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Govind Rao

Canada's supply of nurses falls for first time in nearly 20 years - Infomart - 0 views

  • The Globe and Mail Wed Jun 24 2015
  • The supply of nurses in Canada has declined for the first time in almost 20 years, according to a new report that has prompted two prominent national nursing organizations to warn that the country needs to do a better job of managing the health-care work force. The latest snapshot of the nursing field from the Canadian Institute for Health Information (CIHI) found that more nurses left the profession than entered it in 2014 - a 0.3-per-cent decrease from the previous year in the number of people holding active nursing licences across the country.
  • When it comes to nursing in Canada, the term "supply" refers to the number of people holding active licences with the provincial bodies that regulate the profession.
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  • "The sum of all the numbers is a tightening nursing labour market," Karima Velji, president of the Canadian Nurses Association (CNA), said in a statement. "Immediate action is needed to stave off the potentially long-lasting trend of a shrinking [registered nurse] work force and its consequences for population health." The CNA is a professional organization that advocates for nurse-friendly public policy.
  • Andrea Porter-Chapman, CIHI's manager of health work force information, said it is too early to say whether the dip in supply marks the start of a nursing shortage in Canada or a one-year blip thanks to a regulatory change in Ontario. Either way, health policy-makers will need to watch the trends closely over the next couple of years, she said.
  • "This is the first shift in almost two decades where we've seen a decline in the supply," Ms. Porter-Chapman said. "But the positive side of this is that our work force continues to increase. ... I think [the supply issue] is something that our health-care system just needs to be aware of and monitor."
  • The supply of registered nurses - by far the most common nursing category - fell 1 per cent. At the same time, the number of nurses actually working in the field continued to climb last year, up 2.2 per cent from 2013, in keeping with the stable growth of the past 10 years.
  • But not all licensed nurses work in nursing. Some hold on to their licences after landing other jobs, going back to school or unofficially retiring. Last year, the College of Nurses of Ontario, the self-regulating body that oversees the profession in Canada's most populous province, put in place a new rule that effectively bars members from renewing their licences unless they have practised nursing in the province in the past three years. That contributed to an unusually high number of nurses formally exiting the profession in Ontario - 15,836 in one year.
  • Still, the CIHI report identified some underlying trends that suggest there is more at play. Across the country, a total of 27,757 nurses let their licences lapse last year, while only 25,397 registered anew with one of the provincial or territorial regulators - a net loss of 2,360.
  • The supply of nurses dropped in six jurisdictions: Newfoundland and Labrador (down 0.7 per cent), Prince Edward Island (down 3.5 per cent), New Brunswick (down 0.9 per cent), Ontario (down 2.6 per cent), British Columbia (down 0.9 per cent) and the Northwest Territories and Nunavut, which together saw a decrease of 3.2 per cent.
  • Canada's nursing schools are simply not graduating as many students. "We've seen the growth in the number of [nursing] graduates slow down, so it's just under 1 per cent now," Ms. Porter-Chapman said. "This is after five years where the growth was between 6 and 12 per cent."
  • As well, the number of students admitted to entry-level nursing programs actually fell between 2009-10 and 2010-11, the most recent year for which CIHI was able to obtain national figures. "Will the workplace feel it yet?
  • Perhaps not. It might take a year or two to see these changes trickle into work settings," said Linda McGillis Hall, a professor in the faculty of nursing at the University of Toronto. "I think this report will actually bring this issue to the forefront again."
Govind Rao

Supply of nurses sees sharp decline; Ontario has biggest drop as number goes down for f... - 0 views

