May 24, 2019

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Complete list: 63 recommendations in the Brian Sinclair inquest report

Hey there, time traveller!
This article was published 12/12/2014 (1623 days ago), so information in it may no longer be current.

Recommendations of the Brian Sinclair Inquest Report:

1. That the Office of Public Trustee and the RHAs review their policies and procedures to ensure the primary care giver and service providers of any Committee of the Public Trustee are made aware of the Committeeship.

2. That WRHA Home Care review its policies and procedures to ensure that Home Care updates service providers concerning any hospitalization of their clients.

3. That WRHA Home Care review its policies and procedures to ensure that each service provider is made aware of the specific care plan for each Committee.

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Hey there, time traveller!
This article was published 12/12/2014 (1623 days ago), so information in it may no longer be current.

Recommendations of the Brian Sinclair Inquest Report:

1. That the Office of Public Trustee and the RHAs review their policies and procedures to ensure the primary care giver and service providers of any Committee of the Public Trustee are made aware of the Committeeship.

2. That WRHA Home Care review its policies and procedures to ensure that Home Care updates service providers concerning any hospitalization of their clients.

3. That WRHA Home Care review its policies and procedures to ensure that each service provider is made aware of the specific care plan for each Committee.

4. That WRHA review its policies and procedures to ensure that when a medical service is put on hold, suspended or withdrawn from any client for any reason, that there is an alternate plan in place or that the hold be reviewed on a regular basis.

5. That WRHA Home Care reviews its policies and procedures to ensure the provision to service providers of relevant background information of their vulnerable clients.

6. That the RHAs and the Office of the Public Trustee continue to review the feasibility of compatible electronic charting of all relevant medical information for clients of the Public Trustee.

7. That the Office of the Public Trustee and the RHAs review their policies and procedures to ensure that when a patient is a Committee of the Public Trustee, the patient’s Committeeship status is clearly flagged on that patient’s medical chart.

8. That the RHAs review the feasibility of electronic charting for all their facilities.

9. That the protocol that requires primary care physicians sending patients to an ED to notify the ED in advance by phone be maintained, including verification of whether a letter has been given to a client to present to the ED staff.

10. That the RHAs continue to review their policies and procedures to examine the feasibility of letters from primary care physicians to EDs being sent electronically.

11. That WRHA review its policies and procedures to ensure that primary care facilities develop a uniform protocol for the transportation of clients with mobility or cognitive challenges to other health care facilities.

12. That all RHAs review their policies and procedures to ensure that vulnerable persons, including persons with mobility issues, are assisted by staff with the triage process immediately upon their arrival at an ED.

13. That paper triage lists at any ED be eliminated and that each presenting person’s information be entered electronically into a hospital registration system upon first point of contact by ED staff.

14. That RHAs review the floor plan of all EDs to ensure that no persons in the ED waiting room requiring medical care face away from the triage desk.

15. That RHAs review their policies and procedures to ensure that persons in ED waiting rooms are awakened at regular intervals.

16. That the RHAs review the feasibility of secondary traumatic stress training for all ED staff.

17. That the RHAs review their policies and procedures to ensure that staff intervenes when a person is vomiting in an ED.

18. That the RHAs review their policies and procedures with respect to interview notes taken on behalf of hospital Administration after the occurrence of critical incidents, with a view to having the notes dated and initialed or otherwise authenticated by the interviewee.

19. That the RHAs review handover policies in the ED to ensure that the oncoming triage and reassessment nurses are fully briefed on the status of persons present in the waiting room.

20. That all RHAs review the feasibility of a security presence at the entrance to an ED.

21. That ED Security staff receive training in the areas of substance abuse and dealing with persons with physical or mental challenges.

22. That all RHAs review the feasibility of implementing the recommendations of the Brian Sinclair Critical Incident Review Committee.

23. That all RHAs review the feasibility of the presence of a Community Support Worker for EDs, where deemed appropriate.

24. That all RHAs review the feasibility of creating a distinct pre-triage area for EDs, where deemed appropriate.

25. That all RHAs review the feasibility of replicating the HSC ED front-end procedures throughout the system, where deemed appropriate.

26. That the RHAs continue to review, create and implement long-term strategies for the recruitment and retention of nurses.

27. That the RHAs continue to review a rotation of roles and hours of work for ED Nurses in an effort to reduce fatigue.

28. That RHAs, health care site Directors, Nurse Directors and MNU representatives continue to convene ongoing meetings focused on an interdisciplinary, integrated health care model for Emergency Medicine.

