Care Communication Cards: “Communication First Aid” for Non-English-Speaking Patients

Family CARE Grant Brings Ingenious Homegrown Solution to Life

Terry Fodë, Patient Safety Improvement Specialist, Quality and Risk Management presents a mock-up of the Spanish-language Care Communication Card.

Communication plays a huge role in patient care – and it’s a role we often take for granted. For example, think about your own visits to the Emergency Department. The first thing you do is tell the nurse what the problem is. However, even basic questions such as “Where does it hurt?” and “Did you hit your head?” can easily get lost in translation if patient and healthcare professional speak different languages.

Thanks to an ingenious homegrown idea and a Family CARE Grant to support it, our Hospital will soon have a way to communicate the basics quickly and effectively with patients in different languages.

So far in 2024, there have been 101 documented calls for 32 languages at Thunder Bay Regional Health Sciences Centre that required outsourced interpretation services. Fortunately our Hospital is able to access medical interpreters by video or audio 24/7 in 140 languages for interpretation services however there are times when an instant answer to a simple question is needed, and this is when the new Communication Cards will be helpful.

Terry Fodë, Patient Safety Improvement Specialist in the Quality & Risk Management Department, said providing culturally appropriate care is equivalent to safe care, and being able to communicate the needs of a patient can help provide better care.

“Sometimes all you need are a few words to convey a message,” Fodë said.

Fodë, who is also a linguistics specialist, proposed Care Communication Cards to communicate immediate basic needs. The cards would help healthcare professionals at our Hospital understand where it hurts, how much it hurts, whether there is vomiting, and so on. Patients could also communicate their needs such as bathroom, food, water, and pillow. It’s sort of a “communication First Aid” to help patients sooner while the team is waiting for interpretation services to connect.

The cards are modelled after Ojibway tools that the Cancer Centre’s Indigenous Patient Navigator designed. Fodë plans to create a series of laminated cards for several different languages including French, Italian, Finnish, Spanish, Arabic, Farsi, Mandarin, and Hindi. A separate card for non-verbal patients will use pictograms provided by the Aphasia Institute. Clinical Staff and the Patient Family Advisor Council provided feedback to ensure the Care Communication Cards make sense from both clinical and patient perspectives.

Fodë will use a Family CARE Grant to translate, print and laminate those cards, making them easy to disinfect and reuse.

“Initially we will provide Care Communication Cards of the most common languages required as identified by staff, and create a digital library,” Fodë said. “Additionally, I’m creating cards with the English word and the pictogram, but including a blank space. If there’s a language we don’t have available and an essential care partner can provide us with the translation, we can then add it to our library.”

What makes this solution particularly effective is that it is low-tech. Translation apps rely on Internet connections and third-party companies, both of which can be finicky. Besides, Fodë said, those high-tech translations aren’t always accurate.

“Language can be so nuanced,” Fodë said. “The Care Communication Cards keeps it simple.”

The Thunder Bay Regional Health Sciences Foundation’s Family CARE Grant provides funding for frontline employees to fund their own ideas for patient care improvements. In fact, “CARE” stands for “Care Advancements Recommended by Employees.” These grants are funded by donors like you who understand that little things can make a big difference to patient care.

Learn more including how you can donate to this amazing grant program by visiting: https://www.healthsciencesfoundation.ca/familycare

Director, Indigenous Collaboration, Equity & Inclusion

Shared on behalf of Dr. Miranda Lesperance, Vice President, Indigenous Collaboration, Equity & Inclusion


I am pleased to announce Leona Kakepetum as our new Director, Indigenous Collaboration, Equity & Inclusion, effective September 9, 2024.

Leona was previously the interim Manager of ICEI over the past year. She holds a degree in Political Science from Lakehead University and brings leadership experience working as the Interim Health Director at Keewaytinook Okimakanak (KO), a non-political Chiefs Council that serves Deer Lake, Fort Severn, Keewaywin, McDowell Lake, North Spirit Lake, and Poplar Hill First Nations.

Prior to her time at Keewaytinook Okimakanak, Leona worked on the Health Transformation Team at Nishnawbe Aski Nation (NAN), which represents 49 First Nations communities in Northern Ontario. Outside of her formal roles and education, Leona is very committed to community volunteer work. She is a Transplant Ambassador, and an advocate for health.