  • Toronto Star Wed Jun 24 2015
  • The supply of nurses in Canada dropped for the first time in two decades, according to a new report from the Canadian Institute for Health Information - with one of the largest declines in Ontario. The report, released Tuesday, finds the supply of regulated nurses in 2014 declined by 0.3 per cent over the previous year, raising concern in several national nursing organizations.
  • Andrea Porter-Chapman, manager of health workforce information at CIHI, said there are several factors at play, including a drop in the number of applicants applying for licensing and an increase in the number of nurses leaving the profession.
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  • Over 12,000 nurses left the profession in Ontario alone, a decline of 2.6 per cent in regulated nurses, she said. "One of the factors driving the change in Ontario was a regulatory change (from) the College of Nurses of Ontario," she said.
  • Last year the college introduced a "declaration of practice requirement" - members can renew their membership only if they practised nursing in Ontario within the last three years or were registered or reinstated within the past three years.
  • Diane Clements, interim director of practice and policy for the Canadian Nurses Association, said her organization is "concerned" about the CIHI numbers, particularly when it comes to where nurses are working. The report finds retention rates were highest in hospitals, compared to community health agencies, nursing homes, long-term care facilities and other nursing workplaces.
  • Distribution of the workforce isn't where we'd like it to be, where we know Canadians and seniors are needing care," said Clements. "We know that 14 per cent of Canadians are 65 and older, and it's a number that's expected to double by 2036," she said. "Research has shown that age-related conditions, especially chronic diseases, are better managed in the community."
  • A spokesperson for Health Minister Dr. Eric Hoskins said the 2015 budget provides funding for an additional 80,000 hours of nursing care.
Govind Rao

Supply of Nurses Falls in Canada for First Time in Almost 20 Years: Report | NHSRU - 0 views

  • The Globe and Mail reports that the supply of nurses in Canada has declined for the first time in almost 20 years, according to a new report. The report has prompted two prominent national nursing organizations to warn that the country needs to do a better job of managing the health-care work force. “Will the workplace feel it yet? Perhaps not. It might take a year or two to see these changes trickle into work settings,” said Linda McGillis Hall, NHSRU researcher and professor in the faculty of nursing at the University of Toronto. “I think this report will actually bring this issue to the forefront again.”
Govind Rao

Media conference: town hall meeting organized on nursing cuts at Almonte General Hospit... - 0 views

  • 15/April/2015
  • Staff at Almonte General Hospital represented by CUPE will hold a media conference outside the hospital at 10:00 a.m. on April 16 to announce the next steps in the campaign to protest cuts to registered practical nursing staff at the hospital.10 registered practical nurse positions are being eliminated at the hospital to be replaced with personal support workers.Registered practical nurses complete a 2-year community college program. They are fully trained nurses and, among many other skills, can do physical assessment, wound care, manage IV's and dispense medications.
Govind Rao

Health can't ignore frontline workers - Infomart - 0 views

  • The Leader-Post (Regina) Tue Nov 25 2014
  • So what's gone awry in the lean process? Evidently, something to the extreme. Consider Monday's question period. NDP leader Cam Broten described to the assembly the most harrowing treatment of seniors imaginable - all based on concerns of care workers at Regina's Santa Maria Seniors' Home who the Opposition said had requested anonymity for fear of reprisals. According to information from the employees that Broten relayed to the assembly, Santa Maria residents were left with bandages covered in feces and urine simply because there was no LPN available to oversee the changing of the dressings. Broten also spoke of one incident in which he said Santa Maria residents were offered mouldy muffins to eat. The debate quickly deteriorated into the sorry politics that we often see, with Health Minister Dustin Duncan suggesting that it should be the NDP and the employees' union, the Canadian Union of Public Employees (CUPE), who should be alerting the care home administration or the health ministry of such goings on.
Doug Allan

CUPE argues bill streaming health-care workers into 4 unions is unconstitutional | The ... - 2 views

  • The first day of arbitration hearings between Nova Scotia’s health-care unions and the provincial government opened with a final attempt by CUPE to prevent unions from being assigned to designated bargaining units.
  • Arguing on behalf of CUPE, which filed a charter of rights protest against Bill 1, the legislation that merges nine health authorities, Susan Coen told arbitrator Jim Dorsey that he has the power to consider other options.
  • Although a lawyer for the health associations portrayed this as unions calling for the status quo, Coen noted that the four unions (CUPE, Unifor, Nova Scotia Nurses’ Union and Nova Scotia Government & General Employees Union) reached consensus on the association model through a lot of effort.
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  • The NSGEU, which has called for all union members to vote on representation rather than slotting, argued LPNs should be able to vote on what bargaining unit they are placed with. The other three proposed bargaining units are health care, clerical and support staff.
Govind Rao

CUPE Health Care Council LPN day - 0 views

  • This week is National Nursing Week, May 12 to 18, 2014. It is an important time to recognize the tremendous work that CUPE members every day do to deliver high quality patient care as part of the nursing team. The Saskatchewan government has proclaimed May 13th Licensed Practical Nurses day, and May 12th Continuing Care Assistant Day. CUPE strongly supports multidisciplinary teamwork and full utilization of all team members' skills and training. CUPE would like to thank all of our members for the tremendous work they do to deliver high quality public health care.
  • Created: 19 September 2014
  • 13 September 2014
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  • I am writing to let you know that over the next few weeks the CUPE Saskatchewan Health Care Council will be conducting a survey on scope of practice for Licensed Practical Nurses.
Govind Rao

