Thursday, June 15, 2017

"The first things that we did were to make sure we had leadership at the site, because there has been some vacancies there, so we ensured there was leaders there. We had investigation teams that were in very very soon after the concerns were addressed to us, and we are now moving on to education with our teams, and really creating a foundation of how to move forward more into resident and family focused care."------There is still a lot of positive support for Lacombe Hospital and Care Centre, but Huband says these concerns are troubling, and they have to be raised and addressed in order to move forward.------But there have been concerns raised which we have to address. And that's part of the whole goal, is to keep moving forward, but make sure we have a strong underpinning so all of that strong care can continue."--------

Usually when you go the whistleblower route in the continuing care system there is retribution so I am curious when the hammer will come down on these nursing students. Maybe they won't get hired by the system. Oh well at least all is well with their souls.
Gotta do the right thing folks--or else what's it all worth if your soul is lost?https://www.youtube.com/watch?v=B6fA35Ved-Y
MercyMe - Even If (Official Lyric Video)

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We went out into the yolky sunset. It was buggy again which was our excuse for hoofing it back to the overheated house in record time. I think this evening we didn't even make it to half an hour walk.
The merit of this is that I have time to work on the Cold Lake Points West terminations and try to figure out the trajectory of this event. How did this conflict begin and why? When did the folks who own Points West Living decide enough was enough and terminate the crew? What happens next? I am curious.
Usually in these sorts of conflicts no one wins--not the workers and not the owners--but most of all not the residents who are stuck like gum to the feet of the workers and managers. Residents are captive customers. There is no sort of free market for continuing care captives and basically this system is rigged so that the health authority can shift you here and there like a yo yo. You don't get a transparent piece of paper justifying long term care or supportive living because the health authority needs flexibility to move you around according to bed availability. This would be fine if they were honest about the reasons for the flexibility but it is worded to the customers as some sort of placement anywhere eg. between supportive living 4 to long term care. What the heck? You see how it is.
In any case, you have a captive customer base that is stuck in the placement that the resident is put and then can't move anywhere else usually because there is no bed availability or you're a special case like my sister and need respiratory care and that's unavailable at most placements. It's also a matter of deliberate policy by the PCs and now by the NDPCs --of simply not making long term care facilities or really any facilities because they don't want the expense of all these facilities. Meanwhile they are fine with handing over major subsidy to the big bucks oil and gas industry. The hypocrisy is there and accepted by all in Alberta.
The failure to make long term care placements is also related I think to the costs of long term care versus supportive living care; the Nursing Act requires RN presence 24/7 with long term care which means higher costs. Why would the government bother with higher costs when it can take LPNs and PCAs (personal care attendants) and really anyone off the street and pay them less in supportive living sites? These lower staffing costs translate directly into higher profits for the folks who are in the for profit sector; it also translates into whatever staff:resident ratio that the private or public facility determines is necessary. The staff are basically stuck with the magical thinking of the big bosses at the top of this pyramid of power who don't have to work the jobs of these folks and therefore have no understanding of the impossibility of doing the work that they set for their staff.
Most of the higher ups think that the staff can attend to major numbers of residents like a spider spinning a web to catch flies. These front end staff have to work the hours and ridiculous tasks set by their bosses; sometimes they lack the training required to manage the residents. In my handicapped sister's case,  we had to activate ourselves to get training provided to staff. Why? Well I guess the government in our sister's case simply thought that staff would be able to learn to operate her equipment, clean it and care for her--by osmosis. Nope. It's ridiculous but the training aspects of the business seem to be the last matter of concern for the GOA. Many of the staff who work at the facilities-- appear to be from abroad and so may be directly imported for these cheap jobs since regular Albertans won't be working for pocket change when we have oil company jobs that used to pay for the household in comparative comfort but now are going the way of the grass on the soccer field--to the dandelions.
So there you have it folks. We have the GOA with it's failure to do any sort of continuing care planning or organize sufficient beds or prepare for the dementia sea. We have a ton of folks coming into the system who have frazzled family members currently burning out caring for them at home without useful home care services. We have all kinds of decent services such as the cardiac services provided by the Mazankowski Alberta Heart Institute where by some miracle we have integrated care provided to heart attack victims but weirdly there is no similar integrated care for continuing care residents. Why? My guess is this is deliberate policy or incompetence or both.
In any case, what is at the end of all this junk is that we have tolerance of the non-compliances, work that does not meet the standards in some cases at these places and just a general indifference to the plight of seniors because these folks are powerless and have no voice in our society. Families in Alberta have yapped and as you know have faced retribution. Staff have complained and usually they get wiped out. There was that case I told you about where the nurse committed suicide after reporting the flagrant non-compliances to the useless PC folks. Then there was Ruth Adria who got retribution. And now here I am going through the same junk with the staff of the Cold Lake Points West Living facility expanding the definition of retribution to terminations of staff at these places.
It's all the way the system operates. Poorly. Inefficiently. And with punitive measures to all who stand out like flags on the highway of shame warning others about the state of affairs in the continuing care system.
I am only surprised that the poor students who yapped at the Lacombe long term care facility haven't yet faced trouble and hell. Maybe it will happen later when they can't get jobs in the field.
When this junk was first reported there was only praise for the nursing students and not the gnashing of teeth for their radical departure from silence and stasis of the system.
Maybe AHS and the folks at Alberta Health should be asking themselves why these nursing students had to form a group to complain about practices that were obviously known to AHS since this is an AHS run facility? Or do AHS facilities have no oversight by the central management at AHS? If so maybe the folks at AHS should be doing regular audits and not depending on nursing students to act ethically according to the requirements of their profession and risking retribution?
AHS Comments on Report of Care Concerns at Lacombe Hospital

