Resources for WRHA Long Term Care
WRHA Contacts
Team Members Supporting PCH
- Ahsan Khan, Manager Financial Planning, Continuing Care
- Alexandra Beel, Clinical Nurse Specialist, Continuing Care
- Allison Bell, PCH Pharmacy Manager, Continuing Care
- Alma Lising, Administrative Assistant, Continuing Care
- Caitlin Keyzer, Quality & Accreditation Consultant, Quality Patient Safety and Accreditation
- Cara Thomas, Operations Leader, Continuing Care
- Cathy Couper, Administrative Secretary, Continuing Care
- Claudette Garand, Nurse Practitioner
- Melissa Whitechurch, Professional Lead, Speech Language Pathology
- Cristie Perfas, On Site Lead, Continuing Care
- Davenna Conrod, Infection Prevention & Control Professional, WRHA IP&C Program
- Deborah Martinussen, Regional Manager, Clinical Nutrition Services, Long Term Care
- Gail Bogaert-Espenell, Administrative Secretary, Continuing Care
- Hannah Hudson, Business and Finance Lead, Continuing Care
- Hazel Malicsi, Administrative Secretary, Long Term Care Access Centre
- Jacqueline Reimer, Manager, LTCAC Complex Care and Transitional Care
- Joanne DiNicola, Manager of Initiatives, Continuing Care
- Kristine Schellenberg, Clinical Nurse Specialist, Continuing Care
- Laurel Rose, Executive Director, Health Services – Continuing Care
- Luisa Nicholson, Nurse Practitioner
- Michael Haip, Manager, RAI/MDS & Decision Support, Continuing Care
- Dr. Nancy Dixon, Medical Director & IP and C Medical Lead, WRHA Long Term Care
- Preetha Krishnan, Nurse Practitioner
- Sheila Smith, Regional Educator (LTC) , Continuing Care
- Stacey Calista, LTC Pharmacist, Continuing Care
- Tara-Lee Procter, Regional Lead, Health Services – Community Health Services and Continuing Care, WRHA
- Wendy Berriault, Administrative Coordinator, Long Term Care Program
Clinical Resources & Education
Current Policies can be found on WRHA Insite
Blood Transfusions
- Blood Transfusion Brochure for Residents and Families
- Process
- Forms
- MHC Blood Transfusion Request Form
- WRHA Consent Form
- WRHA Refusal of Treatment Form
- Physician Order for Blood Transfusion – Sample
- Canadian Blood Services Request for Blood Components (Fillable Form)
- Toolkit
Dementia Care
Provincial Resources Available via Shared Health under the heading “Documents & Forms” include:
- Guides
- Behaviour Assessment in PCH: Completion Guide
- Forms & Tools
- Behaviour:
- ABC Behaviour Mapping: Frequent Behaviours
- ABC Behaviour mapping: Infrequent Behaviours
- Behaviour Assessment in PCH
- Cohen-Mansfield Agitation Inventory (CMAI) – Disruptive
- Cohen-Mansfield Agitation Inventory (CMAI) – Long Form
- Dementia Observation System (DOS) in Personal Care Home (PCH)
- Cognitive Assessment
- Mini-Cog© Quick Screening for Early Dementia Detection
- Mini Mental State Test in PCH
- Delirium
- 4AT Rapid Clinical Test for Delirium
- Confusion Assessment Method (CAM)
- PRISME
- Depression
- Cornell Scale for Depression in Dementia
- Geriatric Depression Scale
- SIGECAPS Depression Screening Mnemonic
- Behaviour:
- Resources
- Dementia Care: Quick Reference Guide for Health Providers
- Dementia Care: Quick Reference Posters
WRHA Specific Resources
- Pathways (Revised versions coming soon)
- Infographics (More infographics coming soon)
- Family Engagement Infographics
- Suggested Use – Dementia Care Transition and Resource Implementation (Link coming soon)
- Webinar PowerPoint (Coming Fall 2026)
- Video: Remembering Laclu
Equipment
Bed Safety in Long Term Care
- Bed System Safety Resource Guide
- Bed Safety Algorithm
- Measurement Test Forms
- Fillable Excel Tracking Tool
- Bed Safety Information for Resident/Partner in Care (EN I FR)
Specialty Bed and Mattress Rental
- Materials Distribution Agency (MDA) Flyer
- Forms
- MDA Account Application (must be submitted along with agreement)
- Account Agreement (must be submitted along with application)
- PCH Equipment Order Form
- Resource Document: Therapeutic Sleep Surfaces in LTC
Ethics
See Quality & Accreditation
Falls
Final Days of Care
- Final Days of Care LTC Resource Guide