Optimizing Scopes of Practice: New Models of Care for a New Health Care System | Canadi... - 1 views

  • Optimizing Scopes of Practice: New Models of Care for a New Health Care System
  • What are the scopes of practice that will be most effective to support innovative models of care for a transformed health care system to serve all Canadians?’ To systematically approach the question the Expert Panel, working with the Canadian Health Human Resources Network Project Team, developed a guiding conceptual framework of macro, meso and micro influences on scopes of practice.  They extracted findings from 125 sources of literature on scopes of practice interventions to see their impact; interviewed 50 Canadian and international experts in the field, and worked closely with the Expert Panel over an 18-month period to discuss the key findings and generate recommended actions.
Govind Rao

Grits should get a grip as health merger guru takes too many liberties - Infomart - 0 views

  • The Chronicle-Herald Sat Jan 24 2015
  • "... the nursing bargaining unit is composed of all unionized employees who occupy positions that must be occupied by a registered nurse or a licensed practical nurse." Dorsey explains his view of the "majoritarian principle," arguing that principles of democracy require a union to be supported by a majority of members to be certified. Of course, that is not the way our democracy works. It has been three decades since any party won more than 50 per cent of the vote in a Nova Scotian or Canadian election. And when one party has a plurality, but not a majority, of seats, it still gets to form the government. As a practical matter, only the clerical group (NSGEU) has a majority from one union. No matter. Dorsey tells us that "it cannot be the legislative intent in this restructuring for the first time in Canadian history to impose certification of three unions as exclusive bargaining agents for bargaining units of employees without majority employee support."
  • And "... no employer wants to bargain with a union ... that does not represent a majority of its employees." Any plain reading of the act tells us that was exactly the intent of the employer, because for three of the groups, there is no majority union. Both the IWK and the regional health authorities (RHAs) had plenty of opportunity to object. They did not. The NSNU has a majority of nurses (RNs and LPNs) at the IWK and in total. Dorsey estimates that the NSNU has 48.9 per cent of the nurses in the amalgamated authority. He appears to have searched everywhere for a pebble to stumble on and finds it there. It is crystal clear that the straightforward path to follow the act is by certifying the NSNU for those employees. Premier Stephen McNeil has eliminated this unnecessary impasse by combining the nursing units for the provincial health authority and IWK Health Centre into a single or common employer unit for bargaining purposes, without compromising the IWK's independence. Good.
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  • Needless to say Dorsey, likewise, cannot abide allowing Unifor and CUPE, the two other unions, to represent the health-care and support groups since there is nothing close to a majority share of representation in either. Instead, he argues that each individual union local is a union for this purpose and invites them and the relevant NSGEU locals to fashion amalgamations. They seem to be amalgamations in name only: "(it) can also take the form of an amalgamation in which each of the former unions continues to exist, perhaps only with a change in name. There can be minor changes with the unions (by which he means the relevant union locals) continuing to operate with their pre-amalgamation structures and organization essentially unchanged." In other words it looks like a bargaining association, which the government has rejected, dressed up in different clothes. Worse, it preserves obsolete boundaries for no reason that benefits members.
  • Dorsey argues that the amalgamations meet the province's requirement for single bargaining agents, and that what he is proposing is "not a council of trade unions, not a bargaining association and not a joint structure of autonomous unions." Union leaders are getting a different message. They believe that they can keep their members after amalgamation. How can such an arrangement serve the interests of the new union's members? Since there is to be only one contract, why is there a continuing need for different locals? He invites the unions to create amalgamations for the health-care and support groups, but he does not exclude it for the others. The members of these new creations will not have voted for them - so much for majoritarian principles.
  • It's time for government to get a grip. It was not expecting this outcome. The process has already dragged on longer than it was supposed to, and no conclusions on representation have been reached. The unions may not reach an amalgamation agreement, or may present one that government views as unsatisfactory, but which Dorsey chooses to accept. The government must define clear timelines for a complete decision on representation to be reached, and specify the conditions it expects, including the degree of autonomy, in any new amalgamations that are proposed as candidates. The government has patiently and effectively moved this file along since the day it was elected. It should not let the project become derailed at this late stage.
Govind Rao