Category: Local News
Published: Wednesday, 10 May 2017 15:45
Written by Jordan Davidson
Alberta Health Services has responded to a report released by the Wildrose party on Tuesday, detailing some serious concerns with the level of care in the long term care unit at the Lacombe Hospital and Care Centre.
AHS did confirm that there was an investigation launched last month regarding the concerns, and they also confirmed that those concerns are mostly accurate, clarifying the issues are based entirely in the long term care unit, and not the Lacombe Hospital as a whole.
So far three staff members have been placed on leave according to AHS Vice President and Chief Health Operations Officer for Central and Southern Alberta Brenda Huband.
"Those staff members may have had some role in some of the concerns, so what we wanted to do was to be able to both protect them and ensure we were able to have a robust investigation, and once we have all of the results of that we will be meeting with those three staff members".
First and Foremost, Huband says their concerns and actions centered on the residents living in the facility.
"We have done health assessments on all 75 residents to ensure there are no outstanding health concerns. Those assessments would have also included physiotherapy and a falls risk assessment just to make sure that everyone is safe and able to be up on their own or do they need a walker or some other kind of device to help them, so it's just again a part of an assessment".
A thorough cleaning was also done at the site with support from infection prevention control professionals.
Measures continue at the site to educate staff, and also address any concerns the patients and their families may have according to Huband.
"The first things that we did were to make sure we had leadership at the site, because there has been some vacancies there, so we ensured there was leaders there. We had investigation teams that were in very very soon after the concerns were addressed to us, and we are now moving on to education with our teams, and really creating a foundation of how to move forward more into resident and family focused care."
The concerns, which included lack of proper training in a number of areas, and pointing to uncleanliness, and medication being left unsecured, unlabelled and unattended, were originally brought to AHS's attention by nurse practicum students from Red Deer College, who were completing practicums at Lacombe Hospital in the long term care unit.
There is still a lot of positive support for Lacombe Hospital and Care Centre, but Huband says these concerns are troubling, and they have to be raised and addressed in order to move forward.
"This is a site that has had some challenges, but they do many many things very well. What we want to do is create a foundation to go forward on where that excellent care continues. But there have been concerns raised which we have to address. And that's part of the whole goal, is to keep moving forward, but make sure we have a strong underpinning so all of that strong care can continue."
You can view the concerns addressed by the Wildrose Party here.
Lacombe-Ponoka MLA Ron Orr presented the findings and questioned Health Minister Sarah Hoffman in the legislature on Tuesday, watch here.


