Task Force supports Emergency Doctors in their Plea to Establish Patient Safety and Quality Care in Kootenays.

Nelson, 8 October 2008

The Health Task Force is very concerned that patient safety and quality care in the West Kootenay are presently being seriously compromised- six years after hospital cuts to Kootenay Lake Hospital (KLH). According to Emergency Department doctors as KLH, for several months, there have been many days when there is no ICU coverage at any hospital between Cranbrook and Kelowna. The Kootenay Boundary Regional Hospital in Trail is the only level 2 hospital with surgery and Intensive Care Unit (ICU) for the 80,000 people living in the Regional Districts of Central Kootenay and Kootenay Boundary. However, due to staffing shortages there are many days when the ICU is not available to patients in the Kootenay Boundary region. Patients are essentially transferred to Kelowna or further for critical medical care.  Compounding the situation, sometimes the Critical Care Team is unavailable due to the high demand in the region.

The doctors and nurses at KBRH, KLH and all other medical facilities in the region are very uneasy working under these stressful conditions. The current situation is problematic for both patients and families and could certainly result in the needless death of a loved one. Recently, local doctors have reported a death of patient en route to Kelowna.

The Health Task Force is most upset that Interior Health has not only allowed this situation to occur, but has not informed the public of these critical circumstances. Also, the IHA has not attempted to address doctors’ concerns.

British Columbia Government “Standards of Accessibility and Guidelines for Provision of Acute Care Services by Health Authorities” require:

·        Access to emergency services 24/7/52 within one hour travel time for 98% of residents within the region, and 95% of the HSDA (Health Services Delivery Area) population.

·        Access to basic inpatient hospital services within 2 hours for 98% of residents within the region, and 95% of the HSDA population.

·        Access to core specialty services (general surgery, anesthesia, psychiatry, internal medicine, obstetrics and gynecology, and pediatrics) within 4 hours for 98% of residents within the region, and 95% of the HSDA population.

Glyn Humphries, Chair of the Health Task Force confirmed, “The entire region is affected- it is clearly not a Trail versus Nelson situation. Not only is this state of affairs unacceptable, but it is in violation of BC Government policy to put the people of the West Kootenay and Boundary region at risk without the legislated timely availability of ICU.”

Moreover, the Health Task Force states the return of these services to Kootenay Lake Hospital would benefit the entire region. Restoring at least 1 surgeon on call at KLH and restoring 3 high acuity beds at KLH, monitored by emergency trained GP doctors would improve services and reduce the overload at KBRH.

In addition, because of its high value as a diagnostic tool, it is imperative the acquisition of a CT scan for KLH be fast tracked.

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