Reference Manual for Health Professionals in the Outaouais

Reference Manual
for Health Professionals
in the Outaouais
Contents
What is Le Copain
3
Le Copain and intra-hospital pediatrics
4
Le Copain and neonatal pediatrics
5
Le Copain and ongoing professional training
5
Le Copain and outpatient consultations
6
Le Copain and rural outreach consultations
6
Pediatricians who are active members of Le Copain
7
Dr. Sonia Bédard
8
Dr. Eve-Marie Bélanger
9
Dr. Yohann Couture
10
Dr. Henriette Fortin
11
Dr. Chantal Gagné
12
Dr. Dionne King
13
Dr. Valérie Labbé
14
Dr. Marie-Hélène Landreville
15
Dr. Jean Lemonde
16
Dr. Mustapha Mourad
17
Dr. Julie Nault
18
Multidisciplinary clinics of Le Copain
19
Le Copain’s interdisciplinary team
20
The subspecialists
20
The other members of Le Copain
21
To refer your patient to Le Copain
23
This document has been produced
with the special collaboration of the
What is Le Copain ?
In response to an unprecedented shortage of medical
staff, which jeopardized the
very survival of the only
pediatrics department in the
entire Outaouais, le Copain
was created in January 2001.
To optimize the use of the
expertise available from the
limited number of pediatricians in the Outaouais
and to assist in recruiting doctors and nurses, we organized the work of
the active members of the pediatrics department around a coordinated
regional team: Le Copain. The hierarchy of medical care is the guiding
principle underlying the organization of the work of our solid team of
pediatricians, now 11 active members.
We have concentrated the specialized pediatric medical activities at Gatineau Hospital by creating an outpatient clinic in addition to the existing inpatient pediatric and neonatal units. In this clinic, the «pediatric
internists» of Le Copain treat patients who often require multidisciplinary pediatric expertise, in addition to and in support of primary care.
The primary goal of Le Copain is to meet the priority medical needs of
their target clientele . Therefore, we believe that, in terms of equivalent
quality of health care, people in the Outaouais benefit from receiving
treatment in Quebec. The importance of the bio-psycho-social integration of health care is now a widely accepted concept.
Page 3
The target clientele of Le Copain are:
1. Patients 0-17 years old in the Outaouais who suffer from disabilities
or chronic illnesses that are sufficiently severe to make them vulnerable to the point where, for example, the slightest concurrent infection could threaten their safety. For this clientele, the pediatricians
of Le Copain serve as attending physicians.
2. Patients 0-17 years old who have been referred by a doctor. For this
clientele, the pediatricians of Le Copain act as consultants or co-attending consultants, as required.
3. Patients 0-17 years old from the Outaouais who require hospitalization under the care of pediatric specialists.
Le Copain and inpatient pediatrics
Patients in the 0-17 age bracket in the Outaouais whose condition requires pediatric expertise in an inpatient hospital setting are cared for by
the team at Le Copain, whether for:
•• treatment,
•• investigations (with or without sedation),
•• medical or diagnostic intervention,
•• education and support for at home intravenous antibiotic therapy,
•• intensive functional rehabilitation,
•• hospitalization of severely disabled patients,
•• treatment of medical complications resulting from eating disorders,
•• hospital palliative medical care,
•• medical stabilization prior to transfer to another hospital (university
tertiary care centre, Centre hospitalier Pierre-Janet, palliative care
centre, etc.)
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Le Copain and neonatal pediatrics
Newborns in the Outaouais whose condition requires level 2+ intensive
care are treated at the neonatal unit. Generally speaking, Gatineau Hospital looks after premature births after 32 weeks.
We also take sick newborns
who were born elsewhere in our
region. We provide a place for an
early return for patients whose
condition required level 3 care in
a university setting, once the critical period on mechanical ventilation has passed.
The pediatricians of Le Copain also provide prenatal consultations. Such
consultations are essential to prepare for the birth of fetuses suffering
from specific conditions or risk factors that require medical intervention
within the first few hours of life.
We strongly advise that mothers with at risk pregnancies be referred
as early as possible to allow the pediatrician to complete the research
required for the organization of these specialized birth plans.
