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HomeHealth and LifestyleRoss Memorial Hospital And Kawartha Lakes Paramedic Services Launch Fit2Sit Program To...

Ross Memorial Hospital And Kawartha Lakes Paramedic Services Launch Fit2Sit Program To Reduce Off-Load Delays

KAWARTHA LAKES-Ross Memorial Hospital and Kawartha Lakes Paramedic Services are partnering to implement a new program called Fit2Sit beginning on May 30 that they say will help reduce off-load delays and allow paramedics to get back into service within the community faster.

When a patient arrives at the hospital via ambulance, paramedics must wait until they can transfer care to hospital staff. While that process typically happens fairly quickly, paramedics sometimes encounter delays with low-acuity patients—patients with less-severe injuries or conditions.

Last week Kawartha 411 News reported on “significant” off-load delays at area hospitals.

Randy Mellow, Paramedic Chief Kawartha Lakes and Peterborough confirmed significant delays last Wednesday but said there were still ambulances available.

“There is currently a high volume of calls however CKL does have units available.” Mellow told Kawartha 411 News. “Offload delays are extensive in all area hospitals (PTBO, Lindsay, Cobourg) affecting all area services.”
Ross Memorial Hospital said they are operating over 100% capacity.
“We can confirm that there was an offload delay earlier today(Wednesday) due to a high number of patients requiring admission and hospital capacity being over 100 per cent. The delay has since been cleared.” Ryan Young, Communications Ross Memorial Hospital said.

The Fit2Sit program will allow paramedics, in consultation with the Ross Memorial Hospital’s Emergency Department (ED) triage nurse, to transfer low-acuity patients directly to the ED waiting room. Not only will the initiative allow paramedics to return to the community quicker, it will help reassure patients are receiving care based on their acuity level.

“The Fit2Sit program will allow paramedics to return to the community sooner and be available for emergency care, free up stretcher space in our Emergency Room for more seriously injured or ill patients, and allow the hospital to prioritize patients who present to the ER based on the nature of their illness rather than how they arrived.” said Jennifer Chipp-Smith, Emergency Department Manager, Ross Memorial Hospital.

Photo (left-to-right): Chris McIndoo, Primary Care Paramedic (PCP) with Kawartha Lakes Paramedic Services (KLPS), Jennifer Chipp-Smith, Ross Memorial Hospital (RMH) Emergency Department (ED) Manager, Melissa Doucette, Registered Nurse (RN) in RMH ED, Nicole Dodge, RN in RMH ED, Autumn Campbell, Superintendent of Community Medicine with KLPS, Elysha Dewell, PCP with KLPS, at RMH on May 24, 2022.

The Kawartha Lakes Paramedic Service has experienced an unprecedented increase in emergent and urgent call volume of 15 per cent in 2021. They received 13,422 calls for service in 2021 and transported 8,518 patients to an emergency department.

“Wait times for patients brought to the Emergency Department by ambulance has become an ongoing challenge, resulting in delays in transferring patients to a hospital bed and tying up paramedics. The Fit2Sit initiative will allow paramedics and hospital staff to safely identify and separate patients transported by ambulance into two groups – those who need immediate care and those who are able to able to sit in the waiting room. We appreciate our partnership with the Ross to continuously look at different strategies to free up resources as call volumes continue to increase.” explains Sara Johnston, Deputy Chief, Professional Standards, Kawartha Lakes Paramedic Services

Paramedics are considered to be on offload when they are at the hospital for greater than 30 minutes. Approximately 33 per cent of calls where a patient is transported to hospital in Kawartha Lakes results in an offload time of greater than 30 minutes. In 2021, paramedics spent 726 hours on offload at the Ross, with an alarming increase to 505 hours in the first four months of 2022.

With call volumes increasing, reliance on neighbouring paramedic services has also been increasing. That can result in delayed responses and increased cost associated with cross-border billing agreements. Neighbouring paramedic services responded to 758 calls in 2021, up from 443 in 2020 and 452 in 2019.

Ross Memorial Hospital Emergency Department and Kawartha Lakes Paramedic Services staff have been receiving education and training on the Fit2Sit initiative throughout the month of May to ensure a smooth implementation when the program launches on May 30.


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Pamela Vanmeer
Pamela Vanmeerhttps://www.kawartha411.ca/
Pamela VanMeer is a two time winner of the prestigious Radio Television Digital News Association (RTDNA) Award. Her investigative reports on abuse in Long Term Care Homes garnered international attention for the issue and won the Ron Laidlaw Award. She is a former reporter and anchor at CHEX News, now Global Peterborough and helped launch the New CHEX Daily, a daily half hour talk show. While at CHCH News in Hamilton she covered some of the biggest news stories of the day.

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