HomeMy WebLinkAbout1983-0503.Lamb.84-01-26IN THE MATTER OF AN ARBITRATION
Under
THE CROWN EMPLOYEES COLLECTIVE BARGAINING ACT
Before
THE GRIEVANCE SETTLEMENT BOARD
Between:
Before:
For the Crievor: S. Laycock
Grievance Officer
Ontario Public Service Employees Union
For the Employer: M.M. Fleishman, Counsel
Crown Law Office Civil
<Ministry of the Attorney General
Hearings : October 13, 1983
&tiber 27, 19E 3
tkcanber 8,1903
OPSEU (Kenneth Lamb)
and
The Crbwn in Right of Ontario
(Ministry of Health)
R. Delisle
F. Collom
E.R. OXelly
Vice Chairman
Member
Member
Crievor
Employer
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The Griever claims that he was wrongfully dismissed from his ’
employment as a Dispatcher with the Central Ambulance Dispatch Service,
Lindsay. The dismissal resulted from the negligent conduct’ of the Griever in
handling a request for assistance on ‘June 17, 1983. The Employer seeks to justify
the dismissal as the appropriate discipline. The Employer submits the penalty is
.appropriate on two bases: First, because of the seriousness of potential
consequences flowing from the Griever’s negligence a severe penalty is warranted,
or second, the Griever’s negligent act was a culminating incident following a
pattern of behaviour which suggests that there is not a good chance of
improvement in the future.
The Griever was hired June 16, 1980 as a Radio Operator Dispatcher
when the Ministry introduced its ambulance service to Lindsay. Prior to this
employment the Griever had worked seven years for the Town of Lindsay
dispatching both ambulance and fire trucks. When hired into the Ministry the
Griever received one week’s training at Oak Ridge during which he qualified for a
Restricted Radio Operator’s Licence, received instruction on documentation, and
observed other Dispatchers perform their tasks. The following week was spent in
Lindsay under the supervision of the Manager, William Sherren, mapping and
indexing and coding streets and landmarks. The Manager conducted informal
training sessions in the evenings studying medical terminology, anatomy, first aid
and the like. In addition some previous calls for assistance were reviewed and
considered and instruction was given on the necessity for completeness of
documentation. Some 10 - 12 sessions occurred and while attendance was
voluntary the Griever attended approximately eighty per cent of the time. The
Manager observed the Crievor handling calls and offered advice on a one-to-one
basis.
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The Manager introduced an index card system to be used by the ’
Dispatchers which listed various conditions that might prompt a call; by flipping
the index card to the appropriate condition the Dispatcher would be alerted to
additional information which would be meaningful to the prioritizing of the call and
to questions that might be put to elicit such information. A Training Manual which
described and illustrated the various calls from Priority 1 to Priority 4 was
supplied; though in draft form, the Dispatchers in Lindsay were advised to follow
it. A Memorandum Book was kept in the Dispatcher’s working area and all
memoranda were to be signed when read.
The index card system suggested certain questions to be put if the
call related to breaking difficulties. Conscious?, Cyanotic?, Wheezing?, Numbness
in hands or mouth?, Chest pain? The index card stated: Dispatch Priorities: In all
cases of severe breathing problems a Code 4 ambulance response is indicated. The
Training Manual provided:
Priority 4 - Urgent Care
This type of call refers to life and/or limb threatenirg
situations where time is crucial.
Examples:
(a)
pi Heart attacks, choking, difficulty of breathing, etc.
C
Eliciting Patient Information
Patient information is the strongest factor in guiding the
Dispatcher% decision as to priority of a call. Thii informa-
tion when properly relayed to the crew will assist in helping
them prepare for the situation prior to arrival at the scene.
You should attempt to ascertain the following:
1. Illness - some idea of the problem.
2. Injury - nature, cause and part of the body involved.
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3. In all cases of a prompt and urgent nature:
(a) Is the patient conscious?
(b) Ls the patient breathing?
(c) Is there severe bleeding?
(d) IS THERE SEVERE PAIN PRESENT?
