<q data-attributes="{"lang":{"value":"fr","label":"Français"},"value":{"html":"L’urgence [ce matin] is at 127% of occupancy rate, and we have 19hospitalization requests”,”text”:”Emergency [ce matin] is at 127% occupancy rate, and we have 19 hospitalization requests”}}”>The emergency [ce matin] is at 127% occupancy rate, and we have 19 hospitalization requestslaunches the moderator of the meeting, Jean-François Morel, coordinator for admission and bed management at the Hôpital de la Cité-de-la-Santé in Laval and at the Jewish Rehabilitation Hospital in Laval .
<q data-attributes="{"lang":{"value":"fr","label":"Français"},"value":{"html":"L’enjeu de la journée sera les 22planned leaves distributed over all the care units”,”text”:”The challenge of the day will be the 22 planned leaves distributed over all the care units”}}”>The challenge of the day will be the 22 scheduled leaves spread over all the care unitshe adds.
During the daily meeting, a doctor reports an outbreak of COVID-19 in a CHSLD and suggests that the transfer of patients from the hospital to the accommodation center will have to be temporarily interrupted.
In the field, the nurse managing the episode of care, Roua Hammoud, will have to take this into account.
My role is to see, with my partners and the families, where the problem is [et quels sont] the needs of physiotherapy, occupational therapy, psychosocial issues […] and accommodation needs
explains Ms. Hammoud.
Roua Hammoud, care episode management nurse
Photo: Radio-Canada / Daniel Boily
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The hospital has about 500 beds which are used for short-term hospitalizations.
A difficult summer
In Laval, as in several regions of Quebec, overflows in the emergency room have multiplied in recent weeks and the occupancy rates of stretchers in the emergency room greatly exceed 100%.
It can be a rough summer
declared in June the Minister of Health, Christian Dubé.
Among the reasons for these overflows, there is the temporary closure of hospital beds to allow the summer vacation of workers in the health network.
But there is also the presence of hospitalized patients who no longer require care and who are waiting for accommodation or services outside the hospital.
According to data from MSSSthere are nearly 2,100 across Quebec, and the occupancy rate of users no longer requiring hospital care is 13% for all of Quebec, a peak since the start of the pandemic.
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Among the most affected regions are the Côte-Nord, Estrie, Outaouais and Laurentides, which show a rate of 15% to 20%.
The ministry’s target is 8%.
establishments like the CISSS de Laval have implemented mechanisms to limit the presence of patients who are medically stable and no longer need acute care in the hospital.
<q data-attributes="{"lang":{"value":"fr","label":"Français"},"value":{"html":"Il y a unyear, we implemented an integrated management of the customer journey inspired by the means we had used during the major periods of the COVID-19 pandemic to manage our beds, fluidity”,”text”:” A year ago, we implemented integrated management of the customer journey, drawing inspiration from the means we had used during the major periods of the COVID-19 pandemic to manage our beds, the fluidity”}}” >A year ago, we implemented integrated management of the customer journey, drawing inspiration from the means we had used during the major periods of the COVID-19 pandemic to manage our beds, the fluidityexplains Martine Montigny, cardiologist and deputy director of the professional services department (DSP) at CISSS of Laval.
It’s not perfect, but it’s made a big improvement.
she says.
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Dr. Martine Montigny, cardiologist and assistant director in the professional services department (DSP) at the CISSS de Laval
Photo: Radio-Canada / Daniel Boily
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I think it has enormous potential for all of Quebec
argues Sébastien Rocheleau, deputy director of the nursing care department at CISSS of Laval.
Waiting for a place in a CHSLD
In Estrie, the situation is one of the worst in Quebec.
As Benoît Heppell, head of general medicine at the CIUSSS of Estrie-CHUS, the aging of the population, we feel it, the exhaustion of communities, we feel it, the lack of resources, we feel it as much in hospitals as in living environments, even in private residences for the elderly
.
« At 20%, it’s a bit unsustainable […]. I would say that there, now, we have an obligation to do something. »
According to Benoit Heppell, some of these people who end up needlessly in the hospital have to wait weeks, even several months, before an environment can welcome them. The majority have cognitive impairment. The absence of stimulation and the fact of being in the hospital do not improve the situation. We see a certain cognitive deterioration, a certain physical deconditioning precisely due to a lack of stimulation.
adds the head of general medicine.
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Dr. Benoît Heppell deplores the impact of this waiting in hospitals for patients who do not receive the services they need.
Photo: Radio-Canada / Guylaine Charette
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It must be said that the waiting list for a place in CHSLD has almost doubled in Estrie and stands at about 400 people since the coming to power of the CAQ in 2018.
According to data from MSSSnearly half of the 2,064 users no longer requiring care were waiting for accommodation, particularly in CHSLD.
According to David Lambert, secretary-treasurer of the Union of Care Professionals of the Eastern Townships FIQ-Estrie, we must also ensure that we have the staff to provide home care.
<q data-attributes="{"lang":{"value":"fr","label":"Français"},"value":{"html":"Actuellement, ça roule à 50% of home care resources […] and I have people who are moved to go and help in the CHSLD. So how are we going to take care of the patients who are going to invade home care when my members are in the CHSLDs?”,”text”:”Currently, it’s running at 50% of home care resources […] and I have people who are displaced to go and help in CHSLDs. So how are we going to take care of the patients who are going to invade home care when my members are in the CHSLDs?”}}”>Currently, it’s running at 50% of home care resources […] and I have people who are moved to go and help in the CHSLD. So how are we going to take care of the patients who are going to invade home care when my members are in CHSLDs?asks Mr. Lambert.
At the beginning of June, Radio-Canada revealed a letter from the Regroupement des chefs d’urgence du Québec (RCUQ) sent to CEO health establishments in Quebec requiring the opening of hospital beds during the summer period rather than their partial closure.
With the collaboration of Guylaine Charette
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