Calgary’s adult hospitals still under pressure, doctors and nurses say | 24CA News

Health
Published 16.12.2022
Calgary’s adult hospitals still under pressure, doctors and nurses say | 24CA News

Staff at Calgary’s grownup hospitals say their amenities are nonetheless below pressure as they cope with a mix of staffing shortages, very sick sufferers and a very unhealthy respiratory virus season.

The Alberta Children’s Hospital has been pressured to redeploy employees and cut back some affected person care as a result of it has been overwhelmed by influenza, RSV and COVID-19.

And health-care suppliers say grownup hospitals haven’t been spared.

“We’re also bursting and we’re hurting,” mentioned Erin Boyd, a registered nurse at Foothills Medical Centre and vice-president of United Nurses of Alberta, native 115.

“All of our adult hospitals are struggling with capacity and acuity issues. And that’s really being felt throughout almost every unit and department. There are just so many patients and they are much, much sicker than we’ve seen before.”

According to Boyd, the hospital is so full they’ve began to make use of further surge areas over the previous couple of weeks.

“These are just beds in hallways throughout the units. They don’t have stuff like privacy or call bells … We are just that desperate that this is what we’ve resorted to.”

A registered nurse faces the camera wearing a mask and face shield
Erin Boyd, a vice-president with the Foothills hospital chapter of the United Nurses of Alberta, says sufferers’ beds are being positioned in hallways to make room. (Supplied by Erin Boyd)

According to Alberta Health Services (AHS), the scenario in grownup hospitals will not be as extreme because the scenario in pediatrics.

“Adult acute care sites in Calgary remain busy but are not experiencing the significant spikes in emergency department (ED) visits or admissions from respiratory illness that have been seen at Alberta Children’s Hospital,” spokesperson James Wood mentioned in a press release emailed to 24CA News.

Capacity at Calgary’s 4 grownup hospitals, he mentioned, was simply over 100 per cent as of Thursday afternoon.

At the Peter Lougheed hospital, Dr. Michaela Walter mentioned they too need to put sufferers in non-traditional areas, together with tub rooms and hallways.

“When I see we’re caring for patients in the hallway, I know things are bad … We are trying to find spaces when there isn’t space in the hospital,” mentioned Walter, a basic inside medication doctor.

In addition to treating influenza, RSV and COVID-19, Walter mentioned they’re additionally seeing sufferers whose illnesses have progressed as a result of their care was delayed earlier within the pandemic.

“People are quite sick this year, for sure.”

According to Walter, a variety of adults who grow to be sick with influenza are coming in with secondary infections comparable to pneumonia and sepsis. And some are beforehand wholesome.

“It’s all ages. I am surprised by the amount of younger people that are coming in unwell.”

A portrait of Dr. Michaela Walter, standing in front of a window
Dr. Michaela Walter, a basic inside medication doctor at Peter Lougheed Hospital, says she’s shocked by the variety of comparatively younger adults, who’re beforehand wholesome, who’re very sick this respiratory virus season. (Supplied by Michaela Walter)

Capacity stretched however wait occasions down

According to Dr. Eddy Lang, the top of emergency medication within the Calgary zone, the town’s 4 grownup hospitals are sometimes operating at 110 to 120 per cent occupancy.

But Lang mentioned ER wait occasions have eased in December and there are fewer admitted sufferers caught within the emergency room as a result of there are not any beds obtainable upstairs.

Dr. Eddy Lang is division head of emergency medication within the Calgary zone. (Submitted by Dr. Eddy Lang)

“While we’ve had, of course, occasional surges, and we’ve responded to those, the general trend is very encouraging, and as a result we’re seeing reduced wait times. Fewer patients are leaving without being seen,” he mentioned.

“We sounded the alarm around the high number of admitted patients in the emergency department and the effect that it was having … We were detecting certain time-sensitive diseases later than we should be … And the system has responded.”

Lang mentioned there was a variety of work happening behind the scenes in the previous couple of months to assist ease these pressures.

“There’s been increased efforts to ensure the number of admitted patients doesn’t exceed a certain threshold. Occasionally surgeries have been postponed to make room for emergency department patients and all efforts have been redoubled so that any patient upstairs on the unit who is ready to go home, goes home in a timely manner.”

AHS mentioned grownup affected person admissions at Calgary’s 4 grownup hospitals, whereas larger than the final two years, have been slightly below 2019 ranges for November.

According to the well being authority, November’s emergency division visits have been additionally under 2019 ranges.

“The hospitals are able to accommodate patients over 100 per cent of normal capacity at peak times. We continue to provide care to all those who need it,” mentioned Wood.