WELCOME TO THE SEPTEMBER 2007 ISSUE OF THE UPDATE!! SEPTEMBER
As always, we welcome all kinds of submissions including health related arti-
cles, information, announcements, cool pictures and stories.
Submitted by Mary Lessing-Turner
The fall is one of my favorite times of the year. The summer heat starts to fade but the win-
ter cold has not taken a foothold on the Town. It is a time when our employees start return- Allison Long
ing from their summer holidays with renewed vigor to continue working throughout the firstname.lastname@example.org
coming year. It is a time for the students to return to school and bring more normalcy to (204) 675-8374
home schedules. We look forward to the opening of the new Duke of Marlborough School
and congratulate the school and staff on their new surroundings.
You will note that there has been some construction going on at the back of the Centre
over the summer. We have switched the ramp from Dancing Sky to the North side of the
building. There were two reasons for doing this; the main one, to facilitate easier access for
our Dancing Sky residents to the Medicine Wheel on the Bay side of the Centre and sec-
ondly, to alleviate the need to plough snow away from one of our exits during the winter.
The old ramp needed to be constantly shoveled as the snow swirled around that area and
created drifts that needed immediate attention.
This September will also mark the ending of the Centre’s contract with ARAMARK. Senior
Executive has decided to provide our kitchen, laundry and housekeeping services in Future issues of the UPDATE will
house. The transition should be transparent and seamless to our staff and patients. Basi-
cally the only difference will be that we will be managing those areas ourselves. Our food be published in:
and supplies will continue to be provided by the same company as in the past.
This September the Board of Directors of the Churchill Regional Health Authority will hon- JANUARY 2008
our a very special individual. On September 27th the family of the late Dr. J.A. Hildes will MARCH 2008
unveil a plaque in honour of this physician who has been a pioneer for health care in the
North and a special friend to Churchill. You will note later on in this edition of the Update
that staff and the Town are invited to the unveiling ceremony at 5:30 on the 27th.
The CRHA is also gearing up for our upcoming CCHSA accreditation scheduled for May UPDATE Committee Members:
2008. This will be a new experience for all of the staff as the process has changed quite
dramatically since our last accreditation in May of 2005. This year all of our staff will be
asked to complete surveys on patient safety. As well, the majority of the staff will also be Allison Long
asked to complete surveys on the standards related to their specific teams. The education
and training for this new process will begin shortly.
The CRHA Annual Report has been approved by the Board and will be ready for distribu-
tion this month. Please make sure you have an opportunity to read the report, as it is a
comprehensive review of the work and accomplishments of the Region over the last year.
The last comments I will make are to remind all of our patients, clients and residents that
we have made parking space available to you in a convenient location directly to the left of
Churchill RHA Inc.
162 Laverendrye Avenue
the Centre. This was a request from our stakeholders identified at the Strategic Planning
Churchill, MB R0B 0E0
session last March. Please make sure that you use that space when visiting the Centre. Fax: (204)675-2243
In This Issue
Welcome New Employees
CEO News ...............................1
Welcome New Employees.......2
Brad Brodziak, EMT
Getting to Know You................4 Ryan Schenk, EMS Supervisor
Where Am I?............................4
Gift Shop..................................5 Jennifer Baker, Early Childhood Educator II
ER User Guide.........................5 Michelle Hauri, Clinical Resource Nurse
Dancing Sky PCH ....................6
Children’s Centre .....................7
News from the Kitchen.............9
If you are interested in employment at the CRHA, please see the
Vital Monitoring ........................9
Ethics .....................................10 Human Resources bulletin board located outside of the Finance Office or visit:
Exercise Reduces Diabetes...12
Oral Health.............................13 Ron Sweeney
Farewells ...............................14 Director of Human Resources
Summer Highlights ................14
Advertisements ......................15 Phone: 204-675-8307
CURRENT EMPLOYEMENT OPPORTUNITIES
Community Wellness Worker, Fulltime
To develop the Churchill Social Worker III, Fulltime
RHA Inc. as a recognized Laboratory Technologist, 6 Month Term
Centre of Excellence for Receiving Home Parents, Casual
our model of Northern and Dietary / Housekeeping, Casual
Aboriginal Health Care.