Alberta Health Services has responded to a report released by the Wildrose party on Tuesday, detailing some serious concerns with the level of care in the long term…
LACOMBEONLINE.COM

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Very brave of the nursing students to complain about the non-compliances present at this facility. I imagine that because they went as a group to complain it was harder to ignore them. Usually when families complain there is nothing done until a whole pile of families yap. Then, slowly and ponderously Alberta Health will do a Quality Audit. This forces Alberta Health Services to get out of its rut to do the same. The two bodies confer with each other and present the public relations information of the same spinny sort that we are used to in Alberta. Alberta Health will say how grateful they are to the nursing students for making them look incompetent. Then AHS will say that their concern is only for the residents that they ignored until they could not be ignored any longer. It's remarkable that the journalists are so restrained about this rigged system but there you go.
Finally at the end of the day we get no information on the audit unless the opposition party prints it up for us. Then there is no information on what actually is done with the audit recommendations. Do the folks at AHS mentor staff forever? I mean shouldn't the staff already know how to do their jobs? Why do they have RN and LPN designations if they don't know what they are doing?
And more importantly why are nursing students doing the work that we pay the auditing staff at Alberta Health and AHS to do? What is being done about the four years of non-compliances in the accommodations audits? Are they just being tolerated as these non-compliances to the standards appear to have been tolerated until a brave group of kids risked retribution to do the right thing?


Alberta Health Services has responded to a report released by the Wildrose party on Tuesday, detailing some serious concerns with the level of care in the long term care…
LACOMBEONLINE.COM

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https://lacombeonline.com/local/ahs-comments-on-report-of-care-concerns-at-lacombe-hospital 

AHS Comments on Report of Care Concerns at Lacombe Hospital


Category: Local News
Published: Wednesday, 10 May 2017 15:45
Written by Jordan Davidson
Alberta Health Services has responded to a report released by the Wildrose party on Tuesday, detailing some serious concerns with the level of care in the long term care unit at the Lacombe Hospital and Care Centre.
AHS did confirm that there was an investigation launched last month regarding the concerns, and they also confirmed that those concerns are mostly accurate, clarifying the issues are based entirely in the long term care unit, and not the Lacombe Hospital as a whole.
So far three staff members have been placed on leave according to AHS Vice President and Chief Health Operations Officer for Central and Southern Alberta Brenda Huband.
"Those staff members may have had some role in some of the concerns, so what we wanted to do was to be able to both protect them and ensure we were able to have a robust investigation, and once we have all of the results of that we will be meeting with those three staff members".
First and Foremost, Huband says their concerns and actions centered on the residents living in the facility.
"We have done health assessments on all 75 residents to ensure there are no outstanding health concerns.  Those assessments would have also included physiotherapy and a falls risk assessment just to make sure that everyone is safe and able to be up on their own or do they need a walker or some other kind of device to help them, so it's just again a part of an assessment".
A thorough cleaning was also done at the site with support from infection prevention control professionals.
Measures continue at the site to educate staff, and also address any concerns the patients and their families may have according to Huband.
"The first things that we did were to make sure we had leadership at the site, because there has been some vacancies there, so we ensured there was leaders there. We had investigation teams that were in very very soon after the concerns were addressed to us, and we are now moving on to education with our teams, and really creating a foundation of how to move forward more into resident and family focused care."
The concerns, which included lack of proper training in a number of areas, and pointing to uncleanliness, and medication being left unsecured, unlabelled and unattended, were originally brought to AHS's attention by nurse practicum students from Red Deer College, who were completing practicums at Lacombe Hospital in the long term care unit.
There is still a lot of positive support for Lacombe Hospital and Care Centre, but Huband says these concerns are troubling, and they have to be raised and addressed in order to move forward.
"This is a site that has had some challenges, but they do many many things very well. What we want to do is create a foundation to go forward on where that excellent care continues. But there have been concerns raised which we have to address. And that's part of the whole goal, is to keep moving forward, but make sure we have a strong underpinning so all of that strong care can continue."
You can view the concerns addressed by the Wildrose Party here.
Lacombe-Ponoka MLA Ron Orr presented the findings and questioned Health Minister Sarah Hoffman in the legislature on Tuesday, watch here.



