COVID-19 Updates

PARIM is dedicated to supporting you and keeping you updated during this challenging time. This page will be updated regularly. If there is anything you think should be included, please let us know at parim.office@gmail.com.

July 14: COVID-19 and You: Protecting Health Care Workers from the Spread of COVID-19.
A Message for Health Care Workers from Dr. John Embil and Dr. Allen Kraut
Video https://vimeo.com/425243797/32275a3c58
Provincial Personal Protective Equipment requirements – all areas https://sharedhealthmb.ca/files/covid-19-provincial-ppe-requirements.pdf Updated July 14

PARIM Updates

Message from PARIM President June 16 – Collective Agreement, Bill 28, Hazard pay, Statement on Racism

Message from PARIM President May 28 – Pandemic Pay, AGM

Message from PARIM President May 14 – Pandemic Pay

Message from PARIM President April 23 – Quarantine Accommodation

Message from PARIM President April 9 – Royal College Exams, Vacation, PPE, Licensure

Message from PARIM President April 3 – PPE, Redeployment, Vacation, Exams, Provisional Licenses

Message from PARIM President March 27 – President-Elect, Redeployment, PPE, Exams, Provisional Licenses

Message from PARIM President March 20 – Sick time, Rotation Requirements, Residents with URTI Symptoms, Travel Advisory

Message from PARIM President March 18 – Clarification on use of sick days

Message from PARIM President March 14 – Travel Advisory, Testing Centres, Exams

Operational Updates: The latest from Shared Health, PGME, and Manitoba Health

Shared Health

Shared Health COVID-19 website: Find the latest operational updates and memos here.

Shared Health Social Media
Twitter: https://twitter.com/SharedHealthMB
Facebook: https://www.facebook.com/sharedhealthmanitoba/
Instagram: https://www.instagram.com/sharedhealthmb/
Email: info@sharehealthmb.ca

A video of appreciation from Shared Health: https://vimeo.com/417245628/db1bc50b5a

Memos

April 4: Health Care Worker Return to Work
May 5: The New Normal: https://sharedhealthmb.ca/files/covid-19-memo-the-new-normal.pdf
May 22: A new COVID-19 Ethics Framework page is available at https://sharedhealthmb.ca/covid19/providers/ethics-framework/

PGME

Redeployment Policy
PGME COVID-19 Frequently Asked Questions (FAQ)
PGME COVID-19 Resource Page

March 20: Please see this memo from PGME, addressing concerns brought up by PARIM President Dr. Kim on behalf of PARIM.
March 18 update: Pregnant residents to be taken off clinical services

Manitoba Health

Information: https://manitoba.ca/covid19/infomanitobans/index.html#collapse5
Bulletins: https://www.gov.mb.ca/health/

PPE

PPE: Updated information available on the Shared Health Website: https://sharedhealthmb.ca/covid19/providers/

April 2: Universal PPE Requirements
April 4: PPE Provincial Guidelines: Detailed Slides
April 4: PPE Provincial Requirements-Acute/Subacute
April 5: COVID-19 Provincial PPE Guidelines
April 22: PPE Instructional Resources
April 25: Guidance on the Removal, Storage and Extended Wear of Face Masks https://sharedhealthmb.ca/files/extended-use-of-face-masks.pdf
May 7: Provincial Personal Protective Equipment requirements – all areas https://sharedhealthmb.ca/files/covid-19-provincial-ppe-requirements.pdf UPDATED
May 7: Frequently asked questions – PPE https://sharedhealthmb.ca/files/ppe-provincial-requirements-faqs.pdf NEW DOCUMENT
July 14: Provincial Personal Protective Equipment requirements – all areas https://sharedhealthmb.ca/files/covid-19-provincial-ppe-requirements.pdf UPDATED

July 14: COVID-19 and You: Protecting Health Care Workers from the Spread of COVID-19.