As the Director for ICEI, Leona will report to the Vice President of Indigenous Collaboration, Equity and Inclusion where she will work directly with the TBRHSC Indigenous Health Hub to improve health delivery and equity outcomes for Indigenous Peoples across the organization. She will also work to advance Equity, Diversity, & Inclusion (EDI) initiatives for other equity-deserving groups that access services at TBRHSC.

Leona will remain on Level 1, Room 1480, Office 1472. She can also be reached via email leona.kakepetum@tbh.net and by phone at 684-7922 or 629-4514.

Please join me in congratulating Leona on her new role within the organization.

REFS Feedback Survey

Shared on behalf of Andrea Raynak – Director, Nursing Practice


The REFS team has been up and running for the last six months, demonstrating great success.

We would like to give the participants an opportunity to provide feedback on their experiences.

To complete the survey, scan the QR code below or click here

Outlook Tips & Tricks: Week 1

Outlook Overview:

Introduction to Outlook, for all new Outlook users located in, Help Desk Self- Service (KA 14235).

Keyboard Shortcuts: Learn keyboard shortcuts to navigate Outlook faster.

Ctrl + N: Compose a new email.
Ctrl + R: Reply to an email.
Ctrl + Shift + M: Create a new meeting request.
Ctrl + C: Copy selected text
Ctrl + V: Paste copied text

Like Emails: Instead of typing a message to reply with your support for or satisfaction about an email you received, select the smiley face—thumbs up icon to like it.

Drop-In WebEx Training Sessions

September 4th, 13th, 20th, 25th

Join this Webex meeting anytime you are free between 9:00 a.m. – 3:30 p.m.

Contact Help.Desk@tbh.net if you have any questions.

Women in Academia: Dr. Kristina Pulkki

Women physicians are an integral part of the health care team at Thunder Bay Regional Health Sciences Centre (TBRHSC). Each month, we will highlight some of the exceptional women physicians and surgeons who provide clinical care, education and leadership within our Hospital and beyond. A special ‘thank you’ to all of the women physicians who agreed to be interviewed.

Name: Dr. Kristina Pulkki
Specialty: Otolaryngology – Head and Neck Surgery
Medical School: NOSM University
Residency: University of Ottawa


What is one thing that you love about practicing in Thunder Bay?

It’s my hometown and it’s great to be back. Also the collegiality of the clinicians at TBRHSC and the region makes it a good place to work. You actually get to know people versus being a random physician at a big hospital. The familiarity of being back home is special.

What does it mean to be a woman physician at TBRHSC?

Overall women are under-represented in surgery, but I haven’t found negative aspects so far. Patients also seem happy about seeing a woman physician.

What is your vision for otolaryngology in Thunder Bay?

I want to expand the otolaryngology curriculum at NOSM University to show how it intersects with other aspects of medicine such as rheumatology and paediatrics for example. I also want to develop more regional clinics and build a more robust otolaryngology practice that is not super specialized but rather a comprehensive generalist practice that will serve the needs of the region.

Finally, having another physician practice share for a few years will give me the time to develop other aspects of my practice and to continue longstanding collaborations such as outreach to Nunavut with the University of Ottawa.

If you could have one superpower, what would it be?

Infinite time!

How could TBRHSC better support women physicians?

Mentorship would be nice. For me it’s happened organically but a supported program would be a great addition.

What does it mean to be a woman (aspiring) leader at TBRHSC?

We are showing learners that we can do it, that there is room for us at the table as well.

Is there anything else you’d like to share?

I’m doing some research on button battery ingestion with multi-site team that has been rewarding. Also, it’s been great having general surgery residents join me in the Operating Room.

CEO’s Blog (August 30, 2024)

Rhonda

Hello, Boozhoo, Bonjour,

I’d like to begin this month’s blog with some news you can use as it relates to parking. I’m pleased to announce improvements to the staff parking process, thanks to your feedback. The new system will offer greater flexibility, benefit part-time and casual staff, and reduce congestion in visitor lots. Details on the new parking exit credits system will be shared soon, with the transition set to begin in October. In the meantime, parking passes will no longer expire and we will work to create better efficiency in the process for all our users. Thanks to everyone who contributed their ideas and feedback on this subject.

As most of you know, this summer has been exceptionally busy for all of us at Thunder Bay Regional Health Sciences Centre. With record numbers of admissions and visits to our Emergency Department, your hard work and the extra efforts made to cover for colleagues on vacation have not gone unnoticed—thank you.

