Andrea
(Andy) Manson
RN,
BSN, ET, NCA
In 1979, I graduated
the nursing program from the College of New Caledonia
in Prince George. Upon completing my nursing course,
I worked the medical and surgical wards of Ridge
Meadows Hospital.
Four years later, I
took the critical care-nursing course at St. Paul’s
Hospital and worked two years in Intensive Care
at St. Paul’s. These hospital years provided many
experiences, which serve me well to day.
While working Intensive
Care, I realized two things. First, I discovered
I like to talk with people; however, very ill people
on ventilators heavily sedated don’t talk much.
I often found I was talking to myself and getting
in the last word. Secondly, I found I like to teach.
Over the years, I’ve conducted ostomy seminars for
patients, ostomy associations, and for home care,
hospital and ET nurses.
In 1989, I obtained
my nursing degree from the University of British
Columbia. That year, I traveled to Toronto (those
who know me well, know I like to travel), and graduated
with a specialty in Enterostomal Therapy. Later
in 1999, I completed a Nurse Continence Advisor
(NCA) course at McMaster University.
After my ET course
in 1989, I worked with my mother, Helen Manson,
one of the first ET nurses in BC. She has an ostomy
and saw the need for ostomy care in the hospital.
In the early 1970’s, she developed the ET - Ostomy
clinics at St Paul’s and Surrey Hospitals. Then
in 1983, she saw the need in the community to provide
continued care and support for people with ostomies
for as long as they have their ostomy, so she started
the Ostomy Care and Supply Centre. Upon her retirement
in 1989, I proudly took ownership of the Centre.
I knew I had big shoes to fill, for Helen helped
to improve ostomy care in BC working tirelessly
with the United Ostomy Association, and both with
home care and hospital nurses.
I recall looking after
ostomy patients when I first started nursing. I
can honestly say, I don’t know what they did after
surgery when they went home. I am ashamed to think
that in 1979, there were very few ostomy appliances
available and the options were very limited. Now,
I am pleased to say, there are many more appliances,
options and companies providing ostomy products.
Recently, a company presented an opportunity for
me to help develop and test new products. I find
it interesting and gratifying to assist ostomy manufacturer’s
to improve and to continually modify their products
to benefit the end user.
The most difficult
part of my job, yet the most fulfilling, is to help
people adjust to their ostomy. It’s easy to teach
someone to put on an appliance and to empty it but
the gratifying part for me is to help people incorporate
their ostomy into their life.
The advice I can give
to a person with a new ostomy is you are not alone.
New clients feel they are alone, or feel they’re
the only ones with appliances, or think the appliance
they’re wearing is the only type available so I
encourage you to ask for help.
New clients often are
not aware of the options. At the Centre, we provide
options. There are many different types of appliances,
deodorants, lubricants, pouch covers, underwear
and accessories available to make life with an ostomy
easier.
We provide all encompassing
ostomy services to our clients and their family.
Our examination room allows us to consult privately
with clients about their ongoing care. We help select
and outfit the appropriate appliance obtained from
a wide selection of readily available stock from
the various suppliers we carry at the Centre.
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For me, I find it satisfying
to watch the progress of a person with a new ostomy,
who is nervous and unsure of them self, to grow in
confidence, progress and to resume living life again.
I take pleasure in assisting and showing both new
and “experienced” ostomates new appliances, which
may make their lives easier.
I am honoured and grateful
to be in the ET field of nursing. I acknowledge the
trust, confidence and confidentiality that people
with an ostomy place in me with this very private
part of their lives.
_______________
Muriel
Larsen
RN, ET
It
is a privilege to be a part of a person's life as
they "journey" through the surgical experience of
having and adjusting to living with an ostomy. I am
committed to offering continued support to anyone
living with an ostomy.
A 1969 Royal Columbian Hospital School of Nursing
graduate and recipient of that years' George T Wilson
Surgical Award, my career in surgical nursing commenced
on the RCH surgical ward. Later I took a four year
hiatus to raise my four children while working part
time at both the Burnaby General and Royal Columbian
Hospitals.
In 1984, I began to provide vacation relief for the
Enterostomal Therapist Clinic at RCH. The impetus
for making a career shift from bedside nursing to
the role of the Enterostomal Therapist at RCH in 1994
was the satisfaction of caring for this specific group
of patients\clients. It was during this time that
I decided to enter the Enterostomal Therapy Nurse
Education Program offered by the Albany Medical Center,
New York, from where, in 1995, I received my course
certification as an Enterostomal Therapist.
As the Royal Columbian Hospital joined with Eagle
Ridge, Ridge Meadows and Burnaby Hospitals under the
Fraser Health Authority, the continuous population
growth in these areas demanded an Enterostomal Therapist
at each site.
I developed an outpatient clinic at Ridge Meadows
Hospital in 1996 which, at present continues to provide
pre and post-operative care at the hospital and ongoing
rehabilitative care in the clinic.
In 1997 I expanded the RCH Clinic and began to visit
Burnaby Hospital also to provide pre and post-operative
care to patients having ostomy surgery. At this time,
I was joined by a colleague, another Enterostomal
Therapist, on a part time basis.
As an Enterostomal Therapist, I specialize in advanced
chronic wound care and fistula management and am a
founding member of the Clinical Task Team Skin and
Wound Care Team for the Fraser Health Authority. The
role of this team is to standardize and regionalize
the delivery of chronic wound care using best practice.
It has always been a driving principle in my practice
to engage every aspect of clinical issues, to promote
best practices achieving optimum results for each
patient\client under my care.
It has and continues to be a great joy to teach at
the many workshop presentations with which I have
been involved both while working for the Fraser Health
Authority and at the Ostomy Care and Supply Center.
I joined Andrea Manson at the Ostomy Care and Supply
Center in August, 2005. I retired from RCH in May
2007 and continue to enjoy and value my contact with
clients at the Ostomy Care and Supply Center.
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