A Message for Health Care Workers from Dr. John Embil and Dr. Allen Kraut

Video https://vimeo.com/425243797/32275a3c58

During a pandemic, decisions are often made quickly in order to stay a step or two ahead of the virus. While this has been the case throughout our response to COVID-19, keeping health care workers safe has been – and remains – our priority.

We know that for many of you, access to appropriate personal protective equipment (PPE) has been a source of stress and anxiety and that you have many questions and some concerns. 

Our approach has been carefully planned to ensure that you are protected. Your training and the basic infection prevention and control measures that you follow every day to prevent the spread of infection remain our best tools in preventing the spread of COVID-19. While PPE is an important supplement to these efforts, it is not a replacement. 

As information about COVID-19 has evolved and changed, we have relied upon the carefully researched advice of our experts in infection prevention and control and occupational and environmental safety and health available and emerging evidence and the learnings gathered from other jurisdictions to ensure our recommendations are safe, appropriate and current. 

In some cases, we have adopted new measures, including certain deviations from our Routine Practices that we have deemed both safe and appropriate as well as necessary, in order to conserve supplies for whatever lies ahead. We have not and will not, recommend or authorize anything that we are not convinced is safe.

As supply levels remain volatile and as evidence about COVID-19 evolves, our recommendations can be expected to change as well. What will not change is our commitment to ensuring your health and safety.

Tips and Resources have been updated at https://sharedhealthmb.ca/covid19/providers/ppe-resources/

Don’t let PPE give you a false sense of security! Be cautious and move slowly when donning and doffing.

If you have questions, ask. Refer to the available material or speak to your manager. Refer to https://sharedhealthmb.ca/files/covid-19-provincial-ppe-requirements.pdf and https://sharedhealthmb.ca/files/covid-19-ppe-requirements-scenarios.pdf and https://sharedhealthmb.ca/files/ppe-provincial-requirements-faqs.pdf

Travel Information

Information sheet from the Manitoba Government: https://www.parim.org/wp-content/uploads/2020/06/information-travellers.pdf

ArriveCan app, developed in collaboration with the Public Health Agency of Canada and the Canada Border Services Agency, has been launched across the country. It allows travellers returning to Canada to input their 14-day isolation or quarantine information quickly, easily and securely upon arrival. The app works by digitizing the information collected under the current paper form that travellers must complete. This required information includes flight or border crossing details, whether travellers are exhibiting symptoms of COVID-19, and whether they have quarantine accommodations.

Non-Essential Travel for Health-care Workers FAQs https://sharedhealthmb.ca/files/covid-19-non-essential-travel-for-hcw-faqs.pdf UPDATED (from Shared Health)

Health Care Worker Travel outside of Manitoba – Update for Phase 3 – June 21

Child Care

Child care is to be provided for all essential workers. The contact information to apply for child care is below. If you are having difficulties accessing services even after putting in a request, please email Beth Beaupre at bbeaupre@sharedhealthmb.ca and cc Shawn Friesen: sfriesen1@sharedhealthmb.ca

May 4: All Manitobans returning to work are now eligible to access the temporary child-care system to find a location that meets their needs. Families can use the online tool at https://eswchildcare.ca/ to view available spaces and then contact centres directly to finalize arrangements. Licensed centres can provide care for up to 16 children per centre. Larger centres with separate rooms and external entrances can accommodate up to 16 children per room. Home-based child-care providers can continue to provide care for up to eight children

Essential Services Worker Child Care Request form

cdcinfo@gov.mb.ca
    1-888-213-4754 (toll free)
    (204) 945-0776

Alternative Accommodation

All Alternative Isolation Accommodations SOPs updated https://sharedhealthmb.ca/covid19/providers/alternative-isolation-accommodations/
AIA health-care support staff orientation package https://sharedhealthmb.ca/files/aia-hcw-orientation.pdf
AIA Frequently Asked Questions https://sharedhealthmb.ca/files/aia-faq.pdf

Airbnb hosts are offering “Frontline Stays” for COVID-19 responders. These hosts have committed to special cleaning measures. Many Frontline Stay hosts are offering their spaces for free or discounted rates. Airbnb is adding new hosts regularly, so they encourage people to keep checking back for more options. The first 100,000 bookings will not be charged Airbnb’s service fees.

