team of Neonatologist Dr. Roderick Canning, and Delivery unit. and audits to increase skin-to-skin. day, he was unable to walk, talk or have any and Registered Nurses (RNs) Stephanie The unique idea paid off, with many And the results speak for themselves: after use of his left side. Cormier, Abby Feindel van der Heide, Brenda Houser, Norma Leger, Ashley McKim, conference participants stopping by to learn implementing the changes, the number of For the next 80 days, Alex followed a Horizon volunteer — and former patient — Alex Courtney Nelson-Ward, Kiera Strang, and more about the research. And it turns out newborns admitted to the NNICU due to regimen in the rehab program that allowed Furlong rings the Freedom Bell. Natalie Thompson did the research and some many other centres were having similar issues. a low-body temperature after a C-section him to gradually improve well enough to be decreased. of the team travelled to Banff for the annual “Every time I go to EPIQ I realize as much as discharged. Many of those days were bleak, Evidence-based Practice for Improving Quality we are a tiny centre, we are still doing a really “Our research is a team effort from with Alex needing encouragement and a (EPIQ) conference to present their findings on good job delivering good quality care,” said physicians, educators, managers, clinical reason to do his exercises. Alex Furlong, a former stroke patient and now a thermoregulation. Ashley. “It’s encouraging to come back and say resource nurses, and bedside nurses who Horizon volunteer, and George Richardson, a stroke His daughter printed him a copy of a poem patient, hug it out on the day George was being “EPIQ gives us the opportunity to meet with the bigger centres are doing the same things work on these projects — and of course the she found on the Internet called “Don’t Quit.” discharged. On this day, George rang the Freedom people from NNICUs across the country to we are doing here.” bedside team that delivers the care,” said On the darker days, Alex drew strength form Ashley. Bell, which Alex donated to be used in a ceremony share projects that lead to improvement in Courtney added: “Presenting at EPIQ gives us the verses and made the determination to 10 to recognize and celebrate stroke patients’ and care quality of care and most importantly, patient the chance to share what we’re doing, and it Who knows what this epic research team will 11 push through his exercises. providers’ hard work. outcomes,” said Norma. gives other hospitals the opportunity to provide come up with next year. For now, it’s Since his own recovery, Alex has become a feedback and ask questions. It’s an excellent encouraging to see the decrease in hypothermia unit to come out and participate,” said Lisa. At the conference, the team presented their source of encouragement to others on the opportunity to highlight the amazing job that in newborns. Congratulations to the team! “I hear a lot of the patients that are still here research on a poster, which aims to decrease ward, reminding them to never give up. talking about when they’re going to get an After his discharge last July, he wanted opportunity to ring the bell.” patients to have a way to commemorate their George Richardson was recently given that successful completion of rehab. So, he bought opportunity. George suffered what Lisa a bell and donated it to the ward to be used in describes as “a pretty devastating stroke” a ceremony to recognize their hard work and last July and was a patient on the unit until celebrate their independence. January 24, 2020. Lisa Dickinson is the Nurse Manager of After speaking with his daughter, Alice on the the Healthy Aging and Rehab Program at phone, George, 65, went outside to prepare Horizon’s DECRH. to go for a walk with his wife Judy. Judy was “Alex calls it the Freedom Bell,” she said. “He inside, wrapping up the call with her daughter wanted it to be rung twice; once for the patient when the doorbell rang. It was a neighbour and once for the staff because the staff works alerting her that something was wrong with hard to get that person to where they are.” George and to call 911. Judy went outside to see George lying face down, arms at his side Since the bell was installed in December, George and Judy Richardson, after ringing the as he called out, “Help me!” there has been quite a buzz in the unit as Freedom Bell. excitement grows when patients and staff She suspected George was having a stroke. He for the nurses and staff who worked hard to learn the bell is about to be rung to celebrate was rushed to Horizon’s DECRH where a CT get him there. another successful outcome. scan confirmed he had suffered a stroke. He was treated with the clot-busting drug tPa. Lisa attributes George’s successful recovery to “The nurse who has the patient will come out the excellent family support and his positive and invite all the patients and staff on the There were many ups and downs on George’s attitude. journey to recovery, with Judy constantly by his side. One of the “ups” was their 28th “His attitude and the support of his wife had anniversary on Oct. 4, 2019. For the first time a lot to do with the way he’s progressed,” she since his stroke, George was able to stand said. “Although it wasn’t the outcome they while giving Judy a hug. Only 12 days later, had hoped, from our perspective it was very George was walking with the aid of a walker. positive—he’s back home with his wife.” But for George and Judy, no day was as special As a former stroke patient and a