Wednesday, April 12, 2017

#MediaAttention--Ms. Strom should have received a slap on the wrist, apologized to the nurses she insulted, and that’s that. But, in the hands of the SRNA disciplinarians, the response to a relatively innocuous Facebook post took a Kafkaesque turn. There were god-knows-how-many meetings and hearings and legal negotiations and media stories. According to the “penalty decision,” the whole process cost $150,000. The SRNA patted itself on the back for demanding Ms. Strom pay “only” one-sixth of the costs. But she shouldn’t have to pay a red cent. Ms. Strom and her lawyer made every effort to reach a settlement – one that focused on the educational component of the penalty. Yet, the SRNA insisted on a monetary penalty because “deterrence is an important consideration.”-------What's the tipping point in continuing care? I'm pretty sure it is the class action lawsuit in Ontario. Folks who love their families more than the horror of the rabbit hole of lawsuits are joining up. They are joining up. This is the difference. Before this point, it was one family in the news and then it was over. Then another family and then it was over. From this point on, we can look forward to groups of families joining up to speak about problems that are not being talked about in the public realm because of fear of retribution, failures of the government to deal with them and no ability to get Media Attention. It's all about unity and #MediaAttention folks.--

#MediaAttention and #ClassActionLawsuits are the only way that the problems in the continuing care system are going to be resolved. Government at all levels is complicit with the cover up as indicated in Alberta where we can't even get information of quality reviews for whatever reason government decides. It's a farce and now we have nurses being SLAPPED for speaking about issues.
If families and professionals cannot engage in public discourse on these issues but face retribution of eviction, banning and lawsuits what will therefore be required is a challenge to this systematic refusal to allow such discourse.
My own lawsuit has the Protection for Persons in Care reports (2), the CCHSS audit and AHS has even indicated in the yanked off the Internet report (Item 63 of my affidavit) that over 5 care concerns were documented in a period of time for 9 continuing care providers in Alberta.
It is our right as citizens in a democracy to have access to information. It is our right and duty to report public health and safety issues to government through the appropriate routes set up for such problems. In the case of the continuing care provider-you go through their hierarchy first. You go to the LPN, the RN, the care manager, the site administrator, the district manager, the CEO and then the board. The board is ultimately responsible for the health and safety of all residents in their facilities. When this fails you go to AHS. When AHS does nothing you to to Alberta Health. When Alberta Health sits on its butt for most of year, you do what? Do you wait and wait while nothing happens? What is the duty of citizens?
If you don't speak you are complicit with the failures in care.
If you do speak, prepare to be SLAPPED.
As for the government and the professional bodies--you just have to look at Carolyn Strom to see what these folks do.

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Date
Description
1
May 21, 1996
Hansard Record - Govt of AB
May 21, 1996
February 25, 1996 death - Jennifer Fortier from detached ventilator

2
Aug 15, 1996
Hansard Record - Govt of AB
August 15, 1996
November 24,1995 death - George Clark from detached ventilator

3
May 21, 1996
Hansard Record - Govt of AB
May 21, 1996
Jennifer Fortier's fatality report
Died 1996, Feb 25 - detached ventilator/suffocation
4
Aug 21, 1997
Fatality Inquiry Report
August 21, 1997
February 25, 1996 death - Jennifer Fortier from detached ventilator
5
Dec 13, 2002
News article Edmonton Journal
December 16, 2002
December 13, 2002 death of 72 year man from detached ventilator
6
Aug 30, 2006
Hansard Record - Govt of AB
August 30, 2006
Continuing Care Costs
7
May 7, 2013
Hansard Record
May 7, 2013
Care for Dementia Patients William Buckley
8
April 9, 2013
Fatality Inquiry Report

July 18, 2010 death of William Evan Buckley
9
May 14, 2013
Newsletter
CANADIAN OVER 50s HOUSING WEEKLY NEWS • MAY 14, 2013
10
January 2015
Alberta Health CCHSS Audit
11
Oct 9, 2015
Investigation file Protection for Persons in Care (PPC) File # 8523
Particular pages
12
Oct 2, 2015
Director’s Decision Protection for Persons in Care (PPC) File  # 8523  Allegations #8523.001 and #8523.002
13
2010-2015
Care and Medical Records Good Samaritan Millwoods
14
2010-2016
Medical Records Grey Nuns Hospital
15
2010-2016
Medical Records UAH/ Royal Alexandra Hospital
16
2010-2016
Emergency/ Admission / Discharge Documents and Consultant reports
17
2010-2016
ABG results and summary
18
2014-2015
Letters/Faxes E-mails  from VitalAire
compliance monitoring
19
2010-2015
Downloads Medigas and Vitalaire Compliance Information (Good Samaritan Extended Care at Millwoods)
20
2015-2016
Downloads Medigas and VitalAire Compliance Information (Grey Nuns Hospital and Villa Marguerite)
21
2013
BIPAP AVAPS user manual
22
2016
VitalAire Quick set up of your BIPAP Device
23
2016
VitalAire Successful BIPAP Treatment
24
Jan 22, 2015
Respiratory Information Sheet
BIPAP AVAPS Respironic ownership - ADL

