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Community initiative for old St. James’ Church rectory

Wednesday 21 December 2022: Bermuda Hospitals Board’s Mid-Atlantic Wellness Institute (MWI) is collaborating with Habitat for Humanity and the Anglican Church of Bermuda to provide community-based housing, programmes and support for people with mental health challenges.

The tripartite partnership project will see the old St. James’ Church rectory at Somerset Bridge redesigned and renovated as a residential facility. The repurposed residence will respect the historical nature of the property. It will also provide 24-hour, state-of-the-art treatment for those requiring mental health services, as well as community support from St. James’ Church congregants.

BHB Acting Chief Operating Officer Preston Swan, also vice president of clinical operations for MWI, said: “Research shows that the institutional model for mental health services is outdated. People with mental health needs have better outcomes when housed and supported in their local community, surrounded by their loved ones.

“Providing a stable rehabilitation model in the community helps to improve their quality of life and reduces the frequency of relapse and/or readmission to acute inpatient services.

“We are delighted at the interest and willingness of both Habitat Bermuda and the Anglican Church to partner with us to improve the lives of our clients.”

Habitat Bermuda Chair Sheelagh Cooper said: “It is the mission of Habitat for Humanity to build strength, stability and self-reliance through shelter. This project fulfils all these aims.

“We are grateful to have the opportunity to design and renovate the old St. James’ Church rectory to improve the lives of those with mental health challenges, and to be a part of an effort to decrease the negative stigma associated with mental illness on the island.

“The donor community has already shown a great deal of support as they realise the increased need for state-of-the-art psychiatric services in Bermuda. The project is expected to cost between $500,000 and $600,000, but we hope that cost can be significantly reduced with volunteer labour and donated materials from our always generous local building supply companies.”

Anglican Bishop of Bermuda Rev. Nicholas Dill said: “The Anglican Church of Bermuda has five marks of mission – to tell the gospel, to teach the faith, to tend and care for the vulnerable, to transform unjust structure, and to treasure and care for the earth.

“Enabling care of the vulnerable and sick, and ensuring they are treated with equal human dignity is part of the mission to tend and protect.

“In Bermuda, access to appropriate and adequate mental healthcare in a community that still has stigma attached to it, is a matter of justice. Where the vulnerable are denied such due to societal bias, the church is called to transform such structures in partnership with others. Recognising this, with the full support of the parish Vestry, we are pleased to offer the former rectory – Bridge House, at a nominal rent.”

The Bridge House project fits within the 2021-2026 MWI Directorate Plan, which provides a framework to support people with mental health needs in the community. The Plan aims to transform the way BHB provides mental health services. In addition to a physical realignment of where services are provided, the Plan aims to deliver modern, compassionate care using the recovery model principles, which are patient-centred and promote hope, empowerment and self-determination.

BHB Chief of Psychiatry Dr Anna Neilson-Williams said: “This facility is designated as a step away from the hospital system, and will offer integrated and interactive training and skill building programmes.

“It has been developed as an alternative to inpatient care for people with long-term psychiatric needs. Our primary aim is to help people achieve a level of functioning sufficient for success in a less supervised setting with less intensive services.”

BHB Deputy CEO Scott Pearman added: “Our commitment to integrate care and move it from institutions and into our communities is achieved through this tripartite partnership.  BHB will manage the facility providing 24-hour staffing, which will include robust in-house recovery and enrichment programmes.

“This healthcare reform will not only help destigmatise care, but allow families to continue to embrace and support their loved ones in a community setting.”

Last year Habitat Bermuda successfully restored what is now the Transformational Living Centre for Families.

“The old St. James’ Church rectory is the second in a series of community-driven projects,” said Ms Cooper. “Our architectural team has already drawn up plans for the facility and will be submitting them to the Planning Department shortly.”

A community meeting was held in which local residents were informed and given an opportunity to ask questions and share their thoughts. The Anglican Church of Bermuda, BHB as well as Habitat Bermuda, were represented at the meeting.  All three were pleased with the community support that the project received.

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Pictured is (from left to right) in front of the old rectory: Anglican Bishop of Bermuda Rev. Nicholas Dill, Habitat Bermuda Chair Sheelagh Cooper, and Acting COO and VP of Clinical Operations (MWI) Preston Swan

 

21 December 2022 Home Page, News

Nursing initiative at KEMH in the spotlight at international conference

Friday 9 December 2022: A procedure developed by Bermuda Hospitals Board nurses was presented at the British Geriatrics Society Autumn Conference on 17 November. It will be published in the Society’s Age and Ageing Journal in a few months.