Nursing cuts at Almonte hospital prompt rally by MacLaren, CUPE; Local union president ... - 0 views

  • West Carleton EMC Thu Apr 2 2015
  • The loss of 10 registered nursing positions at Almonte General Hospital prompted a joint rally from Carleton Mississippi Mills MPP Jack MacLaren and CUPE members on March 27. About two-dozen people gathered in front of MacLaren's constituency office at 240 Michael Cowpland Dr. in Glen Cairn, calling for the Liberal provincial government to end a four-year hospital funding freeze. The quality of care being given at the hospital will not yet be affected by the loss of the positions, said Linda Melbrew, Canadian Union of Public Employees (CUPE) president for local 3022 representing Almonte Hospital.
Govind Rao

'This kind of abuse has to stop'; Registered practical nurses discuss issue of workplac... - 1 views

  • Kingston Whig-Standard Thu Jan 28 2016
  • The alarming issue of workplace violence at the hands of patients at some Ontario mental health hospitals was central to talks at a twoday conference hosted by the Ontario Council of Hospital Unions at the Holiday Inn Kingston Waterfront that concluded Wednesday. "The purpose of the conference is to talk about issues related to their current practice," Helen Fetterly, the union's secretary treasurer and a non-practising registered practical nurse from Cornwall, said. "One of the big issues is we're seeing more violence in the workplace."
  • Approximately 150 registered practical nurses from across Ontario attended the conference, and Fetterly and Linda Clayborne, an RPN at St. Joseph's Healthcare in Hamilton at the mental health site and executive member of CUPE Local 786, met with the Whig-Standard to discuss the RPN's issues. Fetterly said the union was to talk about issues and form an action plan.
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  • Fetterly said there could be violent blows and spitting from patients but also the threat of violence from visitors to a facility. "This kind of abuse has to stop and we'll be going to the provincial government to put some demands on to make some changes," she said.
  • According to a news release from the union, its recommendations to the province include: increasing funding and staffing at least to the Canadian average in hospitals and long-term care facilities; beefing up legislation to protect healthcare workers from violence, giving health-care workers the same right to refuse unsafe work as other workers in the public sector; laying criminal charges against patients and family members who commit violence on health-care workers; and also improving security at these facilities.
  • Recently, according to the council, nurses have been attacked in Hamilton, North Bay, Cornwall and Kingston. Last November, about a dozen staff members from the Providence Care Mental Health Services site on King Street West held an information picket at the hospital entrance to bring public attention to what they say are dangerous conditions inside the building caused by having too few staffto deal with too many high-risk patients.
  • "We have had nurses stabbed, beaten up, punched in the head, fallen to the floor, cracked their head on the floor, kicked, punched," Tracey Newton, a nurse at Providence Care and a chief steward with the Ontario Public Service Employees Union Local 431, said at the time. "Quite often, on a daily basis, nurses are subjected to violent assaults. We still have five nurses offwork with head injuries." Clayborne said the stories are the same where she works in Hamilton. "We've had quite a few incidents that have been brought to the public," she said.
  • In December, the hospital reported five attacks on staffby patients over a 10-day period. "We've had two nurses who were attacked: one left unconscious and suffered a severe concussion from a violent patient and another girl who had hot coffee thrown in her face on the forensic unit." Fetterly said about 85 per cent of RPNs in Ontario are women. Clayborne said St. Joseph's has five forensic units housing patients, some of whom have committed serious crimes and have mental health issues as well. "Short staffing led to those assaults," she said.
  • Clayborne said the patients know when the nurses are understaffed and take advantage of that. She said the nurses have to see patients without the benefit of security officers nearby. "The hospital has contracted out the security at our facility," she said. "The security guards make approximately $11.50 an hour and their job is to just show up and be there as a support, they're not supposed to put their hands on the patients." Nurses are trained in non-violent crisis intervention, Clayborne said, but when being attacked by a stronger and heavier person, the training doesn't help very much. Nurses wear panic alarms, but the alarms don't work all the time, Clayborne said.
  • "In violent situations, we press our alarms, nothing happens and nobody comes to help you," she said. When the alarms do work, there's a one-to three-minute delay before the call goes out. "That makes a big difference when you're being beaten before somebody comes to help you," After a violent incident, the RPNs often suffer from post-traumatic stress disorder, fear and anxiety before returning to work, and sometimes the incident also takes a psychological toll on the nurses' family members. Fetterly agreed that the issue should be considered a crisis.
  • Because of the funding and the funding freezes, we're working with less and less staffand the bed occupancy is at an all-time high," she said. Fetterly believes people will ultimately leave the profession. "Why should you go to work every day and be exposed to someone beating on you, intimidating you or spitting in your face. I didn't sign up for that. I signed up to give quality patient care." - With a file from Michael Lea ian.macalpine@sunmedia.ca Twitter.com @IanMacAlpine
  • Ian Macalpine, The Whig-Standard / Ontario Council of Hospital Unions officials Helen Fetterly, left, and Linda Clayborne attended a two-day conference on the safety of registered practical nurses in Ontario's mental health facilities.
Govind Rao