Le Copain and ongoing professional training
The pediatricians of Le Copain are involved in an educational role of the
CSSS Gatineau:
•• Complete two-year cycle of courses and workshops covering aspects
of general pediatrics, offered to residents of the UMF (family medicine unit) of the CSSS Gatineau. On request, presentations could be
broadcast via teleconference to other CSSS in the Outaouais.
•• Clinical rotations for residents in family medicine.
•• Clinical rotations for McGill pediatric residents and optional rotations
for pediatric residents from other faculties of medicine.
•• Teaching or lectures on invitation by physicians and other professionals in the Outaouais.
•• At regular intervals and on request, we offer a three-hour structured
workshop on periodic examinations of children («Healthy ABCs»
Page 5
from Université de Montréal) to small groups of doctors and nurses.
•• At regular intervals, we offer a day of NRP provider certification or
recertification (AHA/AAP/CPS).
•• We periodically organize PALS certification days in Gatineau.
•• We respond to requests from community health workers who call
upon our expertise to improve the health care available to children in
the Outaouais.
•• General practitioners, specialists or residents.
•• Other professionals in the health and social services system.
•• Other community workers (police, teachers, etc.)
Le Copain and outpatient consultations
The ambulatory department of Le Copain is located on the 4th floor
of the Gatineau Hospital. The pediatricians of Le Copain respond to
requests for consultations from doctors, dealing with acute, sub-acute,
chronic, prenatal or developmental health problems. The services offered
are described in greater detail below.
Le Copain and rural outreach consultations
We offer rural outreach consultation services at the following institutions:
•• CSSS Vallée-de-la-Gatineau (Maniwaki)
•• CSSS du Pontiac (Shawville)
•• CSSS Papineau (CLSC Petite-Nation, St-André-Avellin)
•• Centre régional de réadaptation La RessourSe (La RessourSe regional
rehabilitation centre)
•• La RessourSe Service Point, Fort-Coulonge (CSSS du Pontiac)
•• La RessourSe Service Point, Buckingham sector (CSSS Papineau)
•• La RessourSe Service Point, St-André-Avellin (CSSS Papineau)
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Pediatricians who are active membrers of Le Copain
All pediatricians who are active members of Le Copain contribute to a
rotation of 24/7 on-call duty and to hospital duty in both pediatrics and
neonatology. Furthermore, they are all involved in ambulatory pediatrics, where they respond to requests for consultations from physicians
in dealing with acute, sub-acute, chronic, prenatal or developmental
health problems. As required, the pediatricians collaborate with:
•• other Le Copain professionals (clinical nurse, social worker, nutritionist, physiotherapist, occupational therapist, psychologist, speech
therapist, and audiologist),
•• the institutions in the region (La RessourSe, Centre hospitalier
Pierre-Janet, Les Centres jeunesse de l’Outaouais, etc.) and
•• visiting subspecialists from Le Copain (in Gatineau or by telemedicine).
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Dr. Sonia Bédard
Ambulatory activities:
•• General «organic» pediatrics
•• General developmental pediatrics (preschool age)
•• Medical-legal clinic
•• Respiratory diseases clinic
Outreach activities:
•• CSSS Papineau (CLSC Petite-Nation, St-André-Avellin)
Preferred academic subjects (lectures, teaching, medical protocols,
etc.):
•• Certified instructor, Neonatal Resuscitation Program (American
Heart Association, Canadian Paediatric Society)
•• Urinary tract infections
•• Physical abuse/sexual abuse/neglect
•• Breastfeeding
•• Social pediatrics
Other professional activities:
•• Comité régional de promotion de l’allaitement (regional committee
for the promotion of breastfeeding)
•• Comité multidisciplinaire d’intervention auprès de la clientèle 0-17
ans victime ou à risque de maltraitance (multidisciplinary committee on counselling clients 0-17 years old who are victims or at risk of
abuse)
Page 8
Dr. Eve-Marie Bélanger
Ambulatory activities:
•• General «organic» pediatrics