current as January 24, 2020. After six and a half volunteer, Alex takes every opportunity to months, that’s the day George was discharged. encourage the current patients in the ward It was also the day of a big celebration around where he spent so many days. the newly-installed Freedom Bell. For Alex, nothing is more rewarding than Friends and family members, nurses and participating in the Freedom Bell ceremony to patients gathered around for the celebration. celebrate another patient’s successful recovery … As Alex prescribed, George rang the bell once a reminder to him and to others that “you From left: Kiera Strang, Norma Leger, Ashley McKim, Stephanie Cormier, Dr. Rodney Canning and Courtney Nelson-Ward with their team’s research poster The Freedom Bell. for his amazing recovery and a second time must not quit.” “Thermoregulation” at the Evidence-based Practice for Improving Quality (EPIQ) conference in Banff, Alta. Physician recruitment advisor wins Community celebrates 10 years of HOPE Wellness Centre For Horizon’s HOPE Wellness Centre in Saint navigate the system to find a specialist,” Kathy doctors, janitorial and security — have been national leadership award John its first decade has been filled with said. “There are examples of people who need amazing to work with,” Sue said. “They have Denise Coulombe, Horizon’s physician recruitment brought together recruiters from the Atlantic celebrations, and its staff and supporters often to keep an eye on their blood pressure and all gone above and beyond the call of duty to advisor in the Fredericton area, was surprised provinces to collaborate on the unique needs of take time to reflect on how their community come here for support.” work through this difficult time.” has benefitted from a gathering place that was and honoured to be nationally recognized with recruiting in eastern Canada. The focus is community, and it is clear Kathy The celebrations have been put on hold the Leadership Award at the 2020 Canadian once a dream. “Recruitment of physicians is not an easy is passionate about ensuring health care is while volunteers wait for direction from the Association of Staff Physician Recruiters task,” explained Dr. Édouard Hendriks, That dream became a reality in 2010, after the accessible to the rural area. province, but staff and volunteers at the HOPE (CASPR) Conference and AGM in June 2020. community completed a capital campaign and Wellness Centre are happy the site was a big Horizon’s Vice President Medical, Academic “We can troubleshoot for people and help partnered with Horizon to create the centre as part in the fight against COVID-19. CASPR’s mission is to enhance and promote and Research Affairs. “One needs to be close to with their overall health care,” she said. “I it is now, located past the Saint John Airport, membership of physician recruiters through communities to understand their needs, to have really enjoy helping people. In nursing that is attached to St. Joseph’s Church. education, networking, best practices and constant communication with Heads of Clinical what we do. In community health care it is a advocacy. Departments to understand their expectations, “It was really the church that started it,” said lot about relationship building and getting to to be involved in a multitude of ways to Every year, the association recognizes one Kathy London-Anthony, registered nurse and know your community.” connect with potential candidates, to ensure coordinator of the centre. “There was a lot of member who demonstrates leadership in his/ As the HOPE Wellness Centre enters a new that candidates are aware of our expectations community engagement to find out what was her role, and superior commitment and passion decade of serving the community, volunteers and we of theirs. It demands time and effort, needed (and) the HOPE Centre came to be for physician attraction, recruitment and retention. had big plans for celebrations and fundraisers, and some ‘pampering’ when a candidate and because of those needs. It’s no surprise to the many that have worked their family come for a site visit.” in an effort of ensure a strong future at the with Denise at Horizon over the last 17 years “It stands for hope, opportunity, pastoral care gathering place that has provided many “Denise embodies all this and has been doing that she is the 2020 Leadership Award recipient. Denise Coulombe, Horizon’s physician recruitment and education, which is what we are doing benefits to community members. so for many years now,” said Dr. Hendriks. “We here,” she added. “There were a lot of young advisor in the Fredericton area, received the “It really has changed our lives for the better,” She has held several positions with the CASPR owe her a lot for our recruitment successes in Leadership Award at the 2020 Canadian Association families that moved to the community and said Peter Chouinard, finance council chair at executive, including Conference Co-Chair in her area. I sincerely congratulate her for this of Staff Physician Recruiters (CASPR) Conference and that is why they started a day care. There is a Our Lady of Good Councel Parish. “We hope 2018 and Education Chair in 2019-20. She also well-deserved recognition.” AGM in June 2020. preschool program, day care and after school for continued on-site development of our program. The other big aspect was health care wellness centre. Any time we can access these Kathy London-Anthony, registered nurse and 12 and that is where Horizon came in.” coordinator for the HOPE Wellness Centre. 