Page 12 - HPB Handbook - May 30 2022 (Flipbook) v2

Page 12 of 22

Thursday (a.m.) McGilvray - 4th Floor GI clinic – PMCC
Thursday (09:00 – 12:30) McCain Multidisciplinary Pancreas Cancer Clinic (lunch and MCC tumour board to follow clinic)
- 4th Floor GI clinic – PMCC
Thursday (p.m.): Gallinger, Moulton, Sapisochin, Shwaartz - 4th Floor GI clinic – PMCC
Thursday (p.m.) McGilvray - 10th Floor TGH

Friday (p.m. clinics) available to all staff as required – 10th floor TGH

SUPPORT STAFF
N.B.: Most support staff is available Monday- Friday during ‘regular’ business hours unless otherwise indicated. A scaled
down Allied Health team is available on weekends.

HPB Physician Assistant (PA)
Krista Slavinski is the PA associated with the HPB team. She assists residents and staff with the daily operation of the team
on the floor, in the clinic and OR. Her major role is to help manage patients on the floor. She works from 06:30 to 14:30 Mon-
Fri. Major responsibilities are as follows:
1. Attends morning rounds and helps with charting
2. Handovers in the multidisciplinary rounds (bullet rounds)
3. Liaises with other services including solicitation of consultations, facilitation of IR procedures, etc.
4. Liaises with external service providers, such as gastroenterologists at St. Michael’s Hospital
5. Reviews investigation results, corrects abnormalities and alerts team to potentially serious findings
6. Orders blood work, diagnostic, interventional and radiological investigations.
7. Helps enter preadmissions, medication orders, recommendations from consulting services, assists pharmacist with
incorrect orders
8. Responds to queries from other allied health care providers, such as nurses, PT, OT, SLP, pharmacists, RTs and social
workers
9. Assesses and manages floor patients as required
10. Answers questions and addresses concerns from patients and family members
11. Discharge planning in association with social worker, CCAC, other allied health providers and external parties
12. Performs bedside procedures such as removing lines and drains, debriding and suturing wound, inserting NG tubes,
Foley etc.
13. Drafts discharge summaries and CCAC referrals
14. Assists in the clinic and OR
15. Signs off on discharge summaries
16. Signs off on CCAC referrals
17. Orders medical supplies or equipment through chart or computer

Krista’s role is similar to a junior resident except that she cannot order controlled substances such as narcotics and
benzodiazipenes.

In order to have prompt discharge, she requests that the residents make sure all the discharge prescriptions are in place before
leaving the floor.

Krista provides feedback to staff on the residents' performance and encourages residents to give feedback to herself and the
HPB Staff to help improve her service.

Nurse Navigators
Nurse navigators are Registered Nurses who provide patients with access to acute care consultations at home following
discharge from the hospital. Their goals are to prevent unnecessary visits to the emergency department; reduce the need for
patient readmission; help patients utilize community resources; and ensure that patients receive appropriate care following
discharge.

The nurse navigator collaborates with the patient’s physician in conducting eight clinical processes: assessing the patient and
primary caregiver at home, creating an evidence-based “Care Guide” and personal “Action Plan”, promoting patient self-
management, monitoring the patient’s conditions, coaching the patient to practice healthy behaviours, coordinating the