I was asked by a member that is currently enrolled in regional "gap" training (the difference between the EMT and PCP programs as identified by Manitoba Health) whether or not this education is accredited by the CMA. The simple answer...no. Although the Technician-Paramedic license is measured against the PCP competency profile, unless you complete an accredited full PCP or PCP bridging course, the fact that you are a Tech-P does not mean your education is accredited by the Canadian Medical Association.
I'm assuming that the reason some individuals are asking the question about accreditation is related to potential for employment in other EMS services (such as Winnipeg) or inter-provincial reciprocity. Two very different scenarios, as one relates to employment requirements and the other to recognition of qualifications in another jurisdiction.
In the case of employment requirements, such as applying to Winnipeg Fire Paramedic Service, the employer has every right to set minimum hiring standards. Winnipeg will not currently employ anyone who has not completed CMA accredited EMS education. So the reality is that a Technician-Paramedic in Manitoba that obtained their license by completing "gap" training will not be considered for employment. As I mentioned earlier, the "gap"training is not CMA accredited.
But inter-provincial reciprocity can be looked at somewhat differently. Most provinces have signed a document entitled Mutual Recognition Agreement (MRA) for Paramedics (available on the PAC web site...Agreement on Internal Trade pdf) Simply put, this agreement ensures that a paramedic authorized to practice in one Canadian jurisdiction will have his or her qualifications recognized in another jurisdiction. The scale used to measure these occupational qualifications is based on the NOCP. Because Manitoba has indicated that the Technician-Paramedic license they issue is based on the PCP competency profile, other Canadian jurisdictions should now recognize our Tech-P license as equivalent to PCP practice qualification. According to the MRA, your qualifications as a PCP should be recognized and only differences in occupational requirements (regional and local differences) should be tested by the regulator. This still does not, however, preclude other regulators or employers in other provinces from setting minimum requirements which may include completion of CMA accredited education.
All this said, it should be mentioned that the Paramedic Association of Manitoba supports the concept of CMA accreditation in EMS education. Accreditation is public recognition that an educational program has met national standards. The goal of CMA accreditation is to ensure that programs enable students to acquire the knowledge, skills and attitudes to function as competent health practitioners for the benefit of all Canadians. As an organization committed to achieving excellence in pre-hospital emergency care and our profession, it's important that we promote and expect accreditation of our EMS educational programs.
Wednesday, February 28, 2007
Tuesday, February 27, 2007
Ontario Paramedic Line of Duty Death
A fifth Canadian paramedic has been killed in the line of duty since May of last year. Paul W. Patterson, a Primary Care Paramedic with Sun Parlour Emergency Services in Chatham, Ontario, died while responding to a motor vehicle collision on Sunday, February 25th. Paul was only 30 years old, and had graduated from Northern College of Applied Arts and Technology in 2001. Details regarding funeral arrangements and the accident that claimed Paul's life can be found on the Ontario Paramedic Association (OPA) web site.
Paul's death is a tragic reminder of the dangers faced by emergency medical services providers each and every day in our work to save the lives of others. Like all emergency services, we're often asked to assist others in times of poor weather and difficult conditions. It's especially difficult for those who knew and worked with Paul to have had to respond to the accident that claimed his life, and my thoughts are prayers are with those individuals as well as his family and friends.
The Paramedic Association of Manitoba has sent condolences to Sun Parlour EMS staff and management, and asked them to convey our sympathies to Paul's family. We will be represented at the line of duty death funeral planned for Friday, March 2nd in Strathroy, Ontario. Anyone planning to attend the funeral is asked to notify the OPA by email...that information can be found following the LODD notice on their web site.
PAM asks that paramedics wear LODD pins or black ribbons on their uniform in honor of Paul's memory. EMS services should also lower flags to half mast until the funeral has been held.
Details regarding the Canadian paramedic line of duty deaths that have occurred in the past year can be found in the press release issued by the Paramedic Association of Manitoba posted on our web site.
Stay safe everyone!
Paul's death is a tragic reminder of the dangers faced by emergency medical services providers each and every day in our work to save the lives of others. Like all emergency services, we're often asked to assist others in times of poor weather and difficult conditions. It's especially difficult for those who knew and worked with Paul to have had to respond to the accident that claimed his life, and my thoughts are prayers are with those individuals as well as his family and friends.
The Paramedic Association of Manitoba has sent condolences to Sun Parlour EMS staff and management, and asked them to convey our sympathies to Paul's family. We will be represented at the line of duty death funeral planned for Friday, March 2nd in Strathroy, Ontario. Anyone planning to attend the funeral is asked to notify the OPA by email...that information can be found following the LODD notice on their web site.
PAM asks that paramedics wear LODD pins or black ribbons on their uniform in honor of Paul's memory. EMS services should also lower flags to half mast until the funeral has been held.
Details regarding the Canadian paramedic line of duty deaths that have occurred in the past year can be found in the press release issued by the Paramedic Association of Manitoba posted on our web site.
Stay safe everyone!
Saturday, February 24, 2007
Province Funds New EMS Station
Earlier this week Premier Gary Doer announced funding to build and staff a new EMS facility within the Interlake Region. The absence of an ambulance in the areas of East and West St Paul have been a consistent topic of debate in the legislature's Question Period since the death of a prominent area resident nearly two years ago.
I was invited by Health Minister Theresa Oswald to attend this announcement. I took advantage of the invitation and used the opportunity to meet very briefly with the Premier...something we've been trying to make happen for almost two years now. As an aside to the funding story, I was assured by Premier Doer that he would like to meet formally with us in the coming weeks.
The funding announced to build and operate this new EMS facility is quite substantial. The capital cost approved for erecting the station is close to $300,000.00, which by Manitoba Health standards should result in a two bay garage with modest living accommodations for staff. The promise to cover operating expenses at an annual cost of approximately $525,000.00 equates to 24-hour full time staffing of one ambulance. While the province has built a number of new EMS facilities over the course of the past 7 years, most have been replacement buildings. To my knowledge this is only the second "new" location adding to existing resources (Kinnesota Trails being the other). On the surface...a "good news" story for Manitoba EMS.