For more job opportunities please visit the Human Resources
CRHA Mission bulletin board located outside of the Finance Office
Working together for the
better health of everyone
It is the policy of UPDATE to Not only does the CRHA acknowledge long-time service employees and new em-
invite the participation of all ployees, we also recognize all employees by department, all year long. Em-
readers by your submissions of ployees receive a certificate and a meal in the cafeteria, compliments of the
articles etc. however we CRHA during their departmental recognition week. The following departments
reserve the right and the will (or already have been) recognized over the next few months.
responsibility to exclude or edit
prior to publication. Tasteful
articles excluded will be
reconsidered for later editions SEPTEMBER OCTOBER
and the editing will be for
reasons of clarity and/or size, Receiving Home (10-14) Children’s Centre (1-5)
but not to change the content. Human Resources (17-21) Kivalliq Liaison/Interpreters (15-19)
Where articles are taken from
other publications, we may
require written permission to
Getting to Know You….
Over the years the Churchill RHA has seen a number of staff members pass through our doors so I wondered
what their first impressions were when they first arrived in Churchill. Here's what they said . . . . .
Jennifer Baker, Early Child-
Kim Kowalchuk, Licensed
hood Educator II arrived from
Practical Nurse moved from
Toronto, Ontario in August
Deloraine, Manitoba and first
2007 and she said that Chur-
noticed the lack of trees.
chill is really friendly.
Chris Kirouac, Registered
Ryan Schenk, Emergency
Nurse came to Churchill as a
Medical Services Risk & Qual-
student in January 2006. He
ity Officer said that when he
noticed that there were no trees
came up as a locum in June
and it was windy. When he re-
2007 he couldn’t see the town
turned to a fulltime position in
from the airport. He liked
the summer he noticed that the
swimming and the ice bergs.
days were really long.
Michelle Hauri, Clinical Re-
Brad Brodziak, Emergency
source Nurse found it hard to
Medical Technician from Pi-
believe that she will be living
nawa, Manitoba said that
next to the Hudson Bay. Mi-
Churchill was nice and small.
chelle is originally from Stein-
It’s a friendly place.
Where Am I?
The CRHA UPDATE is asking our readers “Where
Am I?” If you can identify where the picture on
the left was taken, send your answer to: This issue’s ‘Where
Am I’ is a reprint
Email: email@example.com from the July issue.
Be as specific as you can. The first person to con- Will you be the first
tact us with the correct answer will have their person to discover
name published in the November 2007 issue. “Where Am I?”
Do you have a unique photo that you would like featured in “Where Am I?”
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The Benefits of Eating Breakfast
Have a balanced breakfast every day. Eating breakfast is linked with having a
healthy weight. Skipping breakfast may lead to snacking and greater food intake
later in the day. Eating breakfast every day can also help improve concentration
and reduce hunger. Look for fast and easy choices such as whole grain breads
and muffins, cereal with milk, fruit, yogurt and yogurt shakes, cheese, and eggs,
or be creative with last night's leftovers.
Individuals who eat breakfast perform better at school, work, or daily tasks; have healthier weights;
and eat more essential nutrients. Everyone should start the day with a good breakfast to feel and do
their best. Aim to include foods from at least 3 of the 4 food groups from Canada's Food Guide to
Healthy Eating. Try these quick and easy breakfast ideas:
• Keep the kitchen stocked with breakfast staples such as cereals, milk, yogurt, whole grain breads
and muffins, frozen waffles or pancakes, fruit and fruit juices, bagels, eggs, peanut butter and cheese.
• Spend a few minutes each evening preparing for breakfast the next day. Set out cereal boxes and
the toaster, set the table, cut up fruit.
• Wake up a little earlier so that everyone has time to eat breakfast. This is also a good time to talk
about everyone's plans for the day.
• Involve everyone in choosing the foods, preparing breakfast, or cleaning up.
Liven up breakfast with these fun ideas:
Waffles, cut into sticks and dipped in apple sauce, milk
Fruit smoothie (milk, ice, yogurt, fresh or frozen fruit), whole grain muffin
Grilled cheese sandwich, melon slices, 100% fruit juice
Leftover pizza, 100% fruit juice
Whole wheat tortilla or pancake rolled with peanut butter and banana, milk
Dry cereal or trail mix stirred into yogurt, piece of fresh fruit
It is also important to note that many popular breakfast cereals contain four to six teaspoons of sugar
a serving, as much as in some chocolate bars, according to research commissioned by The Globe and
Mail and CTV News. The data revealed that:
• A bowl of Sugar-Crisp contains as much sugar as a Mr. Big bar.
