Sometimes something unexpected can happen to a patient, resident or client that has caused them unintended serious harm. When the event is a result of healthcare provided and not due to the individual’s illness or the usual risks in treating the disease, it is called a critical incident.
Have you witnessed a critical incident? We need to know if an event like this happens so that we can learn from it and make our patient care system safer.
If you have witnessed a critical incident, call our 24-hour CRITICAL INCIDENT LINE at 204-788-8222.
For more information on Patient Safety and Critical Incidents, please visit the WRHA Quality website.
Protection For Persons In Care Act
Enacted in May 2001, the Protection for Persons in Care Act enforces the protection of persons in personal care homes and hospitals from mistreatment- physical, sexual, mental, emotional or financial. This legislation creates a formal process for reporting, investigating, and resolving allegations and suspicions of abuse in health care settings.
Operators of health care facilities must maintain a reasonable level of safety and protect patients form abuse. Under the legislation, concerned citizens and staff working in health facilities have a duty to report suspected abuse or the likelihood of abuse by anyone to the Minister of Health or his designate at the Protection for Persons in Care Office.
For more information on the Protection For Persons in Care Office, please see the pamphlet found in the back of this handbook.
Residents or their family members may contact the Protection for Persons in Care Office as follows:
Deer Lodge Centre Abuse Policy
Abuse as defined by the Protections for Person In Care Act refers to: any mistreatment, whether physical, sexual, mental, emotional, financial or a combination of any of them, that is reasonably likely to cause death or that causes or is reasonably likely to cause serious physical or psychological harm to a person, or significant loss of the person’s property.
Deer Lodge Centre supports providing the highest quality of life for residents and patients, and strives to maintain a positive and safe working environment for staff. Deer Lodge Centre will not tolerate abuse towards any residents and patients. All residents and patients are to be treated with dignity and respect by all staff always. Deer Lodge Centre will investigate all allegations of abuse. Deer Lodge Centre will take whatever action is appropriate under the Protection for Persons in Care Act.
A copy of the Deer Lodge Centre Abuse Policy is available. Please contact the unit manager or social worker.
Veterans Affairs Canada (VAC) Client Services provides support to Veterans both in the community and while a resident at Deer Lodge Centre. Social Work can help make arrangements for a VAC Counselor. Also, Veterans can contact the Veterans Ombudsman at 1-877-330-4343.
What is Ethics?
Ethics is concerned with morals and values. In health care settings, ethical dilemmas arise when the “right thing to do” is unclear, or when people are in moral disagreement about what is best for a Patient or Resident.
What We Do
The Deer Lodge Centre Ethics Committee was developed to provide an educational and advisory service on ethical issues affecting Patients/Residents, families, volunteers and/or staff. The Ethics Committee strives to advance and integrate ethics throughout our organization in collaboration with the WRHA Ethics Service.
Who We Are
The Ethics Committee is comprised of a diverse group of individuals from a range of backgrounds and experience including Medicine, Law, Nursing and Allied Health. Members of the Committee have received additional training in Ethics by the Winnipeg Regional Health Authority.
How to Make a Referral
Residents/Patients, family members, volunteers and staff are all welcome to contact the Ethics Committee. All referrals will be kept confidential.
A referral can be made by filling out the Request for Ethics Consult form located within your department or on your unit. Please return the form in the attached envelope to the Main Switchboard.
You will be contacted by a member of the Committee to further discuss your question or concern.
Personal Health Information Act
The Manitoba Personal Health Information Act (PHIA) ensures that your personal health information is protected. At Deer Lodge Centre, we believe your health is a private matter. We collect, record, store, use or disclose any fact about you and your health in keeping with Manitoba’s PHIA. Personal health information includes your name, address, and Personal Health Identification Number (PHIN); facts about your health, health care history and the care you have been given; and facts about payment for your health care. Under this law, you have the right to:
- Access your personal health information and health records
- Request corrections to your records
- Have your information kept confidential
- Make a complaint to Manitoba’s Ombudsman’s Office about access to your personal health information, or about how it is collected, stored, used, or disclosed to others.
If you would like to know more about the Personal Health Information Act call the Centre’s Privacy Officer at 204-831-2164.
Health Care Decisions
Goals of Care planning is a way to prepare for the decisions that will need to be made about your future or potential end of life care and medical treatment. When making a plan, remember that you have the right to accept or to refuse any health care treatment. What is right for someone else may or may not be acceptable to you.
The staff of the Centre wants to be sure the care they are providing is what you want, especially if your health declines and you may be unable to speak for yourself.
There are several ways to make your wishes known.
- You will be asked to work with staff in developing a Goals of Care Plan. This plan is a summary of the care and treatment that everyone is in agreement with following discussion about what is possible and what you prefer.
- Tell your family or person (s) you trust what you your concerns are and what care you want and do not want. The staff will ask your family or person (s) you trust for direction if you cannot speak for yourself.
Contact the social worker assigned to your unit or a unit nurse for information.
Deer Lodge Centre has limited capacity to respond to emergencies. If as part of your advance care plan you indicate a wish to be resuscitated if your heart stops, we will call 911. Our response team will provide basic life support until the paramedics can arrive and transport you to the closest emergency department.
As part of the admission process you will be asked to provide the Centre with any information about advance funeral arrangements you may have. This information is helpful for staff to have so they can help families at a difficult time. Please refer to the pamphlet at the back of this handbook for further information.
Use of Restraints
Deer Lodge Centre has a Restraint Policy, which is in accordance with Manitoba Health and the Winnipeg Regional Health Authority “Guidelines on Restraint Use”. The Policy defines a restraint as any restriction of voluntary movement or freedom used to minimally restrict body movement or behaviour. Restraints may be used when a health care team determines that a particular act or behaviour or response is placing the patient or resident or others at risk of serious harm. Restraint use will follow a team assessment process, and after consultation with the patient or resident, family or decision-maker. After receiving the information about the restraint, the patient or resident or family will be asked to provide a verbal or written consent. The time the restraint is in place will be determined by the patient or resident response and observed changes.
It is important to balance the risk of using restraint against not using restraint. It is important to ask what alternatives have been tried. The risks of using restraints may be greater than the risks of falling or wandering. When restraints are removed there may still be falls, but research studies show there is no increase in the number of falls with serious injury.
For more information please see the pamphlet found in the back of the admission booklet.
A copy of the Deer Lodge Centre Restraint Policy is available on request. Please contact the unit manager or social worker.
Information on Side Rail Use
Every resident at Deer Lodge Centre deserves a safe and comfortable sleeping and bed environment. To achieve a safe bed environment reducing side rail use may be in the best interests of the resident’s health and safety. Recent research has shown the use of side rails can increase the residents’ risk of entrapment, serious injury or death rather than prevent it.
When side rails keep residents from voluntarily getting out of bed, they fall under the definition of a physical restraint. Restraint use must be justified and considered a temporary measure. Restraint use must also be re-evaluated regularly.
Each resident is assessed by the interdisciplinary team to find out if side rails are necessary and that other alternatives have been tried first. Every resident responds to different alternatives in various ways and no one method will always work.
Residents, families and the interdisciplinary team can together achieve the goal of a safe and comfortable sleeping and bed environment.