Level zero: Deal could further strain Ottawa's 'struggling' paramedics

Atentative deal between Ottawa paramedics and their rural counterpartswon't prevent the capital from running out of ambulances to respond to emergencies, senior officials say. In fact, it could make the situationworse.

According to documents obtained by CBC News through access to information, Ottawa paramedics were without a single available ambulance to transport patients to hospital more than 250 times in 2016.

Paramedics call it"level zero."

During a level zero alert, Ottawa paramedics using smallervehicles may still respond to calls that don't require an ambulance. If the call involves cardiac arrest, police or firefighters may answer it to administer CPR.

In other cases,paramedics from neighbouring municipalities are called in to help. But the tentative agreement with paramedic services in RenfrewCounty, Prescott-Russell and Cornwall means those resources could soon be diminished.

Deal needs ministry's OK

Anthony DiMonte, the city's general manager of emergency and protective services, saidtheagreementwhich would see paramedics from neighbouring areas respond only to calls involving cardiac arrest and unconscious patientsstill needs the approval of Ontario's Ministry of Health and Long-Term Care.

Asked whetherhe believed the agreement, if ratified by the province, wouldresult in more level zero alerts in Ottawa, Di Monte agreed it would.

"You're asking me a hypothetical situation because we haven't agreed," Di Monte said Wednesday. "But yes, it would. That's part of the complexity. That's why there's no agreement yet. We're exploring different avenues."

Councillors from atleast one neighbouring township, Prescott-Russell, have already signed off on the agreement and arein the process of sending it to the province for approval.

Ottawa's chief paramedic, Myles Cassidy, has delegated authority to enter into such agreements, meaning he does not require the approval of Ottawa city council.

City hit level zero 256 times last year

Ottawa's paramedic service was without an available ambulance 256 times in 2016, according to the most recent figures available.

The frequency of level zeroalarms we are hearing every shift are increasing.- Darryl Wilton, Professional Paramedic Association of Ottawa

Some days saw multiple level zero alerts. On Dec. 15, seven alerts were issued over the paramedic service's dispatch system. LastJulythere were 16 alerts in a single week.

The alerts lasted anywhere from a few minutes to two-and-a-half hours.

According toDarrylWilton, president of the Professional Paramedic Association of Ottawa, the alerts are happening more and more frequently.

"It's worse," saidWilton. "The frequency of the [level zero] alarms we are hearing every shift are increasing."

Wiltonsaid many of the alerts came this summer, when thousands of tourists crowded the city's downtown for Canada 150 events, further straining the paramedic service's resources.

Service can absorb volume, chief maintains

Paramedic Chief Myles Cassidy, who oversaw emergency services in Cornwall before coming to Ottawa in June,said the agreement with the three rural municipalitiesisaimed attaking the pressure off smaller paramedic services in surrounding communities, and won't have a significant impact on service levels in the capital, where paramedics receive approximately 137,000 calls for service per year.

Paramedics from neighbouring municipalities are called in to respond to onlya "very small percentage" of those emergencies, Cassidy said.

"The system will adjust and absorb those calls," he said.

Di Monte confirmed Ottawa paramedics have been under extra stress this summer, but said they've been able to keepup with the demand.

"Therewas no impact on patient care or outcome," said Di Monte."But yeah, we're struggling a little bit."

New hires will help, GM says

Di Monte said the recent addition of new recruits will help Ottawa'sparamedic service deal with the growing burden.

"We let volume and growth catch up with us, and we're correcting that," he said.

Ottawa city council approved the hiring of 12 paramedics in 2016 and another 24 this year, plus the addition of one ambulance.

Fourteen more paramedics and a second new ambulance are anticipated next year, pending budget approval.