The abstract, ‘A Novel Pressure Injury Care Bundle for Dependent Patients with Pressure Injuries in Bermuda’, details a nurse-driven initiative of King Edward VII Memorial Hospital’s Gordon Long Term Care Unit. It was presented by the unit’s quality and safety team, including registered nurses Girlie Baldonado, Jerry De La Cruz, Bernadette Diaz and Bernadine Edwards, Long Term Care Clinical Educator Katrina Drummond, and Gordon Unit Clinical Manager Maxine Simmons.

“Our unit-based quality and safety team – all nurses – developed a procedure to help us better manage pressure injuries and prevent our patients developing them,” said Ms Simmons. “These are wounds that occur on the skin as a result of sustained pressure. When pressure cuts off the oxygen supply to a particular area, an ulcer or wound can appear.

“Long-term care residents, especially those who are confined to bed, are more susceptible to developing pressure injuries.”

The goal of the initiative is to address severe pressure injury cases in patients who are transferred into long-term care. The team created and implemented a specific set of actions which augments the existing pressure injury management care pathway.

Nurse Jerry De La Cruz spoke at the virtual conference, which included more than 700 professionals in the field of geriatrics from around the world. His video presentation detailed the project and documented how the majority of pressure injuries, even in severe cases, healed significantly. The wounds healed completely in half of the cases.

“We looked at 30 patients who were admitted to the unit in this study,” said Mr De La Cruz.

“The results of introducing this pressure injury bundle have been very encouraging for all of us carers on the unit,” said Ms Simmons. “We worked hard looking at actions we felt would address the problem, and I can’t describe the gratification in seeing that it has worked.”

Chief of Nursing Judy Richardson said: “Providing patient-centred care, where we focus on the needs of the patient first, is a BHB value which our Gordon Unit nurses exemplified when they developed this care plan. BHB is proud of their work. The British Geriatrics Society publishing it in their journal gives international recognition of its importance.”

9 December 2022 Home Page, News

MWI to help structure psychiatric telehealth for the Caribbean region

Thursday 8 December 2022: Mid-Atlantic Wellness Institute (MWI) is being recognised as a leader in providing remote mental health services among islands in the Caribbean region.

In November, Karen Grant Simmons, director of mental health services for Bermuda Hospitals Board, presented on telehealth in psychiatry at a virtual meeting of the Nurses Association of the Commonwealth of the Bahamas.

Over 280 nurses attended the conference, held on Friday 25 November 2022, among them Caribbean Nurses Organization president Dr Paulette Cash. Ms Grant Simmons’ presentation was so well received that she was invited to help spearhead a project for the region.

“Dr Cash said that the International Council of Nurses has issued a directive for the Caribbean national nurses associations to get on board with telehealth,” said Ms Grant Simmons, a registered psychiatric nurse. “She requested I work with the Caribbean Nurses Organization and other Caribbean islands to move the initiative forward.

“After learning the extent to which we use telehealth at MWI, they are of the view that Bermuda is leading in the region.”

Ms Grant Simmons has agreed to serve on the Special Projects Committee of the Caribbean Nurses Organization. She will help structure and guide creation of telehealth programmes in psychiatry and psychology for the Caribbean islands.

In her presentation, Ms Grant Simmons spoke on the different ways MWI professionals use telehealth, including online meetings with therapists and phone consultations. She said in many cases, MWI clients prefer virtual meetings as they don’t have to deal with the stigma of being seen at a mental health facility. She noted that during our COVID-19 lockdowns, telehealth enabled clients to continue their therapies.

8 December 2022 Home Page, News

BHB updates COVID guidelines

Monday 5 December 2022: Following the end of the public health emergency laws, BHB updated its COVID-19 guidance for patients and visitors from 1 December. BHB has also returned to alert level 1 (the lowest level), for the first time since 2020.

Chief of Staff Dr Wesley Miller comments: “Although public health emergency laws ended on 30 November, COVID-19 and other respiratory diseases, such as flu and respiratory syncytial virus (RSV), are still dangerous, especially to vulnerable people who are older, immunocompromised or unwell.