13 services locally it really reduces the overall Besides offering a variety of seniors’ programs, cost and congestion of our regional hospital.” day care services and community gatherings, But as of March 20, plans for celebrations the centre serves as a community health centre. changed, and the HOPE Wellness Centre SOCIAL SHOUT-OUT Horizon provides diabetes education, phlebotomy, was transformed to a Horizon COVID-19 blood pressure monitoring and access to nurse Assessment Centre. practitioners and social workers. On Horizon’s social media platforms, we’ve heard from many of your patients, clients and families “Having the site available to the community This means, for many, the HOPE Centre about the professional, safe and quality care you provide. and to Horizon during this time has been provides not only recreation, but also medical extremely beneficial for all involved,” said Sue In this new, recurring feature, we’ll highlight some of these “social shout-outs.” care. A seniors’ Fall Prevention program helps Savoie, HOPE Wellness Centre representative. If you see a social shout-out, tell us about it by emailing [email protected]. with social isolation, for example, and allows older adults to be more active, while improving Three tents were set up place behind the Bernadette Muise recommends Horizon Health Network. Heather Todd their overall health. Centre and staff had set up temporary work stations inside. @EasternViolet “There are patients who do not have a family HOPE Wellness Centre is attached to St. Joseph’s Caring and dedicated personnel who go above and beyond; doctor, but I have been able to help people “The staff that have been here — nursing staff, Church on the east side of Saint John. especially the laboratory staff who work tirelessly behind the Big shout out to the staff at the OPH @HorizonHealthNB scenes to provide the results on which physicians depend. Went for bloodwork. Thanks to all of you for all that you do in keeping us safe. Erik Matchett 11:03 AM · April 8, 2020 @E_Matchett 10 Likes

Thread ^ Charting new territory with virtual speech therapy. Thank you @HorizonHealthNB Peter Gillet 4:24 PM · May 14, 2020 @peter_gillet 3 Retweets 25 Likes Replying to @EasternViolet and @HorizonHealthNB Yes! I love their bloodwork team. So efficient and kind! 1:56 PM · Nov. 29, 2019

Thread ^

@EasternViolet Replying to @peter_gillet They have extra measures in place. Plexiglass at the lab counter, no need to pass Medicare cards and the removal of doors to the lab and the blood draw room. I asked the nurse if she was anxious and she said, “not at all.”

Join the conversation! Follow us on #ResearchAtHorizon: Horizon’s COPD Health Literacy Project Current COVID-19 Studies Receives International Attention The below article contains a list of current myocardial infarction (North American • Who is visiting the Emergency Department The first phase research findings of a Horizon COVID-19 studies active at Horizon (as of June COVID-19 ST-segment elevation myocardial (Canadian Emergency Department Support Opportunities and Assistance for 5, 2020). If you have any questions about infarction); or COVID-19 Registry); Research (SOAR) project – Improving the any of the studies you see listed, please do • those who have undergone cardiac surgery • How the virus has impacted broader social Behaviours of COPD Patients: Is Health Literacy not hesitate to contact the Office of Research (New Brunswick Heart Centre’s Coronavirus determinants of health (NB Social Pediatrics’ the Answer? – was accepted earlier this year to Services. Disease 2019 Heart Outcomes Study) or Understanding the Psychosocial Impact of be presented at the International Psychological cancer surgery (CovidSurg-Cancer). the Novel Coronavirus Pandemic on New Application and Trends Conference in Madeira, When one thinks of clinical research, it is likely Brunswickers study); and Portugal in April 2020. about the interventional studies that compare • How the virus has impacted children and one potential treatment to another. These studies create data The annual conference, which usually takes youth with complex care needs, their place in various cities across Europe, was Recently, Horizon researchers at Saint John registries and collect caregivers and their care providers (a held in a virtual format this year due to the Regional Hospital, The Moncton Hospital, study led by partners at University of New additional information COVID-19 pandemic. Despite this, researchers, and Dr. Everett Chalmers Regional Hospital Brunswick Saint John’s Centre for Research lecturers, students, professionals from in Fredericton have partnered to recruit to from patients during a in Integrated Care). psychology and human sciences were able to CATCO – Canadian Treatments for COVID-19, a regular appointment or There are also observational studies interested network with their peers from across the world. national study that will contribute to the World Natasha Hanson, PhD Tracy Freeze, PhD in understanding the clinical characteristics of Health Organization’s SOLIDARITY trial that scheduled procedure, and The conference showcased presentations having COVID-19, looking at both outcomes said Natasha Hanson, PhD, SOAR’s Research older adults needs to be tailored to their needs. investigates possible treatments (lopinavir/ from a diverse list of countries to promote the will help us to understand (the TRIPLE-C NB study being led by Dr. Dan Manager. “This conference is very well-known ritonavir, hydroxychloroquine or