RNAO Updates

RNAO is keenly aware of the importance of schools for the mental, social and physical health of children, as well as for their academic development. The pandemic has been very hard for everyone and in particular for young students and their parents. However, the risk of reopening schools for the remaining three weeks of the academic year is too high. Thus, RNAO fully supports Premier Doug Ford's June 2 decision to delay the reopening of schools for in-person classes until September.

RNAO is glad that the government is heeding the call to accelerate the rollout of second doses. The government should engage, starting next week, in two parallel tracks for vaccinations. One is the continuation of the first dose for those 12 years and older – with priority given to hotspot zones. The second, full vaccination (second dose) should start for all persons 60+ – and not only 80+ as announced by the government. Ontario, starting next week, will have enough vaccines to move faster on both fronts. It is a matter of logistics and vaccinators, and with thousands of nurses in primary care and home care - plus 4,500 RN care coordinators available -- we can and must move faster.

Based on current trends in key health indicators, including the provincial vaccination rate, the government expects to enter Step One of the Roadmap the week of June 14, 2021. The province will confirm closer to the expected start of Step One, but RNAO cautions against any advancement of this date. We have already learnt the heavy people’s and societal costs of opening too soon.

RNAO says the pandemic has widened the divide between people who are able to work from home and those who have no choice. Many workers take risks on a daily basis travelling to their jobs. Many work without sick time benefits – including part-time, casual and agency nurses. In this rich province and country, there remain vulnerable workers who earn minimum wage and work in precarious employment. They face deplorable conditions.

The World Health Organization has proclaimed 2021 as the International Year of Health and Care Workers to express gratitude for their unwavering dedication in the fight against the COVID-19 pandemic and to ensure all health workers are supported, protected, motivated and equipped to deliver safe health care at all times.

The Ontario government owes an apology to the families of the 3,758 long-term care (LTC) residents lost to COVID-19 and to the staff that valiantly cared for them under deplorable conditions – including 11 who lost their own lives in the line of duty.

The Ontario government issued on April 21 an emergency order addressing regulated health professions in hospitals (here). The College of Nurses (CNO) has provided a message here and and update here. Under this new government order, health professionals from Ontario or other Canadian jurisdictions – including nurses – are authorized to engage outside of their regular scope of practice provided that doing so is necessary in order for the health care professional to respond to, prevent, or alleviate the effects of the COVID-19 outbreak. This new order applies only to health professionals working in hospitals.

Given the devastating situation in intensive care in the province, the dire predictions from the Science Table, and the outcry from nurses, doctors and other health professionals, yesterday the Ontario government announced new measures. Tragically, as often has been the case, the government acted too-little and too-late. Instead of improving the situation, we deepened the pandemic and the suffering. This is catastrophe by design.

RNAO continues to monitor the expansion of variants of concern, in particular B.1.1.7 (originally identified in the UK), B.1.351 (originally identified in South Africa), and P.1 (originally identified in Brazil). B.1.1.7 is already dominant in Ontario and P.1 is expanding in BC, Alberta and Ontario. RNAO is watchful for public health measures that target people’s crowding and movement from region to region, as well as the speed and effectiveness of the vaccine rollout to vulnerable persons and regional/workplace hotspots.

Ontario’s health system is on the precipice of collapse and nothing short of a complete lockdown and stay-at-home order are needed to combat a fast and furious third wave of COVID-19 says the Registered Nurses’ Association of Ontario (RNAO). On Thursday (April 1), Premier Doug Ford announced what he is calling a province-wide 28-day “shutdown”. Under the plan, indoor dining and outdoor patio dining will no longer be permitted, with restaurants only able to offer take-out and delivery. Personal care services such as hair salons and barber shops will not be allowed to operate. However, under the government’s plan, many non-essential businesses will remain open with 25 per cent capacity, along with indoor religious services operating at 15 per cent capacity.