Hospital staff from across Ontario on buses today in support of North Bay nurse fired f... - 0 views

  • Feb 29, 2016
  • NORTH BAY, ON — Hundreds of hospital and long-term care staff from across Ontario are heading to North Bay today, for a rally in support of Sue McIntyre, who was fired last month for speaking up about workplace violence.
Govind Rao

New poll uncovers community attitudes toward nurse firing for speaking out against work... - 0 views

  • Mar 10, 2016
  • NORTH BAY, ON — The results of a poll conducted last weekend asking North Bay residents whether they approve of the recent action of the regional hospital for firing a nurse who spoke out against workplace violence, will be released Friday at 10:30 a.m., 120 Lakeshore Rd.
  • “We were very pleased and thankful that so many in the community took time out of their weekend to complete the poll to the end. Over the last month Sue has received overwhelming support from many people in North Bay. From across the province in fact. This issue has resonated far beyond this hospital, this nurse and this community,” says Michael Hurley, president of the Ontario Council of Hospital Unions (OCHU) that commissioned the poll.
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  • A forum on workplace violence is planned for March 21 at 7 p.m.
  • After the Kingston conference, nurses appealed to the health minister to take the following actions: Legislation, to protect health care workers from violence; Providing health care with the same rights to refuse unsafe work as other workers in the public sector; Charge patients and family members who are violent with staff under the criminal code; Fund and staff Ontario hospitals and long-term care facilities to the Canadian average.
Govind Rao

Federal Liberal platform th; in on health commitments; Party promised new health accord... - 0 views