• Starting the day with a serving of Corn Pops, Honeycomb or Lucky Charms is about the same as
eating a Kit Kat bar.
However, it is important that parents focus on the overall nutritional value of
cereals and not fixate on sugar content. The focus should be on fibre and
whole grains. Finally, simply including a balanced breakfast daily, for both
children and adults, can help improve concentration, aid in maintaining en-
ergy and blood sugar levels, and maintain a healthy weight and help kick-start
Adapted from Dietitians of Canada
See how much you know about keeping your
heart healthy. Take this quick quiz.
1. True or false: The heart healthiest fruits and vegetables are
citrus fruits and colourful vegetables that are dark green
red or orange.
2. True or false: A diet low in saturated fat is heart healthy.
3. True or false: Maintaining healthy habits such as exercising
and eating well may be more difficult while under stress.
4. True or false: If you don’t have time to exercise in a 30-
We’re always interested in what you minute block, you can get the same benefits from three 10-
think Recipes, Comments, Suggestions minute sessions.
are encouraged. 5. Some risk factors for heart disease and stroke are within our
control, while other are not. Which of the following risk fac-
Please approach any of our Dietary tors can be controlled?
Team or call us directly at (Check all that apply.)
675-8333 or e-mail A) high blood cholesterol
firstname.lastname@example.org b) high blood pressure
f) all of the above
5. f 4. True 3. True 2. True 1. True
Churchill EMS will be providing free Vital Monitoring to the Public on the following Days
1:00 pm to 3:00 pm
@ the Northern Store
1:00 pm to 3:00 pm
in the Overpass of the Town Complex
1:00 pm to 3:00 pm
@ the Northern Store
1:00 pm to 3:00 pm
in the Overpass of the Town Complex
Churchill EMS Staff will be providing the attending public with their blood sugar levels,
their heart rate, their oxygenation levels & blood pressure.
EMS will be conduction Vital monitoring Clinics the third Friday of every month in the
Overpass of the town Complex from 1:00 pm to 3:00 pm.
On July 4 and 5th the CRHA Ethics Committee was pleased to host a one and a half day workshop entitled,
“Thinking about Ethics? A Workshop for Health Care Providers and the Community.” Overall the event was a
success. The speaker was excellent, the turn out of interested CRHA staff and board members and Churchill resi-
dents was commendable. Even the weather was on the bright, warm side. We had 16 people attend, of this there
were 7 different departments of the CRHA represented.
Dr. Reynolds, an Ethicist and Professor of Family Medicine at the University of Manitoba shared his expertise as
he gave us an overview of bioethics. He stressed moral courage that, “health care is a moral enterprise not a busi-
ness” and courage is needed to take an ethical stand despite your fears on difficult issues and cases which require
closer examination. By doing what is right wrong doing may then be avoided. Dr. Reynolds got the group in-
volved in the steps of ethical problem solving thus making the material practical and useful. Everyone was
stretched in their thinking to analyze cases outside of their own view point to deeper thinking of the overall goal
of providing best practice for clients and a healthy work environment. A method of ethical analysis was explained
as being threefold: 1) Observe by identifying the problem and the stakeholders, and their feelings, and gather all
of the facts; 2) Deliberate. Consider alternatives and examine values and evaluate the alternatives; 3) Act. De-
cide, implement a plan or recommendations, and communicate this to all the parties concerned.
According to Dr. Reynolds, “Ethics at the core is about relationships and how they are managed or navigated”.
Now the challenge that faces us is together to implement this valuable learning at the CRHA. The CRHA Ethics
Committee is off for the remainder of the summer and we already have a couple of cases waiting for deliberation
when we resume our duties in the fall. “Hope is the oxygen of the human spirit.”
Nicole Durocher, MSW., MTS.
CRHA Ethics Committee Chair
An ethical problem occurs when it is difficult to do the right thing.
-Difficult because of conflicting values
-Relationships are at stake
• health care system
Avoiding a Decision
• This is a finance decision • This is a family decision.
• This is a medical/nursing decision. • This is a Board decision.
Ethics Consulting is Difficult
• Standards • Track record
• Education experience.
Working as a Group is Difficult but Possible • Accepted process for ethical decision making.
• Term of Reference. • Accepted process on how decisions are
• Accountability. shared and appeals.