It comes as no surprise to anybody that there are increasing discussions both provincially and nationally about the significant challenges society is facing pertaining to healthcare. These conversations are happening everywhere—from politicians to community members, and understandably so. And our Hospital is not immune to the broader issues affecting the system. Many of you have felt the impact of these challenges firsthand, whether while caring for patients or even as patients yourselves.

One particularly stressful situation arises when trying to discharge patients. Whether it’s returning them to their community hospital, sending them home with services, or transferring them to another facility better suited to their needs. These delays can be frustrating for everyone involved. They can also burden incoming patients who need beds, pushing us to our capacity limits. Unfortunately, many of these issues stem from factors beyond our control—such as increased Emergency Department closures in the region, a shortage of primary care options, and various socioeconomic factors.

Yet, despite these stresses, we are managing our resources as effectively as possible – largely due to your professionalism. Our wait times remain competitive, and we’re making the most of our bedded capacity. To further support our capacity, we’re excited to introduce a new model of care in the Emergency Department. The Clinical Decision Unit (CDU) will establish a formal pathway for patients who don’t quite meet the criteria for hospital admission but still require further care before being discharged. This approach, set to roll out in late September, will help minimize unfavourable outcomes related to early discharges and unnecessary long-term hospital stays.

I realize this blog may seem less upbeat than normal, but it’s important to acknowledge the realities we’re facing. That said, I also want to emphasize the positives. Fall is just around the corner, and with it comes a fresh start. We have many exciting activities and initiatives planned for the upcoming months. For instance, the “Good Afternoon Innovation” series will showcase some of the innovative ways we’re improving care and research. Additionally, I’m particularly impressed with the leadership shown in implementing central intake for diagnostic imaging across Northwestern Ontario. This expansion not only improves efficiency but also makes us leaders in providing advanced technology to patients beyond our Hospital. Lastly, I’m thrilled to welcome a number of new volunteers to our Hospital and Health Research Community. Please join me in making them feel appreciated as they dedicate their time to enhancing our patients’ experiences.

I understand that the current environment can be challenging, but your resilience is remarkable. A positive staff experience directly translates to a positive patient experience, and I assure you that we’re continually seeking ways to mitigate these external pressures on your daily work. You are doing an incredible job under these circumstances.

As always, I welcome your feedback on these blogs or any other matter. You can reach me directly at rhonda.ellacott@tbh.net. Your insights are invaluable.

Sharing and Caring Together 2024

Shared on behalf of Shannon Schiffer, Manager PFCC, Patient Experience, Engagement & Advocacy


We are excited to announce the upcoming Patient & Family Centred Care (PFCC) Sharing & Caring Together event being held October 21 – 25, 2024!

The first four days of the event will include coffee rounds with a Patient Family Advisor (with roaming carts full of treats) and two daily sessions of lunch and learns, open to everyone, in Auditorium A & B.

The Main Expo, held on Friday, October 25th, will feature our theme of “Learning from the Patient Experience”. We would love for your team to showcase how your department/unit provides Patient & Family Centred Care and makes the patient experience exceptional every time. This is a fantastic opportunity to highlight your efforts, share best practices, and engage with the hospital community.

Here are some ideas for what your booth could include:

  • Patient and Family Centred Care Action plans
  • Stories or testimonials from patients and families
  • Interactive displays or demonstrations
  • Visuals and materials that highlight your team’s PFCC practices
  • Any innovative tools or processes your team uses to enhance patient care

Please confirm participation via email to TBRHSC.PFCC@tbh.net (or call ext.7322) and let us know your requirements, such as floor/wall space, number of tables required, or if you will need assistance with setting up your booth.

Additionally, Family Care Grant applications open on September 3rd with a deadline of Friday
October 18th, 2024. Care grants can be used to improve the care you give every day. Listen for
patient and family suggestions when brainstorming ideas as initiatives that improve the care we
provide, benefits us all.

Thank you for your continued dedication to providing exceptional care to our patients. We look
forward to your participation in this meaningful event.

2023 Dr. Douglas Rathbone Scholarship

Recipients Further Education to Support Patient Care

2023 Dr. Douglas Rathbone Scholarship Recipients Further Education to Support Patient Care
Pictured: Back Row (L to R): Deanna Hicklin, Sean Davies, Rachel Brisson Middle Row (L to R): Georgia Carr, Lea Poulin, Christina DeLeo, Amanda Thompson, Crystal Fisher Front Row (L to R) : Ashley Sippala, Alyssa Sabatini.

