APN Profiles

Annie Garon-Mailer

agaron@toh.ca

Current Role

Advanced Practice Nurse

The Ottawa Hospital, Endocrinology and Metabolism

Clinical practice: clinical expertise in the care of patients living with diabetes, in outpatient and inpatient settings.
Consultation: advanced knowledge of best practice and care for patients living with cystic fibrosis related diabetes (CFRD) and any other complex patients living with diabetes.
Education: knowledge sharing of best practice in diabetes management, current treatments and technologies, expert resource for diabetes educators for the LHIN Champlain region.
Leadership: manager of Inpatient Diabetes Education at the General and Civic campuses with 6 direct reports, interprofessional collaboration with all members of healthcare team.
Research: co-author on abstracts and posters, research interests include patient safety for admitted patients living with diabetes and perioperative diabetes protocols.

Clinical Projects

Project one: E-visits to support diabetes education (ongoing).
Project two: Development of insulin self-management and administration in the admitted patient policies (injections and pumps) (ongoing).

Publications

Garon-Mailer, A., Malcolm, J., Nelson, S., Mitchell, A., Rae, K. (2019, July). eVisits to Support Diabetes Education in Endocrinology and Metabolism Clinics. 2019 Diabetes Canada/Canadian Society of Endocrinology and Metabolism (CSEM) Professional Conference, Winnipeg, Manitoba. Poster Presentation.
Malcolm, J., Nelson S., Garon-Mailer, A., Mitchell, A., Rae, K., Goldbloom, E. (2019, July). eVisits in Endocrinology and Metabolism: Improving Access to Care in a Tertiary Ambulatory Care Clinic. 2019 Diabetes Canada/Canadian Society of Endocrinology and Metabolism (CSEM) Professional Conference, Winnipeg, Manitoba. Poster Presentation.
Parast, N., Garon-Mailer, A., Leech, T. (2018, July). Diabetes Education Program Attendance Rate Following Referral from a Community Hospital. 2018 Diabetes Canada/Canadian Society of Endocrinology and Metabolism (CSEM) Professional Conference, Halifax, Nova Scotia. Poster Presentation.

Jennifer Koop

jkoop@toh.ca

Current Role

Advanced Practice Nurse

The Ottawa Hospital (TOH), Geriatrics

Clinical practice: clinical expertise in the care of older adults in acute care
Consultation: improving clinical outcomes for older adults through advanced nursing practice in acute care
Education: providing evidence-based, accessible, and adult learning theory-based gerontological education to patients, care partners, and interprofessional health team members in acute care and the community
Leadership: manager of the Geriatric Medicine Consult Team and the Dementia Behavioural Support Team at the General and Civic campuses with 6 direct reports, interprofessional collaboration with all members of healthcare team
Research: co-author on posters and provided support for publications, research interests include dementia, frailty, delirium, patient and family health education resource development, and interprofessional education.

Clinical Projects

TOH Acute Care Dementia Strategy (2019-present)
Ortho-Geriatric Partnership, Quality Improvement Project (2021-present)
Dementia Care Coach Service on Transitional Care Unit, Quality Improvement Project (2022- present)
Assessing Frailty in the Emergency Department, Nursing Research (2022-present)

Work Experience

Clinical Nurse Educator, The Ottawa Hospital Rehabilitation Centre
Geriatric Medicine Consult Team Nurse, The Ottawa Hospital
Geriatric Emergency Management Nurse, The Ottawa Hospital
Research Coordinator, Ottawa Hospital Research Institute
Registered Nurse, The Ottawa Hospital Critical Care Emergency Department

Education

Degree	Year
Athabasca University Master of Nursing – Leadership Focus	2019
Queen’s University Honours Bachelor of Nursing Science (Advanced Standing track)	2010
McMaster University Honours Bachelor of Science in Biology	2005

Certifications

CNA Certification in Gerontological Nursing (2020)
Applied Quality Improvement Leader Program and champion of TOH Innovation Framework (2020)
Gentle Persuasive Approaches Coach, AGE INC.