But in my mind this announcement also sounds a number of warning bells. Premier Doer suggested that lengthy response times (20 - 25 minutes) in the southern portion of the Interlake Region at least in part prompted this decision. It's a dangerous statement to make in light of the fact that Manitoba has yet to develop any response standards against which to measure our performance. While this announcement certainly acknowledges the need for system improvements, it does so by once again reacting to a very specific problem without addressing current system inconsistencies and inefficiencies that exist province-wide. And I dare say that staffing of this facility will be another interesting problem. Without exception all regions are teetering on the brink of experiencing paramedic shortages, compounded by the fact that the province is dragging it's heals on the funding approval needed for Red River College to have any chance of being ready to deliver PCP education this fall.
There's no doubt that the NDP government has made significant investments in our EMS system since first elected in 1999. Introduction of a Fleet vehicle program, a much improved communications system, development of the MTCC, substantial increases in regional funding to offset staffing costs, elimination of the interfacility-transfer cost to patients and announcements such as this new facility in the Interlake are all welcome indeed. But what has yet to be adopted by this government is a concrete plan that will improve Manitoba's emergency medical services system as a whole and ensure it's sustainability going into the future. Without that I fear we may simply be throwing more good money after bad.
I was invited by Health Minister Theresa Oswald to attend this announcement. I took advantage of the invitation and used the opportunity to meet very briefly with the Premier...something we've been trying to make happen for almost two years now. As an aside to the funding story, I was assured by Premier Doer that he would like to meet formally with us in the coming weeks.
The funding announced to build and operate this new EMS facility is quite substantial. The capital cost approved for erecting the station is close to $300,000.00, which by Manitoba Health standards should result in a two bay garage with modest living accommodations for staff. The promise to cover operating expenses at an annual cost of approximately $525,000.00 equates to 24-hour full time staffing of one ambulance. While the province has built a number of new EMS facilities over the course of the past 7 years, most have been replacement buildings. To my knowledge this is only the second "new" location adding to existing resources (Kinnesota Trails being the other). On the surface...a "good news" story for Manitoba EMS.
But in my mind this announcement also sounds a number of warning bells. Premier Doer suggested that lengthy response times (20 - 25 minutes) in the southern portion of the Interlake Region at least in part prompted this decision. It's a dangerous statement to make in light of the fact that Manitoba has yet to develop any response standards against which to measure our performance. While this announcement certainly acknowledges the need for system improvements, it does so by once again reacting to a very specific problem without addressing current system inconsistencies and inefficiencies that exist province-wide. And I dare say that staffing of this facility will be another interesting problem. Without exception all regions are teetering on the brink of experiencing paramedic shortages, compounded by the fact that the province is dragging it's heals on the funding approval needed for Red River College to have any chance of being ready to deliver PCP education this fall.
There's no doubt that the NDP government has made significant investments in our EMS system since first elected in 1999. Introduction of a Fleet vehicle program, a much improved communications system, development of the MTCC, substantial increases in regional funding to offset staffing costs, elimination of the interfacility-transfer cost to patients and announcements such as this new facility in the Interlake are all welcome indeed. But what has yet to be adopted by this government is a concrete plan that will improve Manitoba's emergency medical services system as a whole and ensure it's sustainability going into the future. Without that I fear we may simply be throwing more good money after bad.
Monday, February 12, 2007
Black Ribbon Protocol
Questions often arise regarding the wearing of commemorative black ribbons at funerals or memorial services. The Paramedic Association of Canada has developed a protocol to assist EMS personnel in these instances.
Black ribbons are appropriately worn at any function associated with the death of emergency services personnel, including funerals, memorial and remembrance services and dedications.
Commemorative black ribbons can be made using plain, non-glossy straight edged black ribbon cloth. The ribbon should be cut approximately 1/2" wide by 4" in length, folded over itself and secured with a small gold safety pin. The ribbon ends are then cut on an angle with the tails splayed out as shown here. The ribbon should be worn on the left pocket flap of a uniform shirt, jacket or dress tunic above and to the right of the button, attached with an appropriate pin (straight pin, EMS pin or Canadian flag).
PAC Line of Duty death pins are not bona fide medals, and therefore should NOT be worn on the left side. They are to be worn on a uniform shirt, jacket or dress tunic, and should be placed on the right hand pocket pleat immediately below the pocket flap.
Name tags, if worn, should be placed above the right hand pocket flap of the shirt, jacket or tunic.
Black ribbons are appropriately worn at any function associated with the death of emergency services personnel, including funerals, memorial and remembrance services and dedications.
Commemorative black ribbons can be made using plain, non-glossy straight edged black ribbon cloth. The ribbon should be cut approximately 1/2" wide by 4" in length, folded over itself and secured with a small gold safety pin. The ribbon ends are then cut on an angle with the tails splayed out as shown here. The ribbon should be worn on the left pocket flap of a uniform shirt, jacket or dress tunic above and to the right of the button, attached with an appropriate pin (straight pin, EMS pin or Canadian flag).
PAC Line of Duty death pins are not bona fide medals, and therefore should NOT be worn on the left side. They are to be worn on a uniform shirt, jacket or dress tunic, and should be placed on the right hand pocket pleat immediately below the pocket flap.Name tags, if worn, should be placed above the right hand pocket flap of the shirt, jacket or tunic.
Tuesday, February 06, 2007
Tragic LODD in Winnipeg
By now everyone has heard or read about the deaths of two Winnipeg firefighters killed battling a house blaze in Winnipeg on Sunday, February 4. These line of duty fire deaths are the first in the city since 1990. Four other firefighters were also injured and taken to hospital. This tragedy will affect not only the families of the two deceased Captains, but obviously all members and staff of the Winnipeg Fire Paramedic Service.Immediately upon hearing news of this tragic event I contacted WFPS Chief Jim Brennan and UFFW President Alex Forrest to convey condolences on behalf of the Executive and membership of the Paramedic Association of Manitoba. Letters of condolence were sent to these organizations, as well as to the unions representing paramedics in the City (PPAW and WFPSOA). This is a tragedy that will impact on all Winnipeg emergency services personnel and many others within the fire and EMS community.
It is my understanding that a full honours ceremony will be held to pay tribute to these brave men, and the Paramedic Association of Manitoba will certainly be in attendance.
My thoughts and prayers are with everyone involved and affected by this horrific event. May these very brave souls rest in peace!
