The back-and-forth continues in the CHSLD

Le va-et-vient continue dans les CHSLD

Photo: Renaud Philippe The Duty
Employees of CHSLD Notre-Dame-de-la-Merci, finishing their shift, waiting for the bus in front of the centre.

Isabelle Wear and

Possible To Pineda

April 23, 2020

  • Health

The difference between the speech of the prime minister and the reality on the ground is worrying, leave it to employee health, which are still called to do the back-and-forth between different NURSING homes during their work week.

“On tv, the prime minister said that it is necessary to avoid displacement, to limit the spread, but in real life, this is not what happens. Even today, we are asked to go and assist in other institutions, ” says Agnes (fictitious name), an agent to the beneficiaries of the CHSLD Cartierville.

She has requested anonymity for fear of reprisals from his employer, who again this week has wanted to send lend hand-strong to the CHSLD Notre-Dame-de-la-Merci, where one quarter of residents were reported positive to the COVID-19.

“I said to myself : “This is not possible, they want me to become a vector of contagion ?” We will not be able to get out if it continues to move us, ” said the woman.

Two weeks ago, the minister of Health and social Services, Danielle McCann, stressed the importance of ensuring stability in order to avoid the spread of the virus. “It is fundamental that these are the same people who work with our seniors by unit, by facility, by zone cold zone hot too “, she argued on April 8.


This is the number of medical specialists who have raised their hand for the last few days to come to help in NURSING homes. Quebec was waiting, rather 1000.

A statement which is offset from the reality of some families who thought their loved ones safe. The CHSLD Ernest-Routhier added this week to the residences affected by the COVID-19. “We were called Tuesday to tell us, while last week it was one of the centers that didn’t have a case yet,” says Yan Pocreau. Severely handicapped, her mother was already suffering from pneumonia before the entrance of the COVID-19. “The nurse on the phone told me that it was going to be difficult to control because a lot of people through from one centre to another,” he says.

Mr. Pocreau is all the more concerned that his mother had to leave her room following the ministerial direction to create zones of hot, warm and cold. Since its floor has been chosen to host the hot zone, it has been moved with a dozen other residents in the cafeteria, where they are separated by curtains. “I don’t see how it is going to protect people by placing them in a common space, in addition to depriving them of their privacy. “

Centres integrated academic health and social services (CIUSSS) of Montreal confirmed the Need to a back-and-forth of employees. Describing the practice of ” exceptional “, they explain that it is to avoid service interruptions as they move to the workforce.

Le va-et-vient continue dans les CHSLD

Quebec announced Wednesday the death of 93 persons infected with the COVID-19, bringing the death toll to 1134. About 839 new people had secured a positive diagnosis, for a total of 20 965 confirmed cases. There was also 1 278 persons to be hospitalized (+54), of whom 199 are in the icu (-2).

“If an employee must move from one facility to another, precautions that meet the highest standards are taken,” says Emily Jacob, a spokesperson for the CIUSSS of the North-of-the-Island-of-Montreal.

“When we move an employee, it is that there are not other possible solutions to meet the needs “, said of his side, Eric Forest, advisor to the media relations of the CIUSSS Centre-Sud-de-l’île-de-Montréal.

When asked about it Wednesday, the national director of public health, Horacio Arruda, has finally suggested that a service outage is a bigger threat than the transfer of personnel. “The effect of leaving a person without a care […] there may be mortalities associated “, he argues, recalling that it is up to each institution to assess the situation ” on a case-by-case basis “.

The risk of contagion are very real. An attendant to the beneficiaries of Montreal, called reinforcement, is the cause of the outbreak of the COVID-19 in the pavilion, Philippe Lapointe du CHSLD Sainte-Agathe-des-Monts, in the Laurentians.

“It is a Montrealer who has been sent by a private agency on 6 April because it lacked the manpower. It has been declared positive for the virus a few days later, and now the whole floor where he worked was contaminated and we are still waiting for the results of ten patients, ” says Denis Provencher, the FIQ-Union professionals in the care of the Laurentians.

I said to myself : “This is not possible, they want me to become a vector of contagion ?” We will not be able to get out if it continues we move.


The pandemic is only to highlight the knowledge gaps and disorganization of the centralization of the management of CHSLD, grieves Benoit Taillefer, vice-president health and safety of the workers Union of the CIUSSS North-of-the-Island-of-Montreal.

“The will may be there, but it is not easy to implement. There are more people who fall in combat “, says he.

What is also worrying is that the contingency of staff prevents them from having the best practices, raises Alain Croteau, president of the union of employees of the CIUSSS Centre-Sud-de-l’île-de-Montréal.

“I believe that, if we had enough material from the beginning, maybe we would not be here today “, he laments.

The interpretation of the ministerial direction is also variable geometry, laments his side Andrée Poirier, of the Alliance of professional and technical staff of the health and social services (APTS). In the past few weeks, workers who have been jettisoned to help in NURSING homes, including occupational therapists and social workers, have also been face-to-facility transfers.

“When you have people who are working in a CHSLD infected, who is it that says that it is a good decision to transfer it in other NURSING homes where there is no case yet ?” asks Ms. Poirier. “Currently, there are establishments where managers believe that they can take this risk,” she adds.


The law society offers its services in Quebec city

The Barreau du Québec offered its advice to the team of François Legault, who corrects with blows of decrees and ministerial orders since the beginning of the state health emergency last march 14. “We are at a point where it is not obvious to the decision-makers to balance the trade-offs between some of the prerogatives of public health and the infringement of some rights. We are thinking about the question continuously, ” stressed the president of the bar of Quebec, Paul-Matthieu Grondin, in an exchange with The Duty. “We are available full and whole of governments to discuss “, he added.

Nurses and attendants (still) wanted

François Legault has ensured that Quebec did not refuse the services of foreign doctors, who are urging Quebec to give them a license to practice restrictive so that they can go lend a hand in NURSING homes and hospitals. “We refuse any foreign doctor who wants to come to work “, he assured. “What we really need are nurses, attendants. […] So, if there is basic care in NURSING homes, our arms are wide open to welcome them “, he said.

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