Affiliations

Registered Nurses Association of Ontario
Gerontological Nursing Association of Ontario
Canadian Geriatric Nurses Association
The Ottawa Hospital Corporate Delirium Committee (co-chair)
The Ottawa Hospital Senior Friendly Hospital Committee (co-chair)

Publications

Health Force Ontario (2009). Interprofessional education curricula models for health care providers in Ontario: Pre-registration strategies to guide the teaching and assessmetn of interprofressional competencies in interprofessional education settings [PDF document]. Retreived from http://www.ontla.on.ca/library/repository/mon/25011/314190.pdf (Jennifer Day research Assistant)

Tammy Pulfer

tpulfer@toh.ca

Current Role

Advanced Practice Nurse

The Ottawa Hospital, Geriatric Emergency Management (GEM)

Clinical practice & Consultation: Advanced knowledge and clinical expertise in geriatric assessment, care of hospitalized older adults and managing transitions.
Education: Knowledge sharing and capacity building as it pertains to providing senior friendly care in hospitals and emergency departments. Support to eight GEM sites in Champlain region.
Leadership: Manager of the TOH Corporate GEM team with 8 direct reports, regional clinical support lead for Champlain Region GEM program.
Research: Co-author of publications and presentations. Research interests include nursing assessment of frailty in acute care and emergency departments.

Clinical Projects

Development of an extended stay order set for the emergency department (ongoing)
Leading a collaborative to enhance staff confidence with identifying elder abuse in the emergency department (ongoing)

Education

University of Toronto

Master of Nursing (Clinical Nursing)

Queen’s University

Bachelor of Nursing Science

Certifications

Gerontological Nurse Certified (C)anada, Canadian Nurses Association

Affiliations

Registered Nurses’ Association of Ontario
Canadian Gerontological Nursing Association
Canadian Nurses Association

Publications

Leblanc, A., Diab, N., Backman, C., Huang, S., Pulfer, T., Chin, M., Kobewka, D. M., McIsaac, D. I., Lawson, J., Forster, A. J., and Mulpuru, S. (2022). Development and assessment of an educational intervention to improve the recognition of frailty on an acute care respiratory ward. BMJ Open Quality, 11:e001935. doi: 10.1136/bmjoq-2022-001935.
Angus, J., Miller, K.L., Pulfer, T., McKeever, P. (2006). Women’s Health Inequities and Delays in Breast Cancer Diagnosis and Treatment: Critical Realism as a New Theoretical Direction for Inquiry. Oncology Nursing Forum, 33(4), online exclusive.
Canadian Gerontological Nurses’ Association 19th National Conference. May 4 – 6, 2017 (Ottawa ON). The Geriatric Medicine Unit: A novel model for optimizing care for high risk seniors in acute care. Oral presentation (T. Pulfer).
Canadian Gerontological Nurses’ Association 17th National Conference. May 29 – June 1, 2013 (Vancouver BC). Improving the Screening and Interventions for Delirium in Hip Fracture Patients Over the Age of 75 in Acute Care. Poster presentation (S. Phillips, D. Rossy, T. Pulfer, B. Power & L. Khoury).
RGPs of Ontario 2011 Conference. May 4, 2011 (Markham ON). Tools to Assess Cognition in the Elderly: Confusion Assessment Method. Knowledge café co-facilitator (T. Pulfer and S. Phillips).
National Gerontological Nursing Association 25th Annual Convention. October 15, 2010 (Palm Springs CA). The Regional Geriatric and Community Intervention Program: A model for enhancing emergency department discharges for high-risk seniors. Oral presentation ( Pulfer and L. Wilding

Marjorie Bowman

mbowman@toh.ca

Current Role

Clinical practice: Clinical expertise in the care of MS patients and families.
Consultation: Advanced knowledge of treatment options for patients with aggressive MS.
Education: Knowledge sharing of MS, current treatments, symptom managements and factors impacting quality of life for patients and families.
Leadership: Manager of MS/Neurology clinics at the General campus with three direct reports, interprofessional collaboration with all members of healthcare team.
Research: Co-author on publications, abstracts and posters, research interests include patient reported outcomes, shared decision making, stem cell transplant for autoimmune diseases, mixed methods.