remdesivir) development and growth of research, teaching, In other words, information on COPD needs to Smyth of Horizon’s The Moncton Hospital) in the research world, so we were excited compared to standard of care. how the virus is impacting a applications, and new ways of thinking in the improve not only in quantity but also in quality. and at leftover biological samples from to have an international platform to get our field of psychology. In some of the other COVID-19 studies wide range of people living testing people who have had the illness (a findings out there.” “COPD educational materials must be better currently active at Horizon, the focus is on biobank study led by researchers out of the Tracy Freeze, PhD, SOAR’s Research suited to this segment of COPD patients,” with these conditions or The research project hypothesized, and results how the novel coronavirus impacts those with Dr. Georges-L.-Dumont University Hospital Methodologist at Horizon’s Saint John Regional said Natasha. “We can now build on the confirmed, that lower levels of health literacy, 14 existing chronic health conditions, such as: experiences. Centre). Hospital, presented the project’s first phase applicable and practical applications of this 15 i.e. the ability to access, understand, evaluate Registry studies can also look at the general findings remotely, sharing the team’s research project, which will help these patients use their • rheumatoid arthritis (The COVID-19 Global What these examples show is that to truly and communicate information to promote, population and collect data on how the public into whether health literacy was associated medications appropriately.” Rheumatology Alliance); understand a disease or identify the best maintain and improve health in a variety of is using the health care system and its services with medication adherence and/or inhalation • inflammatory bowel disease (Surveillance possible treatments, it takes significant settings across the life-course, would be The SOAR team would also like to see other differently (or not) during a public health technique in older adults with COPD (Chronic Epidemiology of Coronavirus Under collaboration within and outside Horizon – associated with lower levels of medication health researchers in New Brunswick build on emergency. Our researchers are currently obstructive pulmonary disease), a life-threatening Research Exclusion); and these past four months have been no adherence and inhalation technique in older this research. collecting data on: illness characterized by shortness of breath, • those who have had a ST-elevated exception. adults. cough and sputum production. “We’re at a bit of a pause with this research The research team concluded that providing because of COVID-19,” said Natasha. “But Tracy was also invited to submit the research COPD information repeatedly and over the I’m grateful to have the capacity to share the project findings as a chapter for the book progression of the disease would address study’s findings with others, which after all, is Psychology Applications & Developments. the informational needs of COPD patients the goal of research.” “Not all conference participants are asked to (as identified by the research participants). Visit Skyline for more information about Horizon’s SOAR submit book chapters, so this was a big deal,” Therefore, the information that is provided to program. In August, Horizon will transition to a new Employee Family Assistance Program (EFAP) service provider.

EFAP coverage will continue for all Horizon staff and their families during this transition. Stay tuned to Skyline for more information about Homewood Health and its exceptional health and wellness services. “Open-mindedness and respect. For me, “The characteristics I appreciate most members of any team determine what kind in co-workers are a positive attitude and Language choice remains important during challenging times of mosaic they will form. Open-mindedness reliability; these two characteristics are Lorna Mansfield, Official Languages Advisor, Fredericton area 2 and respect allow us to appreciate the 6 vital to creating a healthy workplace. A difference, value and uniqueness in each positive attitude is important for a team In recent months we have seen a huge change • a list of other resources available to staff, member of the team to the team’s bottom- as we work in a very busy and complex in the way we provide services to patients and to assist in providing service in both official line, and are basic ingredients for healthy environment, which can easily become the public. languages. stressful. It’s vital to keep a positive attitude relationships and collaboration within and For example, in Horizon facilities, masks are The reverse side of the cards provides so it doesn’t affect other colleagues and outside the team. They say united we stand, mandatory for patients and designated visitors information intended for the public, explaining patient care. Reliability is important in team divided we fall, these characteristics unite and are required for staff when physical their right to choose the language in which work, with the sizeable workloads we have, us!” distancing cannot be maintained. They help they receive their service. it’s critical to know your colleagues can be N. Dennis Mwafulirwa ensure safety for all. Thank you to everyone Social Worker, Adult Team, Horizon’s Addiction counted on to contribute to the work.” This menu-style tool was chosen for its and Mental Health Services, Woodstock Kathleen Buchanan functionality, such that it: Horizon’s Director of Primary Health Care, Providing service in the • sits nicely on any workspace; who shared the • provides immediate resources for staff; Moncton area These plans must be visible to all staff who language of choice remains • can be updated easily when required; and characteristic they “Integrity. If they have integrity, they are work in the area, including those who travel • relays the message that Horizon and its honest and fair when it comes to their share an important component in and out of the area providing patient care, employees respect our province’s language value most in a of the workload. They will be honest about “Being collaborative is my most valued e.g. Respiratory, Physiotherapy, Specimen of safety and quality and culture diversity. 