The Legault government “confident” to improve the situation in emergencies
The emergency rooms of the various hospitals are going through difficult days, especially at the CHU Saint-Justine, in Montreal. (Archives)
While the notices of extreme traffic are renewed from week to week in the emergency room, as the occupancy rates of stretchers explode, the highest provincial health officials claim to be able to improve the situation without adding more human resources to achieve this.
Having been unable to swell the ranks of nurses, they are counting in particular on clearer public communication and on the improvement of the Frontline Access Counter (GAP) in the hope that patients without doctor no longer have the reflex to go directly to the emergency room for common health problems.
The three of us, with the situation we have, what we have tabled in the health plan, we are confident that we will improve [the situation], assured the Minister of Health, Christian Dubé, in a press briefing announced at the last minute to present the new health trio of the Legault government, with Sonia Bélanger, the new Minister for Health and Seniors, as well as Lionel Carmant, Minister responsible for Social Services.
First press conference since the elections for the Minister of Health Christian Dubé (in the center), the Minister responsible for Social Services, Lionel Carmant (on the left), and Sonia Bélanger, Minister for Health and Seniors (on the right) .
At the time of the presentation, stretcher occupancy rates averaged 137% in Montreal. The most critical situation continued to affect the CHU Sainte-Justine, specializing in child care, where the occupancy rate climbed to more than 160% on Wednesday afternoon.
It's not going badly everywhere, tried to temporize the reappointed Minister of Health, Christian Dubé, by attributing the failures of the emergency system to administrative processing.
On the one hand, the Frontline Access Counter remains little known, he analyzed. On the other hand, a single number for the entire territory of Montreal should be set up by mid-November to facilitate the procedures for Montrealers waiting for urgent care.
Faced with the crisis situation, the Minister of Health welcomed the effectiveness of this telephone service which now redirects three times as many lower priority calls to services other than emergencies compared to its launch, in June.
In Montreal, the average telephone waiting time is 2 hours, while it is 15 minutes in the regions, also indicated the Minister.
Christian Dubé acknowledged that emergency delays sometimes exceeding 15 hours are not acceptable.
On Saturday, a patient died from an aortic aneurysm in a hospital emergency department without being seen by a doctor the day before. He had first waited 16 hours in the emergency room of a first hospital without being able to access a doctor, before returning home, then trying his luck again at the Barrie Memorial the next day, where he died 10 minutes after his arrival. .
A crisis cell with several emergency CEOs must be set up in order to make specific recommendations for Montreal, added Mr. Dubé, reiterating his commitment to allow patients to meet a doctor within an hour and a half of their emergency treatment. A first meeting should take place on Friday.
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Dr. Sebastien Marin, Emergency Manager at Barrie Memorial, took to Twitter to discuss the situation of the deceased patient in the ER, which was later released to the media.
He again turned to the social network on Wednesday to denounce the immediate closure of 19 beds at the hospital center where he works, for an administrative technicality, before indicating a few hours later that the file had been taken care of. by the Deputy Minister of the Hospital Services Department, Lucie Poitras.
Sonia Bélanger, Minister for Health and Seniors, acknowledged during her first public address alongside of the health trio of the Legault government, that there will not be more nurses.
“Currently, health systems are very fragile. You have to work before the emergency room and after. »
— Sonia Bélanger, Minister for Health and Seniors
As possible solutions, the former CEO of the CIUSSS du Centre-Sud-de-l'Île-de- Montreal has indicated that it wants to increase home support to decongest hospitals. My first priority, she underlined, is really to put forward a project for home support.
The recruit is also counting on increased teamwork and improved medical follow-up at home, in particular by promoting the use of technological support in order to keep the role of nurses where necessary.
< p class="e-p">Dr. Boileau, national director of public health, must present a state of the health situation in the coming days and explain how the resurgence of respiratory viruses and other seasonal diseases will increase the pressure on the hospital system.
Across Quebec, many pediatric emergency rooms have been overwhelmed for several weeks.
In an attempt to unclog the system, the CHU Sainte-Justine and the Montreal Children's Hospital have set up a reorientation corridor for young patients. This makes it possible to redirect young patients to clinics of the Center médicale Mieux-Être family medicine group.
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