http://elderadvocates.ca/pdf/coverup.pdf


  • Edmonton Journal. January 1, 1991 Nurse’s letter triggered investigation DON THOMAS Journal Staff Writer Two Hills A Two Hills Hospital nurse gave Health Minister Nancy Betkowski numerous examples of patient-care problems almost two years before the hospital board was fired by ministerial order. The charges levelled by Ruth Cowan sparked secret investigations by the health department and Health Care Facilities Committee (HFRC) and led to an overhaul of procedures in the hospital’s 60-bed longterm care unit. Betkowski fired the wrong board, say Steve Serna, Shirley Kowalchuck and Don Schueler, newly-elected to the five-person board in October of 1989, just as the overhaul was being completed. Cowan had charged that long-term staff repeatedly shoved a water hose down the throat of a patient who complained his bath water was too hot and ignored gangrene symptoms in a man who later lost his leg due to the infection. She charged that a nursing supervisor ignored cancer symptoms in a patient who was later diagnosed with rectal cancer and died. There were false or misleading entries on patient charts, failure to provide medications ordered by a doctor, inappropriate diets and little emphasis on recreation therapy, she said. Cowan complained to Betkowski in a ninepage letter dated Feb. 14, 1989. She committed suicide March 31, 1989, after the hospital board discovered she had removed patient records to back up her complaints of patient abuse. Her death came about five weeks after a private meeting with two Health Department officials at which she provided confidential patient records, says her husband, Marvin, now living in London, Ont. He said in an April 15, 1989, letter to Betkowski that his wife felt pressured after the board learned she had taken the records. Betkowski’s staff told her she was wrong to have taken them but that she should keep them to back up her complaints, he says. After his wife’s death Betkowski ordered an HFRC investigation in April. Marvin Cowan gave his wife’s files, including confidential records, to chairman Molly Waring. But he heard nothing further other than Betkowski’s June letter saying that the board had developed an action plan, he says. “She said she’d keep in touch with us, we’d have an open line to her . . . but everything she did was under the cover and she told me nothing. She wouldn’t even answer my calls, she would give me to someone else,” he says. “There’s a lot more behind this and I feel we were unjustly dealt with.” After the HFRC investigation the board hired an Edmonton nursing-care firm to overhaul long-term care procedures. Changes were being completed by Oct. 16, 1989 when a new board was elected. Fired member Shirley Kowalchuk says Betkowski tried to muzzle the new board with an Oct. 23 letter saying there had been good progress in improving long-term care and in finding better management staff. The letter warned the board “to avoid any precipitous actions” which would result in changing management staff or “interference with management responsibilities of the facility.” Giving the new board such a letter at their first meeting was an improper attempt to tie its hands, she says.
http://elderadvocates.ca/unprovoked-banning-of-visitor-at-caritas-hospitals/

Unprovoked banning of visitor at Caritas Hospitals

Home > Abuse & Neglect Studies > Unprovoked banning of visitor at Caritas Hospitals
We have sent the attached along so that you may understand how determined the system is to frighten, discourage and get rid of me.
I was sitting quietly with a dying man, Konstanty (Ken) Stankiewicz on the evening of the 24th of October (He died on the 26th). His 93 year old wife went home to sleep, she was exhausted. I was sitting in a chair beside the dying man, in a dimly lit room. Staff were kind to me and even gave me a heated blanket – though I did not have conversation with them or discuss the care øf the dying man.
At 2:00 AM I became aware of two large uniformed persons standing in the darkened doorway, who asked me to step into the hallway.
The male constable demanded my license. He then read me my rights, cautioned me, told me to call a lawyer if I wished and said anything I said could be used against me. I was frightened (AND VERY TIRED) and said I did not wish to cause a problem but that I had been there that day/afternoon and often before, The male constable, who was the only one who addressed me, said that I should stop saying that because he would have to give me additional tickets for that. He filled out the attached.
He informed me that there was a restraining Order against me signed by a judge in the Misericordia Security office. I have never been served any documents, Restraining Order in this regard or was aware of what he was claiming.
I had been removed from the Misericordia Hospital on February 19, 2004 – note “Case Study” in www.elderadvocates.ca .
They walked me past the nursing station, out of the nursing home, to my car. Once outside, the male constable thanked me a number of times that I had been cooperative.
Ruth Maria Adria
Konstanty 4
Konstanty 2
Konstanty 1
Konstanty 3


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