Saturday, February 03, 2007
NDP Convention "Debate" Alarming
I attended the NDP Convention today as a non party-member observer. Health resolutions were on the agenda for discussion this morning, and I had hoped to see rank and file delegates send a message to their brass about much needed improvements in our EMS system as well as giving them the thumbs up on self-regulation for paramedics. Unfortunately neither occurred...but that's not what alarmed me the most.
The morning began with convention delegates re-prioritizing the resolutions to be presented in the very short one hour and fifteen minutes scheduled for debating health issues. As a result, neither of the resolutions I had hoped might be given consideration even reached the floor for discussion. Surprisingly (to me at least) the one EMS related issue that was discussed...and approved...related to fees for basic ambulance service. Delegates at the convention overwhelmingly supported a resolution stating "that all ambulance calls be paid for by Manitoba Health as an essential service." As I said, I was surprised, but still not alarmed.
Union members of the International Association of Firefighters representing Winnipeg, Brandon and Thompson were in attendance at the weekend convention. In discussions with other convention delegates, they expressed concern about many of the EMS related resolutions. And when asked, they clearly indicated that they would be speaking and voting against the resolution supporting paramedic self-regulation. When I heard about their position on this issue, I admit I was somewhat surprised. But I expected that once the attributes of professional self-regulation were fully understood, their position might change. After all, this is about protecting the public's best interests.
What alarmed me most was the "debate" that ensued between myself and many of the IAFF members present. Without doubt there are still many questions that need answering about what self-regulation for paramedics in Manitoba might look like, and all stakeholders deserve to be consulted as that picture unfolds. Educational standards, licensing, scope of practice, ethics, disciplinary process and competency maintenance are all areas that need to be addressed to ensure our patients receive appropriate treatment and protection. As paramedics, these are professional responsibilities we can't take likely, regardless of the type of EMS system we work in.
But at first glance the IAFF seems prepared to ignore these professional responsibilities. Those that were present at the NDP convention seemed more concerned about having to pay a fee for licensing. Union executive clearly articulated the need to protect their members outweighed any responsibility to protecting the public. There was even the suggestion that a Government regulator might be "better for their members" than a peer driven professional regulatory body.
I appreciate the fact that unions have an obligation to protect their membership in areas related to labour relations. But as paramedics and health professionals, we have a responsibility to protect those we treat and care for each and every day. That responsibility should be first and foremost for all paramedics, regardless of where they work or the union they belong to. To think that may not always be the case...that alarms me.
The morning began with convention delegates re-prioritizing the resolutions to be presented in the very short one hour and fifteen minutes scheduled for debating health issues. As a result, neither of the resolutions I had hoped might be given consideration even reached the floor for discussion. Surprisingly (to me at least) the one EMS related issue that was discussed...and approved...related to fees for basic ambulance service. Delegates at the convention overwhelmingly supported a resolution stating "that all ambulance calls be paid for by Manitoba Health as an essential service." As I said, I was surprised, but still not alarmed.
Union members of the International Association of Firefighters representing Winnipeg, Brandon and Thompson were in attendance at the weekend convention. In discussions with other convention delegates, they expressed concern about many of the EMS related resolutions. And when asked, they clearly indicated that they would be speaking and voting against the resolution supporting paramedic self-regulation. When I heard about their position on this issue, I admit I was somewhat surprised. But I expected that once the attributes of professional self-regulation were fully understood, their position might change. After all, this is about protecting the public's best interests.
What alarmed me most was the "debate" that ensued between myself and many of the IAFF members present. Without doubt there are still many questions that need answering about what self-regulation for paramedics in Manitoba might look like, and all stakeholders deserve to be consulted as that picture unfolds. Educational standards, licensing, scope of practice, ethics, disciplinary process and competency maintenance are all areas that need to be addressed to ensure our patients receive appropriate treatment and protection. As paramedics, these are professional responsibilities we can't take likely, regardless of the type of EMS system we work in.
But at first glance the IAFF seems prepared to ignore these professional responsibilities. Those that were present at the NDP convention seemed more concerned about having to pay a fee for licensing. Union executive clearly articulated the need to protect their members outweighed any responsibility to protecting the public. There was even the suggestion that a Government regulator might be "better for their members" than a peer driven professional regulatory body.
I appreciate the fact that unions have an obligation to protect their membership in areas related to labour relations. But as paramedics and health professionals, we have a responsibility to protect those we treat and care for each and every day. That responsibility should be first and foremost for all paramedics, regardless of where they work or the union they belong to. To think that may not always be the case...that alarms me.
Tuesday, January 30, 2007
NDP Convention to Debate EMS
Of the fifty resolutions pertinent to health care that will be presented for debate at the NDP Convention in Winnipeg this weekend, 7 are related directly to emergency medical services. Two call for government to subsidize the cost of basic ambulance fees, one asks the NDP to legislate the placement of AEDs in government and public locations, and another put forth by the Manitoba Federation of Labour (MFL) calls for increased funding for training and education of EMS personnel.
Two resolutions are of particular interest to me...one seeks support for paramedic self-regulation and the other urges the NDP government to establish a provincial operational model for EMS. They read as follows:
Two resolutions are of particular interest to me...one seeks support for paramedic self-regulation and the other urges the NDP government to establish a provincial operational model for EMS. They read as follows:
BE IT RESOLVED THAT the Manitoba NDP Government enact legislation to give paramedics the ability to self regulate.
BE IT RESOLVED THAT this convention urge the NDP to ensure, endorse and establish, while in government, a provincial
Interestingly enough, the MFL also submitted a resolution dealing with EMS service delivery. While it doesn't specifically seek a provincial oversight body, it does ask that the government "ensure our emergency medical services provide consistent, uniform, quality patient care on an equal basis for all Manitobans."
Acceptance of these resolutions at the weekend Convention by no means forces the government to act accordingly. But it does send a very clear message to the NDP about what's important to party members. I encourage anyone planning to attend the Convention to ensure your voice is heard.. as a party member but even even more importantly as a paramedic trying to do the best job you can for your patients.
Monday, January 29, 2007
"Ambulance Drivers" Good Enough for Municipal Politicians?
A recent story in the Virden Empire-Advance, a weekly newspaper serving the Virden area, is indicative of how much old-fashioned thinking still exists in the political arena, especially in many southern Manitoba municipalities.
