Page 13 - HPB Handbook - May 30 2022 (Flipbook) v2
P. 13
Page 13 of 22
patient’s transitions between sites and providers of care, educating and supporting the caregiver(s), and facilitating access to
community resources.
They provide telephone and/or e-mail response to patient or caregiver questions and concerns from Monday to Sunday
between 8:00 and 5:00 p.m. The Nurse Navigator at TGH is Marcia Johnson and may be contacted by telephone (416) 262-
1992, internal extension 14-5975, or e-mail at nursenavigator.general@uhn.ca.
Unit Pharmacist
The Unit Pharmacist is Shirley Wong and she can be paged at (416) 790-7905
Physiotherapist (PT)
The PT should be contacted for elderly patients and patients with previous, (pre-surgery), mobility issues as necessary. The
unit PT is Leana Marchand and she can be paged at 416-719-3983.
Occupational Therapist (OT)
If assessment and intervention are necessary for the function of daily activities, contact the Unit OT, Navdeep Khangura. She
can be paged at 416-719-0028.
Social Worker
The social worker is called when preparing to discharge patients as necessary. The Unit Social worker is Kaitlyn Azubuike
and she can be paged at 416-719-2639.
Dietitians
Unit Dietician Deana Zidar sees all Whipple patients and patients with dietary issues before discharge. She can be paged at
416-719-3362.
TPN Dietitians
Educate patients and families on TPN use before discharge. TPN Dietitian, Ann MacGillivray, can be paged at
416-719-3263.
Spiritual Care
Spiritual Care is provided by Jessica Cho. She can be reached at 416-790-7414, from 13:00 – 16:30.
RESEARCH
HPB Clinical Database Project
We maintain a prospectively collected registry of all patients who undergo non-transplant HPB surgery. This database
focuses on operative and perioperative complication data. The data from this database is used to support clinical research and
for continuous quality assurance. It is essential that we collect high quality data at all times. HPB fellows are expected to
contribute to data quality by acting as a liaison between the database staff and the surgical team.
They are responsible for filling out data extraction forms and clarifying operative and clinical details for patients with the
Database Manager, David Chan, as necessary.
Information from the database can be requested for clinical, quality, or research purposes. Please email requests to: David
Chan at david.chan@uhn.ca; REB approvals, if required, must be obtained before a data set will be released.
PERIOPERATIVE ISSUES
If you admit a patient directly from the ward for the operating room and detect potential medical problems or
surgical issues, please let the staff surgeon know. There are some issues that go undetected despite best intentions and
can be carefully detected by admitting residents.
Strategies to Prevent Surgical Site Infection
Antibiotic Prophylaxis (ABX)
ABX should be given within one hour prior to incision
If prolonged operative procedure ABX to be redosed at intervals of 1-2 half lives
ABX not to be given postoperatively in most cases