The Laboratory Services team at Thunder Bay Regional Health Sciences Centre (TBRHSC) plays a critical role in offering safe, quality health care to patients and their families.

These professionals are adept at conducting a range of procedures and tests on biological specimens, which help physicians diagnose and treat patients. With advancements in science and technology, the field of Laboratory Medicine is constantly evolving, making it crucial for laboratory staff to pursue ongoing education and training to stay current. Through their pursuit of advanced certifications, training, and job performance, these health care professionals demonstrate their commitment to providing exceptional patient care.

Dr. Douglas Rathbone, a highly esteemed physician and former coroner in Thunder Bay, placed significant emphasis on continuing education. To honour his legacy, his wife established an endowment with the Health Sciences Foundation in his memory through her generous donation and memorial donations. The Dr. Douglas Rathbone Scholarship Fund provides financial support to Laboratory Services staff at TBRHSC to pursue relevant continuing education courses or professional development. The recipients of this award will enhance their knowledge and skills, ultimately improving patient care.

In 2023, there were 10 successful recipients of the $500 scholarship: Lisa Morin, Point of Care Coordinator, Christina DeLeo, MLA (Medical Laboratory Assistant), Amanda Thompson, MLA, Stephanie Briand, MLT (Medical Laboratory Technologist), Lea Poulin, MLA, Deanna Hicklin, Quality and Safety Compliance Coordinator, Ashley Sippala, MLA, Stacy Tetlock, MLA, Rachel Brisson, MLT and Alyssa Sabatini, MLT.

“Although I have been a Medical Laboratory Technologist for 27 years, there is always more to learn. I joined the Point-of-Care Department in September 2019,” said recipient Lisa Morin MLT, HBScMLS. “This department oversees 3500 operators and over 150 instruments throughout TBRHSC and its affiliated sites, which includes St. Joseph’s Care Group. I will be using my Rathbone scholarship award towards a Point-of-Care Specialist Certificate Program, which is composed of eight courses. I am very grateful for this opportunity to broaden my knowledge of Point-of-Care Testing.”

The Dr. Douglas Rathbone Scholarship is a testament to the legacy of this accomplished physician, and its impact will be felt for generations to come. With this scholarship, TBRHSC staff will be able to enhance patient care while continuing to develop themselves professionally.

“It is important to stay up-to-date with the latest advancements in the field of Laboratory Medicine. Our Lab staff at TBRHSC consistently strives for personal and professional growth, and their commendable efforts are truly appreciated,” said Georgia Carr, Manager of Laboratory Services at TBRHSC.

Recipient Deanna Hicklin, Quality and Safety Compliance Coordinator said, “The TBRHSC Laboratory offers many types of continuing education and encourages all staff to participate regardless of position. Being awarded a Rathbone Scholarship will support additional independent continuing education learning opportunities for me. This will allow for professional growth and support my role at the Laboratory as Quality and Safety Compliance Coordinator. Thank you for this opportunity.”

We extend congratulations to the 10 recipients of the Dr. Douglas Rathbone Scholarship, and encourage everyone to learn more about Laboratory Services at TBRHSC by visiting https://bit.ly/TBRHSC-Lab-Services.

Endowments create meaningful legacies while providing stable, dependable funding for programs, equipment and services at TBRHSC. For more information, please contact the Thunder Bay Regional Health Sciences Foundation at (807) 345-4673.

COVID-19 Outbreak – 3B

An outbreak of COVID-19 has been declared at TBRHSC Inpatient Unit 3B, as of August 28, 2024. All restrictions are in place.

As always, our number one priority is the safety of patients and their families, staff and visitors. All patients identified as having an exposure to this outbreak have been isolated with appropriate additional precautions. New admissions will not be sent to the unit until the outbreak is declared over. Essential Care Partners will only be permitted on a case by case basis, following the process outlined in the Care Partner/ Essential Care Partner Guidance Document.

Infection Prevention and Control encourages everyone to continue applying routine practices of hand hygiene, proper use of PPE, cleaning shared equipment and the appropriate screening of all patients. Please set an example to staff and students and assist us by maintaining compliance and due diligence. Staff with questions regarding potential exposures on 3B should contact Occupational Health and Safety.

For more information, contact Infection Prevention and Control at 807-684-6094

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