The article, (Ambulance Agonies, written by Brent Fitzpatrick), which appeared in the Virden Empire-Advance on Saturday, January 20 says many of the local politicians in that area think the new training requirements for ambulance attendants in Manitoba "go too far". Oak Lake mayor Jeff Sigurdson says "They are pretty much getting a doctor to do volunteer work." Roland Gagnon, mayor of Elkhorn suggests that if local residents can't just be a driver anymore it may be "tough to have people come forward to volunteer to be an ambulance attendant." R.M. of Pipestone Reeve Ross Tycoles adds "Something needs to be done now...we're going to push for a group meeting with the RHA."
For a politician at any level of government to think that education for EMS providers in this province should be dictated by the ability to recruit volunteer ambulance drivers is inconceivable! It takes us back twenty, thirty, maybe even forty years...to the days when an ambulance was nothing more than a quick ride to a hospital. Unfortunately this thinking isn't limited to one or two municipal officials. I've heard it from councillors, mayors, reeves...even some MLAs. For reasons that are absolutely mind-boggling to me, they argue that improvements that have been made to EMS in Manitoba over the past few years have done nothing more than eliminate opportunities for local residents to volunteer for the ambulance service.
There's no doubt that the education requirements set out in the new regulations may necessitate the need for a strategic review of how best to ensure Manitobans have access to EMS on a timely basis. But this article clearly suggests that too many of the people tasked with governing our communities still understand very little about paramedicine and the very real benefit a strong pre-hospital service brings to their residents.
Your local politicians need to understand that changes to training requirements for ambulance attendants won't spell the end of service for some smaller communities...they will ensure that residents in all Manitoba communities have access to appropriate emergency health care when they need it most. Volunteers built our EMS system, and they struggled to hold it together for decades. But to even suggest that we should return to a system that relies on community volunteers trained in emergency first aid as a foundation around which to build an EMS system scares me...and I was one of those volunteers!
I encourage you to contact your local government officials and see where they stand on this issue...especially if you live in the Virden area!
To download a pdf copy of the article from the PAM website click here. The quality of this pdf file is poor, but it's worth reading anyway.
Our letter to the Editor of the Virden Empire-Advance can be viewed here. This was copied to the governments quoted in the article as well as to the Association of Manitoba Municipalities.
The article, (Ambulance Agonies, written by Brent Fitzpatrick), which appeared in the Virden Empire-Advance on Saturday, January 20 says many of the local politicians in that area think the new training requirements for ambulance attendants in Manitoba "go too far". Oak Lake mayor Jeff Sigurdson says "They are pretty much getting a doctor to do volunteer work." Roland Gagnon, mayor of Elkhorn suggests that if local residents can't just be a driver anymore it may be "tough to have people come forward to volunteer to be an ambulance attendant." R.M. of Pipestone Reeve Ross Tycoles adds "Something needs to be done now...we're going to push for a group meeting with the RHA."
For a politician at any level of government to think that education for EMS providers in this province should be dictated by the ability to recruit volunteer ambulance drivers is inconceivable! It takes us back twenty, thirty, maybe even forty years...to the days when an ambulance was nothing more than a quick ride to a hospital. Unfortunately this thinking isn't limited to one or two municipal officials. I've heard it from councillors, mayors, reeves...even some MLAs. For reasons that are absolutely mind-boggling to me, they argue that improvements that have been made to EMS in Manitoba over the past few years have done nothing more than eliminate opportunities for local residents to volunteer for the ambulance service.
There's no doubt that the education requirements set out in the new regulations may necessitate the need for a strategic review of how best to ensure Manitobans have access to EMS on a timely basis. But this article clearly suggests that too many of the people tasked with governing our communities still understand very little about paramedicine and the very real benefit a strong pre-hospital service brings to their residents.
Your local politicians need to understand that changes to training requirements for ambulance attendants won't spell the end of service for some smaller communities...they will ensure that residents in all Manitoba communities have access to appropriate emergency health care when they need it most. Volunteers built our EMS system, and they struggled to hold it together for decades. But to even suggest that we should return to a system that relies on community volunteers trained in emergency first aid as a foundation around which to build an EMS system scares me...and I was one of those volunteers!
I encourage you to contact your local government officials and see where they stand on this issue...especially if you live in the Virden area!
To download a pdf copy of the article from the PAM website click here. The quality of this pdf file is poor, but it's worth reading anyway.
Our letter to the Editor of the Virden Empire-Advance can be viewed here. This was copied to the governments quoted in the article as well as to the Association of Manitoba Municipalities.
Thursday, January 25, 2007
Recent Event Supports Need for Blood Samples Legislation
Media reports relating to the December police shooting on Jubilee Avenue in Winnipeg clearly support the need for some form of Blood Samples legislation in Manitoba. According to CBC news, the bullet that injured one the police officers in that incident was contaminated with blood after having passed through the suspect's hand and ricocheted into the officer's leg. Winnipeg police have now requested a warrant demanding a blood sample from the suspect to test for the possibility of infectious disease.
In September of 2003, the Paramedic Association of Manitoba wrote to the provincial Justice Minister asking the government to consider the development of blood samples legislation as recommended by a national Joint Working Group. The Minister at that time, Gord Mackintosh, replied saying that he agreed with the need for such legislation and hoped to have it in place the following year. In August of 2004 the Paramedic Association of Manitoba was asked by the provincial government to host a meeting of interested stakeholders for input into what this legislation should look like. Correspondence from government officials subsequent to that meeting indicated the provincial government planned to introduce blood samples legislation in late 2005.
Much to our surprise and disappointment, Health Minister (at the time) Tim Sale announced in November of 2005 that proposed legislation dealing with mandatory blood testing would not proceed as promised, due to concerns raised by certain human rights organizations. Despite our contention that government owed it to every first responder, paramedic, police or corrections officer, firefighter and Good Samaritan to ensure their rights were respected and upheld, the government refused to move forward in this area.
The very fact that Winnipeg Police have found it necessary to try to obtain a warrant for blood testing in this case supports the demand for legislation of mandatory blood testing in certain situations. The Paramedic Association of Manitoba will renew our argument for blood samples legislation in an effort to ensure a process is put in place that provides protection and reassurance to anyone that finds themselves facing the uncertainty and potential health risks associated with a potentially harmful exposure.