RCPS, CFPC, MCC Exam Information

Royal College of Physicians and Surgeons
**Update from the Royal College April 9**
FAQ: RDoC provided the Royal College with a list of questions received from residents regarding exams. The Royal College has created this FAQ page in response: http://www.royalcollege.ca/rcsite/documents/credential-exams/covid-19-royal-college-exam-faq-e

The College of Family Physicians of Canada link updated April 15
**Update from the CFPC April 15**

The Medical Council of Canada

March 25 CPSM Notice

Notice from the College of Physicians and Surgeons of Manitoba regarding exams
April 9: Notice from the College of Physicians and Surgeons of Manitoba – Specialist Registrar Procedures During the COVID-19 pandemic

Resident Doctors of Canada is working with the College of Family Physicians of Canada, the Royal College of Physicians and Surgeons of Canada and the Medical Council of Canada regarding COVID-19’s possible impact on exams. Questions for RDoC related to this issue can be directed to covid19@residentdoctors.ca.
Resident Doctors of Canada Website

Message from RDoC April 3

Message from RDoC March 24
Message from RDoC March 18
Message from RDoC March 14
Message from RDoC March 12
Message from RDoC March 11

Additional Resources

University of Manitoba Residents, Faculty and Staff

COVID-19 clinical trials in Manitoba The website for the trial, led by Dr. Ryan Zarychanski, hematologist at CancerCare Manitoba, is www.covid-19research.ca. Further information for health care providers can be found here.

COVID-19 Reports: These reports are produced by a collaboration of fellows, residents, medical students, faculty leads, and librarians from the University of Manitoba and the Medical Microbiology and Infectious Diseases community. On hiatus as of May 11, 2020. All regular readers, please fill out the Reader Feedback Form below.
First Edition: March 21 2020
Second Edition: March 27 2020
Third Edition April 3 2020
Fourth Edition April 10 2020
Fifth Edition April 17 2020
Sixth Edition April 24 2020
Seventh Edition May 1 2020
Eighth Edition May 10 2020
June 16: Reader Feedback Form for the MB COVID-19 Report

University of Manitoba Obstetrics & Gynecology: Related Resources & Updates

Affiliated Organizations

AFMC website

Canadian Medical Association

CMPA: CMPA COVID-19 Hub: https://www.cmpa-acpm.ca/en/covid19

Doctors Manitoba – Resources for Health Care Providers

Resident Doctors of Canada (RDoC)

University of Manitoba COVID-19

Other Organizations

Heart and Stroke Foundation: https://www.heartandstroke.ca/articles/coronavirus-the-information-you-need

Manitoba Dental Association: https://www.manitobadentist.ca/

Public Health

Government of Canada COVID-19 Information
Know the difference between self-monitoring, self-isolating and quarantine

Get Updates on COVID-19 is a web-based email service that provides subscribers with critical information related to the pandemic. Developed by Health Canada, the Canadian Digital Service (CDS), and Service Canada, subscribers to the service will get emails directing them to important and authoritative content on the Government of Canada’s COVID-19 website, Canada.ca/coronavirus.

World Health Organization COVID-19 page

Research

Canadian Institutes of Health Research

John Hopkins University COVID-19 page

The Lancet COVID-19 Resource Centre

Updated Scientific Literature from the National Library of Medicine (USA)

The AFMC has created a page outlining medical research on COVID-19 taking place at Canadian Universities: https://afmc.ca/en/priorities/medical-research-stories

Share your experiences

The Canadian Medical Education Journal (CMEJ) is inviting learners to submit entries to the CMEJ Blog about how COVID-19 has affected their medical education.