•• General developmental pediatrics (preschool age)
•• Medical-legal clinic
•• Respiratory diseases clinic
Outreach activities:
•• CSSS la Vallée-de-la-Gatineau (Maniwaki)
Preferred academic subjects (lectures, teaching, medical protocols,
etc.):
•• Certified instructor, Neonatal Resuscitation Program (American
Heart Association, Canadian Paediatric Society)
•• Physical abuse/sexual abuse/neglect
•• Neonatal jaundice
•• Newborns of mothers on SSRIs
•• Social pediatrics
Other professional activities:
•• Comité d’examen des titres (credential assessment committee), CSSS
de Gatineau
•• Comité de prévention des infections (infectious diseases prevention
committee), CSSS de Gatineau
•• Comité multidisciplinaire d’intervention auprès de la clientèle 0-17
ans victime ou à risque de maltraitance (multidisciplinary committee on counselling clients 0-17 years old who are victims or at risk of
abuse)
Page 9
Dr. Yohann Couture
Ambulatory activities:
•• General «organic» pediatrics
•• General developmental pediatrics (all ages)
•• Neuro-motor/neuromuscular clinic
•• Respiratory diseases clinic
Outreach activities:
•• Centre de santé et de services sociaux du Pontiac (La RessourSe service point, Fort-Coulonge)
Preferred academic subjects (lectures, teaching, medical protocols,
etc.):
•• Certified instructor, Neonatal Resuscitation Program (American
Heart Association, Canadian Paediatric Society)
•• Neuro-motor/neuromuscular and neuromuscular diseases
•• Eating disorders
•• Plagiocephaly
•• Pervasive developmental disorders
Other professional activities:
•• CPDP executive committee, CSSS Gatineau
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Dr. Henriette Fortin
Ambulatory activities:
•• General «organic» pediatrics (semi-emergencies of patients known to
Le Copain)
•• General developmental pediatrics (learning disabilities and ADHD)
•• Diabetes clinic
Preferred academic subjects (lectures, teaching, medical protocols,
etc.):
•• Certified instructor, Neonatal Resuscitation Program (American
Heart Association, Canadian Paediatric Society)
•• ADHD
•• Diabetes in children and adolescents
•• Clinical approach to the adolescent
•• Workshop leader «Healthy ABCs Assessment from Birth to Childhood»
•• Teaching of pediatric clinical skills
•• The hierarchy of medical care in the organization of pediatric services
Other professional activities:
•• Head of the Pediatrics Department, CSSS Gatineau
•• Vice-Chair, Board of the Regional Panel of Heads of Departments of
Specialized Medicine in the Outaouais
Page 11
Dr. Chantal Gagné
Ambulatory activities:
•• General «organic» pediatrics
•• General developmental pediatrics (learning disabilities and ADHD)
•• Pediatric diabetes clinic
•• Respiratory diseases clinic
Outreach activities:
•• CSSS Papineau (General pediatrics at CLSC Petite-Nation, St-AndréAvellin and La RessourSe service points in the Buckingham sector and
St-André-Avellin)
•• Centre régional de réadaptation La RessourSe
Preferred academic subjects (lectures, teaching, medical protocols,
etc.):
•• Certified instructor, Neonatal Resuscitation Program (American
Heart Association, Canadian Paediatric Society)
•• Behavioural problems and parenting skills
•• Diabetes
•• Pain management and sedation
•• Critical neonatal and pediatric care
Other professional activities:
•• Comité d’éducation médicale continue (committee on continuing
medical education), CSSS Gatineau
•• Internal Affairs Delegate, Pediatrics Department, CSSS Gatineau
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Dr. Dionne King
Ambulatory activities:
•• General «organic» pediatrics
•• General developmental pediatrics (all ages)
•• Neuro-motor/neuromuscular clinic
•• Respiratory diseases clinic
Outreach activities:
•• Centre de santé et de services sociaux du Pontiac (Shawville)
Preferred academic subjects (lectures, teaching, medical protocols,
etc.):
•• Certified instructor, Neonatal Resuscitation Program (American
Heart Association, Canadian Paediatric Society)
•• Pediatric and neonatal resuscitation
•• Heart murmurs
•• Teaching of clinical skills in pediatrics
Other professional activities:
•• Comité de réanimation (resuscitation committee), CSSS Gatineau