Clinical Projects

Addressing research-to-practice gaps in MS care: Implementation of a screening program for mental health concerns.
Ongoing analysis of data and publications related to MS/BMT study.

Work Experience

Clinical Research Coordinator, The Ottawa Hospital Research Institute MS Research Clinic
Registered Nurse, The Ottawa Hospital Neurosciences Observation Unit
Geriatric Emergency Management Nurse, The Ottawa Hospital
Research Assistant, The Ottawa Hospital
Registered Nurse, Montreal Neurological Institute

Education

Degree	Year
University of Ottawa Master of Science in Nursing (Thesis Option)	2016
University of Ottawa Bachelor of Science in Nursing	1992

Certifications

Multiple Sclerosis Certified Nurse (MSCN), Multiple Sclerosis Nurses International Certification Board

Affiliations

Canadian Association of Neuroscience Nurses (CANN)
Registered Nurses Association of Ontario (RNAO)
International Organization of MS Nurses (IOMSN)
The Ottawa Hospital Corporate Delirium Committee (co-chair)
The Ottawa Hospital Nursing Research Steering Group (co-chair)

Publications

Walker, L., Gardner, C., Freedman, M., MacLean, H., Rush, C., & Bowman, M. (2018). Research-to practice gaps in multiple sclerosis care in one Canadian centre for those with subjective cognitive, mental health and psychological concerns. International Journal of MS Care doi:10.7224/1537-2073.2017-090
Bose, G., Atkins, H. L., Bowman, M., & Freedman, M. S. (2018). Autologous hematopoietic stem cell transplantation improves fatigue in multiple sclerosis. Multiple sclerosis (Houndmills, Basingstoke, England), 1352458518802544-1352458518802544. doi:10.1177/1352458518802544
Atkins, H., Bowman, M., Allan, D., Anstee, G., Arnold, DL., Bar-Or, A., Bence-Bruckler, I., Birch, P., Bredeson, C., Chen, J., Fergusson, D., Halpenny, H., Hamelin, L., Huebsch, L., Hutton, B., Laneuville, P., Lapierre, Y., Lee, H., Martin, L., McDiarmid, S., O’Connor, P., Ramsay, T., Sabloff, M., Walker, L., and Freedman, MS. (2016). Immunoablation and autologous haemopoietic stem-cell transplantation for aggressive multiple sclerosis: a multicentre single-group phase 2 trial. The Lancet, 388(10044), 576-585. doi:10.1016/S0140-6736(16)30169-6
Bowman M, Squires J. (2016) Quality of Life in MS. Master’s Thesis University of Ottawa
Berard, J. A., Bowman, M., Atkins, H. L., Freedman, M. S., & Walker, L. A. S. (2014). Cognitive fatigue in individuals with multiple sclerosis undergoing immunoablative therapy and hematopoietic stem cell transplantation. Journal of the Neurological Sciences, 336(1-2), 132-137. doi:10.1016/j.jns.2013.10.023

Sara Olivier

solivier@toh.ca

Current Role

Advanced Practice Nurse & Program Manager

The Ottawa Hospital, Medical Assistance in Dying Program, Champlain Regional MAiD Network

Clinical practice & Consultation: Advanced knowledge and clinical expertise in the care of adults exploring MAiD as an end-of-life option. Palliative care, complex cancer pain and substance use expertise.
Education: Knowledge sharing & capacity building in the area of MAiD across the Champlain region.
Leadership: Lead of the TOH MAiD team, and Program Manager for the Champlain Regional MAiD Network. Chair, APN working group.
Research: Co-author on abstracts, posters and publications. Research interests include medical assistance in dying, patient reported outcomes, early identification of patients with palliative care needs, advanced care planning, and substance use.

