BC Children’s Hospital Vancouver

BC Children’s Hospital is in a very nice suburb of Vancouver and is due for a total overhaul as a new hospital is being built just nearby to replace the current one which should be ready in 2017. The PICU should see a big change when they move as they will be going from open bays with a few side room to only single rooms. It is a mixed cardiac and med/surg ICU with a smaller transitional care unit attached. Continue reading “BC Children’s Hospital Vancouver”

Nursing Ethics and Moral Distress

In both Toronto SickKids and Montreal Children’s Hospital, I was struck by the inclusion of the bioethical team into PICU practice, not only to support difficult decision but as part of the psychosocial team to look at how better to support families, and also to support the nursing and medical team to talk through issues or cases on the PICU that might be causing moral distress.

Continue reading “Nursing Ethics and Moral Distress”

Boston Children’s Hospital – Institute for Professionalism and Ethical Practice


The primary reason for my stay in Boston was to learn more about the Institute of Professionalism and Ethical Practice (IPEP). This is a fantastic institute that aims to promote relational learning learning for health care professionals that integrates patient and family perspectives, professionalism and the everyday ethics of clinical practice. Continue reading “Boston Children’s Hospital – Institute for Professionalism and Ethical Practice”

Boston Children’s Hospital – Nursing and Research

Whilst at Boston, I was delighted to be given the opportunity to shadow one of the nurses on the Medical Surgical ICU. Unfortunately due to insurance purposes etc, I wasn’t actually allowed to do anything as both me and the lovely nurse I was shadowing would have liked but it was a great chance to see how an American ICU differs from an English one and to see how family centred care is incorporated into practice.  Continue reading “Boston Children’s Hospital – Nursing and Research”