Showing posts with label legislation. Show all posts
Showing posts with label legislation. Show all posts

Sunday, January 6, 2008

Battle over language in Winnipeg's St. Boniface General Hospital

A language battle is brewing at one of Winnipeg's leading medical institutions.

Since October 14th, nursing jobs posted for the Woman and Child program at St. Boniface General Hospital list the ability to speak French as one of the qualifications.

That has some nurses worried the ability to speak French is taking priority over skill and experience, possibly putting patient care at risk.

"They've started hiring people into positions and taking French language qualifications over top of nursing experience," said nurse Tamara Burnham, a 14-year nursing veteran who works in the St. Boniface program that includes obstetrics and gynecology.

"With all the things going on in health care, to focus in on that doesn't make sense."

Manitoba Nurses Union Local 5 says it's gone to court to fight the French language requirement because it violates their collective agreement and common sense.

The nurses union went to court October 23rd after the Labour Board refused to hear the matter.
Their suit said the Labour Board erred when it refused to hear their complaint that the hospital committed an unfair labour practice by changing the conditions of employment and refusing to negotiate.

The hospital has a hard time filling all of its nursing shifts, never mind requiring that they're filled by French-speaking staff, said Burnham.

Burnham said she has never seen a francophone patient's treatment hampered because of a language barrier.
Most Franco-Manitobans can also speak English, she said.

"A very real problem, however, exists with the growing number of immigrants who speak neither official language," she said.

"If the hospital wanted to address a real language barrier, it would hire interpreters who speak languages like Urdu, Hindi and Mandarin," she said.
The hospital has volunteer interpreters who speak 60 languages but they're not always available when you need them, she said.

Burnham said she has seen women in labour unable to get pain medication because of a language barrier.

"You can't get informed consent because you don't know if they understand," said Burnham. "If it's a delivery, you can't stop a baby from coming," she said.

"Too bad they couldn't spend this much time and energy to have interpreters on call."

Union local president Debbie Mintz said the hospital hasn't done a demographic study of the patient population since the early 1990s, and doesn't know how the client population in Winnipeg has changed.

The hospital says it has to expand services in French.

"St. Boniface General Hospital has a government-conferred responsibility to actively offer and provide services in French to its patients, their families and the public," hospital spokeswoman Helene Vrignon wrote in a statement.

"To meet our legislated responsibility, a small number of staff in direct patient care positions must be bilingual French and English.
In fact, health services in the language of your choice is a basic component of quality of care."

Friday, December 21, 2007

Saskatchewan Union of Nurses might go on strike

In Saskatchewan, angry union leaders were assessing their options Thursday, a day after the provincial government proposed sweeping changes to labour law, including new essential services legislation.

It appears health care workers could be the first on the battles lines early in 2008 in the fight against the legislation.

Major contracts affecting health care workers, including the Saskatchewan Union of Nurses (SUN) which represents more than 7,000 registered nurses and registered psychiatric nurses, are slated to expire March 31.

Union leaders said Thursday they are not pleased by the essential services legislation.

While no one talked specifically about going on strike in defiance of essential services legislation, similar actions have happened in the past, such as in 1999 when SUN continued on strike in defiance of back-to-work legislation introduced by the NDP government in power at the time.

Read the full article here

Wednesday, December 12, 2007

Decision made by the Commons: Chalk River "open for the public"

The Commons have decided last night to restart Ontario's Chalk River nuclear reactor and resume the production of medical radioisotopes.

Health Minister Tony Clement said this decision balances safety issues at the plant with the urgent need for the product.

The government introduced emergency legislation last night that will compel the plant to restart operations immediately, at least for 120 days.

Atomic Energy of Canada Ltd. shut down the plant for scheduled maintenance last November. The closure was then extended when serious safety concerns were discovered by the Canadian Nuclear Safety Commission, the federal watchdog for the industry.

Last night's bill allows the plant to restart, but suspends the CNSC's oversight of the Chalk River facility.

"A reasonable decision," according to Clement.

The commission made its decisions based on concerns from scientists and engineers over the system used to cool the reactors, and the possibility of a meltdown in an emergency situation.

But Clement said the government's priority is providing the isotopes to patients who need them.

"In terms of balancing that risk with the risk of cancer patients and heart patients who will not be able to get diagnosis or not be able to get therapy, I think the House of Commons made the right decision and approved the startup of the reactor," Clement told CTV's Canada AM today. (click to see video)

He said the government expects the plant to once again be producing usable isotopes within six to eight days.

The bill still needs to be passed by the Senate, which will likely happen today.

Green Party Leader Elizabeth May called for an inquiry into exactly what took place leading up to last night's decision.

She said Prime Minister Stephen Harper turned the reactor shutdown into a partisan issue and undermined Canada's nuclear regulator.

"Yesterday in the House, he attacked the Canadian Nuclear Safety Commission which is the regulatory body that oversees nuclear safety, referring to them as Liberal appointments and charging the Liberal party was getting in the way of people getting their medical isotopes," May told CTV's Canada AM. (click to see video)

"This was a moment for statesmanship, this is when the prime minister should have called on all parties to work together in the interests of Canadians to protect the supply of radioactive isotopes."

She said the situation sets a dangerous precedent for other Canadian communities that host nuclear reactors.

"These are experts in nuclear safety and the chairperson Linda Keen has now been undercut by the prime minister," May said.

"So the next time Canadians living near a nuclear reactor should be concerned if there's a safety defect in a reactor, AECL is going to thumb their nose at the regulator and know the prime minister is going to come to their defence and blame the regulator?"