Clinical Projects

Implementation of a centralized referral model for MAiD in Eastern Ontario
Revamping of the regional MAiD Website
Development and implementation of standards of practice for Registered Nurses and Social Workers involved with MAiD at TOH

Publications

Olivier S, Bell C, Jones C, Maniate J. When healthcare leadership and philanthropy lead to an improved patient experience: The Paul Lepsoe Music Initiative. Patient Experience Journal. 2022; 9(1): 189-192. Doi:10.35680/2372-0247.1642
Palliative and End-of Life Care (Written by Upchurch, L. Adapted by Olivier, S., Nichol, K., and Wilding, L. (2020). In Harding, M. M., Kwong, J., Hagler, D., Tyerman, J., Cobbett, S. L. (Eds.). (2023). Lewis’s Medical-Surgical Nursing in Canada (5th ed.). Elsevier. [In Press]
Nichol, K., Galitzine, L., Kachuik, L., Olivier, S., Madore, S., & Fischer, L. (2019, April) Palliative care nurse specialist in emergency department – A pilot project. Hospice Palliative Care Ontario Annual Conference, Richmond Hill, Ontario.
Nichol, K., Galitzine, L., Kachuik, L., Olivier, S., Madore, S., & Fischer, L. (2019, May) Palliative care nurse specialist in emergency department – A pilot project. Canadian Association of Emergency Physicians (CAEP) Annual Conference, Halifax, Nova Scotia.
Olivier, S., & Mace, J. (2018, November). Setting up a substance use program at TOH: Breaking barriers, changing mindsets. Ethics Symposium, Ottawa, ON.
Olivier, S., Bromley, L., & St-Jean, M. (2018, October). Substance use disorders and approach to care at TOH. 2018 Ottawa Quality & Patient Safety Conference, Ottawa, ON.
Perez J, Olivier S, Rampakakis E, Borod M and Shir Y. The McGill University Health Centre Cancer Pain Clinic: a retrospective analysis of an interdisciplinary approach to cancer pain management. Pain Res Manag. 2016. doi: 10.1155/2016/2157950.
Olivier S, Perez J, Shir Y, Borod M, O’Grady R. The McGill University Health Centre interdisciplinary approach to cancer pain management: Description of treatments and outcomes. J Clin Oncol 32, 2014 (suppl 31; abstr 190).
Perez J, Olivier S, O’Grady RM, Borod M, Shir Y. The McGill University Health Centre approach to cancer pain management. J Pall Care 2014; 30:195-246 (abstract B05-B).

Sheryl McDiarmid

smcdiarmid@toh.ca

Current Role

Clinical practice: Central and peripheral vascular access, therapeutic apheresis, extracorporeal photopheresis, and hematopoietic stem cell transplantation.
Consultation: Device selection in patients with difficult access, management of patients with complex hematological malignancies; development of new clinical programs; preparation of business cases; evaluation of external vascular access programs.
Education: Clinical support for educators, providers and patients with complex vascular access.
Leadership: Manager/clinical lead for vascular access and apheresis including management of 23 multidisciplinary staff members; Board of Director member Canadian Vascular Access Association.
Research: Lead and co-author on abstracts, posters and publications, research interests include outcomes related to vascular access devices; infusion therapy; lymphedema.