  • St. Albert Gazette Sat Oct 24 2015
  • While the five main political parties in Canada made hay with a great many different election issues, very little was said about that most Canadian of institutions, the public health-care system. Discussion about health care was very conspicuous in its absence and a look at the health-related platform of the Liberal Party of Canada, which won a majority in the Oct. 19 election, doesn't shed much light on its plans.
  • The major components of the platform include commitments to negotiate a new health accord between the federal government and the provinces, to fund increased access to home care, and to developing a pan-Canadian strategy on prescription medications including bulk purchasing, and improving mental-health services. Home care The most significant component of the platform in terms of funding commitments is expanding home care services across the country with an investment of $2.95 billion over the next four years.
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  • St. Albert physician Dr. Darryl LaBuick said while a bit more money for home care will help the situation, it barely scratches the surface in addressing the biggest issues facing healthcare in Canada. "We've got a huge increasing requirement for seniors care. We look at home care, we look at long-term care, we look at assisted living care, palliative care," he said. "We look at all those areas nobody has looked at closely from a political point of view to address some of the issues." The importance of home care is something stressed by Dr. Kim Fraser, a nursing professor at the University of Alberta and expert on the topic.
  • She said while seeing the commitment to improve home care in the province is a step in the right direction, simply throwing more money at the problem won't be enough. Instead, we've got to rethink how home care in Canada is provided. "Co-ordinated home care programs first came into effect in the late '70s and 1980s in Canada, and our approach to home care has not changed since that time," she said. "It's really kind of episodic, targeted, taskspecific care rather than a more comprehensive integrated care approach." So rather than simply having more home-care aides providing this kind of task-oriented service to patients in their home, we should look at providing a higher level of care to patients with more complex needs.
  • "The pillars of the platform should be reflected in the work we're doing," Hoffman said. LaBuick also identified the importance of a national drug strategy that would cover the cost of prescriptions for all Canadians. Seniors still must pay a portion of prescription drug costs, and many young adults without health benefit plans are left in a position where they must pay the full cost or simply go without; it's something he's seen in his own practice. "We see young folks that don't have a good prescription plan, or any prescription plan," he said, "And the Blue Cross plan doesn't cover everything either, so there's gaps within that system, too."
  • "We have got just so many more patients going into that system," she said. "I think funding will help the growing home care problem, and will help provide, perhaps, more professional nursing services from RNs and LPNs in the community." Alberta Health Minister Sarah Hoffman said she was pleased to see the commitment to home care on the federal agenda, noting it was one of the main pieces of the NDP platform with respect to the healthcare system. "Home care is certainly one of the pieces we're focusing our effort on as a government, and I look forward to working with the new federal government to make that a reality," she said. When pressed for specific details about what form home care may take, she said she couldn't talk about specifics until they're released as part of the provincial budget next week.
  • It's a concern echoed by Friends of Medicare director Sandra Azocar, who spoke with the Gazette prior to the election and said a national drug plan was high on her organization's agenda. She expressed concern that the Trans-Pacific Partnership, a trade deal negotiated by the previous government behind closed doors that has yet to be approved by Parliament, could make it more difficult to get cheaper generic drugs. "We see that as having a negative impact for generics to be available in the market, and people will pay significantly more for drugs," she said. "I don't think medicine should be a luxury, it should be available for all people who need it. These are huge concerns we have." Hoffman said bringing down the cost of prescription drugs is something she's heard is important to Albertans, but is also significant within her own ministry when it comes to budgeting. She said a provincial prescription drug plan is something worth considering, but it's not going to happen in the near future.
  • "I think it's a great long-term objective, but in the short-term I need to address the immediate pressures of drug costs," she said. "I think we can find ways to do bulk buying and find other efficiencies in a pan-Canadian strategy, and look at other partnerships in taking it further so we can maximize those savings and pass those savings on for an increased benefit to all Albertans." Health Accord Azocar identified the need to renew the Canada Health Accord as an important component of what the federal government must do to support healthcare in the country.
  • "We need to go back to the level of leadership in our healthcare system for it to be functional all across the country," she said. "That's not something we've seen coming from some of the parties." The Liberal platform includes a commitment to renew the waccord, and to include a long-term funding agreement. This is a crucial element, Azocar noted, because in tough economic times federal funding in health care tends to decrease to the detriment of Canadians. "People don't stop needing health care when the economy is down, in fact it's the reverse," she said. "Studies have shown people need more services when the economy is down, so it's a situation that doesn't play well for the sustainability and the long-term planning that health care needs across the country."
  • Hoffman said she's unsure what negotiating a new accord might look like, as she hasn't been through the process before, but said it's something she looks forward to working on with the federal government. "We were elected not too long ago and they were elected more recently, and I think Albertans deserve to have the very best public health-care system," she said. "I look forward to working with the federal government to make that a reality." Elephant in the room One element of the discussion around health care that is absent and has been for quite some time, LaBuick suggested, is the "elephant in the room" of increasing private delivery as a way to reduce the budget impact of health care. "The minute we start to talk about it, they catastrophize the whole conversation," he said. "The reality is we need to talk about it because we simply can't afford it."
  • He noted roughly 30 per cent of health care in Canada is already provided privately - things like dental, vision, psychology, and private insurance plans. Furthermore European countries that blend public and private have better outcomes. LaBuick suggested the way forward is to look to European models that provide universal health care with a blend of public and private delivery - many of which have better outcomes at a lower cost than the Canadian model. He's not optimistic, however, that a federal Liberal government or provincial NDP government will engage in that discussion.
  • We have all of these areas that are private, but nobody talks about it," he said. "Nobody talks about a strategy around how it can benefit all citizens, for the betterment of everybody."
Govind Rao

