Executive Management

Prehospital Emergency Services
Regional Department of General Medicine

The role of Executive Management is to ensure administration of all the regional board’s activities and fulfilment of the regional board’s mission. It executes the decisions of the board of directors and provides the latter with the information relevant to such decisions. Its responsibilities are: 

  • to define the regional board’s mission; 
  • to ensure each department and each organization under the regional board’s authority fulfils its role; 
  • to ensure the protection of the users and promote their participation in the system; 
  • to support the institutions and sector partners in Nunavik in adapting the services to the needs of the 14 communities; 
  • to see to respect for the Act respecting access to information. 

This department also has the role of ensuring the translation of publications in the three languages—Inuktitut, English and French—and ensuring that the services offered throughout the Nunavik network are available in those three languages.

Moreover, the department is also responsible for the communication service and the information systems.

Prehospital Emergency Services 

Prehospital emergency services (PES) are services provided for any individual whose life or health is in danger on the territory of one of the 14 northern villages, before arriving at the emergency department of the nearest health institution or CLSC point of service. 
 
In accordance with its regional mission of service planning and organization, the Nunavik Regional Board of Health and Social Services (NRBHSS) developed the PES jointly with the northern villages of Nunavik. 
 
The project’s success depends in large part on the villages’ participation, as they are key actors in the PES program in the region. 
 
Emergency vehicles, medical equipment, the chain of intervention and training for the first responders are all elements that have been subject to specific adaptation to Nunavik, in accordance with the Act respecting prehospital emergency services. 
 
The first responders are the core of PES. Their task is to intervene rapidly by stabilizing and transporting the individual whose life or health is in danger as quickly as possible to the emergency department of the CLSC point of service. 
 
The chain of intervention consists of the four following principal links:

  1. The first intervener who witnesses the event dials the local code + 9090; 
  2. The nurse on duty at the CLSC answers and quickly analyzes the call; 
  3. The same nurse decides whether or not to mobilize the first responders. If they are mobilized, they immediately seek the individual in distress; 
  4. The medical/nursing team of the CLSC assumes responsibility for the individual in distress upon his or her arrival at the emergency department.  

At the NRBHSS, this program falls under the responsibility of Executive Management. The service is managed by the municipality. A bipartite agreement binds the parties. 

Resource person for the program at the NRBHSS: 

Marc-André Lamontagne 
Prehospital Emergency Services and Emergency Measures 
Tel.: (819) 964-2222, ext. 274 
Fax: (819) 964-2735 
Email: marc-andre.lamontagne@ssss.gouv.qc.ca 
 

When are the first responders mobilized?

1. In any emergency situation where the nurse on duty at the CLSC deems it appropriate to alert the first responders

  • childbirth
  • cardiac arrest (accompanied by medical personnel with monitor-defibrillator)
  • major burns (thermal, chemical or by inhalation)
  • convulsions
  • breathing difficulties and choking
  • chest pains
  • external bleeding
  • poisoning
  • drowning
  • allergic reaction
  • syncope and loss of consciousness
  • major trauma

2. When they are required for a search-and-rescue operation with suspected medical problems

3. For any non-urgent situation, when there is a need to transport an individual on a stretcher

Regional Department of General Medicine

The Regional Department of General Medicine (RDGM) was created in Nunavik in February 2006 and was officially recognized by the RAMQ and the FMOQ in June 2006. Its mandate is to provide recommendations for the regional board’s Executive Management relative to planning of medical manpower in general practice, formulate proposals and clinical projects and provide its opinion on the planning and provision of general medical services. 

Mission 

More specifically, the RDGM must provide recommendations for the regional board and ensure the execution of its decisions relative to: 

  • the regional medical manpower plan in general medicine; 
  • the medical services under programs taking priority; 
  • the list of specific medical activities. 

Further, it must define, propose, apply and evaluate: 

  • the regional plan for organizing general medical services; 
  • the access network for general medical care which could include a network for integrated duty services. 

The RDGM plays an essential role of rapprochement between the physicians of both Nunavik subregions and permits an understanding of the realities of members working in the field in order to identify their problems. Its composition is representative of the territory’s two subregions and the isolated practices in the points of service and the institutions.