In September of 2003, the Paramedic Association of Manitoba wrote to the provincial Justice Minister asking the government to consider the development of blood samples legislation as recommended by a national Joint Working Group. The Minister at that time, Gord Mackintosh, replied saying that he agreed with the need for such legislation and hoped to have it in place the following year. In August of 2004 the Paramedic Association of Manitoba was asked by the provincial government to host a meeting of interested stakeholders for input into what this legislation should look like. Correspondence from government officials subsequent to that meeting indicated the provincial government planned to introduce blood samples legislation in late 2005.
Much to our surprise and disappointment, Health Minister (at the time) Tim Sale announced in November of 2005 that proposed legislation dealing with mandatory blood testing would not proceed as promised, due to concerns raised by certain human rights organizations. Despite our contention that government owed it to every first responder, paramedic, police or corrections officer, firefighter and Good Samaritan to ensure their rights were respected and upheld, the government refused to move forward in this area.
The very fact that Winnipeg Police have found it necessary to try to obtain a warrant for blood testing in this case supports the demand for legislation of mandatory blood testing in certain situations. The Paramedic Association of Manitoba will renew our argument for blood samples legislation in an effort to ensure a process is put in place that provides protection and reassurance to anyone that finds themselves facing the uncertainty and potential health risks associated with a potentially harmful exposure.
Tuesday, January 23, 2007
Manitoba Conservative Health Policies
Manitoba PC Health Critic Myrna Driedger has prepared a discussion paper entitled "Public Services That Work:Innovation That Delivers Results" which undoubtedly will form the basis of the Conservative health policy going into the next provincial election. This document is available for viewing on the PC Manitoba web site.
Last week I was given a copy of this document by the Conservative Party and asked to comment on the accuracy of information relative to EMS. In October of last year we met with Ms. Driedger and PC Leader Hugh McFadyen to discuss issues related to emergency medical services in Manitoba (October 23, 2006). At that time we talked about the varied and inconsistent service delivery models within the 11 RHAs, and the need for a more centralized management model for EMS in the province. While somewhat vague in terms of how they would work to achieve that goal, they have acknowledged our input and the need for improvement in this area.
Another concept we presented to the Conservatives was strengthening the role of paramedics in our health care system as well as utilizing our profession in non-traditional EMS initiatives (community health programs, in-hospital care, etc). That too is discussed in Ms. Driedger's paper, although mention of expanding scopes of practice for health care providers falls well short of identifying paramedics as a critical human resource within the health care system.
There is one very disappointing comment made in Ms. Driedger's discussion paper, and it's a theme that's been expressed to me by many rural Conservative MLAs in the past. To state that "Access to ambulance services has become more difficult for some communities which, due to enhanced training requirements, can no longer operate volunteer paramedic services" (page 13) certainly suggests there is a philosophy amongst some Conservatives that our role is still nothing more than that of an "ambulance driver".
We should appreciate the fact that the Conservative Party has asked for our input, and I will convey that to Ms. Driedger when I respond with my comments. While we may take exception to some of the content, the fact that we have been consulted tells me that we are seen as a valuable resource and stakeholder. I encourage you to visit the PC Manitoba web site and review this discussion paper. Send me your thoughts...and better yet, send them to the Conservative nominee in your riding.
Last week I was given a copy of this document by the Conservative Party and asked to comment on the accuracy of information relative to EMS. In October of last year we met with Ms. Driedger and PC Leader Hugh McFadyen to discuss issues related to emergency medical services in Manitoba (October 23, 2006). At that time we talked about the varied and inconsistent service delivery models within the 11 RHAs, and the need for a more centralized management model for EMS in the province. While somewhat vague in terms of how they would work to achieve that goal, they have acknowledged our input and the need for improvement in this area.
Another concept we presented to the Conservatives was strengthening the role of paramedics in our health care system as well as utilizing our profession in non-traditional EMS initiatives (community health programs, in-hospital care, etc). That too is discussed in Ms. Driedger's paper, although mention of expanding scopes of practice for health care providers falls well short of identifying paramedics as a critical human resource within the health care system.
There is one very disappointing comment made in Ms. Driedger's discussion paper, and it's a theme that's been expressed to me by many rural Conservative MLAs in the past. To state that "Access to ambulance services has become more difficult for some communities which, due to enhanced training requirements, can no longer operate volunteer paramedic services" (page 13) certainly suggests there is a philosophy amongst some Conservatives that our role is still nothing more than that of an "ambulance driver".
We should appreciate the fact that the Conservative Party has asked for our input, and I will convey that to Ms. Driedger when I respond with my comments. While we may take exception to some of the content, the fact that we have been consulted tells me that we are seen as a valuable resource and stakeholder. I encourage you to visit the PC Manitoba web site and review this discussion paper. Send me your thoughts...and better yet, send them to the Conservative nominee in your riding.
Friday, January 19, 2007
EMS on NDP Convention Agenda
The Manitoba NDP Party will hold their 2007 Convention at the CanadInns Polo Park in Winnipeg EMS based resolutions will be presented for deliberation. Of particular interest to me, and I expect all Manitoba paramedics, are proposals related to self-regulation and improvements in EMS service delivery.
Early in 2006, the Manitoba Young New Democrats (MYND) passed a resolution calling on the Government to create a provincial authority that would support consistent and provincially recognized standards of care. Later in the year, delegates at the Manitoba Federation of Labour (MFL) Convention called on their organization to lobby Government to “ensure
While the Paramedic Association of Manitoba is a non-partisan organization, I think it’s necessary that we support initiatives that promote excellence in pre-hospital emergency health care and within our profession. That, after all, is the very essence of who we are and why our association exists.
I anticipate receiving copies of the resolutions that will be presented at the NDP Convention sometime later this month. When I do I’ll post them for everyone’s consideration. I encourage paramedics who are affiliated with the NDP party, and especially those who may be attending their upcoming Convention, to ensure this government continues to receive a clear message indicating the need for system improvements and paramedic self-regulation.