“The winter months have long been challenging for BHB, even prior to the pandemic, with increased emergency visits and admissions. This means, while we have returned to alert level 1, we remain cautious. We are, for example, maintaining precautions for staff during patient interactions, so people will find that BHB staff are masked when they have their treatments or tests, or if someone enters their inpatient room.

“There is certainly a balance between protecting our vulnerable patients, while accepting that the community is returning to normal practices throughout Bermuda. The public health emergency is over, but if you are visiting a loved one in hospital they may be more vulnerable to an infection due to age or illness. We are asking you to help protect them by wearing a mask in their room as you are in close contact for longer periods of time.

“People should also feel comfortable remaining masked throughout any other areas as a precaution. Masking in communal areas is recommended, though not mandatory, and we will continue testing patients before admissions and surgery, and regular surveillance testing in long-term care areas.”

Overview of precautions for visitors and patients from 1 December:

General masking at BHB:

  • Masking is recommended but not mandatory in most communal areas of the hospital outside of patient rooms.
    There will no longer be mask and temperature checks at the door.

When masks should be worn:

  • BHB staff will continue to mask for patient interactions, including outpatient consults, testing and in inpatient/resident rooms.
  • Patients and visitors who are vulnerable themselves should wear a mask in all areas of BHB.
  • For parents and visitors, masks must be worn in the Special Baby Care Unit (SCBU), and masking is strongly recommended in all of Maternity.
  • Patients who have cold- or flu-like symptoms must wear masks if they need a service that cannot be rescheduled, for example, a dialysis treatment or emergency visit.
  • People visiting patients or long-term care residents who are on isolation must wear the appropriate protection as advised by BHB staff before entering an isolation room.
  • People visiting patients or long-term care residents are strongly recommended to wear a mask while in patient rooms as patients and residents are more vulnerable to serious complications of a respiratory infection.

Other protections that will remain:

  • Symptom checking surveys will continue for people attending BHB outpatient services.
  • Patients who have symptoms or have tested positive for COVID-19 should reschedule hospital appointments if possible. If it is urgent for someone with symptoms to attend BHB (eg a dialysis treatment or emergency visit), they should advise staff and wear a mask.
  • All patients admitted to BHB inpatient units and people undergoing a surgical procedure will be tested for COVID-19.
  • Surveillance testing for residents in long-term care units across BHB will continue every two weeks.
  • Staff, patients and residents in any area of BHB who exhibit symptoms will be tested for COVID-19.

BHB visiting guidelines remain as follows:

Emergency Department and Lamb Foggo Urgent Care Centre:

  • Patients will be allowed one support person while in the Emergency Department or Lamb Foggo Urgent Care Centre.
  • Vulnerable adults and all children will be allowed up to two support people.
  • For patients near the end of life, up to two support people can attend.
  • If someone dies in Emergency or is brought to the hospital after passing away, only one person and one support person for that individual can attend. Up to three people can be in the family room. Other family and friends should not attend, as there is not adequate space to gather safely and the ability to offer viewings is very limited.

Acute care patients in the Acute Care Wing units (Ace Barber, Ascendant Partner Re, Catlin Lindo):

  • Patients who are not on isolation can have up to two visitors in their room at any one time between noon and 8pm.

Mid-Atlantic Wellness Institute acute inpatient care units (adult, child and adolescent services):

  • Pre-identified support people can visit for one hour each day between noon and 6pm.
  • Support people must check in at the front desk.
  • One person can visit a patient at any one time, and visitation will be in a public space, such as a family conference room.

Long-term care units (KEMH and MWI, including group homes):

  • Up to two people (one at a time) can visit each resident for two hours each day between noon and 7pm.
  • No more than two visitors are allowed in rooms with more than one resident at any given time.

Isolation patients in all areas of BHB:

  • Two designated support people pre-identified by the patient can visit for up to two hours per day, wearing required protection as advised by BHB staff.

Intensive Care Unit:

  • Designated support people may visit for two hours between 10am and 2pm, or 4pm and 8pm. Visitors must be on the ICU visitors list.

Maternity Unit:

  • Symptom screening is required for support people and visitors. If they have symptoms, they will not be allowed to attend.
  • One designated support person may stay as long as needed after the birth.
  • If the mother is not discharged within 24 hours, visitors will be allowed to visit between noon and 8pm.

