Sandra L. Andreychuk RN (EC), NCC (NNP), BScN, MHSc. (Bioethics), MSc. (Nursing) Curriculum Vitae

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1 Sandra L. Andreychuk RN (EC), NCC (NNP), BScN, MHSc. (Bioethics), MSc. (Nursing) Curriculum Vitae Contact Information , Ext (work) (fax) Work Professional Employment 2013 Current Clinical Ethicist The role of the Clinical Ethicist is to act as a resource to the HHS community (including staff, leaders, physicians, learners, patients and families) to enhance patient care, staff worklife and advance the strategic goals of HHS. In this role, the Clinical Ethicist: educates stakeholders about healthcare ethics facilitates ethical analysis, conflict resolution and decision-making advocates for ethical practices and processes develops systems, resources and research to enhance the integration of ethics in healthcare collaborates to enhance ethical practice across all clinical programs and populations in the hospital The Clinical Ethicist is accountable for: Developing and implementing an effective clinical ethics program that meets emerging standards and is continuously engaged in reflection and quality improvement Advancing the field of bioethics through professional service, original research and knowledge translation activities Acting as a project manager to develop systems and resources within HHS to enhance the quality of end-of-life care and support ethical care of the dying across the hospital Supporting other ethics-related projects/initiatives, as required Neonatal Nurse Practitioner McMaster Children s Hospital 1

2 Principle role is to provide comprehensive, holistic, family-centred care to neonatal clients, in acute care settings, through the use of advanced skills, knowledge and education in health assessment, diagnoses and management, as well as health promotion and disease prevention. Enacts the plan of care in accordance with scope of practice as outlined by the College of Nurses (CNO) and hospital policy and utilizes medical directives and delegated medical acts, as required in order to facilitate this plan of care. The specific components of the skills, knowledge and abilities are: health assessment and diagnosis, health care management and therapeutic interventions; health promotion and prevention of illness. The Neonatal NP role encompasses the core competencies of advanced nursing practice: clinical practice; research; education; leadership; and collaboration / consultation / referral. NP practice is characterized by the simultaneous blending and utilization of these competencies at a level of complexity that reflects the NP's critical thinking skills, clinical nursing experience and advanced education that supports their clinical practice components. Cross appointment with McMaster University as Assistant Professor in the School of Nursing Present Clinical Ethics Consultant Hamilton Health Sciences Ethics Mediation: A formal and structured mediation process co-facilitated by two ethics consultants, following standard policies and procedures of the Ethics Consultation Service. Ethics Case Debriefing: A case review focusing on exploring the experience of the interdisciplinary team regarding a difficult patient care situation. Ethics Education: Provision of formal or informal education to a group of health care professionals regarding the ethical dimensions of a particular topic, issue or case. Ethics Coaching: Coaching is non-directive support in that it is founded on the premise that individuals are capable of solving their own problems with appropriate support and information. Quality improvement: methods of quality improvement include: (1) reflective analysis and debriefing of cases with ethics consultation team members; (2) continuing education; (3) tracking and recording ethics consultation activities in the ethics consultation service database; (4) evaluation of the ethics consultation services by users. Interim Clinical Ethicist Oct 2011 December 2011 September 2012 January 2013 April

3 The responsibilities of this role were to support and actively participate in the work of the clinical ethics consultation service, clinical ethics committee, clinical ethics policy working group, and clinical ethics education working group Present Ontario STABLE Program Outreach Education Instructor Ontario STABLE Program co-owner Burlington, Ontario S.T.A.B.L.E. Program Lead Instructor An education program that focuses exclusively on the post-resuscitation/pre-transport stabilization care of sick infants. The mnemonic S.T.A.B.L.E. stands for the six assessment and care modules in the program: Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support. A seventh module, Quality Improvement stresses the professional responsibility of improving and evaluating care provided to sick infants. Neonatal Resuscitation Program (NRP) Lead Instructor - An educational program that introduces the concepts and skills of neonatal resuscitation. It is designed to teach individuals and teams who may be required to resuscitate newborn babies Education and Development Clinician, Neonatal Nurseries McMaster Hospital Supports the staff in the Neonatal Nurseries with their ongoing educational needs. Involved in corporate and local initiatives that support patient safety and quality improvement. Plans, organizes and facilitates annual review, new staff orientation and student placements Neonatal Intensive Care Nurse McMaster Hospital Collaborates with multi-disciplinary team to assess, plan and implement interventions for direct patient care of the compromised critically ill newborn Upholds the principles of family centred care and support of families. Supports peers, students and new staff learning needs at the bedside. Member of the Neonatal Transport Team responsible for the transfer of critically ill newborns from regional facilities to a tertiary centre for further management and care. Member of the Admission team responsible for attending at risk or high risk deliveries. 3

