Community Paramedic
 What We Do  

Recognizing the ever present pressures within the health care system and consistent increase in demand for assistance, the Paramedic Service is responding to these needs through the creation of a Community Resilience Program. Ongoing community and industry partnerships continue to be developed and programs are being delivered which will have a positive impact on morbidity and mortality rates. In consultation with a number of community stakeholders, the County of Renfrew Paramedic Service has developed a number of a programs and services, such as an Aging at Home Program, Wellness Clinics, a Heart Wise Program, AED / CPR Education Program, an adhoc Home Visit Program and the PACCT Program.

Wellness Clinics

The Wellness Clinic is an opportunity for residents to have their blood glucose, temperatures, heart rates and blood pressures monitored and recorded on a monthly basis. It allows these patients to bring their vitals to their family physicians so that health problems can be caught early. It also gives them a chance to ask any medical questions they may have.

The Eganville community has an ongoing challenge of losing two (2) physicians. This fact along with travel time of over 30 minutes to the closest hospital and the community is aging resulted in the identified need of providing regular assessment to the citizens of this community. The Paramedic Service works with CHAP to ensure that our database is included in the overall CHAP reporting. This program has expanded from Eganville to include sites in Deep River, Stonecliffe, Golden Lake, Barry's Bay, Westmeath, Griffith, Renfrew, Arnprior, McNab/Braeside and Beachburg.

Heart Wise Exercise Program

The Heart Wise Exercise Program is a partnership with The University of Ottawa Heart Institute (OHI). The purpose of the program is to identify community exercise programs that are suitable for individuals with heart disease and the implementation of AED’s in our communities.

The OHI approached the paramedic service to establish a ‘rural’ solution for the Heart Wise Exercise Program. Each Heart Wise Exercise site has an AED, trained staff (CPR, AED) and has an Emergency Plan established. Each participate is required to be evaluated in order to participate in the program. This partnership created an opportunity to receive Ministry of Health (MOH) Promotion Grant to expand the program into the rural setting. From 2008-09 this program has received in excess of $204,000 and the paramedic service continues to work closely with the University of Ottawa Heart Institute to establish relationships within the health and exercise communities.

AED / CPR Program

CPR and AED training program has been supported through the Communities in Action Fund, Public Health and community fund raising initiatives. From 2005-2010 there has been over 40 CPR and AED training sessions (@ 60 participants per session) held in conjunction with healthy living workshops. The goal of the program is to introduce the skills of resuscitation and use of AED; increase the knowledge of health diet chooses; and encourages increase level of activity.

Adhoc Home Visits

After the age of 65, ambulance use increases dramatically. Health and safety promotional initiatives that teach seniors how to accident-proof their homes can put EMS in a position of being proactive in preventing at home injuries.

The Adhoc Home Visit program is facilitated by the service at no additional cost to the service (tax-payers) or the clients that are included in the program. Currently, two of our paramedics, Brad Smith and Sean Pluckett have over 18 clients that they regularly visit during their shift assignments. A number of other paramedics are contributing to an expanded list of clients in the Renfrew and Eganville communities. This program’s goal is to identify clients in the community that could benefit from the program parameters outlined in the Wellness Clinics as well as refer to supportive programs offered by other agencies.

Although the program is currently adhoc, there is a movement towards a formalizing a referral mechanism to the GEM RN at our local hospitals as well as the CCAC. In addition, a tracking tool for program is being developed.

Paramedic and Community Care Team program

Paramedics in the ESP role undertake health promotion and illness prevention work targeted to fit the needs of local communities, and are seen by rural communities as a valuable health information resource. The County of Renfrew will continue to work with partners in order to maintain the existing programs as well as look for new initiatives that will service to improve the quality of life of the residents and visitors of the County of Renfrew.

The PACCT program is designed to target the population of the elderly and vulnerable clients living at risk in the communities of the County of Renfrew. First the goal is to identify clients in the community who would benefit from CCAC services and then provide an easy referral mechanism for referral of those clients identified by paramedics.

The outcomes of the program are to establish Case finding (measured by an increase in the penetration rate for CCAC; number of new clients referred by paramedics, number of admits vs. non-admits to the program); decrease in the number of times paramedics receive a call from "frequent callers" post referral to CCAC and to decrease the time on task for paramedics for the same population; decrease the in hospitalization delay in LTC admission, avoidance of non-urgent referral to the ER.

Aging at Home Program

As discussed under the Aging at Home section of the website

 

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