A memorandum from the Acting Manager, dated May 26, 1982, and signed as read
by the Griever stated:
This is one of the most important aspects in dispatching
an ambulance. Therefore, as Dispatchers you are required
to obtain more oatient information to helo YOU establish
the priority of the call. A vast improvem’er;t is required
in this area of ambulance dispatching. Ask more questions
of the caller, i.e.
(a) Patient% name
(b) Patient’s age
(c) Location of patient
(d) Problem at the scene - ask questions to elicit
information.
i.e. - Is the patient conscious, etc?
A memorandum from the Acting Manager, dated May 27, 1982, and signed as read
by the Griever stated:
Priority 4 - Urgent Calls - This call refers to life threatening
situations whereby time is crucial. Possible loss of ,lirnb or
eyesight should be considered as urgent calls.
EXAMPLES serious motor vehicle collisions
heart attacks
choking
difficulty breathing
patients that are unattended or in a public
place and whose injury or illness
condition is not known.
Eliciting Patient Information - Patient information is the
strongest factor in guiding the ambulance Dispatcher% deci-
sion as to the priority of the ambulance call.
You should attempt to ascertain the following:
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1. 1. Illness - some idea ,of the problem Illness - some idea ,of the problem
2. 2. Injury - nature, cause, part of body involved Injury - nature, cause, part of body involved
3. 3. III ail cases of a prompt and urgent nature: III ail cases of a prompt and urgent nature:
(a) Is the patient conscious?
(b) Is the patient breathing?
(c) Is there severe bleeding?
(d) Is there severe pain?
4. In cases of multi-vehicle or multi-casualty situations:
(a) How many are visibly injured?
(b) How many are seriously injured?
Determining the Patient’s Status - The Dispatcher will determine
the patient’s status by interpreting the patient info received
from the caller. It is therefore vital that you elicit complete - and accurate patient information.
Another memorandum from the Acting Manager dated May 27, 1982, and signed as
read by the Griever stated:
Priority Four - Urgent Call
Life or Limb Threatening Priority Four is indicated for the
following illness or injury:
(1) All Motor Vehicle Accident
. . . . .
ilO) Respiratory or breathing difficulties.
m....
IF IN JXXJBT THE AMBULANCE WfLL BE SENT TO THE
CALL ON A PRIORITY ‘+.
On June 17, 1983 at 1415 hours the Central Ambulance Dispatch
Service, Lindsay received a telephone call inquiring about ambulance service for
Mr. John Diebel. The Griever took the call. The following is a transcription of the
tape recording of that conversation:
Disp’r
Caller
Ambulance dispatch 1415.
This is Mrs. Diebel calling from Victoria Place 166...I
wonder if it’s posible to have an ambulance take my
husband to the Lindsay hospital. He’s having a great
deal of trouble breathing, his chest seems to be very
full, and he’s very uncomfortable.
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uisp’r
Caller
Disp’r
Caller
Disp’r
Caller
Disp’r
Caller
Disp’r
Caller
Dlsp’r
Caller
Dlsp’r
Caller
Dlsp’r
Caller
Dis p’r
Caller
Disp’r
Ah, who is his local doctor?
Well, it would have to be Dr. Konyer now; he hasn’t seen
Dr. Konyer because of a Dr. MacLean’s decease.
Oh, yah.
Do you want me to phone Dr. Konyer first?
WeIl, not really. I was just wondering who his family
doctor was. If we were bringin’ ‘em in, we have to
notify the hospital.
Oh, I see.
Or family doctor. And what is the name again, please?
Diebel. D-i-e-b-e-l.
And your husband’s first name?
It’ll be John Diebel.
And that’s 166 Victoria @lace?
Yes...And there’s an empty lot right beside us. I would
suggest you come in there because he’s downstairs in
the family room and we can go out the side door.
I see. And your telephone number there, please?
738-2486...2486. I would take him in the car except
the fact that if you sit him up...he’s...you know...
he’s very short of breath, and it’s...the whole chest
seeins really full...there’s a rasping sound in there
that I don’t really like.
Yeh, right. The thing is, we’re going to strip our
area complete of vehicles if we take him right away.
Ahah.
Ah...1 would think...yes...to keep the area covered 1
would say you’re looking at possibly an hour.
Oh, dear...Well, that’s not so good. Ah...could you
hang on a minute...without indisposing anything?
