This form was completed: Month April Year 2002
(please change the date when you update information)
Hospital Name: Vernon Jubilee Hospital
Address: 2101 – 32nd Street
Vernon, B.C. V1T 5L2
If the information applies to only a specialized unit of the hospital, e.g. Oncology, Cardiology,
etc., enter the name of the unit.
Unit name: Maternal Child
A. The Unit/Hospital has:
A ward exclusively for children: Yes _____ No
The ward is called Maternal Child . It is on the 3rd floor.
Children up to age _______ are cared for on this ward.
The steps we can take when a child’s condition gets worse:
a.) continue to care for the child on the ward with support from _______________
b.) transfer the child to ICU in our hospital,
c.) transfer the child from our facility to BCCH hospital.
The ward has 5 beds for children. Most rooms have 1 (#) patients.
A parent can be with his/her child 24 hours a day? Yes No _______
Or during these times: _____________________________________________________
Can a parent “room in” with child/baby Yes_ No _______
A Special Care Nursery for newborns: Yes No
Stabilize for transport only
The nursery is called Nursery .
It is on the 3rd floor.
We can care for (#) _______ babies in this Nursery.
On average we have (#) 0 babies in the Nursery.
Please comment: Closed nursery – all babes out with mom’s. We only “open” our
Nursery for sick babes. If babe quite sick, we transfer out to BCCH or Kamloops or
The nursery offers:
a) Phototherapy Yes _____ No _____
b) Low flow oxygen Yes _____ No _____
c) Incubators or warmers Yes _____ No _____
d) RSV prevention process
Parents can be with their baby 24 hours a day: Yes No _______
Physicians who care for children in your unit/hospital:
NAME OF PHYSICIAN SPECIALISATION
Dr. Eiko Waida Pediatrician
Dr. Jane Forsey Pediatrician
Dr. Lia Harris Pediatrician
If parents are unhappy about the medical care they should follow this process:
Talk with Yolanda Short – Clinical Coordinator
Parent can contact: Tel. 250-558-1200 Local 1348
What is the average ratio of nurses to children?
The Nurses who work with children are:
a.) a core group of pediatric nurses, 5
b.) nurses from adult wards who also routinely 0 5 well moms &
work with children, babes
c.) both of the above. 1-clinical nurse 1-2 sick babes
Do you have a lactation specialist/consultant Yes, two – both
a) Hours available? early Mat.
b) Lactation specialist is familiar with premature Discharge program
c) Electric breast pumps available?
Do any nurses have a speciality relevant to children? (Please indicate the area of specialisation).
Administration of IVIG – voiding cystograms, blood administration on children, conscious sedation
RSV vaccines – joint injections.
What do you do to maintain consistency in care? eg. care plans, shift change nursing rounds,
primary nursing. Care plans, team meetings, weekly team meetings for some pediatric patients,
If parents are unhappy about the nursing care they should follow this process:
1. Talk with primary nurse
2. Talk with clinical coordinator
3. Fill out complaint form
Parent can contact: Yolanda Short RN Tel. 250-558-1200 Local 1348
Which health professionals would perform the following procedures?
On average how often in a 3 month period would s/he perform this task on a child?
Who on the Frequency Who in the Frequency
Drawing Blood Lab Tech Daily Dr., Lab Tech Daily
Starting IVs 1 RN Frequently Dr. 1-2X/month
IV antibiotic delivery Dr.
Inserting Chest Tubes Dr. Seldom Dr. Seldom
Intubating and Hand Ventilating Dr. Seldom Dr.
Types of Ventilator care provided Dr. Seldom Dr. Seldom
# ventilators available
Heart and Lung Monitoring Dr. Seldom Dr. Seldom
Oxygen saturation monitoring
(# of monitors available)
NG Tube Feeds All RN’s Frequently All RN’s Frequently
G or J Tube Feeding All Ped. RN’s Frequently Ped. RN’s Very Seldom
Tracheostomy Care RN’s Very Seldom RN’s Very Seldom
Central Line Care All Ped. RN’s Frequently RN’s Very Seldom
Glucose Monitoring Lab Tech. Frequently Lab Tech. Frequently
Resuscitation All RN’s Very Seldom All RN’s Frequently
Chemotherapy All Ped. RN’s Not done
Support for infants/children with
difficulty feeding by mouth
Please add any comments: F/U Chemo., clinic nurse monthly
Please indicate any special equipment that you do not stock e.g. neonatal size supplies
C. Support Services
Types of medical imaging available: Hours:
CT Scan 0800-1700 M-F, on-call all times
Ultrasound – Echo 0800-1730 M-F
X-ray 0730-2400, then on-call
Nuclear Medicine 0700-1630 M-F, oncall 1630-2000
Weekend on-call, 0900-2000
Lab Services: Hours: open 24 hours
Laboratory can work with very small blood samples: Yes No _______
Can families request a topical anesthetic cream before a poke? Yes No ______
Types of rehabilitation services available: Hours:
Occupational Therapy 0700-1600
Community Services ___________________
Social Worker available: Yes No _______ SW available Monday-Saturday
Nicki Knight, 250-558-1200
Nutritionist available: Yes No _______
D. Family Centred Care: (Please indicate if things are different in the Nursery)
1. What resources do you have to provide for the play and learning needs of the children?
Playroom with educational toys and books, VCR’s, TV’s, movies, colouring and activity
When caring for a young baby are you able to reduce stress by controlling noise and
What facilities do you have for parents?
Beds Showers Food Laundry __
Other: Moms allowed to room in with newborns. Parents allowed to room in with
3. Can children wear their own clothes? Yes No _______
4. Can a parent be with the child during procedures like IV start? Yes No ______
5. What processes, tools, procedures are in place to ensure that families are kept up to date
on their child’s condition? Eg.
Daily contact with nurses Yes
Daily contact with physicians Yes
Team meetings with families Yes
Family access to charts Bedside charting
Other Families encouraged to stay with children
6. How are parents made to feel part of the team?
M-F, 0800-1600 access to Patient Care Coordinator.
7. Can siblings visit: Yes No _______
Is any type of childcare available for siblings Yes _______ No _______
Hours: Open visiting hours.
8. Is parking convenient & readily available? Yes No _______
What are the parking charges? $2.00 per visit or all day
9. Cafeteria hours: 0715-1800, M-F, closed Saturday and Sunday
10. If a parent wants to talk with someone at the facility before the transfer, or arrange a
tour, whom does s/he call?
Name: Yolanda Short, RN
Position:Clinical Coordinator (Patient Care Coordinator)
Tel: 250-558-1200 Local 1348
11. Do you have a booklet/brochure about the hospital? Yes _______ No
Please send one to: Family Resource Library
Children’s Hospital of British Columbia
4480 Oak Street