Start Your Search

Orpah McKenzie



Author of

  • +

    FN01 - Advancing Indigenous Access to High Quality Virtual Care Solutions (ID 44)

    • Event: e-Health 2019 Virtual Meeting
    • Type: First Nation Session
    • Track:
    • Presentations: 1
    • Coordinates: 5/28/2019, 02:30 PM - 03:30 PM, Pod 7
  • +

    OS01 - It's All About the Patient Outcomes! (ID 1)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track: Executive
    • Presentations: 1
    • +

      OS01.02 - Virtual Emergency Support Service. "I've Got Eyes on the Patient" (ID 272)

      Orpah McKenzie, KO eHealth Telemedicine Services, Keewaytinook Okimakanak "Northern Chiefs"; Balmertown/CA

      • Abstract

      Purpose/Objectives:
      The Virtual Emergency Support (VES) project is a First Nations, Federal & Provincial partnership. Its goal is to enhance support to nurses and clients in emergent & urgent situations in remote and isolated Sioux Lookout nursing stations by using an appropriate and accessible combination of smart technologies and accessing necessary expertise in a timely manner. VES has been implemented in eight First Nations Nursing Stations in Sioux Lookout Zone. Emergency rooms in each facility are linked to a dedicated province-wide emergency telemedicine system. The system allows physicians to directly access these emergency rooms using hand-held, laptop and stand-alone room-based videoconferencing systems.The objective of the final evaluation is to determine if the VES service model is an effective means for enhancing urgent and emergent care in isolated nursing stations.


      Methodology/Approach:
      The evaluation is based on a limited production roll-out in the Deer Lake, Mishkeegogamang, Pikangikum, and Sandy Lake First Nations and reflects service-level data and provider feedback collected between 16 March and 31 December 2017. VES Data Sources and Collection Approach: A. Nursing Feedback · Nurses summarized VES encounters by filling out a record of event · KOeHealth staff conducted short interviews with Nurses-in-Charge (NICs) on a weekly basis. · Face-to-face interviews with NICs B. Physician feedback · Eight physicians were interviewed or provided written responses about their experiences with the VES. · Three ORNGE Transport Medicine Physicians (TMPs) provided feedback about their experiences. · ORNGE shared results of post-VES surveys C. Service-level data · Nursing records of event · Logging files from OTN’s videoconferencing application for Emergency Medicine · Provincial air ambulance transport logs · Monthly VES Implementation Team meetings · Promising Practices Workshop – 4 October 2017, Thunder Bay. D. Direct engagement and observation: · Site visits to four First Nations communities.


      Finding/Results:
      Between mid-March and end of December 2017, VES resources were mobilized to manage 10.4% of the 666 medical evacuations that originated from one of the four VES First Nations. Feedback by nurses, ORNGE TMPs and Regional Critical Response Program (RCCR) confirm that VES is an effective means for enhancing urgent and emergent care in isolated nursing stations. With VES, patients living in Ontario’s most remote communities have access to the same level of clinical expertise as any other resident in the North West LHIN


      Conclusion/Implications/Recommendations:
      VES is an advanced, integrated and scalable urgent/emergent service model that is effectively supporting nurses and patient care in isolated First Nations nursing stations. Provider feedback and service-level data show promising results. Nearly three-quarters of the ORNGE TMP workforce (17 of 23) have used VES one or more times to support nurses and MDs in isolated nursing stations. Regional Critical Care Response teams have used VES multiple times to stabilize critically ill patients prior to transport, coach nurses in the optimal use of life-saving equipment, and counsel family members about the imminent death of a loved one. Service-level data and provider feedback signal successful completion of the VES pilot project and anticipate its expansion to additional isolated First Nations in the Sioux Lookout Zone.


      140 Character Summary:
      VES is urgent/emergent service model that support nurses and patient care in remote and isolated First Nations nursing stations in Sioux Lookout Zone.