Publications

Scrivens, N., Sabri, L., Bredeson, C., & S. McDiarmid. Comparison of complication rates and incidences associated with different peripherally inserted central catheters (PICC) in patients with hematological malignancies: a retrospective cohort study. Leuk Lymphoma. Published online:07 Aug 2019. https://doi.org/10.1080/10428194.1646908
McDiarmid, S., & G. Larocque. Time to rethink vascular access in patients with breast cancer. CVAA Vascular Access. Summer 2019: 21-25.
Larocque, G., & S. McDiarmid. The legacy of lymphedema: Impact on nursing practice and vascular access. Canadian Oncology Nursing Journal. 2019:29 (3) 194-203.
Suleman, S., Jarvis., Hadziomerovic, A., Carrier, M., & S. McDiarmid (2019) Implanted vascular access device related deep vein thrombosis in oncology patients: A prospective cohort study. Thrombosis Res., May 2019; 177:117-121.doi.org/10.1016/jthromres.2019.02.033.
Suleman, A., Agnot-Johnston, T., & S. McDiarmid. Clinical outcomes related to over-the-wire exchange for peripherally inserted central catheters: A two-centre retrospective study. CVAA Vascular Access. Fall 2018:12(2) 14-18
Robinson, A., Souied O., Bota, AB, Levasseur N., Stober, C., Hilton J., Kamel D., Hutton, B., Vandermeer L., Mazzarello S., Joy, AA, Fergusson, D., McDiarmid, S., et al. (2018) Optimal vascular access strategies for patients receiving chemotherapy for ealy-stage breast cancer: a systematic review. Breast Cancer Res Treat. 171:607-620. doi: 10.1007/s10549-018-4868x.
LeVasseur N, Stober,C. Daigle, K, Robinson, A., McDiarmid, S., Mazzarello, S., Hutton, B., Joy, A., Fergusson, D., Hilton, J, McInnes, M., Clemons, M (2018) Optimising vascular access for patients receiving intravenous systemic therapy for early stage breast cancer – A survey of oncology nurses and physicians. Curr Incol, 2018: 25(4):298-304. doi:10.3747/co.25.3903
LeVasseur N, Stober,C. Ibrahim, M., Gertler, S.,Hilton, J., Robinson, A., McDiarmid, S., Fergusson, D., Hutton, B., Joy, A., McInnes, M., Clemons, M (2018) Perceptions around vascular access for intravenous systemic therapy and risk factors for lymphedema in early stage breast cancer – A patient survey. Curr Oncol. 2018:25(4):305-310. Doi:10.3747/co/25.3911
Suleman A & S McDiarmid. A Retrospective Analysis of Catheter-Related Upper Extremity Deep Vein Thrombosis in Peripherally Inserted Catheters With and Without a Dermatotomy. JAVA, 2017 Dec 22(4):178-181. doi10.1016/j.java.2017.07.005
McDiarmid, S, Scrivens N, Carrier, M, et al. Improved outcomes in a nurse-led peripherally inserted central catheter program: a retrospective cohort study. CMAJOpen. 2017. 30;5(3):535-539. doi:10.9778/cmajo.20170010
Doyle-Cox C & S McDiarmid. Continuous Infusion of Critical Medications: The use of central venous catheters to administer prostacyclin therapy in patients with pulmonary arterial hypertension. CVAA Vascular Access. Winter 2016:10(1) 14-26.
Atkins H, Bowman M, Allan D, Anstee G, Arnold D, Amit Bar-Or I, Bence-Bruckler I, Birch P, Bredeson C, Chen J, Fergusson D, Halpenny M, Hamelin L, Huebsch L, Hutton B, Laneuville P, Lapierre Y, Hyunwoo L, Martin L, McDiarmid S, O’Connor P, Ramsay T, Sabloff M, Walker L, & M Freedman. Lancet 2016: Aug 9:388(10044):576-85. Epub 2016 Jun 9.