1.Identify the problem
• What is the problem?
• What is at stake?
• Who owns the problem?
• Who needs to be involved?
2. Acknowledge the feelings
• Conflict happens when people defend what
matters to them.
3.Gather the facts
• What has happened
• Learn the patient’s/family’s story
• Consider Alternatives
• Examine values
• Evaluate alternatives
• 6 o'clock news test, me test
• Describe the decision
• Implement the plan
• Communicate to all concerned.
Your urgent treatment clinic has been chronically short staffed. You have had problems recruiting staff for years. One
of your longer term staff reports to work smelling of alcohol. What is the ethical issue and what would you do? Does
the intoxicated person appear approachable? The first line of action may to be to speak calmly to the person, first expressing
your concern for them as a person before indicating that their present state means they should not be at work. If intoxicated-
must go home and return sober. The alcohol smell has to be brought to the attention of the staff in a caring manner. Ensure the
smell is related to their physical state, not clothing from a night-before party, etc. Drug and alcohol use cannot be covered up,
regardless of connection to other colleagues who may use. If alcohol or drug is smelled there is a concern if the proper care
can be given to patients and staff. Is alcohol interfering with work competency? Is the person a good role model? Is alcohol us-
ing a pattern? Are there underlying problems the staff needs help with- can counseling or detox be recommended? First seek
their voluntary removal from the workplace. Firing is a last step if problems persist.
You hear one of your staff praying with a patient. Is this OK what if any are the ethical issues? What might you do?
Staff praying with a patient is not necessarily inappropriate but the following items need to be considered. Is the agreement to
pray mutual, initiated by whom? Is the patients’ belief system respected? Is the praying interfering with other work duties? Can
privacy be ensured? Is the patient benefiting? The prayer is for the needs of the patient not based on the needs of the minister
or staff, be careful the patient is not dependant on staff for spiritual guidance, referral to a minister or other lay person that can
offer caring support may be necessary.
One of your case workers sees a client in the home and witnesses illegal drug use. What should she do? If a child is
present and at risk the case worker must disclosed the situation to CFS. Sharing the information with their supervisor can be
helpful to assist the client face their drug addiction and their need for treatment. Ask what can be done to best help the client?
Case workers are to work with the RCMP to educate the public about the seriousness of drug addiction to one’s health and how
it affects a community. Witnessing drug dealing has to be reported to the police.
Friday, April 20, 2007
By Anne Harding
NEW YORK (Reuters Health) - Resistance training may not only help to build muscle in older people, it
may also be warding off type 2 diabetes, a new study demonstrates.
Thirty-six men and women in their early 60s experienced significant improvements in glucose tolerance
after a 12-week resistance-training regimen, Dr. Wayne W. Campbell of Purdue University in West Lafay-
ette, Indiana, and his colleagues found.
"The idea that you could actually improve your glucose tolerance by about 25 percent to 30 percent with
12 weeks of strength exercise without having any weight loss, which is a typical therapy for this, is very
encouraging," Campbell told Reuters Health.
People lose their ability to metabolize sugar effectively as they age, even if they're otherwise healthy,
Campbell and his team note in their report in the American Journal of Clinical Nutrition. And the weight
gain that frequently accompanies aging worsens glucose tolerance and compounds diabetes risk. One in
five Americans older than 60 years has type 2 diabetes, they add.
There is evidence that resistance training can improve glucose tolerance, while adequate protein levels
are necessary for resistance trainers and may even improve changes in body composition and glucose
tolerance that come with weightlifting, the researchers note.
To investigate how resistance exercise and dietary protein affect metabolism, the researchers had the
study participants work out on resistance machines three times a week for 12 weeks. Each workout ses-
sion lasted for about an hour and 15 minutes, and included 8 exercises.
Half of the study participants consumed 0.9 grams of protein for each kilogram of body weight per day
(low-protein group); the other half consumed 1.2 grams of protein per kilogram (high protein group). The
current recommended amount of daily protein is 0.8 grams per kilogram of body weight.
Men and women in the high-protein and the low-protein groups experienced small but significant reduc-
tions in total cholesterol and in low-density lipoprotein, the "bad" cholesterol. The level of reduction was
similar in both groups.
Changes were similar to what would have occurred with short-term weight loss. And both groups also ex-
perienced similar increases in lean body mass and reductions in fat mass.
