Objectives

1. Prepare CHAP Session Forms for CHAP Sessions.
2. Obtain health promotion resources for CHAP participants.
3. Prepare CHAP Session set-up.
4. Prepare for information management of blood pressure readings and health information of CHAP session participants.

Before you precede with the implementation of CHAP sessions in your community during weeks 12 to 22, ensure that the following has been done:

All, if not the majority, of local physicians, have agreed to participate in CHAP.
Pharmacists and pharmacies have been recruited.
Letters of Understanding have been signed for participating pharmacies, and volunteer      peer health educators.
Family Physician Letter of Understanding has been signed by participating physicians.
Participant letters have been mailed on behalf of physicians.
Community-wide advertising has taken place or is underway. (Press releases sent,      advertisements placed and posters distributed throughout the community.)
A list of participating physicians and pharmacies has been faxed to Clinforma and codes      have been assigned to each one.
All participating physicians and pharmacists have received the CHAP Session Blood      Pressure Recommendation Protocol.
The required number of volunteer peer health educators has been reached.
Volunteer peer health educators have been trained and matched with CHAP sessions.
Site visits to each of the pharmacies have been done and a list of the necessary      equipment (tables, chairs, markers, etc.) has been made.
A schedule for CHAP sessions has been completed and received by all volunteer peer      health educators, participating physicians and pharmacies, the community health nurse,      and the local lead organization.

At each CHAP session, the following forms need to be available:

• Participant Sign-in Sheet (Appendix 7.1)
• Participant Consent Form (Appendix 7.2)
• Risk Profile Recording Form (Appendix 7.3)
• CHAP Session Blood Pressure Recommendation Protocol (Appendix 4.4)
• Mentorship Discussion Form (Appendix 7.10)
• CHAP Session Schedule (one for posting and other copies in case the pharmacist is willing to staple the schedule to patient’s prescription bags.)
• Name tags for volunteer peer health educators and Local CHAP Coordinator (Appendix 7.6)

The health promotion resources need to reflect the resources made available to participants that address the modifiable risk factors for heart disease and stroke. There are a number of sources for these resources in your community, including:

• Local Public Health Unit
• Local parks and recreation programs
• Local YWCA
• Local branch of the Ontario Heart and Stroke Foundation, Kidney Foundation and Diabetes Association

Appendix 7.11: Finding Health Promotion Resources has suggestions on where to got to find health promotion resources in your community. The resource section on the CHAP website: www.chapprogram.ca also has a number of health promotion links and resources available.

It is important to have health promotion materials that cover all of the modifiable risk factors for heart disease and stroke; for example, healthy eating, physical activity and smoking cessation. The purpose of providing these resources to CHAP participants is not the quantity given to participants but the resources that reflect the individual needs of each participant and their personal objectives.

The Heart and Stroke Foundation has a valuable wallet-sized information piece entitled, Get Stroke Smart! It outlines the warning signs of a stroke and can be found in Appendix 7.7. Copies of this resource should be on-hand at each session. In addition, the Blood Pressure Basics Information Sheet (Appendix 7.7) should be made available at sessions.

Return to Top
Return to Table of Contents

8.3 CHAP Session Set-Up

Each pharmacy or community location for CHAP sessions will be set up differently given that the space allotted to CHAP will vary. As well, other events or promotions may be taking place in the pharmacy at the same time as CHAP. Be prepared to set up in a different area of the pharmacy if possible, since there is a need to privacy for participants.

The flow of participants through the CHAP session needs to be taken into account before setting up the session. The following is just one example of how a CHAP session can be set up:

Each CHAP session should have: a greeting station, waiting area and blood pressure station. Local CHAP Coordinators should arrive at each session at least 20-30 minutes early to set up each session.

The following is a list of some of the items that will be needed at each session:

The blood pressure readings and health information collected at each session must be handled appropriately to ensure privacy and confidentiality. Any form or document containing participant information that is not to be kept and is intended for disposal must be shredded and not put into the garbage.

Protocol for Blood Pressure Readings

Appendix 4.4 outlines the CHAP Session Blood Pressure Recommendation Protocol. The community health nurse, the Local CHAP Coordinator, and all volunteer peer health educators should be well versed on the protocol. Participating physicians and pharmacists should have been given an opportunity to review the protocol by this point.

The community health nurse must have a pager or cell phone throughout the sessions so that she/he can be reached at all times for cases requiring nurse intervention.

Risk Profile Recording Form

The Risk Profile Recording Form comes in triplicate copy.

• Once it is completed, the participant is given the pink copy.
• At the end of the session, fax all white copies into Clinforma. If the participant has not given consent for the information to be sent to his/her family physician, the computer will not generate a report.
• Fax the forms in batches of 10 to the toll-free Clinforma number that has been provided by the Regional Manager.
• After faxing the white copies to Clinforma, place these white copies into a binder or container to ensure that participant health information is stored in a confidential manner.
• The yellow copies can be mailed or hand-delivered to local pharmacies, as per the participant’s consent.

Instructions for the completion of the Risk Profile Recording Form can be found in Appendix 7.4. Appendix 7.5 includes a checklist to assist the Local CHAP Coordinator to avoid common risk profile recording form errors.

Return to Top
Return to Table of Contents