UPDATE: Important notice regarding obstetrical delivery/pediatric emergency services

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UPDATE (as of Jan. 21)
Central Health wishes to advise the media that obstetrical delivery and pediatric emergency/inpatient services will be available at James Paton Memorial Regional Health Centre until 8:00 a.m. on Tuesday, January 28, 2014. Late this afternoon a pediatrician agreed to provide coverage for January 22, 23 and 24, 2014; hence the change to the schedule.
 
As per the process outlined in this afternoon’s news release, Central Health will provide updates on the schedule to primary care providers who will inform obstetrical patients. The schedule will also be posted on Central Health’s website at www.centralhealth.nl.ca. Alternatively, obstetrical patients can call the obstetrical units at JPMRHC at 709-256-5607/5608 and/or Central Newfoundland Regional Health Centre (CNRHC) at 709-292-2122.
 
Central Health apologizes for any inconvenience that this may cause.

UPDATE (as of Jan. 21)

Central Health wishes to advise the media that obstetrical delivery and pediatric emergency/inpatient services will be available at James Paton Memorial Regional Health Centre until 8:00 a.m. on Tuesday, January 28, 2014. Late this afternoon a pediatrician agreed to provide coverage for January 22, 23 and 24, 2014; hence the change to the schedule.

 

As per the process outlined in this afternoon’s news release, Central Health will provide updates on the schedule to primary care providers who will inform obstetrical patients. The schedule will also be posted on Central Health’s website at www.centralhealth.nl.ca. Alternatively, obstetrical patients can call the obstetrical units at JPMRHC at 709-256-5607/5608 and/or Central Newfoundland Regional Health Centre (CNRHC) at 709-292-2122.

 

Central Health apologizes for any inconvenience that this may cause.

Earlier posting:

Central Health would like to advise the public that occasionally during January, February and March of 2014 obstetrical delivery services and pediatric emergency/inpatient services will be temporarily diverted from James Paton Memorial Regional Health Centre (JPMRHC) in Gander to Central Newfoundland Regional Health Centre in Grand Falls-Windsor.

This is due to the temporary unavailability of a pediatrician at JPMRHC. The first of these service diversions begins tomorrow, Wednesday, Jan. 22, 2014 at 12:00 p.m. until 8:00 a.m. Friday, January 24, 2014.

 

The coverage schedule for pediatricians will be communicated to obstetrical patients through their primary healthcare provider. The schedule will also be posted on Central Health’s website at www.centralhealth.nl.ca. Alternatively, obstetrical patients can call the obstetrical units at JPMRHC at 709-256-5607/5608 and/or Central Newfoundland Regional Health Centre (CNRHC) at 709-292-2122.

 

“Right now we are making changes to our pediatric coverage schedule almost on a daily basis,” said Rosemarie Goodyear, Chief Executive Officer (CEO) of Central Health. “We’ve recognized that the most effective and timely way to communicate this information to obstetrical patients and their families is through their primary healthcare provider who will be advised immediately by Central Health of any changes to the schedule.”

 

When obstetrical and pediatric emergency/inpatient services are diverted to CNRHC, obstetrical patients are asked to present directly to the obstetrical unit at the CNRHC in Grand Falls-Windsor. If delivery is imminent, pregnant women in labour should proceed to the emergency room at JPMRHC in Gander. The on-call obstetrician at JPMRHC will perform the delivery and transportation to CNRHC will be arranged after delivery.

 

“Ultimately we want to give the information that we have to the people who are most impacted in a clear and timely way,” said Ms. Goodyear. “With the information regarding the pediatric coverage schedule in hand, obstetrical clients in consultation with their primary healthcare providers, have the opportunity to incorporate that information in their birth plan. This gives them a voice in decision-making about their experience which is certainly our desire.”

 

It is recommended that a pediatrician is available in an acute care setting where deliveries are occurring to provide the necessary care to babies during delivery and the post-natal period. Therefore, obstetrical patients who are planning to deliver at JPMRHC should proceed to CNRHC during periods of no coverage at JPMRHC unless they believe that the delivery will happen before they can reach CNRHC.

 

Pediatric emergencies should continue to present at JPMRHC even during times when there is no pediatrician on-site. The emergency room physician will assess the patient and consult with the on-call pediatrician at CNRHC when necessary to determine if patient requires transportation to that site.

 

“I would like to take this opportunity to thank all primary healthcare providers for their assistance and cooperation in communicating this information to obstetrical patients,” said Ms. Goodyear. “We certainly acknowledge that this is a change that involves pediatricians, obstetricians, emergency room physicians, nursing staff, respiratory therapists, audiologists and other healthcare professionals. I want to acknowledge their efforts in providing the best possible care to patients.”

 

All acute care sites in Central Health have the ability to perform an emergency vaginal delivery should circumstance warrant. Obstetrical clients requiring non-stress tests (NTS) can still receive this test at JPMRHC.

 

A full-time pediatrician will join the medical staff at JPMRHC in April. In the interim, recruitment efforts are ongoing to recruit one more full-time pediatrician to JPMRHC in Gander.

Organizations: Central Newfoundland Regional Health Centre

Geographic location: Gander, Grand Falls-Windsor

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