Quebec’s restrictions on intensive care are based on false justifications | OP / ED
Government guidelines to restrict patients’ access to intensive care and intensive care beds are based on false justifications alleging nursing shortages in times of crisis.
The issue of the shortage of nurses in Quebec is not a new challenge stemming from the COVID-19 pandemic, but it has been exacerbated as more and more nurses have spoken out. The government responded, as it often did throughout the pandemic, by instituting unnecessary “emergency measures”.
A triage system has been established on the premise that there is a nursing shortage that cannot be corrected. Rather, it is a financial solution for the government. Citizens are subject to unintentional restrictions on the health care they desperately need. The government does not want to invest, period.
In fact, the root causes of nurse shortages stem from systemic mismanagement of training programs, the hiring process and working conditions of nurses.
As a result, nurses under additional pressure leave their posts and seek less strenuous or stressful jobs. This has been a recurring problem for many years. This is nothing new. This is evident every year during flu season.
It is false rhetoric to say that there is a need to restrict access to intensive care beds due to the COVID-19 pandemic.
– The government has had no difficulty in implementing severe measures under the emergency law. If shortages are in fact an urgent issue resulting from the pandemic, then by law they could call in the military, attract retired nurses and give them a tax credit, introduce incentives, change their minds. part-time nurses who are willing to work full-time in full-time positions. We have to make it work. It’s a crisis, isn’t it? –
Instead of killing more people under the guise of a crisis, be creative in building capacity. Wouldn’t that be better than putting patients through a triage system?
If it is a crisis, the government should act as if it is a crisis and attract resources rather than killing people via directives.
They created the shortage of nurses by building a model of health care with the goal of saving money over the goal of saving lives.
Building the capacity of the medical system can be achieved by following a few basic steps. Some tasks performed by nurses only require basic training. In order to meet the needs of screening and vaccination, it does not require highly qualified nurses. In addition, hospital nurses with high-level training could be helped or relieved from performing tasks such as changing beds, cleaning patients and organizing inventory with the help of nursing assistants. or nurses in training.
The government could ease its requirements for nurses trained in other provinces or countries with high qualifications who have difficulty obtaining provincial accreditation and, in some cases, because of language laws. But, it’s a crisis, right?
Instead of providing nurses with the support they need, the government has implemented a triage system that prevents patients from getting the care they need.
Dr Paul Saba is currently a family physician practicing in Montreal (QC) and has worked in intensive care and emergency medicine.
He is the co-founder of Physicians for Social Justice and is the author of “Made to Live”.