Gosling Unit:

  • Up to two parents may visit minor patients.
  • Adult patients can have up to two designated visitors (one at a time), between noon and 8pm.
5 December 2022 Home Page, News

O positive blood donors urgently needed

Thursday 1 December 2022: Bermuda Hospitals Board (BHB) is asking people with O positive blood to donate as stocks of this blood type are running low. Donors and potential donors are asked to call 236-5067 to make an appointment.

If you are unsure about your blood type but are willing to donate, please contact the Bermuda Blood Donor Centre at (441) 236-5067 or blood.donor@bhb.bm, or by WhatsApp at (441) 533-9553.

Appointments are preferred, although walk-ins are accepted.

The Bermuda Blood Donor Centre is located at King Edward VII Memorial Hospital and is open Monday through Thursday from 8:30am to 2:30pm, and on Friday from 8:30am to 1pm. It is closed on weekends and public holidays.

The Bermuda Blood Donor Centre team thanks the community for their kind assistance in ensuring they can continue to save lives.

More information about blood donation is available online at bermudahospitals.bm/be-a-donor/.

1 December 2022 Home Page, News

BHB shines green light for mental health awareness

Wednesday 30 November 2022: Mid-Atlantic Wellness Institute (MWI) encourages the public to be joyous and celebratory this holiday season.

“Positive thoughts engender positive feelings, which promote good mental health,” said Preston Swan, vice president of MWI clinical operations and acting chief operating officer for Bermuda Hospitals Board. “This December, we will again light the outside of our sister facility, King Edward VII Memorial Hospital’s Acute Care Wing, in green.”

This year’s theme for mental health awareness is Make Mental Health and Wellbeing for All a Bermuda Priority.

“Making mental health and mental wellbeing a Bermuda priority is not only a matter for the island’s mental health professionals,” said Chief of Psychiatry Dr Anna Neilson-Williams. “We can all reflect and recognise where we may be feeling stressed or pressured, and take small steps to address our mental health, particularly considering the challenges of recent years.”

Here are a few measures you can take, particularly during this season, to support your mental wellness.

  • Go outside and be with nature. Disconnect from devices.
  • Don’t get caught up trying to create a perfect holiday setting or experience. Set small, meaningful goals with family or friends and connect where you can.
  • If you are feeling overwhelmed, reach out to a professional who can help. Seeking support is not a sign of weakness.

“We encourage you to contact MWI, your GP or one of the many mental health professionals available within our community if you need support,” said Dr Neilson-Williams. “You are not alone.”

The green light for mental health awareness will start at dusk tomorrow, Thursday 1 December 2022.

If you need assistance, please call the MWI Acute Community Mental Health Service at 249-3432. For serious mental health crises at any time of the day or night, call 239-1111.

 

30 November 2022 Home Page, News

BHB Traffic Advisory for Monday 21 November 2022

No through traffic at King Edward VII Memorial Hospital on Monday 21 November

Thursday 17 November 2022: There will be no through traffic at King Edward VII Memorial Hospital from Point Finger Road to Berry Hill Road all day on Monday 21 November 2022.

All people needing to access services in the Acute Care Wing (ACW) should enter the hospital campus from Point Finger Road and use the visitor parking there.

All people needing to access services in General Wing should enter the hospital campus via Berry Hill Road and use the visitor parking there. Pedestrian access to the General Wing will be at the ambulance bay at the former Emergency Department or via the ACW main entrance.

The access restrictions are due to two separate crane lifts of heavy equipment on the campus.

For your safety and the safety of others, please comply with directions of personnel at each site.

17 November 2022 Home Page, News

PEARL Implementation Update

Sunday 13 November 2022: Bermuda Hospitals Board today provided an update on its progress with the implementation of its first BHB-wide electronic medical record system, called PEARL (Patient Electronic & Administrative Records Log).

Chief Executive Officer & President Dr Michael Richmond noted that the first two weeks had not been without their challenges, but that activity was beginning to return to normal.

He said: “The success of the implementation has been carried by our staff, external physicians and our partners, who prepared all they could, then have worked through the early expected issues that a major system implementation experiences. It has been a true team effort, as PEARL connects all parts of the hospital from pharmacy, diagnostics, finance and support areas to emergency, acute and critical care at all campuses.