Nurses protest cuts ; Hospital underfunded, they say - Infomart - 0 views

  • The Sudbury Star Fri Oct 23 2015
  • Registered practical nurses blaming provincial government health-care cuts for a change in their status at Health Sciences North converged on the office of Sudbury MPP Glenn Thibeault on Thursday to protest government underfunding. RPNs at HSN say their positions were eliminated and they were transferred to the renal program as renal aides, where they are expected to practise on the dialysis unit like nurses, but their status and pay has been downgraded, according to representatives at CUPE Local 1623. "It's a multi-purpose rally today," said Dave Shelefontiuk, president of CUPE Local 1623. "The immediate purpose is over the action the hospital has recently done, which is to reassign 16 RPNs back to the renal (program), freeze their wages and they're no longer going to be used as nursing staff, but we all hear every week there's a nursing shortage at Health Sciences North and they voluntarily took 16 very experienced nurses out of the system and we don't think that's correct. We think that's degrading to these nurses. They went to school, they're professional nurses, they have the skills and now they're not being allowed to use those skills."
  • The other purpose of the rally, Shelefontiuk said, was to highlight workers' struggles under the current funding model. "We're over capacity now; the emerg has been just jam-packed," Shelefontiuk said. "Everybody who provides direct patient care is overworked, they're stressed out, and the only thing we can see to correct this problem is if Mr. Thibeault and Premier (Kathleen) Wynne realize that the North East LHIN (Local Health Integration Network) needs to be funded differently from the other LHINs.
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  • "People who come to Health Sciences North come from a lot of different areas. I can't jump on the subway and go down to the hospital to make my appointments. Some people come from Blind River, some come from Timmins, we're a referral hospital that's not funded properly and we can't provide the care we expect to be able to provide. We're very proud of what we do and people are struggling. People are going home sick. They're happy to get through a day, not happy to go to work and provide the care they want to provide. We don't think that's proper." According to CUPE, the hospital has cut beds, services and staff because of a five-year funding freeze imposed by the provincial Liberal government.
  • The union cited an Auditor General's report which estimated hospitals' costs increase by 5.8% annually, rising faster than inflation, because of the soaring costs of drugs provided free to inpatients and medical technologies, among other factors. Thibeault was at Queen's Park in Toronto on Thursday, but forwarded a statement through his communications staff. "I understand that Health Sciences North has made the decision to make changes in its nephrology department, shifting to a model of RNs working alongside renal aides, rather than RPNs," Thibeault said. "I have been assured by officials at Health Sciences North that this decision was made based on surveys of other nephrology departments in Ontario working successfully under similar models, and will not change the terms or quality of patient care.
  • "I understand that RPNs who choose to stay in nephrology will be re-assigned as renal aides, while those interested in pursuing RPN opportunities in other departments will be offered any additional training necessary. "I have been assured by officials at HSN that no layoffs are anticipated, and that vacancies for RPN positions in other departments are expected. I recognize, as does our government, that nurses are the backbone of our health-care system, and I will continue to advocate for health-care practitioners and patients in Sudbury."
  • The move to use renal aides alongside registered nurses, rather than the previous model of RPNs alongside RNs, was made to find efficiencies without affecting patient care, HSN spokesperson Dan Lessard said in a statement. "Nothing changes from a patient's standpoint, in terms of the care provided or quality of care," Lessard said. "The RNs assigned to the patient still oversee the process and their care."
  • The duties of the renal aide will include preparing, starting, and monitoring the dialysis machines, Lessard said. They'll also help transfer patients around the unit and help them with such things as going to the bathroom. "RPNs were doing these duties before, but these duties don't encompass the full scope of practice for RPNs. "For the RPNs affected by this, we're offered them an opportunity to let us know if they would be interested in receiving additional training in order to qualify for other RPN positions within HSN, where they would be working more fully within an RPN's scope of practice." Lessard confirmed that no layoffs are expected.
  • "In terms of their salaries, they don't get a pay cut," Lessard said. "They will have their salaries red-circled. That means their salaries will remain the same until the pay scale for renal aides catches up to their present salaries, and at that point they will follow the normal progression up the salary grid, but as renal aides, not RPNs." ben.leeson@sunmedia.ca Twitter: @ben_leeson
  • Registered practical nurses from Health Sciences North and their supporters hold a rally outside Sudbury MPP Glenn Thibeault's office in Sudbury on Thursday.
Govind Rao

Liberal M.P.P. faces protest over exploitation of nurses in renal program at Health Sci... - 0 views

  • 21/October/2015
  • Sudbury, Ont. – Liberal MPP Glenn Thibeault will face a protest by nurses transferred to the renal program at Health Sciences North, on October 22 at 10 a.m. at his constituency office - Unit 4B, 555 Barrydowne Road Sudbury. Registered Practical Nurses (R.P.N.’s) whose positions were eliminated at Health Sciences North were transferred to the renal program, where their skills as nurses are still needed, but their status has been downgraded. “ Registered Practical Nurses are required by the College of Nurses of Ontario to maintain their standard of practice and to practice to the full extent of their skills, whatever their designation is, “ says Dave Shelefontiuk, president of CUPE Local 1623, which represents staff at the Sudbury hospital. “ The Liberal government has put our hospital in a vice-like funding squeeze and one of the sad results is that the hospital is driven to exploit the skills of these highly trained and competent nurses.
Govind Rao

