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B.C.91Ƶs nurses support harm reduction, but call for additional safety measures

BC Nurses91Ƶ Union President Gear says 91Ƶinstances91Ƶ of illicit substance consumption happen around B.C.
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B.C. Nurses Union Adriane Gear, here seen in Vancouver in 2023 when she was still vice-president, says nurses support harm reduction, but also want to see more safety measures amidst reports of nurses being harmed by their consumption in hospitals. (Black Press Media file photo) (Lauren Collins)

The BC Nurses91Ƶ Union wants a better balance struck between the needs of patients dealing with addiction and the safety of health care providers.

The issue gained attention after a leaked Northern Health memo instructing staff on how to deal with patients using substances in hospitals despite prohibitions.

91ƵWe don91Ƶt want people with addictions further stigmatized around this,91Ƶ BCNU president Adriane Gear said. 91ƵWe need appropriate harm reduction measures and strategies, but we also need to keep people providing the care safe and we can do that. But it does require the employer taking this (issue) seriously and developing appropriate policies, enforcing them and providing appropriate education, resources and support for people.91Ƶ

91ƵWe need to work on the safety culture, period. There (are a) lot of things that injure and harm nurses in addition to illicit substance exposures, so let us take this opportunity to critically look at the situation.91Ƶ

B.C. United has cited the memo 91Ƶ which says that 91Ƶpatients can use substances while in hospital in their room 91Ƶ as evidence of government creating 91Ƶa free-for-all with open drug use91Ƶ and calling for the end of decriminalization.

Gear confirmed instances of 91Ƶillicit substances being consumed in various care settings91Ƶ, but could not describe their extent.

91ƵIt91Ƶs difficult, but I can tell you that (Vancouver Island) has been a hotbed and WorkSafeBC has been involved. They have done inspections. They have issued orders.91Ƶ

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The Northern Health memo points to an 91Ƶincrease in admissions of patients with possession of substances and using substances while in hospital91Ƶ. It tells staff that the decriminalization means they should neither be searching patients91Ƶ personal belongings for substances, nor taking them away if found.

91ƵI can tell you that anecdotally, we did not hear from our members on this issue prior to decriminalization,91Ƶ Gear said. 91ƵI91Ƶm not saying it never happened, but it certainly wasn91Ƶt something that was91Ƶreported to the extent that it is now.91Ƶ

Gear said nurses support harm reduction, but not at the expense of their own personal safety91Ƶ and warned of long-term consequences given B.C.91Ƶs nursing shortage.

91ƵWe can go ahead and recruit all the nurses we want,91Ƶ she said. 91ƵIf we are going to harm them, if we are not going to improve conditions of work, we are not going to retain them.91Ƶ

Health Minister Adrian Dix Thursday reiterated that current policies prohibit the possession and use of substances in hospital environments.

91ƵThey are unequivocal and that doesn91Ƶt mean that they are easy to enforce,91Ƶ Dix said. 91ƵIs it easy to enforce the rules on Ward Six of Hospital X? It91Ƶs not, of course, it91Ƶs not.91Ƶ

Dix said that B.C. is taking every step to ensure nurses and other health professionals do not become police officers.

He pointed out that government has hired 320 91Ƶvery significantly trained91Ƶ relational security officers in 26 acute care hospitals, adding it is not the sole solution.

91ƵThis is not an issue of (decriminalization),91Ƶ he added. 91ƵThis is an issue of dealing with people in the health-care environment with severe illnesses.91Ƶ

91ƵWhen people come to hospital, we do everything we can to help them get better and to keep people safe. That will continue to be our policy every day.91Ƶ



Wolf Depner

About the Author: Wolf Depner

I joined the national team with Black Press Media in 2023 from the Peninsula News Review, where I had reported on Vancouver Island's Saanich Peninsula since 2019.
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