Serial Number C13030482EF74
25
Oct 13, 2015
E-mail to B V
Re BIPAP AVAPS Respironic ownership (ADL)
26
2005-2015
Respiratory Letters - Dr Damant and Government of Alberta
27
2010-2015
Care plans and Resident Care Conferences
Good Samaritan MW  
28
2010-2016
Cognitive and Capacity Testing
For R. Ali
29
May 26, 2010
Personal Directive
30
November 22, 2015
Supported Decision Making Authorization Form
31
2010-2016
End of life orders/ DNR orders/Goals of Care designations
32
2010-2016
Alberta Continuing Care Info System Assessments (ACCIS)
33
2015-2016
Eviction Correspondence
34
2010-2016
E-mails and Letters
35
Feb 19, 2015
Recording of first banning Voice Recording  of Banning

36
Sept 3,  2015
Voice Recording of second banning

37
2010-2014
The Good Samaritan Society  SAP Manual Worksheet MWC004 -MILLWOODS RESPIRATORY
38
2010-2014
The Good Samaritan Society Vendor Receipt Report-Detail
39
2010-2014
The Good Samaritan Society
Supply Area Profile Valuation
40
2010-2014
The Good Samaritan Society Department Expense Detail Report by Category
41
2005-2012
The Good Samaritan Society Process Manual with revisions
42
2009-2014
The Good Samaritan Society Non-consolidated Financial Statements
43
May 22, 2007
Newspaper article
“Changes promised after Mountain View protest”
44
December 21, 2007
Newspaper article
“Concerns at Mountain View Centre raised again”
45
March 19, 2012
Newspaper article
“Confusion over long-term care”
46
April 2, 2012
Newspaper article
“AHS responds to long term care concerns”
47
November 19, 2012
Newspaper article
“The push for a long-term care facility”
48
April 30, 2013
Newspaper article
“Good Sam needs changes: Long Term Care Working Group”
49
May 13, 2013
Newspaper article
“Good Sam fatality report causes worry in Hinton”
50
May 13, 2013
Newspaper article
Doubt surrounds seniors care facility”
51
August 29, 2013
Newspaper article
“Seniors issue a community problem
52
October 8, 2013
Newspaper article
“Care facilities deemed insufficient for Hinton’s needs by working group
53
October 12, 2013
Newspaper article
“Hinton’s seniors need more support, says working group
54
October 21, 2013
Newspaper article
“Hinton’s elders deserve better
55
December 3, 2014
Newspaper article
“Linden View care concerns voiced
56
December 10, 2014
Newspaper article
Bikman brings Linden View issues to seniors minister”
57
December 10, 2014
Newspaper article
“Linden View debate needs discussion”
58
December 18, 2014
Newspaper article
“Changes being made at Linden View”
59
December 23, 2014
Newspaper article
“Flip flop by Linden View management”
60
May 19, 2005
Disciplining a Nursing Home Senior – May 19, 2005
61
March 24, 2015
Presentation to Legislature
62
March 24, 2015
Online News Article  and Soundwave Document
Public Interest Alberta (PIA)
http://www.pialberta.org/woman_evicted_from_care_facility_due_to_family_publicly_raising_concerns
63
June 2015
Continuing Care Resolution Team Feedback Summary
Appendix B -page 15
Alberta Health Services
Continuing Care Resolution Team
Final Report
64
June 24, 2015
Hansard
Presentation to Legislature
65
June 2015
TV broadcast  - Alberta Primetime
2 Part Video
66
September 9, 2015
Newspaper article - Edmonton Sun
67
September 9, 2015
Newspaper article
“People banned from visiting family in hospital demand provincial help.”
68
September 10, 2015
Newspaper article
“Banned hospital visitors fight back.”
69
September 10, 2015
Newspaper article
“Family members speak out after being banned from care facility.”
70
October 2015
Online Survey Report
Health Quality Council of Alberta (HQCA) Survey
Long Term Care Family Experience pages
71
October 2015
Online Survey Report
HQCA LTC Family Experience
2014-15 Survey Report - Provincial Results
72
Newspaper article
“Ratings released for long-term care facilities”
73
Newspaper article
“City care centre ranks last
Good Samaritan has lowest ranking among long-term facilities in Alberta”
74
Newspaper article
“Health watchdog ranks Alberta long-term care centres.”
75
October 28, 2015
Online Newspaper article
76
Newspaper article
“Watchdog hands out report cards for long-term care .”
77
November 5, 2015
Newspaper - Letter to Editor
” Experienced staff crucial to long-term care”
78
November 17, 2015
Online Newspaper article
“Government directs AHS to develop policy on banning visitors at long-term care facilities”
79
November 18, 2015
Online Newspaper article
“Alberta Health Services Ordered To Create Clear Policy For Banning Visitors At Long-Term Care Homes”
80
March 26, 2014
Health Quality Council of Alberta report
“Review of Alberta Health Services’
Continuing Care Wait List: First Available Appropriate Living Option Policy - March 26, 2014”
81
April 30, 2014
Health Quality Council of Alberta report
Review of Quality Assurance in Continuing Care Health Services in Alberta -  April 30, 2014
82
June 4, 2014
Newspaper article
“Health watchdog calls for better oversight of care facilities
83
June 5, 2014
Online Press Release
“HQCA releases two reports that address continuing care in Alberta”
84
June 5, 2014
Online Newspaper article
“Continuing care in Alberta will be better, promises province
Promise follows release of two reports critical of Alberta health policies
85
June 5, 2014
Online Newspaper article -
“Confusion in Alberta continuing care: report”
86
2014-2015
Photographs and video