Yes. O.K., fine.
Caller
Disp’r
Caller
Disp’r
Caller
Disp’r
Caller
Disp’r
Caller
Disp’r
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All right. (Roger 28...58 seconds go by.)...1 think if
it’s going to be an hour...we’ll try to do the best we
can with the car.
Well, if not...if you give us a call back. As I say,
we’ll get a vehicle out there...but it will strip our
area.
Yeh. Well, we’ll try and do it this way, and see how
it works out.
Aha. If there’s any way, you can ,maybe lean him in
the back seat and keep the pillows under him to keep
his upper trunk raised.
Ya, okay.
It may ease it a bit for him.
Ya, okay. We’ll do the best we can.
Okay.
All right.
‘Bye.
Mrs. Diebel transported her husband to Ross lMemoria1 Hospital in Lindsay. He was
pronounced dead at 1514 hours on June 17, 1983.
A very serious error was made by the Grievor. The call clearly
should have been coded Priority 4 and an ambulance immediately dispatched. The
seriousness of the situation and the severity of the breathing difficulty are clearly
evidenced by the transcript. The caller is so concerned that she cannot wait
“possibly an hour” but will drive the patient herself. The Griever asked no -
questions about the patient’s condition though he agrees that eliciting such
information is vital to prioritizing a call. He testified that if the caller had
insisted on an ambulance he would have sent one. His testimony and the transcript
suggest the Dispatcher wanted the caller to decide whether an ambulance should be
sent. That decision was the Dispatcher’s job.
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The Griever testified that his reluctance to dispatch an ambulance
resided in a concern that by doing so he would have “stripped the area of vehicles”.
This was also his explanation to the caller. We are satisfied on the evidence that
this concern had no basis in fact. The ambulance situate at Bobcaygeon, No. 386,
could have been dispatched and would have arrived at the scene within six to eight
minutes. An ambulance in Lindsay, No. 381, could have been sent to cover
Bobcaygeon. Another alnbulance in Lindsay, No. 384, picking up a patient at Ross
Memorial Hospital for transfer to a nursing home, could have been kept in Lindsay
to cover Lindsay. The Grievor allowed that this simple maneuver would have
accomplished the task without stripping the area but insisted it would not have
been appropriate for two reasons. First, it would have meant sending the Lindsay
ambulance, No. 381, into a strange area. This does not appear at all satisfactory as
the Grievor agreed that he knew the area as well as anyone and the ambulance
crew would have been able to gain direction from him by radio contact. Second,
keeping the Lindsay ambulance, No. 384, at Ross Memorial Hospital would have
inconvenienced the patient that was being transferred as well as the hospital and
the nursing home. We are not satisfied that their convenience can be a reason for
refusing to dispatch to this emergency. The Crievor insists that he did not refuse
to send an ambulance. By express word he did not; by his conduct he did.
The Griever was clearly negligent. Does the negligence warrant
dismissal? Had there been evidence that the Grievor was an unsatisfactory
employee who had been progressively disciplined without improvement we would
have no hesitation in upholding the penalty. The penalty is severe but the potential
consequences of error are as well. There is however, nothing before us to indicate
any discipline directed to him. Granted there was evidence of some counselling of
the Grievor by his Manager to improve his performance but there is not so much as
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a warning letter on his file. A dismissal might be seen as having some general
deterrent or educational effect on. other Dispatchers but is it just in these
circumstances? If it is not perceived as just will it have any effect on others? We
are not satisfied that dismissal here is justified and to that extent the grievance is
upheld. However, we believe that it would be wrong to order the Grievor’s
reinstatement to a dispatching position. He has been a Dispatcher for ten years,
has received at least some training and supervision, has been given advice in the
form of training manual, memorandum and index card system, and still failed to
comprehend his true task when the emergency call came in. We were not satisfied
by his evidence at the hearing that he understands tnat task to-day. Accordingly
we order reinstatement to another job within the Ministry at a comparable salary.
We do not believe however that this is an appropriate case to order compensation
for lost remuneration. We will. remain seized of jurisdiction pending any
difficulties in implementing the award.
DATED at Toronto this 26th day of .Januafy , 1984.
R. Delisle - Vice Chairman
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