3 sick time and stress leave. They will be kind characteristic in a co-worker. Working Collection. co-worker. and compassionate to our patients. They together creates opportunities to build on services that are truly When this information is visible to all employees, We received seven submissions from readers from will do the right thing even when no one is 7 each employee’s strengths and experience, patient-centred. all employees know what resources are available five facilities or regions, five units or teams, and looking. Co-workers with integrity are my which helps all of us provide effective and to them. Managers who have not yet created seven different positions. favorite co-workers.” efficient care to the population we serve. As employees, when you provide the Active a visible contingency plan are encouraged to Amanda Bagley Helping each other helps us be our best for Offer by greeting the patient or public with From patience to professionalism, all of these contact your local advisor. Administrative Support, Horizon’s clients and families.” “Hello. Bonjour.” or another bilingual greeting, characteristics (and more) help build strong Hospital you are relaying the message that Horizon Horizon teams. Sarah Brannon Resource flip menus for staff Clinical Lead - Adult Services, Horizon’s Addiction cares — Horizon cares about the provision of Around the same time, resource flip menus were 16 If you have a suggestion for a future Top 10 list, and Mental Health Services, Sussex area safe patient care and is prepared to provide 17 provided to those departments and they are still please email [email protected]. If you “I thoroughly appreciate professionalism! service in either of the two official languages readily available for all. These menus serve as have an idea for another interactive feature, we’d When a colleague behaves and and ensures that patients who do not speak a fingertip resource to staff. The menu sleeves love to hear that, too! communicates consistently in ways that English or French also get the language hold cards with the following information: are professionally appropriate (polite, assistance that they need. The patient and We look forward to reading your submissions for 4 • how to contact members of the Official courteous, respectful, kind, diligent), they client should be at the centre of all that Languages team; the next Top 10 list! not only are a pleasure to work with, but Horizon does. • a “quick reference” template for your own they naturally cultivate an environment of department’s contingency plan information; excellence. Working with them is pleasant, Unit-specific contingency plans • information on when and how to the efficient and enjoyable!” Prior to the start of the pandemic, the Official Language Line Service; Languages Advisors in all four zones had Christina (Tina) McLaughlin Medical Equipment Technologist, Clinical begun working with managers, advising on • key phrases to use when greeting the public; “I always appreciate when I am kept in the Engineering, Service New Brunswick, Horizon’s the development of department-specific service-specific key phrases could be added; loop for something related to my work. For Saint John Regional Hospital contingency plans for language services. and example, if my co-worker’s new project 1 will affect my work, I would be happy to know in advance the impact and, ideally, “The characteristic I value the most in the suggestions to deal with the potential a co-worker is patience. In a fast-paced issues so that I can prepare accordingly. In environment where we have a lot going short, TEAMWORK spirit, with which one 5 on and often are presented with many truly thinks about the PEOPLE in the team.” demands, as well as required to face Dr. Congwu Cui sensitive matters, it is so important to be Medical Physicist, Horizon’s Saint John Regional patient with one another. I find working Hospital with someone who is patient helps with facilitating a calm and re-assuring work environment. No one needs added stress by having to deal with co-workers who aren’t understanding and patient with one another. They say patience is a virtue. No truer words!” Michelle Martel Nursing Unit Clerk, Medical Intensive Care Unit (MICU), Horizon’s Saint John Regional Hospital

Contact an Official Languages team member and ask for these resources! Items can be delivered. Saint John / [email protected] Fredericton / [email protected] Miramichi / [email protected] Lorna Mansfield, Official Languages Advisor, Fredericton area. Moncton / [email protected] Prevent the spread of COVID-19

Wear a mask. Prevent droplets from your nose and mouth from infecting others.

Clean your hands. Keep your distance. Wear a mask.