4 Special Care Nursery Nurse Mississauga Hospital Mississauga, Ontario Collaborates with multi-disciplinary team to assess, plan and implement interventions for direct patient care of the compromised newborn and for support of families. Education Masters of Health Sciences (Bioethics). University of Toronto. Toronto, Ontario Neonatal Nurse Practitioner Post Graduate diploma. McMaster University Masters of Science (Nursing). McMaster University Bachelor of Science (Nursing). McMaster University Nursing Diploma. Sheridan College. Mississauga, Ontario. Administrative Responsibilities / Committee Work at Hamilton Health Sciences Current: Clinical Ethics Committee (Co-Chair) o Policy Working Group o Education Working Group o CEC Leadership Team 2013 Current: Integrated Ethics Council (Member) Current: Organ Donation Committee. (Member) 2013 Current: Interprofessional Advisory Committee (Member) 2013 Current: Organizational Ethics Working Current: Quality End of Life Task Force. Member Current: Ethics Consultation Service. Co-Chair : Neonatal Palliative Care Working Group. McMaster Children`s Hospital, Hamilton Ontario. Co-Chair. 4

5 Professional Development / Certifications Current: Regional Bioethics Group. ( Member) Neonatal Nurse Practitioner, National Competent Certification, United States. Required for practice in Ontario as a Neonatal Nurse Practitioner or equivalent) AND (certified since 2008) Clinical Ethics Consultant Professional Affairs, Ethics Department. Hamilton Health Sciences. Registered Nurse - Extended Class (Paediatrics). Ontario College of Nurses, Canada. Registration Number (extended class designation since Prior to this time Nurse Practitioners in Ontario were certified according to graduate school academic requirements) ACORN instructor Acute Care of the at Risk Newborn- Participated in the Canadian launch and evaluation of the program in 2004 STABLE Lead instructor to present. Instructor number Certified Neonatal Resuscitation Lead Instructor Canadian Heart and Stroke Foundation 1996 to present ID / Memberships and Associations Active member in good standing with the College of Registered Nurses of Ontario Active Member in good standing with the National Certification Corporation, area of Certification Neonatal Nurse Practitioner. Active member in good standing with the College of Registered Nurses of Ontario Active Member of the Canadian Association of Neonatal Nurses (CANN) Active member of the Canadian Bioethics Society Research Current. idecide. CareNet Research Team Hamilton Health Sciences. Principal Investigator John You and Daren Heyland. 5

6 Current. Clinical Ethics Needs Assessment Survey. Hamilton Health Sciences Emergency Departments. Principal Investigator, April Kam Clinical Ethics Needs Assessment Survey: Working towards the development of an ethics education strategy for health care professionals. Research team member. Andrea Frolic, Principal Investigator 2011 Developmental Supportive Care for infants less than 28 week gestational age. Research team member. Dr. Shivanada, Principal Investigator Ethics Education Needs Assessment Survey. McMaster Children s Hospital Sandra Andreychuk, Principal investigator Evaluation of physiologic parameters during the use of Closed vs. Open Endotracheal tube suctioning in the newborn population. McMaster Children s Hospital. Angela Kalyn, Principal Investigator. Publications Frolic, Jennings, Seidlitz, Andreychuk, Djuric-Paulin, Flaherty, Peace (2013). From Reactive to Proactive: developing a valid Clinical Ethics Needs Assessment Survey to support ethics program strategic planning (Part 1 of 2).. HEC Forum Mar;25(1): Frolic, Andreychuk, Seidlitz, Djuric-Paulin, Flaherty, Jennings, Peace, Labelle-Stimac (2013) Implementing A Clinical Ethics Needs Assessment Survey: Results Of A Pilot Study (Part 2 of 2). HEC Forum Mar;25(1): Kalyn, Blatz, Feuerstake (Andreychuk), Paes, Bautista (2003). Closed Suctioning of Intubated Neonates Maintains Better Physiological Stability: A Randomized Trial. Journal of Perinatology 2003; 23: Presentation (2007 Current) Andreychuk ( November 2013). Forgoing Artificial Nutrition and Hydration in the Pediatric Population. 11 th Annual Innovations in Palliative Care. McMaster University, Division of Palliative Care. Hamilton Ontario. Andreychuk (July 2013). CALM: Conversations about a life that matters. Ethics Grand Rounds. Hamilton Health Sciences. Hamilton Ontario. Andreychuk (March 2013). Exploring the Unborn Child s Best Interest in the field of Artificial Reproductive Technology. Obstetrics Grand Rounds. McMaster Children s Hospital. Hamilton Ontario. 6