- Final Days of Care Initial Assessment
- Final Days of Care Ongoing Assessment
- Medication Order Form for the Final Days of Care Resource Guide
- Handouts for Partners in Care
- Palliative Care-Oral Care Considerations (See Nutrition, Hydration & Dysphagia)
- WRHA Palliative Care
Gastrointestinal Assessment
- Suggestions for Use
- Anatomy Review
- Age Related Changes
- Abdominal Inspection
- Case Studies
- Jeopardy Review
- Auscultation and Palpation: One-Pager
- Abdominal Auscultation and Palpation: Checklist
- Video: Abdominal Auscultation and Palpation
Medications & Pharmacy
(Click the arrow on the right to access additional resources in each section)
Adverse Drug Reaction Reporting
Allergy & Intolerance
- Long Term Care Allergy and Intolerance Record (W-00768)
- Presentations:
- Allergy & Intolerance Documentation LTC Nursing
- Allergy & Intolerance Voiceover Presentation (coming soon)
Anaphylaxis
Automatic Stop Dates
Beyond-Use Dating
Cannabis Use
- Algorithm: Patient Use of Medical Cannabis
- Resident Information Booklet
- Presentation:
- Medical Cannabis LTC Program Education
- Voiceover presentation (coming soon)
- Drug Info Bulletin : Medical Use of Cannabis and Cannabinoids
Chronic Obstructive Pulmonary Disease (COPD)
COVID-19 Treatment
- Treatment Options for COVID-19
- LTC Nirmatrelvir + Ritonavir (PAXLOVID™) Order Sheet (W-00919)
- LTC Nirmatrelvir/ritonavir (PAXLOVID™) Nursing Administration Information
- Resident Information Sheets
- LTC Remdesivir for Management of COVID-19 in Adults Prescriber’s Order Sheet (W-00893)
- Remdesivir Referral Form
- SOP: Community Support of COVID Therapeutics including Monoclonal and Antiviral Infusion in Long Term Care
- Resident Information Sheets
Hazardous Medications
- Chart: Safe Handling of Hazardous Medications
- Presentation: Hazardous Medications – Refresher and Core Content
- Signage: LTC Cytotoxic Precautions
High Alert Medications
Injection Pens
Quick Reference Guides
Insulin
Medication Administration in Dysphagia
Medication Order Standards
- Table: Shared Health DO NOT USE: Dangerous Abbreviations, Symbols, Dose Designations
- Frequently Asked Questions: Policy Update 2025: Medication Order Standards
- Highlights For Prescribers: Medication Order Standards
- Posters
- Prescriber Orientation to Do Not Use Abbreviations
- Medication Order Writing and Banned Abbreviations Orientation Presentation
Medication Pass
Medication Reconciliation
- Procedure: Medication Reconciliation Long Term Care Facilities
- Diagram: Overview of LTC MedRec
- Forms:
- Label Template: Transfer MedRec
- Presentation: LTC MedRec Orientation Presentation
- Poster: Medication Reconciliation for Inter-Facility Transfers
PCH Medication Standing Orders
Natural Health Products
- Algorithm: Process for Natural Health Product Requests
- Form: Natural Health Product (NHP) Assessment (W-00786)
- Acknowledgement and Release of Responsibility English I French
- Information for Residents, Families and Caregivers
- Presentation: Use of Natural Health Products by Residents in PCH and LTC
- Natural Health Products-Voiceover Presentation (coming soon)
Single & Multi-dose Vials
Therapeutic Substitution
Vaccination
(See Vaccination under Infection Prevention and Control)
Vitamin & Mineral Supplementation
Nutrition, Hydration & Dysphagia
- LTC Operational Guideline Nutrition & Hydration
- LTC COVID-19 Nutrition & Hydration Package
- Resident, Family & Volunteer Resources
- Handouts
- Difficulties with Meals for People with Dementia English | French
- Eating at End of Life English | French
- Nourishing the Whole Person English | French
- Meals in Long Term Care Homes English | French
- Swallowing Difficulties English I French
- When a Person Has Trouble Eating and Swallowing English | French
- Mealtime Assistance Training
- Handouts
- Health Care Professional Resources
- Changes in Food Intake and Nutrition in the Older Adult
- Communion for Individuals Receiving Liquid and Diet Texture Modifications
- Feeding and Swallowing Concerns
- Journey of Nutritional Decline
- Huddle Scripts
