St. Boniface ER Opens

 One of the things that has had last effects is the Pallister plan that saw ERs reduced to three locations, closing an existing and successful Urgent Care and turning former ERs to Urgent Cares. Even the health consultant thought that the closing of Misericordia was ill timed when other Urgent Cares were not yet established. The north, south and east sides of the city were now without ERs. 

Grace Hospitals ER was new and saw an influx of nurses from closed departments but St. Boniface just wasn't ready for what was to come in 2020. The announcement in 2019 by the Pallister government for a new ER for St. B did not come in time for Covid. The hospital had to work on the fly to handle things when they couldn't even cope with regular flu season.

The one surprising feature of the ER is the upward slope to the doors. Better have grandma's tires locked on her wheelchair or she is taking a 100 km ride down to Tache. It seems funny to spend $141 million and you can't have a flat service? Perhaps there is another entrance so someone with the walker doesn't have to push up hill to get it. And heaven forbid there is ice on that surface or people will shoot down that slide like toboggans.

A parking garage for 10 ambulances is a good feature. It is important because this the cardiac center. Every family in the region might have a member who may require an ambulance and being able to get patients into the ER promptly is part what make survival possible. 

The ER itself will be triple the size of the former ER. The former ER was 18,600 square feet and the new one will be 86,200 square feet. The government has said they have been recruiting heavily and have enough staff attracted to working in the new facility. So many staff have been recruited that according to the government, that tenders for Victoria Hospital's re-established ER can begin.

The ER is being promoted as a open concept, inclusive space. These are things that the end users will have to judge. The ER at Health Sciences Center had poor sight lines that were exacerbated by keeping triage nurses at their desks. Subsequently, a man died after no one took into account that he was waiting. In short, a new building can lead to poor outcomes if traffic flows, security, privacy and dignity are not constantly reevaluated.

The Emergency Room of a hospital is only one part of the hospital. If there are not enough enough beds and staff in ICUs and in the various wars, people get trapped in the ERs and in the waiting room. Many people walk away after so many hours. Often people are in the ER all day. The Access hospitals and Minor Injury clinics are helping. Some of the problem is that lack of family doctors for many. Problems fester and an ER visit is often the result. No one is immune from this. If you have a trauma or heart/stroke issue, you can end up in the ER. Or a member of your family is.

This is the first phase of the ER. It will reach full function in 2026. A lot is owed to the St. Boniface Foundation which kicked in $10 million for this building. Increasingly, hospital foundations are being leaned on for building and research. Manitoba has been very fortunate over the years to see foundations grow and grow. However, the cost of health grows just as fast.

As the role of St. Boniface Hospital's role grows, questions have to be asked about the traffic in and around the hospital. Parking becomes a bigger issue every year for staff and patients. It may come to the point where a park and ride system with shuttle bus is employed. It is possible parkades could be built too but they start at about $50 million and rise from there.

More and more hospitals are leaning on their foundations and relentless fundraising. The governments spend billions and still manage to starve certain areas so that infrastructure crumbles. Meanwhile projects often take take more than a decade to get done. So while we can be happy that St. B has a new ER and that by 2026 it will be fully operational, this list of areas to work on is long and exceed the lifespan of most government over two terms. Much like projects like the Red River Floodway, there has to be a buy in by all parties in government, by business, by labour and by the public for a well managed project that is goal oriented.