Thursday, January 18, 2007
Tories Support Self-Regulation...for Therapists
Manitoba Conservative MLA for Minnedosa, Leanne Rowat, has spoken out encouraging the NDP government to support regulatory legislation for athletic therapy. In a news release issued January 17th, she describes the need for specialized health professionals such as athletic therapists to be recognized in Manitoba’s health care system, and asks that they be included in proposed new legislation that would cover all health professions in Manitoba. Ms. Rowat's news release can be found on the Conservative party web site.
The Manitoba government is currently in the process of consulting with the province's 20 existing self-regulating health organizations (College of Physicians and Surgeons, College of Registered Nurses of Manitoba, etc) with the intent of developing umbrella legislation to cover all health professions. Once completed, a single Act would legislate all regulated health professions in Manitoba, each group with their own set of regulations specific to that profession. This Health Professions Regulatory Reform Initiative is expected to be completed within the next 12 - 15 months.
In March of 2006, the Paramedic Association of Manitoba asked Conservative Leader Hugh McFadyen if he would support self-regulation for paramedics. In a written response he indicated that he would be open to exploring that option, and again supported that position when we met with him in early October of last year. Yesterday I congratulated Ms. Rowat for her initiative in calling for the inclusion of athletic therapy as a recognized health profession, and reminded Mr. McFadyen and Ms. Myrna Driedger (Health Critic) that "It is our hope that Manitoba Conservatives will continue to appeal for the inclusion of legitimate health professions in new legislation, including paramedicine, as the government undertakes their Health Professions Regulatory Reform Initiative".
I encourage you to write to your provincial MLA (copied to the Paramedic Association of Manitoba) and ask that they support the recognition of paramedicine as a health profession within any new Health Professions legislation, and also that they support self-regulation for paramedics in Manitoba. Contact information for your MLA can be found on the Manitoba Legislature web site.
The Manitoba government is currently in the process of consulting with the province's 20 existing self-regulating health organizations (College of Physicians and Surgeons, College of Registered Nurses of Manitoba, etc) with the intent of developing umbrella legislation to cover all health professions. Once completed, a single Act would legislate all regulated health professions in Manitoba, each group with their own set of regulations specific to that profession. This Health Professions Regulatory Reform Initiative is expected to be completed within the next 12 - 15 months.
In March of 2006, the Paramedic Association of Manitoba asked Conservative Leader Hugh McFadyen if he would support self-regulation for paramedics. In a written response he indicated that he would be open to exploring that option, and again supported that position when we met with him in early October of last year. Yesterday I congratulated Ms. Rowat for her initiative in calling for the inclusion of athletic therapy as a recognized health profession, and reminded Mr. McFadyen and Ms. Myrna Driedger (Health Critic) that "It is our hope that Manitoba Conservatives will continue to appeal for the inclusion of legitimate health professions in new legislation, including paramedicine, as the government undertakes their Health Professions Regulatory Reform Initiative".
I encourage you to write to your provincial MLA (copied to the Paramedic Association of Manitoba) and ask that they support the recognition of paramedicine as a health profession within any new Health Professions legislation, and also that they support self-regulation for paramedics in Manitoba. Contact information for your MLA can be found on the Manitoba Legislature web site.
Wednesday, January 17, 2007
Back to Blogging
I'm sorry...I'm sorry...I'm sorry!
It's been over six weeks since I last posted on my Blog. I'd like to blame that lost time on the hectic holiday season, but that probably won't cut it. So suffice it to say that my New Years resolution will be to ensure that a similar incident doesn't happen again!
The fact that I haven't posted lately doesn't mean that the Association hasn't been busy. December was a very busy month for the Paramedic Association of Manitoba despite the holiday season. We were invited early in the month to meet with the Premier's Chief of Staff, Michael Balagus, to discuss preliminary plans to allow memorial monuments to be erected on the legislative grounds. More importantly, this meeting provided us an opportunity to bring other issues directly to the attention of the Premier's office...issues that we've been trying to elevate to that level with very limited success for some time now. I also had opportunity in December to meet once again with staff in Minister Oswald's office to talk about problems with service delivery, including the frequency with which Winnipeg has "run out of ambulances" in recent weeks and months.
Jodi and I met with representatives of the College of Midwives of Manitoba late last month. We initiated this meeting in an effort to better understand the process that led to their self-regulatory status, as well as seek any advice they might be willing to share with us having been recently completed the application process themselves. Meeting with other health regulators is something that we need continue, not only to solicit advice but also gain support as we consider how best to move forward in our quest for self-regulation.
On January 10th I met with WFPS acting Chief Jim Brennan. We discussed a number of issues, including potential use of PAMs Con-Ed material as a component of ARML for Winnipeg staff, the possibility of WFPS assisting with PCP Bridging of rural paramedics and plans for the EMS Chiefs of Canada Conference being held in Winnipeg later this spring. Even more recently I had opportunity to meet with the Assistant Deputy Minister of Health responsible for EMS, John Stinson. Mr. Stinson recently had EMS moved into his portfolio, and has promised to continue working closely with our Association.
Just yesterday I was invited to meet again with Myrna Driedger, the Conservative critic for health. Ms. Driedger provided us with a copy of her discussion paper entitled Public Services That Work, and asked that we comment on areas related to EMS and health care for her consideration. Anyone interested in reviewing this document can download it from the PC Manitoba web site. We'll continue to meet with politicians from all provincial parties in expectation of a provincial election sometime in 2007.
Once again, my apologies for having taken such an extended leave of absence from this Blog.
It's been over six weeks since I last posted on my Blog. I'd like to blame that lost time on the hectic holiday season, but that probably won't cut it. So suffice it to say that my New Years resolution will be to ensure that a similar incident doesn't happen again!
The fact that I haven't posted lately doesn't mean that the Association hasn't been busy. December was a very busy month for the Paramedic Association of Manitoba despite the holiday season. We were invited early in the month to meet with the Premier's Chief of Staff, Michael Balagus, to discuss preliminary plans to allow memorial monuments to be erected on the legislative grounds. More importantly, this meeting provided us an opportunity to bring other issues directly to the attention of the Premier's office...issues that we've been trying to elevate to that level with very limited success for some time now. I also had opportunity in December to meet once again with staff in Minister Oswald's office to talk about problems with service delivery, including the frequency with which Winnipeg has "run out of ambulances" in recent weeks and months.