- Hypodermoclysis (see Subcutaneous Administration below)
- Infographics
- Journey of Nutrition Decline in PCH
- Palliative Care-Oral Care Considerations (see also Final Days of Care Resources)
- Standard Feeding Procedures
- The Journey of Nutrition Decline Initiative
- Meal Observation Screening Form
- Oral Medication Administration for Residents with Dysphagia- See Medication & Pharmacy
- Oral Nutrition Supplement Recipes
- Quiz & Answers: Safe Feeding and Swallowing
- Quick Reference Guide: Diet Textures
- Dysphagia Management Staff Training (DMST)
Overcost Funding Requests & Reimbursement
- Standard Operating Procedure Application, Communication and Reimbursement
- Application Forms (to be filled electronically and faxed)
- Supplemental Staffing
- Transportation
- Reimbursement
- Supplemental Staffing
- Transportation
- Forms
Respiratory Assessment & Oxygen
Also see Chronic Obstructive Pulmonary Disease under Medications and Treatments
- Oxygen Audits: Guide to Reading Oxygen Concentrator Usage
- Respiratory Therapist Referral Form
- Respiratory Therapist Referral Guidelines
Respiratory Assessment
- Auscultation & Palpation
- Back to Basics
- Age Related Changes
- Stethoscope Review
- Auscultation
- Pulse Oximetry
- Documentation Overview
- Jeopardy Review
- Scenarios
Restraints
- Education
- Brochures
- Tools/Forms
- Basic Restraint Documentation Tool | Form Completion Guidelines
- Benefits and Burdens of Restraints Documentation Tool
- Consent for Restraint Use | Form Completion Guidelines
- Emergency Restraint Documentation Tool | Form Completion Guidelines
- Interim Restraint Documentation Tool | Form Completion Guidelines
- Restraint Reassessment Tool | Form Completion Guidelines
- Positioning Device Risk Assessment Tool
- Audits
Sexual Health and Intimacy
Resource Guide
Skin & Wound Care
Therapeutic Sleep Surfaces
- Resource Document: Therapeutic Sleep Surfaces in LTC (See Equipment Section for MDA Rentals)
Spasticity Management
Subcutaneous Administration
- LTC Operational Guideline: Hypodermoclysis
- LTC Operational Guideline :Subcut Insertion, Intermittent Med Admin, Removal
- Hypodermoclysis Education
- Hypodermoclysis Resources
Suicide Prevention Program
Tobacco Use & Dependence
- Tobacco Use & Dependence Resource Guide
- LTC Brochure-Do You Smoke?
- Assessment-Ability to Smoke/Vape Independently Outside
- Addendum to Admission and Residency Agreement:
Infection Prevention & Control
Hand Hygiene Resources & Education
Infection Control Support Associate Orientation
- ICSA Orientation Module-Welcome
- ICSA Orientation Module 1 – Introduction
- ICSA Orientation Module 2 – Microbiology (Jan 18, 2023)
- ICSA Orientation Module 3 – Routine Practices and Additional Precautions (Mar 23, 2023)
- ICSA Orientation Module 4 – Hand Hygiene (Mar 23, 2023)
- ICSA Orientation Module 5-Surveillance (Mar. 23, 2023)
- ICSA Orientation Module 6-Outbreak Management (March 23, 2023)
- ICSA Orientation Module 7 – Communicable Diseases (Mar 23, 2023)
- ICSA Orientation Module 8 – Cleaning, Disinfection, and Sterilization (Mar 23, 2023)
- ICSA Orientation Module 9 – Construction and Renovation (Mar 23, 2023)
Vaccination
- Vaccine-Preventable Respiratory Illnesses – Resources for Health Care Providers
- Eligibility Criteria for Manitoba’s Publicly-Funded Immunization Program
- Manitoba Health: Vaccine Distribution and Supply
- PCH Vaccination Tracking Spreadsheet 2025-2026
- PCH Antiviral Dosing Spreadsheet Aug. 2025
- COVID-19, Influenza, Pneumococcal, and RSV Immunization Consent Form for LTC (EN I FR)
- PCH Vaccine Clinic Tracking Tool
- Vaccine MARs Labels Infection Prevention & Control – Shared Health – Health Providers (See LTC>Vaccine Information)
- Vaccine Administration Training Module
- Manitoba PCH Fall Vaccination Quick Reference Guide
Minimum Data Set (MDS)
Occupational Health & Safety
Safe Patient Handling
Quality & Accreditation
Disclosure of Resident Safety Events
Ethics
With gratitude to Deer Lodge Health Centre, Misericordia Health Centre, and Riverview Health Centre for generously sharing their ethics resources.