The Liberals had threatened to refuse to give the bill the unanimous support necessary to bypass the legislative process.

But all of the political parties eventually agreed to fast-track the legislation through the House and Senate.

MPs passed the vote late Tuesday night, with the NDP and Bloc Quebecois backing it.

The Liberal-dominated Senate, which also agreed to stay late, was expected to put the bill to a vote by early today.

CTV

Editor:

"Isn't this political system just great? Although you might not agree with the decision, at least some real decisions are being made!"

"I wonder though, who's going to pay the bill if there's going to be a meltdown!"


Related articles:

Isotopes Chalk river: production could start very soon

Breaking news: federal government to legislate temporary production of radio isotope at Chalk River

St. Joseph's Health Care to receive scarce medical isotope today

AECL blunder choked supply of key isotope

Ontario reactor shutdown forces cancellation of cancer tests worldwide

Tuesday, December 11, 2007

485 New Brunswickers' Medicare records disappeared

"Medical records simply vanished"

The medicare information of 485 New Brunswickers has gone missing, Health Minister Mike Murphy told the legislature Tuesday.

The data was being sent on four magnetic tapes from New Brunswick to Richmond, British Columbia on Oct. 3 by courier. The confidential medical records of 133 British Columbians were also lost.

"This is a very regrettable incident and I want to tell those whose personal information is contained on the cartridges that we are very concerned and proactive over what has happened," Murphy said.

There is no evidence that any of the information contained on the computer cartridges has been misused, Murphy said.

The government will be doing whatever it can to protect the information contained in the records so that it is not misused and will continue to try to locate their whereabouts, the minister said.

"The information is written on technology that is only used in data centres. We believe it was misplaced. There is no evidence otherwise and we are doing a full review."

The data was being sent under an agreement about sharing information about residents of one province using the health system of another.

Records show they arrived in the western province on Oct. 5 but somehow vanished without getting into the hands of provincial health officials.

The exact sequence of events is not yet clear, said Murphy, and New Brunswick is continuing to investigate what happened.

New Brunswick health authorities were not informed that the records were missing until Oct. 25 and Murphy said the province's director of medicare operations was not told until Nov. 29.

Murphy found out late last week.

"There has been a failure of communication within the Health Department, a failure of communication within jurisdictions and a failure of communication to the public," Conservative MLA Bruce Fitch told the legislature."This is a very serious matter!"

The province has issued a directive to British Columbia stating it will now only send billing information on encrypted compact discs rather than the out-dated cartridge format that has been in use since 1989.

New Brunswick hopes to have an electronic health record system up and running by 2009 and Murphy has promised to table legislation in the spring to protect those files.

CBC

Editor:

"There seems to be a lot of failure lately!"

Isotopes Chalk river: production could start very soon

Chalk River Part 4

"The continuing actions of the Liberal-appointed nuclear safety commission will jeopardize the health and safety and lives of tens of thousands of Canadians," Harper said today.

The Liberals shot back.

"Attacking the regulator and taking him out of the process is going to make the problem worse," charged Deputy Liberal Leader Michael Ignatieff.

The shutdown has led to radioisotope shortages throughout North America and other parts of the world that have delayed diagnostic testing, therapies and surgeries involving nuclear medicine. AECL has said it is unlikely the reactor will be back to full production until mid-January.

Legislation to be introduced Tuesday will call on the CNSC, the Canadian Nuclear Safety Commission, to reopen the reactor for 120 days. During that time, the reactor's operators will be expected to bring in the changes that CNSC has said are needed.

The proposed legislation was the topic of heated debate today, with Opposition members demanding to know whether it was safe to re-open a facility the country's nuclear watchdog has said does not meet safety standards.

"There will be no nuclear accidents," said Harper, responding to the heckles of Opposition members. "What there will be is a growing medical crisis if all members of the House don't support the legislation," he said.

The National Research Universal reactor is now 50 years old. It was supposed to have been decommissioned in 2005. But a plant designed to replace the aging facility is six years behind schedule and would not produce radioisotopes until late 2008.

The CNSC extended NRU's operating licence until the problems with the new reactors can be sorted out.

But the commission's director-general, Barclay Howden, said the licence was issued based on assurances from AECL that an emergency power system connected to cooling pumps had been installed. Safety regulators found out only last month that that those pumps were not installed.

The CNSC has said several new safety standards must be met before the reactor can be reopened. AECL employees are working around the clock and are in the process of completing the installation of one pump and have secured all necessary components to assemble the second pump.

The company says returning the NRU reactor to service, on an interim basis, using one coolant pump with the emergency backup power connected while work is completed on the second pump will allow the "safe operation of the reactor."

The "heroic efforts" by staff means the facility could be restarted on December 20, if all went well.

"Within three to four days we start delivering radioisotopes and within seven days we're at full production," said AECL spokesman Dale Coffin.

The reactor might restart as soon as Wednesday if the Conservative government succeeds in pushing through emergency legislation allowing AECL to use a back-up method.

The Ontario Association of Nuclear Medicine says that this is good news for the about 50,000 Canadians and 160,000 Americans who would have their tests postponed for each month the reactor remains shut down.

CTV and Reuters

"And the thriller continues......................."

Related articles:

Breaking news: federal government to legislate temporary production of radio isotope at Chalk River

St. Joseph's Health Care to receive scarce medical isotope today

AECL blunder choked supply of key isotope

Ontario reactor shutdown forces cancellation of cancer tests worldwide