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Page 8 The Huronp Expositor • November 11, 2009
News
H1N1 puts Alliance's critical care surge planning into effect
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The recent H1N1 pandemic allowed
the Huron Perth Healthcare Alliance
to put its critical care surge planning
into effect, Alliance board members
were told at last Thursday's meeting
in Clinton.
Jacquie Martin, manager of criti-
cal care and medicine, made a pre-
sentation about. what the Alliance
has been doing to meet provincial
expectations to develop critical care
strategies for Its hospitals. •
"The SARS pandemic in 2003 high-
lighted the lack of coordination of
critical care services in Ontario," she
said, adding that planning is being
done across the province for a stan-
dardized framework for the 1,800
criticial care beds in Ontario.
While a minor surge is defined
as an increase in demand for criti-
cal care services up to 15 per cent
beyond normal capacity in an indi-
vidual hospital, a moderate surge is
a demand that calls on surrounding
hospitals in a LHIN (Local Health
Integration Network) and a major
surge overwhelms to healthcare re-
sources of hospitals and regions for
an extended time.
In the Alliance, a minor surge has
been occurring for the past few weeks
with the H1N1 pandemic.
"We were going to start some drills
and trial runs but however we are
now ilia minor surge so we're tweak-
ing as we go along. And, it has been
rather effective," said Martin.
A minor surge for the Alliance
means its six critical care beds have
been increased to seven.
Martin said the Alliance is using a
white triage board in the critical care
area to identify patients who can or
cannot be transferred out of critical
care each day.
A red patient is not likely to be
transferred within the next 36-48
hours while yellow and green pa-
tients are likely to be able to be trans-
ferred during the next 24 hours.
As well, it's determined if the Alli-
ance is operating at a Level 1, which
means six patients are admitted to
the ICU (intensive care unit) or a
Level 2, which means seven patients
are admitted to the ICU.
"As .soon as we get that sixth pa-
tient, we're looking at who can trans-
fer out," she said, adding that the
seventh patient is accommodated in
the recovery bay in the new inten-
sive care unit at Stratford General
Hospital.
"The doctors know at one look what
they have .to deal with - they like the
new system," she said.
Martin said critical care and telem-
etry nurses have been cross -trained
to fill in for each other when there's
an increased demand in critical
care.
A meeting was planned for Monday
that would discuss how a moderate
surge would affect local hospitals
and the South West LHIN.