Two decades into a career she once loved, Toronto emergency room nurse Nancy Halupa says she is almost ready to throw in the towel.
“I don’t think I can do a fourth wave with this kind of staffing,” she told Global News.
“It’s not good for my mental health. It’s not good for my family. It’s not a workable situation anymore.”
Nancy Halupa, ER nurse.
Across the country, hospital staff are leaving their jobs at an alarming rate. And that’s prompting experts and health-care workers to call for more action from the federal government.
Nearly one in five job vacancies in Canada is in health care and social assistance, according to Statistics Canada. In early 2021, those sectors experienced the largest losses year-over-year compared to all other sectors.
Weekly overtime increased, too, 78 per cent on average from May 2019 to May 2020, the Canadian Federation of Nurses Unions (CFNU) said, using data from StatCan.
According to the CFNU, that number jumps to 137 per cent in Quebec and Ontario.
2:04 Facing COVID-19 staffing crunch, hospitals offer cash bonuses to new nurses
Facing COVID-19 staffing crunch, hospitals offer cash bonuses to new nurses – Jun 16, 2021
In Canada’s largest province of Ontario alone, the president of the CFNU told Global News it estimates there are more than 16,000 vacancies.
For those, like Halupa, who haven’t quit, the workload, she said, is crushing.
“Things need to change. It is getting dangerous out there,” said Halupa.
“I’ve never gone to work with this much anxiety or fear on what I’m going to see or what we’re going to have to deal with or how short-staffed we are.”
Halupa said not all the blame can be put on COVID-19. Recruitment, retirements and pay, she said, have also played a role in pushing people out of the profession.
The legislation was introduced pre-pandemic in 2019 and caps certain public sector wages, such as nurses’, at a one per cent annual increase.
For registered nurse Leah Waxman, that meant 47 cents more per hour for her last raise, a number that doesn’t make her want to stay in her role.
“Something acute needs to happen to make a drastic change and prevent our health-care (system) from collapsing … because it is,” she said.
Richard Mullin, a spokesperson for Ontario’s Treasury Board, told Global News in a statement that “it is inaccurate to suggest that Bill 124 caps wages at one per cent annually.”
“Ontario’s public sector employees will still be able to receive salary increases for seniority, performance, or increased qualifications as they do currently,” Mullin explained.
Labour expert Rafael Gomez called the legislation “suppressive.”
“Health-care spending now is the largest ticket item of any government. So I understand the macro priorities,” said Gomez, the director of the Centre for Industrial Relations and Human Resources. “But health-care is a micro event. When you’re in a hospital and you need help and you want a nurse to be there, that’s affecting you personally. And if there are policies that are hampering that, I think the government is sort of short-sighted.”
A Canadian problem
In July, Alberta Health Services confirmed it had only about 18 treatment beds available at one of its busiest hospitals, the Royal Alexandra, “due to short-term staffing coverage issues.”
Alberta Opposition NDP Leader Rachel Notley said bed closures due to staffing pressures aren’t isolated.
“This has led to bed closures and cancelled surgeries and repeated emergency room closures in the communities of Edson, St. Paul, Boyle, Elk Point, Galahad, Westlock, Fairview, Rocky Mountain House, Cold Lake, Lac La Biche, High Prairie, Slave Lake, Wainwright, Rimbey and Lacombe.”
Since then, the United Nurses of Alberta has said the province has been hiring contract nurses to address severe staffing shortages in hospitals there.
Meantime, in Kamloops, B.C., the shortages have become deadly. There, a 70-year-old woman died in an emergency department waiting room while seeking treatment last week.
“The government has let the situation at the hospital’s emergency department become dire — we’ve heard reports that some shifts have only three nurses trying to keep up with a workload usually handled by 13 people,” Kamloops-South Thompson MLA Todd Stone said Monday.
Cheryl Cusack of the Association of Regulated Nurses of Manitoba said there, nurses are struggling with depression and other mental health issues, including trauma, as a result of their efforts to save coronavirus patients.
And in Nova Scotia, what was once a seven per cent vacancy rate has climbed to 20 per cent, according to the Nova Scotia Health Authority.
“We’ve had 34 people leave the Halifax Infirmary emergency department in the past two-and-a-half to three months,” said the province’s General Employees’ Union president Jason MacLean. “Six of them didn’t even have other jobs. So what we need to do is find out why they are leaving, which I believe we are getting to, but also people need to be incentivized to stay there.”
Experts call for federal leadership
The president of CFNU, Linda Silas, told Global News Ottawa needs to “show leadership.”
“We need commitment from the federal government to create a health-care workforce agency,” Silas said. “The federal government will have an agency to look at how many nurses we need in five years. What do we need to do today to keep what we have and plan better with the provinces and territories?”
When asked if it would consider any of these measures, in an email to Global News, Health Canada spokesperson Mark Johnson wrote: “the responsibility for matters related to the administration and delivery of health services, including health workforce planning and management, falls within provinces and territories jurisdiction.”
It’s not the first time health-care experts have asked for the Canadian government to create national standards or regulations for nurses.
Over the last year, seniors’ advocates have been pleading for national standards in nursing homes. And while Liberal Leader Justin Trudeau made the promise last fall, his government still hasn’t put anything into action.