29. That the WRHA review the feasibility of establishing Transition Centres for vulnerable patients discharged from urban EDs, where deemed appropriate.

30. That the RHAs identify staffing demands in all EDs and strategically plan to supply adequate staffing for all EDs.

31. That an ongoing review of staffing ratios for all EDs be undertaken by all RHAs to match supply to demand.

32. That the RHA Directors, Site Directors, ED Directors and the Ministry of Health review the feasibility of strategic planning to implement accountability structures, including measurement and reporting systems.

33. That the RHAs review the feasibility of creating a region-wide Overcapacity Protocol, such as the Alberta Overcapacity Plan, where deemed appropriate.

34. That the RHAs review the feasibility of providing on-site diagnostic equipment in EDs, where deemed appropriate.

35. That the RHAs review the feasibility of a seven-day work week for the office of the Home Care Coordinator.

36. That the relevant Utilization representative(s) meet with the Ministry of Health, Housing and Healthy Living representatives to continue to review bed

registry and guidelines for transfers and discharge of patients from hospital, including the feasibility of a seven-day work week.

37. That RHAs review the feasibility of the implementation of the delivery of primary care, after-hours, urgent services, where deemed appropriate.

38. That the WRHA review the feasibility of community health care facilities with integrated models of care.

39. That RHAs continue to review the feasibility of incorporating more Nurse Practitioner positions in EDs, where deemed appropriate.

40. That RHAs review the feasibility of recruiting and retaining Hospitalists, where deemed appropriate.

41. That RHAs review the feasibility of the implementation of "one way consults" from the ED to the hospital ward, where deemed appropriate.

42. That the RHAs review the feasibility of hiring and retaining Physician Assistants to work in EDs, where deemed appropriate.

43. That the RHAs review the feasibility of creating a process to establish a deadline for admitting a "boarded" ED patient to a hospital bed, where deemed appropriate.

44. That the RHAs create a Hospital Length-Of-Stay Reduction Committee to monitor and optimize patient flow in RHA hospitals.

45. That the WRHA engage in strategic planning with the Ministry of Health and Manitoba Housing for the funding and construction of more long term care facilities.

46. That WRHA continue pursuing the feasibility of the recruitment and retention of more Nurse Practitioner services in personal care homes.

47. That the RHAs review the feasibility of the creation of a single electronic health record accessible to all health care facilities.

48. That the Ministry of Health and the RHAs review the feasibility of the expansion of Primary Care Networks.

49. That the WRHA review the feasibility of the expansion of Nurse Practitioner-operated Quick Care Clinics to help ease wait times at EDs and Primary Care Physicians’ offices.

50. That the WRHA and the Ministry of Health continue to create strategies to educate the public about the existence, function and location of community health care centres.

51. That the WRHA review the feasibility of creating an integrated "engagement and diversion" program for the homeless.

52. That the RHAs review the feasibility of the installation of an electronic board to monitor the status of the patients in the ED, where deemed appropriate.

53. That the RHAs and MNU continue to review the feasibility of persons presenting at EDs seeing a nurse first.

54. That the RHAs review policies and procedures with a view to implementing uniform pre-triage systems at all EDs.

55. That the RHAs review the feasibility of incorporating training in the area of emotional safety for health care professionals.

56. That the RHAs review the feasibility of recruiting and retaining an Indigenous Elder for EDs, where deemed appropriate.

57. That the WRHA Aboriginal Health Services continue to make efforts to recruit and retain the services of Indigenous Elders to be present in the HSC ED during peak hours, seven days a week.

58. That the RHAs review the feasibility of the hiring and retention of Aboriginal Discharge planners, where deemed appropriate.

59. That the WRHA Aboriginal Health Services review their informational pamphlets at each hospital site to ensure that the pamphlets are available in Manitoba’s Indigenous and Inuit languages.

60. That the RHAs strategically plan with Manitoba First Nations to review the feasibility of the establishment of rural Indigenous personal care homes in the Province of Manitoba, where deemed appropriate.

61. That the WRHA reviews the feasibility of expanding the Aboriginal Resource Worker position to include weekends.

62. That the WRHA review the training of all ED security personnel to ensure that they receive cultural safety training.

63. That the RHAs develop and initiate policies for the implementation of mandatory and ongoing cultural safety training for all health care workers and that the RHAs ensure that cultural safety training includes a component that has been designed and delivered with the assistance of Aboriginal persons.

 

 

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