News Update No. 7: 22nd December 2015
Advertisement for Nursing Posts, New Escalation Policy
To: All Members Emergency Departments
Re: 1. Advertisement for Nursing Posts, 2. New Escalation Policy
I refer to my previous updates, with regard to ED overcrowding, and, specifically, the proposals which are currently being considered and balloted upon by our ED members.
As part of the recent negotiations, chaired by the Workplace Relations Commission (WRC), the INMO demanded a number of issues including:
the filling of all vacant posts:
in this regard please find here a copy of the advertisement,
which appeared in the national media over the weekend, for nursing posts, (including Emergency Departments), confirming the incentives agreed at the WRC negotiations; and
a strengthened escalation policy for the sole purpose of avoiding overcrowding occurring and clearly specifying the responsibilities of senior management to minimise overcrowding:
that the policy is universally applied across all Hospitals with an Emergency Department and partner Community Healthcare Organisations;
it clearly requires named personnel, with appropriate status and authority, to address the issue of overcrowding consistent with this revised policy and the recent Ministerial Directive ;
stipulates that there should be zero tolerance for breaches for the nine hour wait time for admitted patients;
confirms that escalation procedures must be initiated when 30% of ED cubicles are occupied by patients awaiting admission;
confirms that the INMO has not agreed to the use of the Full Capacity Protocol (FCP) which can only be initiated, as a last resort, and when directed by the CEO/Hospital Group CEO;
confirms that the Joint Chairs of the ED Taskforce (Tony O’Brien, HSE/ Liam Doran, INMO) must be notified of any decision to activate the Full Capacity Protocol; and
provides for the Joint Chairs to call for a review, of the use of the Full Capacity Protocol, to determine whether all earlier escalation measures were activated in a timely, and appropriate, manner consistent with the policy and the Ministerial Directive.
This policy clearly prioritises avoiding pressures/overcrowding, in Emergency Departments, over all other hospital activity. It also clearly indicates that elective cases must be cancelled/deferred as part of the escalation response to signs of overcrowding in the ED.
As these measures formed part of the proposals, drawn up at the WRC, I wanted to update you on these relevant developmen
As previously stated we continue with Information Meetings, followed by balloting, on the current proposals, so please watch out, locally, for times and dates of these meetings over the next two weeks.
Thank you for your attention to this note and please bring this to the attention of all members in your department.