Here is what they have posted on their website: “The lives and careers of medical students, residents, faculty, and staff have been affected in many ways and to different degrees [by the COVID-19 pandemic]. If you are willing and able to write about your medical education related experiences but need a medium to get your ideas out to a wide audience, consider submitting your essays to the CMEJ blog through our normal submission process. Blogs will not be subject to a full peer review process. One or more of our editors will work with authors to polish the blog post before being published on-line. Due to the time-sensitive nature of these posts, we will try to expedite their processing.”

Writers would need to register for an account with the CMEJ in order to submit any writing.


Wellness and Self-Care

Crisis Services

24-Hour Confidential Physician and Family Support Line:
1-844-436-2762

Crisis Line (24/7)
204-786-8686
1-888-322-3019

MB Farm, Rural & Northern Support Services
1-866-367-3276

Southern Health Wellness Line: The Wellness Support Line is for health care professionals in the Southern Health-Santé Sud region to debrief and talk to someone outside their normal support network and workplace.

Counselling Services

The Canadian Psychology Association has created a list of registered psychologists who have volunteered to provide services to healthcare workers. Please see here for details.

Free counselling and health services to Manitobans of all ages during the COVID-19 Pandemic: Here is a list of free services that are open to the public and available right now.

The Manitoba Government is offering free online counselling services for those experiencing COVID related stress: https://manitoba.ca/covid19/bewell/. AilitiCBT virtual therapy program is now available to Manitobans aged 16 and over, including health care workers. The program is accessible from home and provides mental health support to those struggling with mild to moderate anxiety related to the COVID-19 pandemic. The new program is free and confidential, available in English and French, and available for those aged 16 or older.

For more information about these resources, visit:

Websites, Webinars and Documents

May 28: Maintaining Psychological Health during COVID-19
Clinical Health Psychology (Shared Health/Max Rady College of Medicine) is providing an interactive session for medical staff colleagues and their departments and teams.  This session includes identifying common reactions to the COVID-19 pandemic and the potential outcomes following the peak (or peaks) of the pandemic such as burnout and exacerbated or delayed mental health impacts. It covers practical evidence-based strategies to manage these stresses, and ways to enhance wellbeing and build resilience during this challenging time, for the individual and for the team, using lessons learned from past outbreaks and disasters. The session is led by clinical psychologists, who work with the unit or department to tailor the information to the unique circumstances and challenges of the group. The session is provided virtually, and can be delivered flexibly as a Grand Rounds, Webinar, or as a Q & A session, during the day or in the evening. For more information, contact CHP’s lead for this initiative: Dr. Maxine Holmqvist mholmqvist@hsc.mb.ca.

COVID-19 – Guidance & Tools to Support Mental Wellness A document prepared by Shared Health; most recently updated March 29.

Self-care during COVID-19 pocket card: https://sharedhealthmb.ca/files/self-care-during-covid-19-pocket-card.pdf

Canadian Mental Health Association Manitoba – Wellness Response Line https://sharedhealthmb.ca/files/covid-19-cmha-resources.pdf

Guide for Health Care Providers for Supporting Mental Health & Wellbeing of Patients during the COVID-19 pandemic.

There is a free webinar titled “Mental Health and Resilience during COVID-19” offered by the Crisis and Trauma Resource Institute (www.ctrinstitute.com). This webinar will explore key factors for understanding the impact of the COVID-19 pandemic. Viewers will receive concrete guidance for building resilience and staying emotionally and mentally healthy during this stressful time, including insights for supporting children. Visit https://ca.ctrinstitute.com/covid-19-videos/ for this and other resources.

Finding Hope: An Essay by Margaret Atwood – includes a shout-out to health care workers!

Coronovirus Sanity Guide (free for health workers): “In times like these, we need practical, actionable ways of coping with stress, fear, and anxiety. The meditations, podcasts, blog posts, and talks on this page will help you build resilience and find some calm amidst the chaos. We’re adding more resources as they’re created – so keep checking back.”