http://www.theglobeandmail.com/opinion/a-preposterous-injustice-grieving-nurse-slapped-with-a-26000-fine/article34642979/





ANDRÉ PICARD

A preposterous injustice: Grieving nurse slapped with a $26,000 fine

The Globe and Mail
Published Saturday, Apr. 08, 2017 2:13PM EDT
Last updated Saturday, Apr. 08, 2017 2:15PM EDT
Last October, the discipline committee of the Saskatchewan Registered Nurses’ Association found Carolyn Strom guilty of “professional misconduct” for a post she made on Facebook, venting about her grandfather’s “subpar care.”
Now, the SRNA has determined the penalty: a $1,000 fine, $25,000 to cover costs of the disciplinary proceedings, a reprimand, and a requirement that Ms. Strom write a “self-reflective essay” and complete an online ethics course. If she fails to complete any of these, her nursing license will be suspended.
This is preposterous. It does nothing but add insult to injury.
It’s bad for nursing and it’s bad for patients.
Let’s look at the facts of this case.
On Feb. 25, 2015, a month after her grandfather’s death at St. Joseph’s Health Facility in Macklin, Sask., Ms. Strom posted the following comments on Facebook:
“My grandfather spent a week in palliative care before he died and after hearing about his and my family’s experience there, it is evident that not everyone is ‘up to speed’ on how to approach end of life care or how to help maintain an aging senior’s dignity.
“I challenge the people involved in decision making with that facility to please get all your staff a refresher on this topic and more. Don’t get me wrong, ‘some’ people have provided excellent care so I thank you so very much for your efforts, but to those who made Grandpa’s last years less than desirable, please do better next time.”
Some nurses at St. Joseph’s were, understandably, upset at being taken to task and they filed a complaint with the SRNA.
The discipline committee charged that Ms. Strom had committed five professional and ethical breaches: not respecting patient confidentiality by identifying her grandfather (that charge was dropped); failure to follow proper channels in making a complaint; making comments that have a negative impact on the reputation of staff and a facility; failure to first obtain all the facts; and using her status of registered nurse for personal purposes.
Let’s be clear: Calling out your colleagues on Facebook is not very nice. It would have been more professional to write a letter to St. Joseph’s management expressing her concerns. Ms. Strom admits that.
But who among us has not been upset by the care of a loved one at some point? Who among us has not said something ill-advised – especially on social media?
Ms. Strom should have received a slap on the wrist, apologized to the nurses she insulted, and that’s that.
But, in the hands of the SRNA disciplinarians, the response to a relatively innocuous Facebook post took a Kafkaesque turn. There were god-knows-how-many meetings and hearings and legal negotiations and media stories.
According to the “penalty decision,” the whole process cost $150,000. The SRNA patted itself on the back for demanding Ms. Strom pay “only” one-sixth of the costs.
But she shouldn’t have to pay a red cent. Ms. Strom and her lawyer made every effort to reach a settlement – one that focused on the educational component of the penalty.
Yet, the SRNA insisted on a monetary penalty because “deterrence is an important consideration.”
Here’s some perspective from a previous case: In 2011, Ontario nurse Margaret Kaufman allowed her husband to access the personal health records of her clients, billed the province for a patient visit she didn’t make, posted personal information about a client, and badmouthed that client on a publicly accessible website. Pretty egregious stuff, yet she received a four month suspension, some mandatory education, but no financial penalty. A basic principle of justice is that the punishment must fit the crime. The precedent is for members of self-regulating professions to pay the costs of their hearings, but it has to be reasonable. Ontario doctors, for example, pay $4,460 for costs, regardless of their offence.
Slapping Ms. Strom with a $25,000 in costs, in addition to a $1,000 fine, is a perverse injustice.
The only thing it’s going to deter is nurses speaking up about sub-par patient care. We should be encouraging, not dissuading, those on the front lines from doing so.
Ideally, whistle blowing or venting shouldn’t be done in a Facebook post and that’s perhaps the one useful take-away from this debacle. But, at the very least, we could cut a grieving granddaughter and nurse with an unblemished 13-year record a little slack.
The only reputation truly harmed here is that of nurses. By viciously turning on one of their own, they look petty and vindictive and, in many ways, unworthy of the privilege of self-regulation.



