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Waterloo Chronicle (Waterloo, On1868), 10 Apr 2013, p. 5

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Window. J“H""'i's.zoi3-s I 0 EMS investigation leads to firings mammal" GIL-whoa Br 0mm MG spinal immobilization was Strickland said council was Paxton not used when patients made aware ofthe situation ' ‘3 f 4 DAYS ONLY For the Chronicle required it. in 2012 and asked MID do ' , r Dr. Liana Nolan, medical the internal investigation. ‘ g 3‘7"“ _ wo investigations into officer of health for the The Region “Waterloo was v. g a? 3 ‘ I practices within the region. said that although under no ohliption to make 3 I; i} r Region of Waterloo's there is no way to know for any ofthe infatuation pub- “ ' emergency medical services sure. there is no evidence of lie. but decided to do so in 2013 V W department have led to the any patient harm as a result order to be open and trans- . ' firing of two paramedics ofthelnfi'actiom parent. hesaid. -;- . or. a ’ ,” V _ . n V . and disciplinary action ”Having said that. this is ”This has been a particu- ' against 24 others not amenable." she said. larly rough patch, but we The details were revealed Nolan said panmedicine remain committed to in a re rt released by the is a highly regulated profes- rebuilding movtng‘ forward.” “ ‘ “ " ~ > ‘ - ‘ ”i t‘ "I" " ,, ‘ ’ ' regiond’grils. sion,witl'iclearguidellnea hesaid. ”mat-3» ' " ' “O. In addition to the firings, “Some people were using “It's pretty clear we don’t mm is paramedics were susâ€" their discretion when they wantthtstohappen qainf ”WWW-mto-cmm-w pended and eight more would not have been” Strickland also said issues A t , received written warnings. Many of the times. proper around patient care and lack ’ ‘ ' The disciplinary action protocols were being fol- ot‘docurnentatlon wue nota A .. T afiected about 15 per cent of lowed, but it wasn't happen- result of an underfunded - {71333.53 “:39 the entire l7l-person com- ingoonsistently. EMSservice fE‘ ‘3 ‘ plement of paramedics in The silver lining of the Tbebudgethuyown 150 j In the region. investigation, Nolan said, is per cent since 2002 and sits ’ "“ Issues within the depart- that they have identified the at $21 million in 2013, he is -; ment were first called to the issues and will now have a said. " attention ofthe region in the more stringent system in Nolan said there are L I F E " - ' A . S summer of 2012 when a place. Auditingandmonitor- ongoing actions within the . WW“ ‘ V t” ' ’ supervisor noted an ambuâ€" ing of patient (are and docu- department. The region is m lance on a Code 4 call â€" the mentation was “not up to working with Toronto EMS I““' ‘P"“' ’0‘" “'9’ m most urgent level â€" didn't snufl'.” she said. and a consulting firm on employ sirens and lights “That’s the piece we need improvements to processes, DESIGN YOUR OWN SOFA, The region opened an to fixâ€"weneedtobeproac- edumdonandmonttnrlng, internal investigation. which rive” mm LOVESEAT OR SECTIONAL broadened over the fall and There have been ques- - Management was not ’ __ 5 ,_ winter and eventually tions about the inner work- ensuring patient care was ”a 5 (M .7 Q involved the review of more ings of the EMS department consistently being provided ;; ‘ ' . 5 , "f: than 2.000 charts. which rep~ since the surprise resigria- and documented in accor- ; #3: ~ }; ; m . resented 16 per cent of the tion of chieflohn Prno in dance with legislated ‘g 3}? 1&1; j 't I ' ' Code 4 calls from January March. requirements; 5' ,5 v ,. a n " 1 2012 to July 2012. Regional officials would 0 Management was not ' » ‘_ fishy: _-, The Ministry of Health not say ifPrno's resignation is ensuring paramedics twere ‘ N a then conducted its own related to these investiga< consistently complying with V » 1; _' . investigation. reviewing a tions. Regional chair Ken directions issuedbythecom- ’ " sub-setof562calls Selling said no one else in a munications officer with The investigations management position has respect to assignmentofcalls " revealed several issues. quit or been fired. to ambulances; . ‘ including not using lights “What has transpired - Some paramedics were and sirens; no documenta- shouldn't be a reflection on in contravention of legisla- J tion of vital signs; oxygen the vast number of para- tion - not consistently per~ -_ that wasn't administered medics in our service.” he forming patient care or not when it should have been; said. consistently documenting and 36 instances when Regional counctllor Sean patient oontactandcate. 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