Jodi and I met with representatives of the College of Midwives of Manitoba late last month. We initiated this meeting in an effort to better understand the process that led to their self-regulatory status, as well as seek any advice they might be willing to share with us having been recently completed the application process themselves. Meeting with other health regulators is something that we need continue, not only to solicit advice but also gain support as we consider how best to move forward in our quest for self-regulation.
On January 10th I met with WFPS acting Chief Jim Brennan. We discussed a number of issues, including potential use of PAMs Con-Ed material as a component of ARML for Winnipeg staff, the possibility of WFPS assisting with PCP Bridging of rural paramedics and plans for the EMS Chiefs of Canada Conference being held in Winnipeg later this spring. Even more recently I had opportunity to meet with the Assistant Deputy Minister of Health responsible for EMS, John Stinson. Mr. Stinson recently had EMS moved into his portfolio, and has promised to continue working closely with our Association.
Just yesterday I was invited to meet again with Myrna Driedger, the Conservative critic for health. Ms. Driedger provided us with a copy of her discussion paper entitled Public Services That Work, and asked that we comment on areas related to EMS and health care for her consideration. Anyone interested in reviewing this document can download it from the PC Manitoba web site. We'll continue to meet with politicians from all provincial parties in expectation of a provincial election sometime in 2007.
Once again, my apologies for having taken such an extended leave of absence from this Blog.
Tuesday, November 28, 2006
Accredited PCP Bridging
With the announcement earlier this year that the Manitoba Emergency Services College would no longer be offering a rural PCP bridging program, many practitioners have been left wondering how best to pursue completion of Canadian Medical Association (CMA) accredited education to bridge to the PCP level. While this bridge education is not necessarily required to apply for licensing as a Technician-Paramedic in Manitoba ("grandfathering from EMT to Tech-P can be granted under specific conditions), there is significant benefit to obtaining education in a health profession that has that CMA "seal of approval" known as accreditation. Many employers and regulators, not only in Manitoba but across the country, require completion of CMA accredited education as a prerequisite to employment or licensure.
The rural PCP bridging program was accredited by the CMA as a partnership between the Manitoba Emergency Services College in Brandon and the Winnipeg Fire Paramedic Service. It recognized four regional delivery sites...Brandon, Interlake, South Eastman and Parkland. As such, it may be feasible that an agreement could be reached between interested regional health authorities and WFPS to deliver a rural bridging program for practitioners interested in pursuing a CMA accredited program. At the very least, the accreditation certainly allows WFPS to continue delivering this education in Winnipeg until the CMA expiry date in 2009.
I had some very preliminary discussions with WFPS around this concept yesterday. PAM will continue to pursue the possibility of working with various RHAs and WFPS to see if an agreement can be reached to deliver rural PCP bridging programs for interested regions and practitioners. I'm hopeful that this possibility might become a reality in the new year.
The rural PCP bridging program was accredited by the CMA as a partnership between the Manitoba Emergency Services College in Brandon and the Winnipeg Fire Paramedic Service. It recognized four regional delivery sites...Brandon, Interlake, South Eastman and Parkland. As such, it may be feasible that an agreement could be reached between interested regional health authorities and WFPS to deliver a rural bridging program for practitioners interested in pursuing a CMA accredited program. At the very least, the accreditation certainly allows WFPS to continue delivering this education in Winnipeg until the CMA expiry date in 2009.
I had some very preliminary discussions with WFPS around this concept yesterday. PAM will continue to pursue the possibility of working with various RHAs and WFPS to see if an agreement can be reached to deliver rural PCP bridging programs for interested regions and practitioners. I'm hopeful that this possibility might become a reality in the new year.
Farewell to Chief Shoemaker
On behalf of the Paramedic Association of Manitoba, Jodi and I attended the farewell reception for WFPS Chief Wes Shoemaker and his wife Lori. The event was held last evening at the Fairmont Hotel in Winnipeg. A handful of Winnipeg City councillors were in attendance, as were many other civic and government officials. Mayor Sam Katz made a very brief appearance. Representatives from all three WFPS employee unions (PPAW, UFFW and WFPSOA) were also present to bid Wes and Lori farewell.
As you probably have already heard, Wes has accepted an Associate Deputy Minister's position with the B.C. Government, and begins work in Victoria early next week. The City has named Jim Brennan as the interim WFPS Chief, and is expected to begin looking for a full time replacement early in the new year.
As you probably have already heard, Wes has accepted an Associate Deputy Minister's position with the B.C. Government, and begins work in Victoria early next week. The City has named Jim Brennan as the interim WFPS Chief, and is expected to begin looking for a full time replacement early in the new year.
Monday, November 27, 2006
2006 Annual General Meeting
The Paramedic Association of Manitoba held it's 2006 AGM in Winnipeg at the Polo Park CanadInns on Saturday, November 25th. The agenda included Board presentations of Association activities over the past year and the election of two Board members to replace outgoing members having completed three year terms.
The attendance at this year's meeting was disappointing. We were unable to convene the meeting as scheduled due to the low number of voting members present...in accordance with Association Bylaws the meeting had to be reconvened after a 15 minute break with those in attendance forming the quorum.
Agenda items included Board reports on Association activities over the past year, including a review of the annual financial report (P&L and Balance Sheet). Two Board of Directors positions were up for election, and both Jodi Possia and Stuart Cuddy were re-elected to these positions by acclamation.
The annual Chairman's Report included an outline of Association priorities for 2007 as I see them:
The attendance at this year's meeting was disappointing. We were unable to convene the meeting as scheduled due to the low number of voting members present...in accordance with Association Bylaws the meeting had to be reconvened after a 15 minute break with those in attendance forming the quorum.
Agenda items included Board reports on Association activities over the past year, including a review of the annual financial report (P&L and Balance Sheet). Two Board of Directors positions were up for election, and both Jodi Possia and Stuart Cuddy were re-elected to these positions by acclamation.
The annual Chairman's Report included an outline of Association priorities for 2007 as I see them:
- Continued emphasis on increasing membership numbers...
- PAM now has an agreement with Manitoba Health Emergency Services that allows them to forward practitioner names, addresses and email information in accordance with an indication of approval on licensing application and renewal forms.
- Clear identification of PAM as a professional association versus a labour organization...
