Local coordinators in each CHSLD | Problems that are solved faster

As of fall 2020, the 310 public CHSLDs in the province can count on a local coordinator involved in the day-to-day management of each facility. At the CHSLD du Chevalier-De Lévis in Longueuil, this appointment has made life easier for many residents and employees.

Posted at 5:00 am

Ariane Lacoursiere

Ariane Lacoursiere
The press

Dolorès Lavoie has lived at the CHSLD du Chevalier-De Lévis for six years. She witnessed the pre-2020 era when a single coordinator oversaw four CHSLDs in the sector, including her own. Since October 2020, Geneviève Bureau has been appointed as local coordinator. The manager is present at the facility every day of the week and takes care of any small problems that may arise.

“If you need something or have a problem, you go to her and everything is sorted out,” says Mme The way. For example, the resident explains that sometimes the device used to get her from the wheelchair to bed broke. Or that the ice machine is stuck on his floor. “I will visit her [Geneviève Bureau]and everything works,” testifies Mme The way. And before that, how was it? “We’ve been waiting!” says the resident, laughing.


A corridor of the CHSLD Chevalier-de-Lévis in Longueuil.

Geneviève Bureau’s mission is to ensure the quality of care for the 146 residents of the CHSLD du Chevalier-De Lévis. Also to ensure there are enough staff to communicate with families and residents and to oversee infection prevention and control. Sometimes she can also solve simpler problems, e.g. For example, placing a trash can outside or placing shelves at strategic locations in the facility.

Less delays

After the first wave of COVID-19, which caused an outright carnage at CHSLDs in Quebec, Minister of Health and Welfare Christian Dubé called for the hiring of a coordinator in each CHSLD in the province.


Marcelle Pierre, beneficiary, discusses with Geneviève Bureau, coordinator of the CHSLD du Chevalier-De Lévis in Longueuil.

Geneviève Bureau, a registered nurse and former department manager at a CHSLD, believes it’s possible to “solve problems faster” when you have a manager on site. “If I have an incubator and need to replace the reusable meal trays with single-use trays, as a department head I previously did not have the authority to ask the kitchens to make the change. I had to address the request to the coordinator who, despite his good will, was not always there. He advanced the request. Now I cross the corridor, make the request directly and everything falls into place pretty quickly,” she explains.

“There used to be more bureaucracy,” says Caroline Barbeau, head of unit at the CHSLD du Chevalier-De Lévis. There are now significantly fewer delays. »

According to Mme Office, one of the benefits of having an on-site coordinator is that families, staff and residents can contact them directly. “They see us. We are here. And they come to us with their concerns. We know what is happening in our center,” she said.

” [D]in the right direction”

Co-President of the Community of Practice of Physics in CHSLDs, the DD Sophie Zhang points out that the presence of a manager is responsible for any CHSLD “consensus” in the network. “This improves the organization of care and services, especially outbreak management, and smooth communication,” she specifies. The DD However, Zhang points out that collaboration between clinical and administrative staff is not yet established in all CHSLDs. “But we’re on the right track,” she said.


A corridor of the CHSLD Chevalier-de-Lévis in Longueuil.

The DD Zhang reiterates that more material and financial resources will be required to achieve “true decentralized management” and that the CHSLDs are not “drowning in the large structure of the CISSSs and CIUSSSs, which are still too prone to being hospitalized to become. .

The Fédération de la santé et des services sociaux (FSSS-CSN), which represents many caregivers of CHSLD beneficiaries, notes that while “any help is welcome, several unions say they don’t see major differences after the arrival of local managers have ascertained”. . Some unions report better work organization, but workers’ daily lives remain essentially the same, says spokesman Hubert Forcier.

The DD Zhang also wants to point out that while the presence of local managers is positive, it “will not fully solve the human resource shortage” afflicting the CHSLDs in the province. Dolores Lavoie sees it. If the resident has only good words for the staff at the CHSLD du Chevalier-De Lévis, they feel that this is “not enough”.

More time for residents


Ms Ricard in conversation with Caroline Barbeau, Head of Unit at the CHSLD du Chevalier-De Lévis.

Caroline Barbeau confirms that the arrival of a coordinator has made life easier for department heads, who have more time to devote to residents and less time to deal with problems. It must be said that the CHSLD du Chevalier-De Lévis now has three unit leaders instead of two.

“Before, we were more active in crisis management. Now we have more time to sit down with families, train with teams, appreciate the work of nurses and carers,” lists Ms.me barbel.


Caroline Barbeau, Head of Department at CHSLD Chevalier-de-Lévis

Marcelle Pierre has been a beneficiary at CHSLD du Chevalier-De Lévis for 13 years and says that, in her opinion, the greatest benefit of having a local manager is proximity. “Follow-ups are faster,” she says.

By showing the CHSLD to the team at The press, Geneviève Bureau realizes as she gets out of an elevator that it’s too hot. She apologizes. “I’ll go to maintenance and fix this immediately. You see, this is a concrete example of what can be done now,” she says.

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