#covid19sk will soon overwhelm our healthcare system. Effective leadership from the top will be essential in navigating this disaster. There are 5 things that @PremierScottMoe and Dr. Shahab could do to improve our response: 1/8
Admit your mistakes. If our response to COVID was flawless, our healthcare system wouldn’t be where it is. It isn’t all your fault, but some of it is. Own that. Genuinely apologize for it. And commit to moving forward together with humility. 2/8
Communicate. We need to know where we are at and where we are headed. Bring back daily provincial briefings featuring heavy doses of honesty. Acknowledge #covid19sk deaths. Simplify the public health orders to a grade school level. 3/8
Be transparent. Make it clear how decisions are being made. Publish Dr. Shahab’s recommendations openly. Publish @SaskHealth’s internal dashboard and provincial modeling. Map out what will happen to public health orders as cases go up (and eventually down). 4/8
Be consistent. Public health orders are in place for a reason. The PPC flouting them without consequence at an election party in SK undermines them. Ensuring that they are enforced broadly and consistently will increase your credibility and their effectiveness. 5/8
Lead by example. You have been steadfast in your support of vaccinations, however, your party needs to walk the talk. Demonstrate their importance and safety by mandating vaccinations for MLAs in your party and celebrating a 100% vaccinated rate. 6/8
Listen. Healthcare providers and patients are upset and speaking out on social media in part because we see what is happening and you don't seem to be listening. Your health minister won’t meet with my colleague. My MLA won’t meet with me. Fix that. 7/8
Given covid's impact, your #covid19sk response will define your political legacy. I hope that you will be remembered as a Premier who rose to the challenge. However, at this point, we need you to either step up... or step aside. 8/8

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More from @Brent_Thoma

31 Aug
Beds in Saskatoon's overnight EDs (JPCH, RUH, SPH) last night: ~70. Consulted/admitted patients in our EDs: 73. Total # of patients in our EDs: ~155.
"That can't be possible, where are the emergency patients seen?" Good question. 1
First, not all admitted people get a bed. Our consultants also admit patients from the waiting room or a hallway. This gives emergency very few beds that are only used by really sick patients. Second, we maximize our space however we can. For example, at RUH: 2
We put a stretcher behind triage to see the 30-40 waiting room patients. It's in the main hallway behind a curtain so not ideal. People get assessed then sent back to the waiting room. Some meds are provided by already overburdened triage nurses. Many get discharged from here. 3
Read 14 tweets
30 Aug
Interested in knowing what our provincial Medical Health Officers are recommending to the SK government regarding #COVID19SK? They really lay it out in this letter: trk.cp20.com/click/cffs-2ft…
In summary:

General
1) Improve government messaging. The pandemic isn't over. We don't have enough immunization to 'live with covid', we need to use tools from the past 3 waves.
Immunization
2-4) Mandatory immunization for all health care works (especially those in long-term care facilities), all eligible students and their parents, teachers, and school staff, and all government employees.
Read 12 tweets
27 Aug
As summarized by @awong37 there was a Saskatchewan physician town hall tonight. During the Q&A I described the state of Saskatoon emergency departments and asked for help. The recording is now posted publicly. saskhealthauthority.ca/intranet/medic…. In brief: 1/12
Royal University Hospital has ~35 adult emergency beds. Recently we had 98 patients in the department including >40 admitted/consulted patients. One admitted patient waited >160 hours (almost a week) for an inpatient bed. 2/12
As a result, we go entire shifts seeing patients in hallways or pulled into the stretcher we snuck behind triage. We make space for patients where the vending machines used to be and try to find enough clipboards for their charts.3/12
Read 12 tweets
26 Aug
I feel like I am apologizing constantly at work these days. Every shift it's... 1/6
Sorry to my patients for waiting so long to be seen, to be treated, to be transferred, to get admitted, or to get a bed in a room. Sorry to their families because I agree that it isn’t right. 2/6
Sorry to the nurses at triage who absorb everyone’s frustration. Sorry to our experienced nurses (but I understand why you’re leaving), to our current nurses (as I ask you for more), and to our new nurses (for what they are walking into). 3/6
Read 6 tweets
5 Mar
Excited that the @Royal_College Research Forum on using CBD assessment data to improve CBME that I presented at has made its way online (with subtitles!). Full presentation here: royalcollege.ca/rcsite/researc… Tweetorial here:
Historical assessment programs often consisted of 12-13 rotation-based assessments per YEAR of training. CBME has changed that - in Canada our EM residents are getting 100-200 EPA-based assessments of patient interactions per year.
Multiply that by ~70 Canadian EM residents per cohort and when our programs are filled with CBME residents we'll complete ~50,000 EPA assessments/year across Canada.
Read 21 tweets
10 Feb
Hey @SkGov, am I missing something, or does your new #covid19sk vaccination plans contradict the Canadian NACI recommendations and previous @saskhealth plans by deprioritizing immunizations for healthcare workers?? I'm worried about exposures to #COVID19 in these HCWs :(
I don't seem to be missing anything... @SkGov, why??? Exposures happen in frontline healthcare environments not currently classified as 'high-risk settings' and one COVID+ case can knock a cohort of healthcare workers into isolation. We don't have spare HCWs. Please reconsider.
Initially, I was confused. Now I'm getting angry as I hear from disheartened colleagues seeing #COVID19 patients daily in high-risk contexts. They are lumped in a risk category with others 'their age.' We need to take care of them as they take care of COVID patients for us.
Read 4 tweets

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