- Decision Guides & Framework
- Education
- Ethics Committees
- Deer Lodge Health Centre
- Misericordia Health Centre
- Riverview Health Centre
- Ethics Resource Algorithm
- Moral Distress
Quality Improvement Plans
- Quality Improvement Plan (QIP) Template (Long Term Care) Updated August 2026
- Recommendations for Creating QIPs Updated June 2026
- Site level IP&C Action Plan
- Video: LTC Quality and Accreditation Prep Series: Session 1 (1st 35 minutes)
- Power Point Presentation: LTC Quality & Accreditation Prep Series, Session 1-April 21, 2026 (slides 5-11)
- Video: LTC Quality and Accreditation Prep Series: Session 2 (minutes 35-60)
- Power Point Presentation: LTC Quality & Accreditation Prep Series, Session 2-June 16, 2026 (slides 30-41)
- Video: LTC Quality and Accreditation Prep Series: Session 3 (minutes 53-60)
- Power Point Presentation: LTC Quality & Accreditation Prep Series, Session 3 – Aug 18, 2026 (slides 38-41)
Quality & Accreditation Prep Series
Session 1(April 21, 2026): Quality Improvement Plans, Client Identification ROP, Information Transfer ROP
- Video: LTC Quality and Accreditation Prep Series, Session 1 – Apr 21, 2026
- PowerPoint Presentation: LTC Quality and Accreditation Prep Series, Session 1 – Apr 21, 2026
- Quality Improvement Plans (See resources under Quality Improvement Plans above)
- Client Identification
- Information Transfer at Care Transitions
Session 2 (June 16, 2026): Quality and Safety Survey Results, Medication Reconciliation ROP, Quality Improvement Plan LTC Template with sample initiatives, IP&C Quality Improvement tools for sites
- Video: LTC Quality and Accreditation Prep Series, Session 2 – June 16, 2026
- PowerPoint Presentation: LTC Quality and Accreditation Prep Series, Session 2 – June 16, 2026
- Quality Improvement Plan – LTC Services Template (See resources under Quality Improvement Plans above)
- Medication Reconciliation ROP
- ROP Poster Medication Reconciliation
- Additional resources can be found above under Clinical Resources and Education > Medications and Pharmacy > Medication Reconciliation
- IP&C Quality Improvement Plan
- WRHA IPC QI Plan (organizational level) – sent to LTC leaders via email June 24, 2026 or obtainable through site ICSA team members
- Site level IP&C Action Plan
Session 3 (Aug 18, 2026): Suicide Prevention ROP, Managing High Alert Medications, Limiting High-Concentration and High-Total-Dose Opioid Formulations, and Quality Improvement Plan Tips
- Video: LTC Quality and Accreditation Prep Series, Session 3 – Aug 18, 2026
- PowerPoint Presentation: LTC Quality and Accreditation Prep Series, Session 3 – Aug 18, 2026
- Suicide Prevention ROP
- ROP Poster – Suicide Prevention
- Additional resources can be found above under Clinical Resources and Education > Suicide
- Managing High Alert Medications, and Limiting High-Concentration and High-Total-Dose Opioid Formulations
- ROP Poster – Managing High-Alert Medications
- ROP Poster – Limiting High-Concentration and High-Total-Dose Opioid Formulations
- Additional resources can be found above under Clinical Resources and Education > Medications and Pharmacy > High Alert Medications
- Quality Improvement resources can be found above under Quality and Accreditation > Quality Improvement Plans
Resident and Family Survey Resources
- Promotional Materials
- Posters (English I French)
- Survey Invitation for Email/Newsletters (English I French)
- Interviewer Resources
- Interviewer Guide
- Printable Resident Survey (English I French)
- Printable Family Survey (English I French)
- Accessibility Resources
- Printable Resident Tracking Sheet
- Volunteer Resources