“The good news is that we are on track and, after two weeks of having a slow down in our planned and outpatient activity, services will be running at normal capacity from Monday, including the number of elective surgeries. These are still early days, but issues have been managed, staff are mastering the new system, and we wanted the community to be fully informed about our progress.”

Despite a planned slow down in planned and outpatient activity, over the first two weeks after go-live there were still 3,267 encounters in ambulatory care (outpatient clinics and diagnostics), 150 surgeries (elective and emergency) and 20 babies born. In areas where activity could not be controlled, the normal activity levels were experienced. There were 1,011 people who attended the Emergency Department and Lamb Foggo Urgent Care Centre, and 142 admissions to an inpatient ward. This reflects KEMH and MWI wards.

In the Emergency Department, the average length of time between arrival and discharge did increase in line with expectations in the first week, but has gradually decreased since then (see data below).

Dr Richmond added: “I would like to extend my appreciation to the community for their understanding. We know it has been a challenge at times for patients in Emergency with longer average stays than normal, and elective procedures were reduced in the first two weeks. But the great promise of PEARL is to that as we work through this period we will be able to improve our care, smooth transitions, and use the system to help us deliver a better, safer care experience.”

PEARL went live in the early hours of Saturday 29 October, when information was transferred and then validated. Staff in different departments started using the system from the early afternoon.

The following is the ED length of stay (from arrival to discharge) for each day following go-live. The average length of stay up to 29 October in ED was 198 minutes (3 hours and 18 minutes).

Emergency average length of stay per day (midnight to midnight) in minutes

  • Saturday 29 October (partial day): 294
  • Sunday 30 October: 405
  • Monday 31 October: 442
  • Tuesday 1 November: 358
  • Wednesday 2 November: 485
  • Thursday 3 November: 366
  • Friday 4 November: 285
  • Saturday 5 November: 289
  • Sunday 6 November: 239
  • Monday 7 November: 289
  • Tuesday 8 November: 190
  • Wednesday 9 November: 160

 

13 November 2022 Home Page, News

O positive blood donors needed

Wednesday 9 November 2022: Bermuda Hospitals Board (BHB) is asking people with O positive blood to donate. Donors and potential donors are asked to call 236-5067 to make an appointment.

BHB Consultant Haematologist Dr Eyitayo Fakunle said: “We are in need of O positive blood due to a recent emergency that made our stock lower than we would have anticipated.”

If you are unsure about your blood type but are willing to donate, please contact the Bermuda Blood Donor Centre at (441) 236-5067 or blood.donor@bhb.bm, by WhatsApp at (441) 533-9553.

Appointments are preferred, although walk-ins are accepted.

The Bermuda Blood Donor Centre is located at King Edward VII Memorial Hospital and is open Monday through Thursday from 8:30am to 2:30pm, and on Friday from 8:30am to 1pm. It is closed on weekends and public holidays, including this Friday 11 November.

The Bermuda Blood Donor Centre team thanks the community for their kind assistance in ensuring they can continue to save lives.

More information about blood donation is available online at bermudahospitals.bm/be-a-donor/.

9 November 2022 Home Page, News

Local newborn makes BHB history

Thursday 3 November 2022: Bermuda Hospitals Board (BHB) is happy to announce the birth of the first Bermudian since the implementation of its electronic medical record. The Patient Electronic & Administrative Records Log (PEARL) is the name of the system which went live at both the King Edward VII Memorial Hospital (KEMH) and the Mid-Atlantic Wellness Institute (MWI) over the weekend.

Frances Ivy Edwards was born at 5:35 on Monday morning to parents Thomas and Kaitlin Edwards. Her birth represents the first Bermudian on the island who will never have had a paper BHB medical record. Her entire record will be digital.

“There was hospital-wide excitement at Frances’ birth,” said BHB CEO & President Dr Michael Richmond. “We consider her our PEARL. Her birth is a historic event for BHB and we are pleased her parents have consented to us sharing the news, her name and photos.”

“I had read the article about the hospital moving to electronic record keeping in the media and thought it was a big step and a positive move for the hospital and the island,” said new mother Kaitlin Edwards. “But I never really thought about what it might mean for my child. It is exciting to recognise that she’s the first to have a paperless medical record at the hospital. I was born here, my husband was born here and so was our son, but she’s not just the first in our family to have a digital birth record, she’s the first in the island. It’s a fun fact she can always be proud of.”

 

 

3 November 2022 Home Page, News