Intervention at Hôpital d’Amqui
The Québec Ombudsman received a report concerning emergency services at Hôpital d’Amqui (Centre intégré de santé et de services sociaux (CISSS) du Bas-Saint-Laurent). The report indicated lack of training and staff organization as well as shortcomings in monitoring the people waiting to be seen.
The investigation by the Québec Ombudsman revealed deficiencies that could compromise users’ safety and the care provided to them:
- People who go to the emergency room are registered before triage assessment. This way of proceeding is contrary to standard emergency management practices.
- At times, the registration clerk must perform other tasks. This means that the clerk must move about frequently. Meantime, there is no one there to do intake.
- The files analyzed showed that there were shortcomings in assessment at the emergency room: no pain assessment, inadequate priority levels, etc. In recent years, there has been very little triage training offered to the staff.
- Certain staff members said that they lack knowledge and experience concerning emergency codes.
- The waiting room is not supervised at all times, despite the fact that standard emergency management practices require constant monitoring so that any decline in a user’s condition can be detected.
The Québec Ombudsman made six recommendations to CISSS du Bas-Saint-Laurent aimed at rectifying the situation. The CISSS agreed to implement them.