However, the most dramatic effect was on glucose tolerance, Campbell said, with both groups showing a
"profound" improvement in glucose tolerance after the 3-month training program.
The findings are especially significant, the researcher added, because the study participants were at risk
of developing type 2 diabetes because of their age and, in some cases, their weight.
"Another five or ten years from now, if they follow the usual paths, they're going to become heavier and
move into the clearly overweight category," he explained.
Campbell emphasized that all of the study participants were getting adequate amounts of high-quality pro-
tein, and urged anyone considering beginning a weight resistance program to do the same.
SOURCE: American Journal of Clinical Nutrition, April 2007.
Cut along dotted line & have fun filling out your own toothbrushing chart
Place a sticker,
the sun when
you brush in the
morning & on
the moon when
you brush at
0-3 YEARS ~
3-6 YEARS ~
1/2 a pea-size
Remember to help children brush until they’re 8 years old
Use a soft toothbrush that is the right size for your mouth
Any questions? Call or visit the Churchill Dental Clinic(675-8302)
6+ YEARS ~
Remember the 2 for 2 rule!
Brush your teeth 2x a day for 2 minutes
On August 9, 2007 we said
good bye to Kathy McGregor, Farewell and good luck to
Executive Assistant. Kathy Ibrahim Elsahar, Human Re-
started her employment with sources Officer who resigned
the Churchill Regional Health his position in August. Ibra-
Authority in 2003. She was him, Dr. Manal Awad and their
involved in many things within three children moved here in
the CRHA such as co-editing June 2006. Ibrahim worked in
the Update Newsletter. various departments including
Friday, August 31 was the last Karen Price started at the
day for Lisa May, Pharmacy Children’s Centre in February
Technician. She came to Chur- 2006 and in January 2007 she
chill in October 2006 from became a Child and Family
Ontario. Lisa agrees that the Services Worker . She’s had a
Pharmacy will be a lot quieter great experience and is plan-
without her. ning to come back to visit with
her son Jacob.
On June 29, the Churchill RHA Entertainment Committee hosted the
annual staff barbeque. The picture on the left shows master chefs
Robert Penwarden and Sean Kernaghan from the Board of Directors
working their magic!
The winner of the Barbeque fundraiser raffle was also announced on
June 29. Congratulations Lenore Johnson!
Throughout the month of August the Emergency Medical Services
personnel have been conducting fire extinguisher training for all staff.
As demonstrated by Jeff Noel, Laboratory Technologist, we were
taught how to handle a fire extinguisher and how it’s used in the
event of fire.
Staff have also been receiving training on the new guidelines of CPR.
Since December 2006.
ADVERTISEMENTS & ANNOUNCEMENTS
EFFECTIVE OCTOBER 1, 2007
the Ambulance Phone Number will be changed to
Within the first 3 minutes of your call an ambulance is being dispatched to your location.
INFORMATION ABOUT BACK TO SCHOOL IMMUNIZATIONS?
Back to school time usually means some planning. Getting school supplies, new cloths,
gym shoes and childcare.
There are also some immunizations that children need to help pre-
vent illness and the spread of diseases. Children going into kinder-
garten need to receive 2 to 3 needles. (If they have already had
chicken pox or received the chicken pox immunization it is 2 nee-
The 14 –16 year old age group need a Tetanus and Pertussis booster
shot. This will be offered during school hours. And the Grade 4 class
will be bringing home information on all of the immunizations they
ADVERTISEMENTS & ANNOUNCEMENTS
Please call the Medical Clinic 675-
8316 for an appointment.
Please call the Medical Clinic
675-8316 for information
s a true champion on North-
A grateful community honor
work made his vision a reality
ern Healthcare whose hard .
in the Churchill Health Centre Dr. Amar Gupta
end a dedication
You are cordially invited to att Please call Community Services
ceremony in honor of 675-8322 for an appointment.
Dr. J.A. Hildes
2007 at 5:30 p.m. in the
To be held on September 27, TBA
urchill Health Centre
main entrance hall of the Ch Please call Community Services
675-8322 for information.
Everyone is welcome to
the Ceremony at 5:30 p.m
Dr. Andre Vos
Please call 675-8302 or 675-2419
and leave a message.
Polar Bear Cinema Upcoming Movies
Transformers The Simpson’s Movie
*By Referral Only*
Please call the Medical Clinic at
675-8316 for an appointment