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Pre-Admission Facility moves to a new floor and a new model of care

Toronto, June 21, 2016

By Kate Manicom

Registered nurse Mary Lou Sulcs consults with a pre-surgical patient by phone
Registered nurse Mary Lou Sulcs consults with a pre-surgical patient by phone in the new Pre-Admission Facility on 10 Donnelly. (Photo by Katie Cooper)

With new space on the 10th floor of the Donnelly Wing, it’s surprising that Nancy Rudyk, clinical leader manager for the Pre-Admission Facility, doesn’t want to show it off. But based on feedback from patients and families and to improve efficiency, the facility is increasing its use of telephone and telemedicine consultations to improve the patient experience.

“Transitioning to a new, renovated space has been a great opportunity to improve how we provide patient care,” said Rudyk. “In our new space we have five exam rooms that are connected to enable telemedicine, a new conference room connected to all hospital systems and improved technology for web-based meetings.”

The PAF is a patient’s first step in preparing for surgery. It provides a centralized approach to perioperative care by uniting all pre-admission services and day surgery preparation in one physical area. Preparing for surgery includes pre- and post-op education and some medical testing. Patients learn when to stop taking medications and what to expect after surgery.

The facility is now able to conduct about 15 per cent of all appointments by either telemedicine or telephone. Telephone consultation is best-suited for patients who are undergoing low-risk surgery and meet specific criteria. In collaboration with the hospital’s anesthesia department, nurses can conduct the standard pre-operative assessment over the phone, saving patients and their families’ personal time.

   
The new Pre-Admission Facility,
by the numbers:
  • Approximately 9,400 square feet
  • 16 exam rooms
  • 30 staff
  • Typical volume: 54 appointments per day

The telemedicine program, in collaboration with the Kingston Regional Bariatric Care Centre, allows physicians and clinicians at St. Michael’s to connect camera-to-camera with those in Kingston. Lab tests are conducted by a patients’ personal health-care team and they are able to stay close to home until it’s time for their surgery.

While based on patient and family feedback, the changes are also a part of the hospital’s Improvement Program, an initiative to improve efficiency while maintaining – or even improving – patient care.

“We love the new space,” said Rudyk. “But we love to improve how we care for patients even more.”

About St. Michael's Hospital

St. Michael’s Hospital provides compassionate care to all who enter its doors. The hospital also provides outstanding medical education to future health care professionals in 27 academic disciplines. Critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, care of the homeless and global health are among the hospital’s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing International Healthcare Education Centre, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael's Hospital are recognized and make an impact around the world. Founded in 1892, the hospital is fully affiliated with the University of Toronto.