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On average, the General Hospital sees 17.11 pediatric patients in its 26 beds every day while the Pasqua sees 3.23 patients in its 12 beds.
Above bed numbers, Garrett pointed to greater, multi disciplinary support available for pediatric care at the General Hospital. Also, because nurses at the Pasqua are caring for few patients their skill set is less practiced.
"With a larger staff at one site, we have more capacity to have experience when we're doing work."
The recommendation on the merger was made after months of consultations headed by RQHR's executive director of women's and children's health, Sharon Garrett, and Dr. Juliet Soper, head of pediatrics.
Based on talks with families of children who have received care in the last five years, staff and other health regions, three detailed recommendations were presented to the board:
2. Combine inpatient pediatric services offered at both of Regina's hospitals at RQHR is seeing a declining trend in the number of children being admitted to both of Regina's hospitals. Since the summer of 2012, the region has seen the number of pediatricians in Regina grow from six to 11 and as a result, the number of admitted children has gone down.
1. Establish a high acuity area for children who require a high level of care without the need of an intensive care unit
Renovations will be required at the General Hospital to accomodate a high acuity area, changing two large rooms to four single rooms and adding one double room. The $1 million project would be paid for by the Hospitals of Regina Foundation taking five to six months to complete ending with 18 single rooms, 28 total beds for high acuity pediatric care.
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A transition to one consolidated unit will begin Jan. 6, 2014. The entire consolidation of inpatient units at the General Hospital is scheduled to be finished by June 2014.
Looking at the last several years of patient data, it was determined that a high acuity pediatric center in Regina would have safely cared for 70 to 90 patients in Regina per year. In the same time 40 to 60 patients would have had to be transferred to Saskatoon per year for intensive care
patients," Garrett explained. She said they have even seen nursing staff leave the ward, searching for a place that offers more active experience.
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Any patients requiring subspecialists or intensive care would be transported to a single provincial site in Saskatoon. Part of the recommendation is to ensure support is available to transport critically ill children to the Saskatoon site. Some surgeries would also be moved to the Saskatoon site in the event that intensive care is required afterwards. To aid in the transport of sick children, the ministry of health will be amending its critical care ambulance transfer policy to cover the cost of transfering critically ill or injured children between the two cities.
to the future of a growing province, adding a note that further renovations will be required as the alalgamation will still leave a few challenges when it comes to family spaces, pallative care and pediatrice space in the Emergency Department.
The high acuity area would be established at the General Hospital. Acuity, as Dr. Soper explained, is a measure of how sick a child or patient is. The higher the acuity, the higher the need of the patient.
There will be plenty of work needed to consolidate the pediatric wards as well. It will likely take at least 15 months and cost $1.2 million. The new combined RGH ward will have 24 single rooms and 34 beds in all.
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Health board approves merger of Regina
3. Continue to work towards re development of pediatric services
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