CEO refutes safety concerns - Infomart - 0 views

  • North Bay Nugget Sat Apr 2 2016
  • The president and CEO of the North Bay Regional Health Centre disputes the results of a poll about employee safety released Friday. In a prepared statement, Paul Heinrich said he is "disappointed in the relentless nature of the Canadian Union of Public Employees/Ontario Council of Health Union's efforts to position our organization and our staff negatively." Heinrich said the campaign "is not based on fact and is harmful to our staff and their care of our patients."
  • The CUPE/OCHU poll indicated that 67 per cent of hospital staff who took part in the Union Calling poll this week do not believe the hospital is doing enough to protect employees from violence in the workplace, and that 72 per cent have experienced physical violence in the past year. Heinrich said the health centre conducts an "organizationwide staff survey" annually, with 75.5 per cent of staff reporting "my organization takes effective action to prevent violence in the workplace," while "73.7 per cent of staff report my workplace is safe."
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  • He said 555 employees participated in the most recent survey. "The health centre is committed to ensuring the safety of staff and patients and has numerous programs and processes in place in order to ensure a safe workplace and to deal with any safety issues, including workplace violence that might arise," Heinrich said.
  • "Further, the North Bay Regional Health Centre supports a blame-free culture of reporting of safety issues, including issues of workplace violence. As per the Occupational Health and Safety Act (OHSA) under no circumstances will any person who in good faith reports an incident of workplace violence /harassment or assists in its investigation be subject to any form of retribution or reprisal as a result of this action."
Govind Rao

North Bay hospital staff report staggeringly high workplace violence rates: Poll - Info... - 0 views

  • Fri Apr 1 2016
  • NORTH BAY, ONTARIO --(Marketwired - April 1, 2016) - A poll of North Bay Regional Health Centre (NBRHC) staff conducted earlier this week shows "staggeringly high rates of workplace violence with virtually no resolve from the hospital," said Michael Hurley president of the Ontario Council of Hospital Unions (OCHU) that commissioned the poll.
  • The poll shows that registered practical nurses (RPNs) and personal support workers (PSWs) doing direct patient care, are dealing with disproportionately higher rates of workplace violence. 86 per cent of the nurses and PSWs polled experienced incidents of physical violence such as pushing, hitting or having things thrown at them in the last year.
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  • What's more said Hurley at a media conference to release the poll findings, "it's a grim and concerning reality that despite the fact incidents are happening almost daily, workers fear reprisal and incidents are under-reported". The majority of respondents said that in the last year, in the workplace they had experienced at least one incident of physical violence, but many said they had experienced nine or more occurrences.
  • 59 per cent of the poll respondents are RPNs or PSWs. Of those respondents 73 per cent are women. 41 per cent of respondents provided other important support services at NBRHC. A high number, 81 per cent also indicated they witnessed incidents of physical and non-physical violence toward co-workers in the last year.
  • 40 per cent of respondents had experienced sexual harassment or sexual assault either physical or non-physical in the last year. "These workers are largely women. This is violence against women that's being allowed to happen here. In what other workplace would sexual harassment and sexual violence, at this level be tolerated?" Asked Sharon Richer, OCHU north eastern
  • Ontario vice-president. The poll also points to a climate of intimidation in the workplace and an under-reporting of incidents. 51 per cent responded that they are afraid of reprisal if they speak up about an incident of violence. The poll shows that there are far-more incidents of violence experienced by respondents than are actually reported. "The findings show violence is pervasive in this workplace. It's an unsafe work environment where something is standing in the way of workers reporting incidents. There is a fear of reprisal if you report. There is also under-reporting, which is linked to reprisal. There is no doubt people are afraid to speak out," said Hurley. FOR FURTHER INFORMATION PLEASE CONTACT: Michael Hurley OCHU President 416-884-0770 Sharon Richer OCHU, Vice-President North Eastern Ontario 705-280-0911 Stella Yeadon CUPE Communications 416-559-9300 Source: Ontario Council of Hospital Unions (OCHU)
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