“Psychology Works” Fact Sheets from the Canadian Psychological Association

Pandemic Sleep Advice (From the CDC)

Self-Isolation Resources

For a listing of businesses remaining open in Manitoba, visit wfp.to/buylocally.com. This free directory enables businesses still operating to provide details on how to order and what pick-up and delivery options are available.

Gyms and Studios offering free online classes
More free Online fitness classes

Winnipeg Public Library: 24/7 at home entertainment. The library has also compiled a comprehensive guide to online resources, available here: https://guides.wpl.winnipeg.ca/aclickaway

Free online courses from Harvard: https://online-learning.harvard.edu/catalog/free

Online cooking classes: https://www.delish.com/cooking/g32146845/online-cooking-classes/


Community Support, Deals, Discounts, and Events

Community Support

Students from the MMSA have offered to donate their time to support health care workers, including residents, affected by the COVID outbreak:
“Recognizing that your hours and responsibilities are likely being extended while crucial services that you rely on may be taken away, University of Manitoba medical students would like to volunteer our time to support you. This can include, but is not necessarily limited to: basic childcare; grocery shopping; trips to the pharmacy; pet care; and general errands.”
For further information and to fill out their intake form, please see here.

Help Next Door: A Manitoba network connecting volunteers with those needing support

Caremongering Winnipeg: Community Response to COVID-19

From Shared Health:

Deals and Discounts

For a listing of businesses remaining open in Manitoba, visit wfp.to/buylocally.com. This free directory enables businesses still operating to provide details on how to order and what pick-up and delivery options are available.

RDoC has compiled this comprehensive list of offers and discounts available to Health Care and Front Line workers during COVID-19

CAA is offering free roadside assistance to all health care providers: From their website: “you can request CAA Roadside Service by calling *222 on your mobile device or toll free at 1-800-222-4357. This free service is currently being offered to Members and non-Members alike. If you are a Member and a healthcare worker or first responder, these calls will not be counted on your Membership.”

Chop Steakhouse is offering 40% off of pick-up orders for health care workers.

Circle K is offering free coffee, tea or fountain drinks to healthcare workers with valid ID at participating locations.

Clarion Hotel is offering special rates to healthcare workers through June 30.

Costco is offering priority access to healthcare workers – jump to the front of the line with your hospital ID.

Crocs is offering a limited number of free pairs of shoes each day to healthcare workers.

Earls Kitchen now has groceries, meal kits and fully cooked meals available for pick-up and delivery. Healthcare workers get 30% off on all pick-up orders.

Loblaws – including all Superstore, Shoppers Drug Mart, and No-Frills locations – is offering priority access to healthcare workers.

London Drugs is offering dedicated shopping time for healthcare workers. They will have exclusive access from 8 p.m. to 9 p.m. Monday to Saturday, and 7 p.m. to 8 p.m. on Sunday.

McDonalds is offering a free medium coffee or tea to healthcare workers at participating restaurants.

Nuburger will give healthcare workers 30% off of all pickup orders.

Shell Canada is offering free hot beverages and sandwiches to healthcare workers with valid ID at participating locations.

The Star Program: Offers discounts to employees of Shared Health and the WRHA. Keep checking as new offers are added regularly.

Events

The West End Biz is organizing Distant Dinner Parties via Zoom: “Enjoy great company, delicious food and entertainment from the comfort of your home. Our virtual dinner parties will feature a delivered meal from one West End restaurant and you will get to participate in a game of trivia where one winner will take home a prize!” For more information, go to https://www.westendbiz.ca/dinnerparty.

Cinematheque at Home: “will offer new theatrical releases to our audience every week through Vimeo on Demand. Cinematheque at Home will offer new programs (individual feature films and/or shorts programs) each week, which our audiences can pay to stream through our website. This is not only an opportunity for our patrons to see new cinema, but is an important way that they can continue to support independent film during this pandemic.”