•• Comité de réanimation pédiatrique (pediatric resuscitation committee), CSSS Gatineau
•• Interim Delegate, Academic Affairs, Pediatrics Department
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Dr. Valérie Labbé
Ambulatory activities:
•• General «organic» pediatrics
•• General developmental pediatrics (all ages)
•• Respiratory diseases clinic
Outreach activities:
•• Centre de santé et de services sociaux du Pontiac (Shawville)
Preferred academic subjects (lectures, teaching, medical protocols,
etc.):
•• Certified instructor, Neonatal Resuscitation Program (American
Heart Association, Canadian Paediatric Society)
•• Eating disorders (anorexia and bulimia)
•• Adoption and international health
•• Tourette syndrome
•• Pervasive development disorders
•• ADHD
Other professional activities:
•• Secretary, Pediatrics Department
•• Internal organizer for continuing professional development
Page 14
Dr. Marie-Hélène Landreville
Ambulatory activities:
•• General «organic» pediatrics
•• General developmental pediatrics (all ages)
•• Medical-legal clinic
•• Respiratory diseases clinic
Outreach activities:
•• CSSS la Vallée-de-la-Gatineau (Maniwaki)
Preferred academic subjects (lectures, teaching, medical protocols,
etc.):
•• Certified instructor, Neonatal Resuscitation Program (American
Heart Association, Canadian Paediatric Society)
•• Physical abuse/sexual abuse/neglect
•• Training of medical and non-medical responders involved in child
protection (police, etc.)
•• Social pediatrics
Other professional activities:
•• Chair, Medical, dental and pharmaceutical evaluation committee,
CPDP, CSSS Gatineau
•• Comité multidisciplinaire d’intervention auprès de la clientèle 0-17
ans victime ou à risque de maltraitance (multidisciplinary committee on counselling clients 0-17 years old who are victims or at risk of
abuse)
Page 15
Dr. Jean Lemonde
Ambulatory activities:
•• General «organic» pediatrics
•• General developmental pediatrics (all ages)
•• Diabetes clinic
•• Respiratory diseases clinic
Outreach activities:
•• CSSS la Vallée-de-la-Gatineau (Maniwaki)
Preferred academic subjects (lectures, teaching, medical protocols,
etc.):
•• Certified instructor, Neonatal Resuscitation Program (American
Heart Association, Canadian Paediatric Society)
•• Obesity and type 2 diabetes
•• Rashes
•• Insulin pump therapy, type 1 diabetes
•• Vaccination
•• Screening and investigation of neonatal septicemia
Other professional activities:
•• Member of the Board of Directors, CSSS Gatineau
Page 16
Dr. Mustapha Mourad
Ambulatory activities:
•• General «organic» pediatrics
•• General developmental pediatrics (all ages)
•• Neonatal follow up clinic
•• Neuro-motor/neuromuscular clinic
•• Respiratory diseases clinic
Outreach activities:
•• CSSS la Vallée-de-la-Gatineau (Maniwaki)
•• Centre régional de réadaptation La RessourSe
Preferred academic subjects (lectures, teaching, medical protocols,
etc.):
•• Certified instructor, Neonatal Resuscitation Program (American
Heart Association, Canadian Paediatric Society)
•• Abdominal pain
•• Neonatology
•• Monitoring high-risk newborns
•• Febrile seizures
Other professional activities:
•• Chair, Perinatal and maternal mortality and morbidity committee,
CPDP, CSSS Gatineau
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Dre Julie Nault
Ambulatory activities:
•• General «organic» pediatrics
•• General developmental pediatrics (all ages)
•• Neuromotor/neuromuscular clinic
•• Respiratory diseases clinic
Preferred academic subjects (lectures, teaching, medical protocols,
etc.):
•• Certified instructor, Neonatal Resuscitation Program (American
Heart Association, Canadian Paediatric Society)
•• Neonatal hypoglycemia
•• Neonatal jaundice
•• Teaching of clinical skills in pediatrics
•• Eating disorders
•• Fever without a focus in babies and toddlers
•• Use of immunoglobins in pediatrics
•• Pediatric oncology
Other professional activities:
•• Delegate, Academic Affairs, Pediatrics Department
•• Treasurer, Pediatrics Department
•• Perinatal and maternal mortality and morbidity committee, CPDP,
CSSS Gatineau
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Multidisciplinary committees of Le Copain
