Hospital overcrowding quick fix 'a Band-Aid on a massive bleeding wound': N.L. paramedic head

A temporarymeasureto addressovercrowding in the emergency department of theHealth Sciences Centre in St. John'sisn't enough, says the president of the Paramedic Association of Newfoundland and Labrador.

Rodney Gaudet says an expanded holding area to accommodate six patients waiting to be admitted to the emergency department is a poor solution for a long-standing problem.

"This is basically just another large Band-Aidthat's been applied to the system to temporarily fix what is happening," Gaudettold CBC News in a recent interview. "If we put a Band-Aidon a massive bleeding wound it's not going to solve the issue. It's just a temporary fix."

Last summer,CBCNews reported onpatientswaiting in ambulances and hallwaysat the Health Sciences Centre. That's stressful for patients and difficult for paramedicswho can't respond to new calls until a patient they're with is admitted to hospital, said Gaudet.

"We are pre-hospital emergency care responders," he said. "So if we are not able to be out on the streets being able to help people because we are tied up with patients who are still on our stretchers, then that prevents us from doing our jobs. Emotionally and psychologically it takes a toll."

Overcrowding was a problem before the pandemic, and COVID-19 has heightened the need for solutions.

In July, an area at the hospitalwas set up to reduce offload delays, which regional health authority Eastern Health said couldhold up to four patients in individual rooms. After a surge of Omicron variant cases that began late last year, the holding area was modified to accommodate up to six patients.

"Unfortunately some things in health care that are supposed to be temporary end up being more longer-term than they were initiallyintended," said Gaudet. "It is still not a great patient-care environment. Patients can hear other patients receiving care. Soit doesn't fully protect patient privacy."

In early February, information released by the provincial government through an access-to-information request showed St. Clare's Mercy Hospital was on double over-capacity protocol for 50 days in 2021. On those days, there were no beds for patients to be admitted to inthe emergency department.

Eastern Healthemergency program vice-presidentLiz Kennedy said Wednesday the rooms were created to best use the space available at the Health Sciences Centreand to help address a rise in the number of patients.

"Over the last two years with a lot of people being challenged in access to health care services we are experiencing a higher volume of patients coming in to the Health Sciences emerg," Kennedy said."And as part of that volume, we are seeing patients who are sicker. So we're seeing a higher volume of patients come by ambulance as well."

Kennedy said Eastern Health doesn't expect the number of ambulance visits to go down as the province's population ages, but the health authority hopes to better meet the demandthrough future hospital renovations. She said it could be at least two years before the phased approach shows results.

"I appreciate how challenging this must be for the patients, and certainly the paramedics who are seeing these challenges with prolonged stays," she said.

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