7 Andreychuk (June 2013). Caring for the Palliative Patient: Ethical Issues Mohawk College, Hamilton Ontario. Andreychuk (June 2012). Transitioning a Palliative Care infant from Tertiary to Community Care: Case Review. Canadian Bioethics Society Annual Conference. Montreal, Quebec Andreychuk & Frolic (June 2012). Pilot Clinical Ethics Needs Assessment: Working towards the development of an ethics education strategy for health care professionals (Working title: "Pilot Clinical Ethics Needs Assessment: Putting the Pieces Together" Canadian Bioethics Society Annual Conference. Montreal, Quebec. Andreychuk (March, 2012). Introduction to Ethics in the NICU. NICU Staff Orientation. McMaster Children s Hospital,. Andreychuk (February, 2012). Common Ethical Dilemma s encountered in the NICU: Part B. Advanced Neonatal Nurse Practitioner Program. McMaster University. Hamilton Ontario. Andreychuk ( December, 2011). Moral Distress Among Health care Providers: Application of the HHS Ethical Framework. Clinical Ethics Committee monthly meeting. Hamilton Health Sciences.. Andreychuk (December, 2011). Introduction to Bioethics within Maternal Newborn Population : Part A. Advanced Neonatal Nurse Practitioner Program. McMaster University. Hamilton Ontario. Andreychuk (November, 2011). Clinical Ethics Need Survey Assessment: NICU Specific Results and Education Plan. Neonatal leadership team meeting, McMaster Children s Hospital.. Andreychuk (November, 2011). Introduction to Healthcare Ethics. St. Mary s High school. Andreychuk & Peace (November, 2011). Right vs. Right: Identifying and Resolving Ethical Issues in Health Care at Hamilton Health Sciences. Accreditation Canada: Driving Quality Health Service. Toronto, Ontario. Andreychuk (November and December 2011). Caring for the Caregiver. Staff Orientation. Hamilton Health Sciences.. Andreychuk (October, 2011). Mission Impossible or is it? Extraordinary Requests require extraordinary Care. Addressing Medical Futility in the newborn population. McMaster Children's Hospital Neonatal Nurses Education Conference. Niagara Falls, Ontario Andreychuk (June 2011). When should we start talking? End of life discussions and the conundrums that follow. Advanced Practice Nurse, Annual General Meeting. Hamilton- Wentworth Region. Andreychuk, Peace (April 2011). The legal and ethical principles of the adolescent as surrogate decision makers for her child. Annual Perinatal Conference.. 7

8 Andreychuk (2011). Transitioning from Intensive to Palliative Care in the NICU. Staff academic rounds, McMaster Children's Hospital. Andreychuk. (October 2010) Finding Victory in Tragedy. Successful Palliation in the newborn Intensive Care Unit. Neonatal Nurses Education Conference. Niagara Falls, Ontario. Andreychuk, Murthy, Watts (2010). Ethical dilemmas surrounding end of life care within the NICU. Pediatric Grand Rounds, McMaster University. Andreychuk, (June 2010) Travel through History "Life is a succession of lessons which must be lived to be understood. Perinatal Partnership Program of Eastern and South-eastern Ontario (PPPESO). Ottawa, Ontario. Andreychuk (2009/ 2010). Making Difficult Choices when Conscience and Care Collide. (McMaster Children's Hospital Neonatal Nurses Education Conference, Niagara Falls, Oct 2009; Canadian Association of Neonatal Nurses, Halifax, February 2010; Perinatal Partnership Program of Eastern and South-eastern Ontario (PPPESO) Ottawa, June 2010; Nursing Grand Rounds, Brantford, Sept 2010; Special Care Nursery Academic day, Cambridge, November 2010) Andreychuk, Grant, Serediuk (March 2009). Ethics Series: Teaching ethics in Health Care. Inter-Professional Issues in Health Care Ethics. McMaster University. Hamilton Ontario. Andreychuk (Feb 2009). Withdrawal of artificial hydration and nutrition in the palliative care infant. Canadian Association of Neonatal Nurses National Conference, Montreal, Quebec. Andreychuk (Feb 2009). Ethics education needs assessment of staff in a tertiary care NICU. Canadian Association of Neonatal Nurses National Conference, Montreal, Quebec.. (Poster Presentation Awarded Best Poster) Andreychuk (Dec., 2008). Ethics for Nurse Practitioners practicing in the NICU. Advanced Practice Neonatal Nurse Program, McMaster University. Hamilton Ontario Andreychuk (Oct 2008) Moral Reasoning. Navigating through an ethical dilemma in Obstetrics. Obstetrical Residency academic half day. McMaster University. Hamilton Ontario. Andreychuk, Swartz (April 2008). Introduction to Medical Ethics: Part Two Neonatal Case Review. Paediatric Residency Medical Ethics Training Program. McMaster University. Hamilton Ontario Swartz, Andreychuk, Cupido (Jan/ Feb 2008). Introduction to Medical Ethics: Part One. Paediatric Residency Medical Ethics Training Program. McMaster University. Hamilton Ontario Andreychuk, Geddes, Noesgaard (Jan. 2008). Ethics Series: Teaching ethics in Health Care. Inter-Professional Issues in Health Care Ethics. McMaster University. Hamilton Ontario. Andreychuk, (Jan. 2008). A review of ethics essentials in the NICU. New staff orientation. Hamilton Health Sciences. Hamilton Ontario. Andreychuk (2007) Address moral distress among staff in the NICU. Staff academic rounds. McMaster Children's Hospital.. 8

9 I keep my knowledge current by attending academic and quality improvement rounds as well as annual conferences and updates. In the two past years, I have completed classes or studies in the following areas: Mindfulness Based Stress Reduction for Health Care Professionals 2013 Canadian Association of Neonatal Nurses Annual Conference 2012 Canadian Bioethics Society Annual Conference 2012 Neonatal Resuscitation Update 2012 Advanced Practice Nurse, HHS Annual Conference 2011 Practical Neonatology for Pediatricians 2011 McMaster Children`s Neonatal Nurses Annual Conference