Colleen MacPherson, a critical care nurse in Toronto, is upset the provinces and the federal government haven’t made significant steps to fix the growing problem.
“Look what happened in long-term care. The nurses were working without protection. They were understaffed,” she told Global News.
And, she said, hospitals aren’t immune.
“People are at risk. We have no staff. Nurses didn’t get any vacation this year. Wages are stuck.”
Now, MacPherson and others worry an election has created more uncertainty and set back any plans for a solution.
Party plans
During the 2021 federal election campaign, Trudeau has promised that a re-elected Liberal government will give $10 billion to help provinces clear their backlogs and pandemic wait-lists. It plans to help provinces hire 7,500 nurses, nurse practitioners and family doctors.
The Conservatives, meanwhile, have vowed to meet with premiers to make a new health-care agreement and boost the annual growth rate of the Canada Health Transfer by six per cent if elected. That plan would add nearly $60 billion to the system over a decade.
Erin O’Toole did fall short of promising to hire more front-line workers.
Jagmeet Singh and the NDP announced $250 million to address the health-care worker shortage, a fund to help hire 2,000 nurses across the country.
The Green Party, meanwhile, promised to develop national health-care guidelines.
Toronto emergency room doctor Chris Keefer said in the meantime, patients are the ones really suffering.
“If nurses aren’t available to get orders done, to get procedures done and treatments done, patients wait and wait and wait. And people are already quite frustrated with that. But it’s getting worse and worse and it’s getting critical,” Keefer said.
Halupa agrees.
“It’s impossible to run a department shorthanded,” she said, worried the time to save the health-care system is running out.
“There’s not a lot of veteran nurses left,” she said. “if you want to keep health care somewhat safe, then you need to retain the people you have. You need the veterans. You need to retain who you have now.”
LONGUEUIL, Que. – People in a part of Longueuil, Que., were being asked to stay indoors with their doors and windows closed on Thursday morning after a train derailed, spilling an unknown quantity of hydrogen peroxide.
Police from the city just east of Montreal said it didn’t appear anyone was hurt, although a CN rail official told a news conference that three employees had been taken to hospital as a precautionary measure.
The derailment happened at around 9 a.m. in the LeMoyne area, near the intersection of St-Louis and St-Georges streets. Mathieu Gaudreault, a spokesman for CN rail, said about eight cars derailed at the Southwark rail facility, including four that toppled over.
“As of this morning, the information we have is it’s hydrogen peroxide that was in the rail car and created the fumes we saw,” he said, adding that there was no risk of fire.
François Boucher, a spokesman for the Longueuil police department, said police were asking people in the area, including students at nearby schools, to stay indoors while experts ensure the air is safe to breathe.
“It is as a preventive measure that we encourage people to really avoid exposing themselves unnecessarily,” he told reporters near the scene.
Police and fire officials were on site, as well as CN railworkers, and a large security perimeter was erected.
Officers were asking people to avoid the sector, and the normally busy Highway 116 was closed in the area. The confinement notice includes everyone within 800 metres of the derailment, officials said, who added that it would be lifted once a team with expertise in dangerous materials has given the green light.
In addition to closing doors and windows, people in the area covered by the notice are asked to close heating, ventilation and air exchange systems, and to stay as far from windows as possible.
Gaudreault said it wasn’t yet clear what caused the derailment. The possibilities include a problem with the track, a problem with a manoeuvre, or a mechanical issue, he said.
This report by The Canadian Press was first published Nov. 14, 2024.
HALIFAX – Nova Scotia’s Liberal party is promising to improve cellphone service and invest in major highways if the party is elected to govern on Nov. 26.
Party leader Zach Churchill says a Liberal government would spend $60 million on building 87 new cellphone towers, which would be in addition to the $66 million the previous Progressive Conservative government committed to similar projects last year.
As well, Churchill confirmed the Liberals want to improve the province’s controlled access highways by adding exits along Highway 104 across the top of the mainland, and building a bypass along Highway 101 near Digby.
Churchill says the Liberals would add $40 million to the province’s $500 million capital budget for highways.
Meanwhile, the leaders of the three major political parties were expected to spend much of today preparing for a televised debate that will be broadcast tonight at 6 p.m. local time.
Churchill will face off against Progressive Conservative Leader Tim Houston and NDP Leader Claudia Chender during a 90-minute debate that will be carried live on CBC TV and streamed online.
This report by The Canadian Press was first published Nov. 14, 2024.
TORONTO – A group of hotel service workers in Toronto is set to hold a rally today outside the Fairmont Royal York to demand salary increases as hotel costs in the city skyrocket during Taylor Swift’s concerts.
Unite Here Local 75, the union representing 8,000 hospitality workers in the Greater Toronto Area, says Royal York employees have not seen a salary increase since 2021, and have been negotiating a new contract with the hotel since 2022.
The rally comes as the megastar begins her series of six sold-out concerts in Toronto, with the last show scheduled for Nov. 23.
During show weekends, some hotel rooms and short-term rentals in Toronto are priced up to 10 times more than other weekends, with some advertised for as much as $2,000 per night.
The union says hotel workers who will be serving Swifties during her Toronto stops are bargaining for raises to keep up with the rising cost of living.
The union represents hospitality workers including food service employees, room attendants and bell persons.
This report by The Canadian Press was first published Nov. 14, 2024.
