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Govind Rao

Nova Scotia long-term care facilities struggle to find registered nurses - Nova Scotia - CBC News - 0 views

  • Since 2013, 15 long-term care facilities failed to staff enough RNs, documents say
  • Jan 14, 2016
Irene Jansen

Ontario's Plan for Personal Support Workers - 0 views

  • May 16 is Personal Support Worker Day. PSWs are increasingly providing the majority of direct care services to elderly or ill patients who live in long-term care institutions or who receive home care.
  • Richards noted that “they [PSWs] are constantly on the go … they have very little time to actually sit down and provide comfort to residents and build that important relationship between themselves as caregivers with the residents and their family members”.
  • There is a great deal of variation in what PSWs do, where they work, and how they are supervised. This has made many argue that there must be more standardized training and regulation of PSWs. Others point out that it is at least as important to ensure that their working conditions allow PSWs to provide the compassionate and high quality care that their clients deserve.
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  • PSWs have a role standard  which says “personal support workers do for a person the things that the person would do for themselves, if they were physically or cognitively able”.
  • There is a great deal of variation around the kind of care PSW’s provide, with some PSWs providing medical care such as changing wound dressings and administering medication, and others providing  ‘only’ personal care such as bathing, transfers from bed and housework. What PSWs can and cannot do varies based on their training, supervision and employer policies.
  • An estimated 57,000 PSWs in Ontario work in the long-term care sector, 26,000 work for agencies that provide community and home care, and about 7,000 provide care in hospitals.
  • Changes to the Long-Term Care Act in 2010 outlined a minimum standard of education for PSWs working in that sector specifically.
  • PSWs working in long-term care homes are required to work under the supervision of a registered nurse or registered practical nurse
  • Some have suggested that rather than standardizing education for PSWs, more standards should be put in place around PSW supervision, scope of practice and work environment in long-term care and community agencies.
  • 92% of PSWs are women, and many work at multiple part time jobs, involving a great deal of shift work.  PSWs are often paid minimum wages with few benefits.
  • Community colleges, continuing education programs and private career colleges offer courses or programs of varying durations, with no standardized core curriculum across the programs. There is no single body in Ontario that monitors the quality of these programs.
  • a PSW Registry to collect information about the training and employment status of the nearly 100,000 PSWs in Ontario
  • Long-Term Care Task Force on Resident Care and Safety
  • “a registry is a mechanism of counting and it doesn’t ensure anything about quality, preparation or standards.”
  • in the past two months there have been stakeholder consultations around educational standards for PSWs
  • Catherine Richards, Cause for Concern: Ontario’s Long Term Care Homes (Facebook group)
  • “PSWs have high expectations put on them but very little support to do their jobs.”
  • In my opinion, what we need most is a ministry (MOHLTC) that will demonstrate leadership by clarifying the role of the PSW in long-term care, nursing homes, hospitals and yes, home care, and to consistently enforce high standards of care
  • PSWs should feel able to rely on consistent supervision and clear guidance from registered nursing staff and management, yet from my observation there is a lack of communication between PSWs and RPNs/RNs in a long term care home setting, and rarely in my experience is honest communication encouraged to include patients/residents and families. In home care, PSWs have even less support or supervision which should conceRN people.
  • PSWs are rarely afforded the time to properly perform the necessary tasks assigned to them and they often bear the brunt of complaints
  • it is the leadership that must accept the bulk of responsibility when PSW care standards are low
  • Ombudsman oversight would provide an immediate and direct incentive to elevate care standards
  • In Nova Scotia, a registry was put in place for Continuing Care Assistants (the provinces’ equivalent to PSWs) in 2010 which has been used to communicate directly with CCAs as well as keep track of where they work. In addition, the registry provides resources and the development of a personalized learning plan to help care givers who do not have the provincial CCA obtain further training. British Columbia has also recently introduced a registry for Care Aids and Community Support Workers.
  • CUPE addresses these issues in Our Vision For Better Seniors’ Care: http://cupe.ca/privatization-watch-february-2010/our-vision-research-paper
  • having someone help you bathe, dress, eat and even wash your hair is as important as the medical care
  • I have worked in a Long-Term Care Facility for four years and have many concerns
  • it doesn’t take a rocket scientist to figure out that some point of care is being neglected
  • need to have more PSW staff on the front line
  • “it is like an assembly line here in the morning”
  • I don’t think these people are getting the dignity and respect they deserve.
  • We want to stop responsive behaviours, we need to know what triggers are. what is the root cause
  • We can’t do this with having less than 15 mins per resident for care.
  • I also believe that registering PSW’s will eliminate those who are in the career for just the money.
  • I have been a PSW for 8 years
  • Every year they talk more and more about residents rights, dignity ect ect … and yet every year, residents have been given less one on one time, poorer quality of meals, cut backs on activities and more than anything else, a lessened quality of care provided by over worked PSW’s.
  • Residents have floor mat sensors, wheelchair sensors, wander guard door alarm sensors, bed alarm sensors and add that to the endless stream of call bells and psw’s pagers sounding, it sounding like you are living inside a firestation with non-stop fire
  • they do not provide the staff to PREVENT the resident from falling
  • bell fatigue
  • This registry is just another cash grab
  • Now, it will be that much easier to put the blame on us.
  • When we do our 1.5hrs worth of charting every night they tell us to lie and say we have done restorative care and other tasks which had no time to do so they can provide funding which never seems to result in more staff.
  • for the Cupe reps reading this. You make me sick. Your union doesn’t back us up in the slightest and you have allowed for MANY additional tasks to be put onto psw’s without any increase in pay.
  • In the past year alone our charting has become computerized and went from 25mins to 1.5hrs. We now provide restorative care like rehab workers and now are officially responsible for applying and charting for medicated creams, not to mention the additional time spent now that prn behavior meds were discontinued and restraints removed created chaos
  • when your union reps come into meeting with us to “support” us, they side with our managers
  • about this registry
  • my sister works for 12 dollars H in Retirenment home
  • she has over 40 Residents
  • you should work in Long Term Care then, you will make a few buck more, still have 30-40 residents but at least you have a partner. On the other hand though, unlike retirement homes, for those 30-40 people, you will be dealing with aggressive behaviors, resistive residents, dementia, 75% of your residents will require a mechanical lift, you will have 1-2hrs worth of charting to do on top of your already hectic work load which they will not provide you more time to complete it, so only expect to get one 15min break in an 8 hr shift and often stay late to finish your charting.
  • As long as retirement homes are privily own they will always be run under the landlord and tenant act. That’s why they can work you like a dog and get away with it.
  • My 95 year old Dad is in LTC.
  • PSW’s simply do NOT have time to maintain, let alone enhance seniors’ quality of life.
  • there are NO rules or regulations about what the ratio of PSW staff to residents “should be”
  • quality is more than assistance with daily hygene, feeding, dressing, providing meds, getting people up in the morning, putting them to bed in the evening
  • psw’s are not only caregivers/ nurses we r also sometimes ONLY friend
  • The solution to our problem begins at the top, and this all seems very backwards to me.
  • Personal support workers are one of the back bones of the health care system.
  • Eleven years later, and nothing has changed? Something’s wrong here!
  • But I will not let this discourage me from taking the course, because no other job I’ve had has even come close to being as rewarding or fulfilling
  • is to many P.S.W in Ontario,and is not respect for them
  • Too many PSW’s are working as a Casual Employee
  • The pay is better in Long Term care as we know but PSW’s work for that extra few dollars more an hour
  • Most of us enjoy the field but more work has to be done to take care of your PSW’s and a pat on the back is just not going to do it.
  • administration has to stop being greedy with their big wages and start finding more money to invest in your front line, the PSW
Irene Jansen

HEU. LPN to LPN: Why we're voting HEU. - 0 views

  • Every LPN owes it to themselves and their colleagues to make an informed choice about the future of our independent profession. HEU has a clear vision, a solid record of achievement, and an unwavering commitment to our success. BCNU does not. Before you cast your ballot learn why BCNU is the wrong union for LPNs. And why BCNU will always put rns ahead of LPNs.
Irene Jansen

Degrees of Separation: Do Higher Credentials Make Health Care Better? :: Longwoods.com - 1 views

  • Raising entry-to-practice credentials (ETPC) in health disciplines is the new pandemic.
  • Employers never demand increased ETPC; on occasion they explicitly oppose it. No one has ever produced evidence that those practicing with the about-to-be-abandoned credential were harming the public. Governments never instigate the changes.
  • increasing the credential does not necessarily mean more training
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  • The transition reduced supply, which shifted bargaining power to nursing unions and led to bidding wars among the provinces.
  • Is nursing care better? We have no clue. There is some (largely American) research that attributes hospital care outcomes to RN staffing levels, but the studies have deliberately avoided comparing diploma vs. baccalaureate degree nurses.
  • Has the class structure of nursing education changed now that the profession is degree-only? Are fewer working class kids inclined to choose a career in nursing because it is much more expensive and time-consuming to acquire the credential? What about Aboriginal peoples, recent immigrants and other minorities?
  • One of the reasons professions raise ETPC is to increase their status and credibility in the academy. They do this in part by developing complex theory and creating specialized identities. Merging these identities into unified interprofessional teams is a challenge under any circumstances; even stronger and more fragmented identities forged in longer education programs will hardly make this easier. Furthermore, graduates with higher credentials will expect to work at a higher level and many will be disappointed and bored by the everyday but important work of patient care.
Irene Jansen

Model of Care Initiative in Nova Scotia | Health and Wellness | Government of Nova Scotia Oct 2008 - 0 views

  • The Model of Care Initiative in Nova Scotia is making a positive difference for patients, health care providers and the health system. A New Way to Deliver Care
  • This new way of delivering care uses information on the typical needs of patients on the unit (such as their medical condition, whether they can move around on their own, family support, etc.) to determine how care is organized and who delivers that care. Streamlined processes, faster access to information, and modern technology support staff to provide the safest and best possible patient care.
  • Nova Scotia is the first province in Canada to design and implement a new model of care provincially and at the same time conduct a rigorous evaluation of its effects on patients, health care providers, and the health care system overall.
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  • Standardized Role Descriptions A key deliverable of the Model of Care Initiative is the establishment of province-wide standardized roles for health professionals to enable more consistent work practices at full scope of practice.  Roles of RNs and LPNs were the first to be developed based on current legislation; others will follow.
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    Includes "Nova Scotia's New Collaborative Care Model and What it means for you" at the bottom of the page
Irene Jansen

Let's Talk: A Guide for Collaborative Structured Communications for Care Aides, LPN, RN and all members of the health care team Nov 25 2009 - 0 views

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    SBAR and Huddles Situation Background Assessment Recommendation used by HEU and OCHU for nursing week 2011
Irene Jansen

Linda Silas comments on CIHI Nursing Workforce report | Canadian Federation of Nurses Unions - 0 views

  • The latest Canadian Institute for Health Information data shows that the total number of RNs and LPNs in the country continues to rise. Hopefully, this trend will continue or even accelerate so that we can reclaim the nurse to population ratio we had in the early 1990s.
  • Several other factors play into the problem of nurse workload.
  • there is an increase in the complexity of care
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  • too many patients receive care in the costliest and most labour-intensive place, the hospital
  • Nurses spend much of their time doing non-nursing work (i.e. work not directly related to patient care)
  • they often work with outdated, inadequate staffing plans that give them little influence over staffing decisions
  • this means giving nurses at the bedside a mechanism to say ‘enough is enough’ when workload reaches a level that is unsafe
  • move on to solutions
  • we need a staffing model that is flexible, sensitive to the characteristics of the patient and nursing population, adaptable on a shift-by-shift basis, and receptive to the input of front-line nurses
  • let’s recognize that the health of our nursing workforce, and the quality of patient care, depend on real solutions to the problem of excessive workload
Irene Jansen

NBNU Launches New Ad Campaign on TV - 0 views

  • NBNU has developed three new television spots with the slogan “There Is No Substitute For a Registered Nurse.”
Govind Rao

The Economic Club of Canada - 0 views

  • February 26, 2014 11:45 am - 1:30 pm Hilton Toronto 145 Richmond Stre
  • Dr. Anne Snowdon, RN, BSCN, MSC, PHD
  • Consumers are demanding more choice and greater opportunities for the customization of their health and wellness regimens and are actively managing their own health journey through tools accessed outside the conventional healthcare system. But are health systems ready and able to transform to meet these shifting patient requirements?
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  • Ivey International Centre for Health Innovation at Western University,
Govind Rao

Ontario Nurses' Association Calls for LHINs to Put Quality Care Back on the Agenda, Halt Health Care Privatization - Financial and Business News - MENAFN - 0 views

  • Ontario Nurses' Association Calls for LHINs to Put Quality Care Back on the Agenda, Halt Health Care PrivatizationHAMILTON, ON, Jan. 28, 2014 (Menafn - Canada NewsWire via COMTEX) --Ontario's 14 Local Health Integration Networks (LHINs) must stop cutting the quality and safety of health care and sending public services to for-profit companies, said the President of the Ontario Nurses' Association (ONA) today.Speaking to the Standing Committee on Social Justice, Linda Haslam-Stroud, RN, spoke of the urgent need for LHINs to improve, not erode, public health care in the province.
Govind Rao

Health Edition Online - Print Article - 0 views

  • November 22, 2013   |   Volume 17 Issue 45 AHS accused of plan to cut RN positions
  • Alberta Health Services wants to cut 177 nursing jobs in the province, the NDP claims. It released an AHS internal report that says the optimal number of registered nursing positions in major hospitals is fewer than it is now.
Doug Allan

Trends in long-term care staffi ng by facility ownership in British Columbia, 1996 to 2006 - 0 views

  • Long-term care facilities (nursing homes) in British Columbia consist of a mix of for-profit, not-for-profit non-government, and not-for-profit health-region-owned establishments.  This study assesses the extent to which staffing levels have changed by facility ownership category.
  • From 1996 to 2006, crude mean total nursing hours per resident-day rose from 1.95 to 2.13 hours in for-profit facilities (p=0.06); from 1.99 to 2.48 hours in not-for-profit non-government facilities (p<0.001); and from 2.25 to 3.30 hours in not-for-profit health-region-owned facilities (p<0.001). The adjusted rate of increase in total nursing hours per resident-day was significantly greater in not-for-profit health-region-owned facilities.
  • While total nursing hours per resident-day have increased in all facility groups, the rate of increase was greater in not-for-profit facilities operated by health authorities.
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  • American studies have found that not-for-profit ownership of nursing homes is associated with higher staffing levels, lower staff turnover, and better outcomes on a range of measures, compared with for-profit-ownership. 
  • Only three Canadian studies have quantitatively examined associations between long-term care facility staffing levels and facility ownership, and the results have not been consistent.
  • What does this study add? Total nursing hours per resident day have increased over the past decade for all facility ownership groups in British Columbia. The rate of increase in not-for-profit facilities owned by a health region was significantly greater compared with for-profit facilities. Total nursing hours per resident day were also significantly lower in for-profit facilities, compared with not-for-profit facilities.
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    Long-term care facilities (nursing homes) provide housing, support and direct care to frail seniors who are unable to function independently. Nursing care in these facilities is provided by a combination of registered nurses (RNs), licensed practical nurs
Govind Rao

CUPE nurses on the frontlines of high quality public health care < Health care | CUPE - 0 views

  • May 9, 2014
  • May 12 to 18 is National Nursing Week 2014. CUPE National President Paul Moist&nbsp;and CUPE National Secretary-Treasurer Charles Fleury wish a happy Nursing Week to all of CUPE’s nurses. In a letter sent to CUPE locals, Moist and Fleury affirm that Nursing Week is a chance to recognize all nurses for the indispensible frontline care that they provide. CUPE proudly represents tens of thousands of registered practical nurses (RPNs) and licensed practical nurses (LPNs). We are also very proud to count several hundred registered nurses (RNs) as CUPE members. “We applaud CUPE members and staff who have worked for decades to advance nursing team issues,” wrote Moist and Fleury. “These include: fighting for proper workloads and staffing; negotiating higher shift premiums and compensation increases; advocating for full utilization of our skills; and, collaborative or team nursing.”
Govind Rao

#MindVine - National Nursing Week: An Opportunity to Reflect - 0 views

  • May 12 2014
  • Welcome to National Nursing Week 2014!
  • Mental health nursing is a complex and challenging specialty and I am very proud that a number of our RNs have elected to become certified through the Canadian Nurses Association’s national certification program. Similarly, some of our RPNs have eaRNed a college certificate in mental health nursing.
Govind Rao

Treating patients in the comfort of their homes; Community-care nurses help people heal faster at less cost and with a sense of control - Infomart - 0 views

  • Toronto Star Sat May 9 2015
  • Roushad Omar-Ali is relaxing on his comfy sectional watching a cooking show as the doorbell rings and Lesley Rodway lets herself in. "How are you feeling today?" the registered nurse asks cheerily as she studies the chart with his health data. "She's pretty good at what she does," Omar-Ali offers when Rodway disappears to set up his dialysis machine in the bedroom. The Ajax resident has had his share of hospital stays for a stroke, a bad fall and a pacemaker implant. And there's no doubt where he'd rather be for his daily dialysis treatment.
  • The good thing about this is you get to hook yourself up whenever you want," he says. "At the hospital, you sit there and wait and wait whereas at home, as soon as it's done, I disconnect myself." It's thanks to nurses like Rodway that Omar-Ali can be treated in the comfort and convenience of his own home. Arranged through Community Care Access Centres (CCAC), government-funded visits by registered nurses and registered practical nurses provide a range of services including post-surgical, wound and palliative care, IV antibiotics, dressing changes and cancer treatment. (University-educated rns care for patients with more complex needs while RPNs, who have attended community college, take on less complex cases.) "Patients don't really want to be in hospital," says Dianne Martin, executive director of the Registered Practical Nurses' Association of Ontario (RPNAO). "At home it feels good, they feel in control and more like they're in the driver's seat." They tend to heal faster and are safer from infections, Martin adds. It is also far cheaper to treat someone at home: an average of $42 per visit compared to $842 per day for a hospital bed.
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  • And the cooking's good here," jokes Donna Fox as Rodway stops in at the well-kept bungalow she shares with Bob, her husband of 62 years. Rodway, who's worked for ParaMed Home Health Care for 17 years, manages his symptoms and keeps him comfortable during his terminal illness. "It's very important because I couldn't exist without someone looking after me," Bob, a former marathon runner, says from the raised bed where he watches sports on TV or the awakening of spring outside his window. Suzanne, a Whitby breast cancer patient, credits a home-care nurse for possibly saving her life by sending her to hospital for a swollen hand caused by a blood clot. Now she gets shots of blood thinner at home.
  • "You're near the end, that's awesome," Rodway tells her after administering the day's needle, the 90th in a series of 100 prescribed injections. "You've been a trooper," she adds as Suzanne says, through tears, that her last chemo treatment is just days away. "There are many times I've cried with a client," Rodway says later. "People are appreciative because you're helping them feel better." Rodway, a mother of two young children, sees five or six patients a day in Whitby and Ajax. She says working 25 or 30 hours a week gives her a good balance of career, volunteer work and home life. "I get a lot of satisfaction." For RPN Max Hamlyn, it's all about the personal touch. "You've got the ability to spend time with the person and develop a closer bond," unlike hospitals where staff are too rushed, he says. "It's more than just running in and changing a dressing. I'll ask, 'How are you doing, are you eating OK?' And I say, 'What's the most important thing I can do for you today?' "
  • Hamlyn, who works in Ottawa for the government branch of Bayshore Home Health, covers up to 100 kilometres a day, seeing eight to 10 patients in private homes, retirement residences, detention centres and halfway houses. After 38 years in the profession - doing community care for the last 13 - he maintains "people do much better in their home" than in hospital. "I love it. I think home care is an amazing place for RPNs to work," says Hamlyn, whose youngest client is 23 and oldest, 102. He recalls the year he spent caring for a woman with colon cancer, meeting all her children and grandchildren and always staying for coffee and cake. "You become part of the family," Hamlyn says of many of his clients. "I get along really well with my people. I have a lot of fun with them - we laugh, we joke. They're such lovely people."
Govind Rao

HEU nurses - with you every step of the way | Hospital Employees' Union - 0 views

  • May 8, 2015 Throughout National Nursing Week – May 11 to 17, 2015 – HEU salutes the dedicated professionalism our nursing members bring to health care’s front lines. We are proud to represent more than 1,400 licensed practical nurses (LPNs) and registered nurses (RNs), who work in B.C.’s residential care homes, supporting seniors and others who require round-the-clock care. “Every day, HEU nurses are making a huge difference in the lives of patients and residents throughout B.C. And they’re doing it under very difficult conditions,” says the union’s secretary-business manager Jennifer Whiteside. “Like others on the patient care team, they’re dealing with chronic short staffing, increasingly unsafe working conditions, and ongoing threats to their job security from private owners and operators in long-term care.” In the face of those and other challenges Whiteside says, “We’re with our nurses, every step of the way, fighting for fair contracts that value their work, improve the care, and make our health care facilities safer for workers and residents ” As part of nursing' week, LPN Day is celebrated on May 13. And as a division of the Canadian Union of Public Employees (CUPE), HEU stands with tens of thousands of nurses across the country to mark National Nursing Week.
Govind Rao

Nursing group head hopes new bylaws clarify rules - 0 views

  • April 22, 2015
  • After a dust-up between nursing groups last fall, the Saskatchewan Association of Licensed Practical Nurses is going ahead with four new bylaws to regulate the profession.
  • The bylaws will standardize educational requirements for LPNs providing four types of specialized care: advanced foot care, advanced orthopaedics, hemodialysis care, and perioperative care. Delegates will vote on the bylaws at the group's annual general meeting in Regina Wednesday.
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  • However, the draft set of bylaws came under fire from some registered nurses. In its August newsletter, the Saskatchewan Union of Nurses, which is not involved in regulation, said "registered nurse practice and professional standards are being overlooked and undervalued," and that RN positions were at risk. SALPN, in response, called the union's conceRNs "hysteria" and inaccurate.
Govind Rao

Changing the role of nurses puts patients, budgets at risk - 0 views

  • Sudbury Northern Life Staff &nbsp;|&nbsp;May 26, 2015 -
  • In response to budget constraints in hospitals, some organizations are reverting to models of functional nursing — a task-oriented model that delivers fragmented care — and replacing registered nurses (RNs) with less qualified health-care providers.
Govind Rao

Renal RPNs reassigned as aides ; CUPE unhappy with recent news; wants RPN title and responsibilities retained - Infomart - 0 views

  • The Sudbury Star Mon Sep 28 2015
  • The union representing a group of registered practical nurses at Health Sciences North is protesting their new assignments. Sixteen RPNs from the nephrology unit have been reassigned as renal aides. CUPE said Thursday their skills remain necessary to the operation of the program; however, their statuses, titles and salaries have been negatively impacted. "The hospital took it upon themselves to say they didn't need the RPNs in that unit anymore, so they basically reassigned the RPNs to a new position, called renal aides," Dave Shelefontiuk, president of CUPE Local 1623, which represents the RPNs, said Thursday. "When you get reassigned, you have no choice in the matter."
  • Shelefontiuk said many of the reassigned employees are seasoned RPNs, some with more than 20 years experience in the hospital setting. "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 new designation may be," he added in a media release. Shelefontiuk said he wants their titles retained and, with three years of post-secondary education, pointed out an RPN can do "92% of what a registered nurse can do." They will not have those opportunities in their new positions.
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  • "Health Sciences North has been pushed to exploit these nurses because of its funding deficit " Sharon Richer, vice-president of CUPE Local 1623, added. "RPNs will be expected to practice on the dialysis unit like nurses, but their status has been downgraded. Psychologically this represents a demotion to women who work very hard and professionally to provide optimum patient care. We have asked the hospital to reconsider its decision." Dan Lessard, a spokesperson for Health Sciences North, admitted the renal aide job description does not mirror that of an RPN, but does include significant patient contact.
  • "The duties of the renal aide will include such things as preparing, starting and monitoring the dialysis machines, transferring patients and helping patients with such things as toileting," he explained. "These duties do not encompass the full scope of practice for RPNs." If an RPN's practice lapses for more than two years, Shelefontiuk contended he/she would likely have to go back to school or write intensive exams, in order to seek new employment.
  • Additionally, the new aides face long-term salary freezes, as RPNs currently make about $30 per hour, while aides earn a little less than $26 hourly. Shelefontiuk said the salaries of the new aides are likely to remain stagnant --with any raises being negligible --for at least the next few years. "Their salaries have been frozen until anybody else who starts that job catches up, which is about 10 years from now," he said. "At less than a 1% increase per year, which is the norm for us, these RPNs will be long gone and retired before they ever get another pay increase." Shelefontiuk accused the hospital of devising the reassignments as veiled cost-cutting measures.
  • "They said it's not all about saving money --it's about using the skills (one) has --but you're not using the skills of those 16 RPNs," to their full potential by reassigning them, he argued. As Lessard pointed out, the new positions were developed in conjunction with nephrology departments from across the province. "As part of its ongoing efforts to find efficiencies without affecting patient care, HSN's nephrology department is going to a model that employs renal aides working alongside registered nurses, as opposed to registered practical nurses working alongside RNs," he told The Star. "This decision was based on a survey of other nephrology departments in Ontario which are using a similar model."
  • From a patient perspective, Lessard stressed "nothing changes in terms of the care provided or the quality of care." The registered nurse will still maintain responsibility and oversee medical care. CUPE noted in its release that, like many hospitals throughout the province, Health Sciences North has been backed into an impossibly tight corner.
  • "Health Sciences North has cut beds, services and staff in the face of a five-year funding freeze imposed by the provincial Liberal government," the union indicated. "Ontario's auditor-general has estimated that hospitals need a 5.8% increase in funding each year just to keep pace with their costs, which are rising faster than the general rate of inflation due to the costs of drugs, medical technologies and doctors' salaries." These reassignments are symptomatic of a series of deep cuts to hit Health Sciences North.
  • "The freeze has cut Sudbury hospital's budget by (more than) 20% in real terms," CUPE continued. "Ontario hospitals were already the most efficient hospitals in the country with the fewest beds and staff, and the shortest lengths of stay going into the budget freeze." Despite their dissatisfaction with the new arrangement, Lessard said the renal RPNs will have an opportunity for training and may bid out of the department.
  • "We've offered affected RPNs an opportunity to express interest in receiving additional training in order to qualify for other RPN opportunities within the organization," Lessard noted. "No layoffs are anticipated, as other RPN vacancies continue to come up in other departments. RPNs who choose to stay in nephrology will be reassigned as renal aides." maryk.keown@sunmedia.ca Twitter: @marykkeown 705 674 5271 ext. 505235
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