Julie Ali feeling happy.
8 mins
I went for my walk. It is so beautiful outside. Puddles of water by the seniors congregated by the playground by my house. The geese were ominously silent perhaps engaged in nest making. There are clouds coming up like foaming milk on coffee but while I was about the community it was all sunny.
Inside the house the geraniums are bursting with flowers. It's a lark for them now as they see the end of the race, liberation from the constraints of the writing room and full exposure to the light outside. I still haven't got around to plucking the strings of the old blooms. Right now I am getting ready to do the accounts and the bills. I have put the taxes on the kitchen table so I am reminded to begin. But for now I am simply going to work on the lawsuit for a bit.
While I was looking at my lawsuit I came across another citizen being sued for yapping about care issues in public. This citizen is a nurse and she is being sued by her own association.
http://www.theglobeandmail.com/…/a-prepost…/article34642979/
ANDRÉ PICARD
A preposterous injustice: Grieving nurse slapped with a $26,000 fine
ANDRÉ PICARD
The Globe and Mail
Published Saturday, Apr. 08, 2017 2:13PM EDT
In my opinion, this was a poor action taken by a nursing association which is going to hamper the reporting of problems in the continuing care system in Canada. When folks see that even professionals are treated this way by their professional associations they will feel even more restricted in their free speech than they are already by the retribution tactics of the industry.
Not only do folks face retribution such as evictions, bannings, and lawsuits but there are other problems that might hamper folks from complaining. We don't get the results of investigations by the government. For example, in my case, I asked for all the audits about the facility and I was only given the CCHSS audit of January 2015. The government of Alberta did not tell me about the October 2014 Quality Reviews done by the folks at Alberta Health or by AHS and why not?
It's like this. Government and public bodies are able to do whatever they want to do----for reasons that they provide to the citizens. The government folks aren't stupid. They know if they publish stuff that indicates that their own oversight is crappy we're not going to be happy and there will be media attention. #MediaAttention is really all that government is afraid of. Government is not interested in the citizens -well at least not until it's time for election. Government is not interested in long term performance when a short term spin success story will do. Heck government is not interested in anything other than the bureaucrats and their bosses-the politicians. We don't enter into any of the business until there is the pesky business of #MediaAttention.
Citizens are not able to generate media attention for problems in the continuing care system because no one is knowledgeable about these issues,no one cares about seniors or really wants to tackle the leaky bag of problems. This is why the problems in the continuing care system have continued for decades with no sort of changes other than the loss leaders of the advocates offices in Alberta that do nothing.
We pay for junk advocacy and then are sent to the worm hole of the Ombudsman for further irrelevant work that keeps us busy for years for no results.
Some of us do not do the advocacy route because we have learned from the Shauna McHarg case. Shauna McHarg is a good citizen who unfortunately believed the junk that government tells citizens and went through all the hoops that government provided to occupy her. Her case is instructive because it shows us the failures all through the system that we pay for. At least Shauna McHarg spoke and acted. What about the folks who know and do not speak? Some don't speak because they are do not want to face the facts that we are on our own. Others don't speak because they don't want to face consequences such as retribution. In addition if folks are afraid to speak of the problems due to lawsuits such as endured by the nurse, if government in Alberta refuses to provide audits and reviews--we will have a continuation of the problems until the tipping point.
What's the tipping point in continuing care? I'm pretty sure it is the class action lawsuit in Ontario. Folks who love their families more than the horror of the rabbit hole of lawsuits are joining up. They are joining up. This is the difference. Before this point, it was one family in the news and then it was over. Then another family and then it was over. From this point on, we can look forward to groups of families joining up to speak about problems that are not being talked about in the public realm because of fear of retribution, failures of the government to deal with them and no ability to get Media Attention. It's all about unity and #MediaAttention folks.


The only thing that punishing Carolyn Strom, Saskatchewan nurse who received a $26,000 fine for venting on Facebook, is going to do deter is nurses speaking up…
THEGLOBEANDMAIL.COM

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