- We need to ensure that any misconceptions that PAM is a "union" are clarified. Our success at achieving self-regulatory status is dependant on our ability to be seen as an organization that acts in the best interest of our patients and the public in general.
- Continued efforts at achieving self-regulation...
- This includes extensive consultation with all other stakeholders such as government, employers, unions, other health professions, and in particular EMS practitioners across the province.
Thursday, November 23, 2006
PAM Meets With Health Minister
Jodi and I met with Health Minister Theresa Oswald on Tuesday, November 21st. This was our first official meeting with Minister Oswald since her appointment to the Health portfolio in late September. The Deputy Minister of Health, Arlene Wilgosh, was also present.
We used this opportunity primarily to introduce the Paramedic Association of Manitoba to the Minister. We outlined our role as a professional association and advised Minister Oswald of our intent to continue in efforts to pursue self-regulatory status for our profession. Other topics of discussion included the status of the EMS Framework and potential benefits associated with a more centralized management of all Manitoba ambulance and paramedic resources.
During the course of our 40 minute meeting, the Minister assured us that EMS will continue to be a priority for her department. In terms of significant commitment, the Minister acknowledged and approved of our request to participate in discussions related to possible Health Professions Legislation and acknowledged the need to improve system efficiencies and consistency. She also indicated to us that she would be receiving a more detailed briefing on emergency medical services from her department staff in early December, following which she would initiate further consultation with our Association.
We used this opportunity primarily to introduce the Paramedic Association of Manitoba to the Minister. We outlined our role as a professional association and advised Minister Oswald of our intent to continue in efforts to pursue self-regulatory status for our profession. Other topics of discussion included the status of the EMS Framework and potential benefits associated with a more centralized management of all Manitoba ambulance and paramedic resources.
During the course of our 40 minute meeting, the Minister assured us that EMS will continue to be a priority for her department. In terms of significant commitment, the Minister acknowledged and approved of our request to participate in discussions related to possible Health Professions Legislation and acknowledged the need to improve system efficiencies and consistency. She also indicated to us that she would be receiving a more detailed briefing on emergency medical services from her department staff in early December, following which she would initiate further consultation with our Association.
Saturday, November 18, 2006
Operation Christmas Child a Great Success!
Hundreds of smiling and enthusiastic students loading close to 5000 gift-filled shoeboxes into 15 waiting ambulances, assisted (somewhat) by 30 plus paramedics...it was a sight to behold and an experience that I'm proud to have been a small part of!This marked the fifth year that EMS in Manitoba has partnered with Operation Christmas Child. Five years ago, one ambulance collected gift boxes from one school. This year paramedics from six regions of the
province visited 40 schools and collected about 5000 shoeboxes before converging to parade on the streets of Winnipeg...a sight that may well rival even this week's Grey Cup parade.I want to congratulate everyone who took time to participate in this very worth while event. A very special thank-you to Meaghan Webb,
who spent countless hours organizing and coordinating OCC right across the province. Thanks to Meaghan and paramedics from Assiniboine, Central, Interlake, North-East, South-East and Winnipeg regions, at least 5000 underprivileged kids living in some of the worst conditions imaginable will have a reason to smile this Christmas.Thursday, November 16, 2006
Operation Christmas Child Kicks-off!
Paramedics from 6 RHAs began collecting shoeboxes from local schools as Operation Christmas Child kicked off this morning. Off-duty medics from Interlake, Central, Assiniboine, South-East, North-East and Winnipeg regions began collecting gift-filled shoeboxes that will be distributed to less fortunate children around the world.I had the pleasure of dropping in on two elementary schools near our EMS station...Domain and Sanford. Seventeen ambulances will visit 40 schools across the province today and tomorrow, and it's expected that we'll collect over 5000 shoeboxes for OCC this year.
A very special thanks to Meaghan Webb for her tireless effort coordinating this year's event. Thanks also to each and every participating medic for taking time out of their busy schedules to make this such a success, and to the regions...our employers...for their support in this very worthwhile venture.
Throne Speech Lacks Ongoing Commitment to EMS
I attended the Manitoba Legislature on Wednesday (November 15th) as a guest of the Health Minister's office to listen to the government Throne Speech. I have to admit that although I didn't expect any detailed announcements regarding emergency medical services, I had hoped to hear a commitment from the government to continue efforts to improve Manitoba's EMS system...unfortunately the only reference to EMS was in regard to the change in inter-facility transfer billing, a promise actually made in their 2005 Throne Speech.
The government stated that health care has been and will continue to be their top priority going into this legislative session. They spoke of investments made to establish world-class facilities in order to be more successful in recruiting and retaining health care professionals. They outlined previous and ongoing investments in training and education for nurses, physicians, LPNs, technologists and other specialists. But throughout, no mention was made of the need for similar investment in our emergency medical services system.
There was, however, one very significant promise made in the Throne Speech that carries with it a glimmer of hope and perhaps opportunity. The government has committed to an independent review of the regional health authority model. This, I think, is an excellent opportunity for the Paramedic Association of Manitoba to express concern over the inconsistencies of our regional EMS systems and the need for a more centralized management and oversight of EMS across the province. When the RHAs were empowered with the responsibility for health care provision in 1996, not all health components were shifted to the RHA model. Not everyone close to government believes EMS should have been moved into the regional model...this review opens the door to further investigating that decision and it's ramifications.
The government stated that health care has been and will continue to be their top priority going into this legislative session. They spoke of investments made to establish world-class facilities in order to be more successful in recruiting and retaining health care professionals. They outlined previous and ongoing investments in training and education for nurses, physicians, LPNs, technologists and other specialists. But throughout, no mention was made of the need for similar investment in our emergency medical services system.
There was, however, one very significant promise made in the Throne Speech that carries with it a glimmer of hope and perhaps opportunity. The government has committed to an independent review of the regional health authority model. This, I think, is an excellent opportunity for the Paramedic Association of Manitoba to express concern over the inconsistencies of our regional EMS systems and the need for a more centralized management and oversight of EMS across the province. When the RHAs were empowered with the responsibility for health care provision in 1996, not all health components were shifted to the RHA model. Not everyone close to government believes EMS should have been moved into the regional model...this review opens the door to further investigating that decision and it's ramifications.
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