We are constantly working to develop new services and are proud at this
point to offer systematic monitoring in:
Neuro-motor/neuromuscular
Head nurse: Suzanne Marsolais
(819) 561-8100 ext. 3057
Head pediatrician: Dionne King
Pediatric diabetes
Head nurse: Ginette Renaud
(819) 561 8100 ext. 3369
Head pediatrician: Henriette Fortin
Respiratory illnesses
Head nurse: Suzanne Marsolais
(819) 561-8100 ext. 3057
Head pediatrician: Dionne King
Medical-legal (abuse and negligence)
Head nurse: Ginette Renaud
(819) 561 8100 ext. 3369
Head pediatrician: Marie-Hélène Landreville
Neonatal follow up
Head nurse: Suzanne Marsolais
(819) 561-8100 ext. 3057
Head pediatrician: Mustapha Mourad
Passive immunization against RSV
Head nurse: Suzanne Marsolais
(819) 561-8100 ext. 3057
Head pediatrician: Mustapha Mourad
ADHD and learning disabilities
Head nurse: Suzanne Marsolais
(819) 561-8100 ext. 3057
Head pediatrician: Henriette Fortin
Page 19
Le Copain’s interdisciplinary team
The patients of Le Copain pediatricians are served by a dynamic interdisciplinary team of multi-faceted experts. The team offers each sick or
disabled child a personalized approach tailor-made to their condition.
We are privileged to work with professionals in the following disciplines
whose expertise is equalled only by their dedication to the children:
•• Audiology
•• Nutrition
•• Occupational therapy
•• Respiratory therapy
•• Speech therapy
•• Physiotherapy
•• Psychology
•• Social services
•• Nursing care
The subspecialists
Many subspecialists regularly offer their services at Le Copain clinic.
The pediatricians’ patients can thus obtain better coordinated medical
services and enhanced continuity of care, while reducing the need for
travel to tertiary centres. We are constantly working to develop new partnerships and are proud that we can now offer our patients the option of
obtaining specialized pediatric services from us in:
•• Allergy-immunology
•• Cardiology
•• Dermatology
•• Endocrinology
•• Gastro-enterology
•• Nephrology
•• Pediatric psychiatry
•• Physiatry
•• Respiratory medicine
Page 20
The other members of Le Copain
Dr. Mariette Boisvert
Pediatrician « membre conseil »
Ambulatory activities :
•• General «organic» pediatrics
•• General developmental pediatrics (all ages)
•• Diabetes clinic (insulin pump therapy)
Dr. Anne-Marie Bureau
General Practitioner, associate member
Newborn nursery activities
Dr. Chantal Huppé
General Practitioner, associate member
Newborn nursery activities
Dr. Lysanne Lamontagne
General Practitioner, associate member
Newborn nursery activities
Page 21
To refer your patient to Le Copain
1. If necessary, especially if you have any doubt about the degree of urgency, we urge you to discuss the case with Ms. Suzanne Marsolais,
the Nursing Coordinator of Le Copain’s ambulatory division, (819
561-8100 ext. 3057), or with the pediatrician on call.
2. Please fax (819 561-8103) your request for an appointment, ensuring
that the following details are clear, legible and up-to-date:
•• The child’s name,
•• Reason for the consultation,
•• The degree of urgency,
•• The telephone number (at home and at work, including the full
name of the parent at work),
•• Mailing address at home,
•• Your name, address and telephone number
3. Please also attach any other documents that are relevant to the
consultation, e.g.:
•• Laboratory test results
•• Growth curves
•• Dates of visits and prescriptions for chronic or recurring problems, etc.
4. Once your request has been received, our administrative assistants
will contact the child’s parents to arrange an appointment.
5. If the parents do not receive a call within a reasonable time after
faxing the consultation request form, it is their responsibility to
contact Le Copain administrative officers at (819)-561-8565.
No appointment will be granted unless we have received a duly completed, legible request form, and parents are responsible for following
up with your office in such cases.
Page 23
819 561-8565
819 561-8103
Nursing Coordinator, Le Copain, Ambulatory Department:
Ms. Suzanne Marsolais 819 561-8100 poste 3057
suzanne_marsolais@ssss.gouv.qc.ca
* Version française disponible sur demande.
Designed by: Patricia Gougeon
Telephone:
Fax: