{"id":19482,"date":"2022-07-12T17:48:55","date_gmt":"2022-07-12T21:48:55","guid":{"rendered":"https:\/\/www.ontariohealthcoalition.ca\/?p=19482"},"modified":"2022-09-17T17:49:45","modified_gmt":"2022-09-17T21:49:45","slug":"long-hard-summer-looms-in-hospital-ers-for-exhausted-staff-forced-to-wait-patients-doctor-2","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/long-hard-summer-looms-in-hospital-ers-for-exhausted-staff-forced-to-wait-patients-doctor-2\/","title":{"rendered":"\u2018Long, hard summer\u2019 looms in hospital ERs for exhausted staff, forced-to-wait patients: Doctor"},"content":{"rendered":"

(July 11, 2022)<\/span><\/p>\n

By: Jonathan Juha, The London Free Press<\/span><\/p>\n

Some hospitals in the London region are running some of Ontario\u2019s shortest emergency room wait times, but lineups in London are roughly three times as long if not more, latest figures show.<\/span><\/p>\n

The snapshot of the situation in emergency medicine comes from figures reported for April, two years after COVID-19 struck but amid what some say is shaping up to be a tough-slogging summer for many Ontario hospitals marked by some temporary rural ER shutdowns, record waits for many patients and staff shortages and burn-out from the pandemic.<\/span><\/p>\n

On top of that, the arrival of COVID\u2019s seventh wave fuelled by the fast-moving and highly transmissible BA.5 Omicron variant threatens to make the fallout even worse, some say.<\/span><\/p>\n

\u201cIt is going to be a long, hard summer and it isn\u2019t going to get any better unless we start stabilizing things,\u201d said Dr. Atul Kapur, an emergency physician in Ottawa and co-chair of the public affairs committee with the Canadian Association of Emergency Physicians.<\/span><\/p>\n

While emergency room waits have reached historic highs at many hospitals, some in the wider London region fared among the best in the province according to the April figures reported by Health Quality Ontario, a provincial agency that tracks health system performance.<\/span><\/p>\n

St. Thomas-Elgin General Hospital led the pack among hospitals in the wider region, with patients admitted in April spending an average of 4.7 hours in the ER before admission.<\/span><\/p>\n

That was the second-best mark in Ontario, whose average such hospital wait was 20.1 hours.<\/span><\/p>\n

Hospitals in Woodstock (4.8 hours), Clinton (5.4), St. Marys (7) and Strathroy (7.1) were also among the Top 10 best times in Ontario for admitted patients, which includes the time patients spend waiting to be assessed by a doctor, receiving treatment and waiting for a bed to open.<\/span><\/p>\n

By contrast, patients at London Health Sciences Centre\u2019s Victoria Hospital waited an average of 15.1 hours in the ER. The wait time at LHSC\u2019s University Hospital (UH) was 18.5 hours. Both were above the provincial average of 2.1 hours that Ontarians waited to be first assessed by a doctor, with Victoria\u2019s average time clocking at 2.5 hours and UH\u2019s at three hours.The latest data comes at a time when many, if not all, Ontario hospitals are reporting staff shortages and burn-out while dealing with a sharp increase in demand for care from patients, many of whom have more complex needs than before the COVID-19 pandemic.\u201cLondon is no different than anywhere across the nation with wait times, and we\u2019re doing everything within our capacity to ensure that our wait times are not as lengthy as they can be,\u201d said Christie MacDonald, LHSC\u2019s division chair chief of emergency medicine.<\/span><\/p>\n

\u201cIt\u2019s an unfortunate situation right now. However, each patient that is seen and registered in the (emergency department) does actually get seen by a physician and by our health care team. So although the wait times can be lengthy, each patient is seen, provided they do wait.\u201d<\/span><\/p>\n

The crunch is starting to affect even the hospitals that until recently were running some of the shortest wait time averages.<\/span><\/p>\n

At the end of June, for instance, the St. Thomas hospital began warning the public of longer-than-usual waits for care, asking people to refrain from visiting the ER unless necessary.<\/span><\/p>\n

More recently, the Huron Perth Healthcare Alliance, citing \u201ccontinued health human resource shortages,\u201d closed the emergency room Friday night at St. Marys Memorial Hospital, and it plans scheduled closings of the emergency rooms in its hospitals in Clinton and Seaforth.<\/span><\/p>\n

\u201cIf this is the new norm, we\u2019re in serious trouble,\u201d said Peter Bergmanis, co-chair of the Ontario Health Coalition\u2019s London chapter, adding \u201cit was unheard of\u201d for emergency rooms in Ontario to close due to lack of staff.<\/span><\/p>\n

\u201cThis has been coming for quite some time,\u201d he said. \u201cWe knew this kind of situation, with the constant under-resourcing of our hospitals, would happen and now the pandemic has exasperated everything because the staff are burning out.\u201d<\/span><\/p>\n

Matters could be made worse by the spectre of new COVID-19 cases sparked by more transmissible variants of the virus, including BA.5 Omicron. Already at LHSC, the number of hospital staff who\u2019ve tested positive for COVID-19 has been rising, hitting a six-week high on Friday with 110 positive cases.<\/span><\/p>\n

NDP Interim Leader Peter Tabuns has called on Premier Doug Ford\u2019s Progressive Conservative government to do more to address the hospital crisis.<\/span><\/p>\n

\u201cWe have reached a tipping point,\u201d Tabuns said in a written statement. \u201cFinding the doors to the closest ER locked is a terrifying thought. We need to recruit new health care staff, attract those who have left the profession, get qualified internationally trained workers into hospitals, and stop the exodus of doctors and nurses that is still happening right now, as we speak.\u201d<\/span><\/p>\n

MacDonald, the LHSC official, said the hospital network is reviewing its procedures in an attempt to reduce wait times. That includes looking at how patients are being triaged, making changes to the flow of patients \u2013 such as sending them back to the waiting room while they wait for bloodwork \u2013 and improving turnaround times for imaging tests such as X-rays.<\/span><\/p>\n

But to Bergmanis, those steps amount to Band-Aid solutions. \u201cIf we want to get out of this crisis, we have to seriously look at rebuilding the capacity within the health system,\u201d he said. \u201cAnd that\u2019s going to take money, and it\u2019s going to take determination, and recruitment efforts like we\u2019ve never seen before.\u201d<\/span><\/p>\n

Critics say the crunch facing hospitals is directly related to the pandemic, but that the COVID-19 crisis simply brought the issues into sharper focus.<\/span><\/p>\n

Even before the pandemic, for example, Ontario had fewer beds per capita and a nursing shortage \u2014 a gap of 22,000 nurses less than needed, according to Registered Nurses Association of Ontario chief executive Doris Grinspun. Many more nurses left during the pandemic and Ontario is competing with jurisdictions around the world to replace them.<\/span><\/p>\n

Many nurses on the job have been working short-staffed for years, are exhausted from the pandemic and the situation is getting worse.\u00a0Grinspun said RNAO has long recommended solutions, but some will take time.<\/span><\/p>\n

\u201cThe reality is, we are almost at the point of no return,\u201d she said. \u201cIt is not about staffing shortages. It is about nursing shortages. I have been warning about this for years.\u201d<\/span><\/p>\n

Kapur said the Canadian Association of Emergency Physicians has long called on governments to do more to protect health workers from abuse and violence on the job \u2014 something that is driving people away, as is wage cap legislation Bill 124 in Ontario.<\/span><\/p>\n

\u201cWe have lost staff. Anything you can do to bring them back by improving conditions and wages\u201d would make a short-term difference, he said.<\/span><\/p>\n

There have also been calls for the Ontario government to bring back mask mandates and expand fourth doses of vaccines, as well, to dampen the impact of the wave on already fragile hospitals.<\/span><\/p>\n

\u201cI am not sure what crisis the government is waiting for. The crisis is here,\u201d Kapur said.<\/span><\/p>\n

Link to original article<\/span><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

(July 11, 2022) By: Jonathan Juha, The London Free Press Some hospitals in the London region are running some of Ontario\u2019s shortest emergency room wait times, but lineups in London are roughly three times as long if not more, latest figures show. 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