Taryn MacKenzie

tmackenzie@toh.ca

Current Role

Advanced Practice Nurse – The Ottawa Hospital, Geriatric Medicine Clinics (GMC)

Clinical practice: clinical expertise in the care of older adults with complex needs (and their care partners) in a specialized geriatric outpatient setting. Works as the Advanced Practice. Nurse within a dedicated fall risk reduction clinic.
Consultation: advanced knowledge in the provision of timely, efficient access and compassionate care of at-risk older adults. Expertise in multifactorial fall risk assessment and treatment. Ongoing and previous consultations across the region, province and country, most recently on the GMC transformation during Covid 19. Current member of the Ontario Fall Prevention Collaborative.
Education: provides education to health professionals, community partners, older adults and their care partners through assorted methods in a variety of settings including conference & workshop presentations; orientations; community education presentations and the development of educational handouts.
Leadership: manages the Geriatric Medicine Clinics with six direct reports and eight additional allied health professionals. Currently co-chairs TOH Fall Risk Reduction Committee. Past chair and executive member of the Champlain Fall Prevention Steering Committee.
Research: co-author of abstracts, posters, and publications with current interests in evaluating patient compliance with recommendations and associated outcomes after receiving care in a specialized geriatric service outpatient setting.

Clinical Projects

The Ottawa Hospital Dementia Strategy – Caregiver Experience, Transitions and Partnerships Work Group (2022 – ongoing)
Developmental Evaluation of Specialized Geriatric Services Covid-19 Adaptations (2020-2022)
The Emergency Department Liaison Project and ED Rapid Access Clinic (2019-2022)
Optimizing the Champlain Falls Assessment and Streamlined Treatment (C-FAST) Clinic – 6 Month Patient Follow-Up (2018-2019)
RGP Older Adult Experience Survey for Specialized Geriatric Services – RGP Ontario (2017-18)
Patient Education Information – Creation of five educational handouts for older adults (2018 to present)
Fall Risk Reduction – Building Capacity and Promoting Falls Risk Reduction Best Practice at TOH (2016 to present)
The Champlain Falls Assessment and Streamlined Treatment (C-FAST) Clinic – 6 Month Feasibility Evaluation (2015-16)

Publications

Clement, C., Stiell, I., Davies, B., O’Connor, A., Sheehan, P., Clavet, T., Leclair, C., MacKenzie, T., & Beland, C. (2011). Perceived facilitators and barriers to clinical clearance of the cervical spine by emergency department nurses: A major step towards changing practice in the emergency department. International Emergency Nursing, 19, 44-52.
Dewhirst, S., Zhao, Y., MacKenzie, T., Cwinn, A., & Vaillancourt, C. (2017, November). Evaluating a medical directive for nurse-initiated analgesia in the emergency department. International Emergency Nursing, 35(2017), 13-18.
Kwok, E.S.H., Geymonat, C., Peters, K., Bickerton, K., MacKenzie, T., Lamothe, R., Mayer-Lalonde, A., & Gatien, M. (2015). A novel emergency department surge protocol – Implementation of a targeted response plan. Journal of Clinical Outcomes Management, 22(11), 495-503.
MacKenzie, T., Fortier, W., & Twolan, C. (2008). The standard of care – Pandemic planning. College of Nurses of Ontario – The Standard, 33(1), 46.
Stiell, I., Clement, C., O’Connor, A., Davies, B., Leclair, C., MacKenzie, T., Beland, C., Peck, T., Sheehan, P., Gee, A., & Perry, J. (2007). Can ED triage nurses reliably clear the c-spine in minor trauma? Journal of Academic Emergency Medicine,14(5 – supplement).
Stiell, I., Clement, C., O’Connor, A., Davies, B., Leclair, C., Sheehan, P., Clavet, T., Beland, C., MacKenzie, T., & Wells, G. (2010). Multicenter Prospective Validation of the Canadian C-Spine Rule by Emergency Department Triage Nurses. CMAJ, 182(11), 1173-1179.

toh

Advanced Practice Nurses Profile

Annie Garon-Mailer

Jennifer Koop

Sarah Cleyn

Tammy Pulfer

Marjorie Bowman

Sara Olivier

Sheryl McDiarmid

Alison Carter

Taryn MacKenzie

Tracy Meeker