Vaccines are safe, effective and the best way to protect you and those around you from serious illnesses like covid 19.
Vaccines work with your immune system so your body will be ready to fight the virus if you are exposed. This can reduce your risk of developing covid 19 and make your symptoms milder if you do get it.
Our supply will not arrive all at once, so distribution will happen in stages. The goal is for everyone in Ontario to be able to get a covid 19 vaccination if they want one, as soon as enough doses are available from manufacturers.
The CPSO’s expectation during a public health emergency is that physicians act in the best interests of their patients and support the provision of care directly or, where necessary, indirectly by supporting their colleagues and the larger system in responding to the emergency.
ECHO Ontario Coping with COVID offers a place to share and learn about ways to build your personal/professional resilience and wellness through didactic lectures and case-based discussions. Whereas other ECHOs within ECHO Ontario Mental Health tend to focus on client cases and well-being, this new ECHO focuses on provider well-being. Please note that this program was initially launched for hospital-based health care providers and is now being offered to all health care providers across Ontario who are responding to the COVID-19 pandemic.
These screening tests are starting up slowly to keep you and the healthcare staff safe, and to help stop the spread of COVID-19. The gradual reintroduction of routine cancer screenings is consistent with the Ministry of Health’s to gradually start offering services that have been delayed because of COVID-19.
Guidance and Protocols, Visual Aids, Order Sets, Checklist, Ontario Clinical Practice Guidelines for Antimicrobial and Immunomodulatory, Therapy in Patients with COVID-19, Podcasts and Webinars, Quick ICU training, Wellness
This document contains recommendations based upon the best current available scientific knowledge for COVID-19 vaccination in special populations and expert clinician advice. Certain populations were not included in the Phase III clinical trials for current COVID-19 vaccines, or had very small representation, and require special consideration for COVID-19 vaccination. Evidence from clinical trial data is limited due to limitations in the size and duration of follow-up of trial populations; however, studies are ongoing. The evidence on COVID-19 disease and vaccines is evolving.
Version 1.0 – December 30, 2021
This guidance document provides basic information only. It is not intended to
provide medical advice, diagnosis or treatment or legal advice.
In the event of any conflict between this guidance document and any orders or
directives issued by the Minister of Health or the Chief Medical Officer of Health
(CMOH), the order or directive prevails.
Alert - new versions will be published frequently. If you locate a newer version please add it's web URL using primaryON.ca/websites/new and we will update this document.
".. The information that follows is intended to help people cope psychologically in the face of health risks like COVID-19. It does not convey important information that you should know about how the virus is contracted, its signs and symptoms, how to decrease your risk of contracting the virus and how the virus is treated. .."
credits: Canadian Psychological Association
Canadian Psychological Association Canadian Psychological Association
The COVID-19 pandemic is anticipated to continue spreading widely across the globe throughout 2020. To mitigate the devastating impact of COVID-19, social distancing and visitor restrictions in health care facilities have been widely implemented. Such policies and practices, along with the direct impact of the spread of COVID-19, complicate issues of grief that are relevant to medical providers. We describe the relationship of the COVID-19 pandemic to anticipatory grief, disenfranchised grief, and complicated grief for individuals, families, and their providers. Furthermore, we provide discussion regarding countering this grief through communication, advance care planning, and self-care practices. We provide resources for health care providers, in addition to calling on palliative care providers to consider their own role as a resource to other specialties during this public health emergency.
Wallace CL, Wladkowski SP, Gibson A, White P. Journal of Pain and Symptom Management. 2020;S0885-3924(20)30207-4. Wallace CL, Wladkowski SP, Gibson A, White P. Journal of Pain and Symptom Man...
A resource developed by the West Region Primary Care Council. It was designed as a guide to help balance the daily new needs of patients while working through the backlog on important preventative care and chronic disease management.
West Region Primary Care Council West Region Primary Care Council
“What do you think of the new vaccine(s)? Do you think I should get it? Is it safe? "
When patients ask these questions, it may be tempting to dive into answering. This framework will help approach these conversations thoughtfully to achieve a positive, effective interaction that builds trust while sharing important information.
Full-dose prophylactic anticoagulation held substantial benefit for moderately ill COVID-19 patients regardless of initial D-dimer level, according to interim pooled results from the ACTIV-4a, ATTACC, and REMAP-CAP trials.
The purpose of this community of practice is to support primary care providers who are implementing a remote home monitoring system for COVID-19 patients. Members will gain access to information about clinical pathways based on best evidence and other tools and resources. The CoP will use connecting calls and webinars in addition to this online space to support learning and collaboration.
All of our past CoP meetings are recorded and available here https://bit.ly/3e6Jydj (Copy and Paste into your browser)
BC's BHSA's Advice to health care providers on a) when to use Signal, b) best use cases, c) technical requirements, d) privacy and security and e) risk and limitation.
Given updated information on COVID‑19, Droplet and Contact Precautions continue to be recommended for the routine care of patients with suspected or confirmed COVID‑19. Airborne Precautions should be used when aerosol generating medical procedures (AGMPs) are planned or anticipated to be performed on patients with suspected or confirmed COVID‑19.
Intention for use:
" .. Note: These recommendations are intended for public/bystanders. If you are a healthcare professional, please refer to the fundamental CPR knowledge you learned from your certification course with the additional directions from your institutions during COVID-19.
The recommendations ... are based on expert opinion. They will reduce the risk of the public responder getting the virus from the person when providing CPR and using an AED during cardiac arrest.
".. During the COVID-19 pandemic, we should be taking a virtual-first approach to diabetes care. The relative benefits and risks of an in-person versus virtual diabetes visit will depend on several factors, including an individual’s capacity for using technology, the extent of their disease and local COVID-19 prevalence.."
Highlights of changes
Reference to Ontario Health’s document on Optimizing Care Through COVID-19 Transmission Scenarios.
Importance of in-person care where essential and for those conditions and instances where patients may not benefit from virtual care (Bullet 4)
Reference to COVID-19 Screening tool for Children in School and Child Care (Bullet 14)
Change from 14 to 10 days of self-isolation following symptom onset, provided that the individual is afebrile, and symptoms are improving (Bullet 14)
Importance of not delaying assessment and treatment of issues which have symptoms that overlap with those of COVID-19 but are clinically evident of a different diagnosis (Bullet 20)
Reference to Considerations for Community-Based Health Care Workers on Interpreting Local Epidemiology (Bullet 20)
Reference to Guidance for Immunization Services During COVID-19 (Bullet 28)
Updated November 9th, 2020
For the toolkit, the CEP actively pulls together, rethinks and translates the latest information so family physicians and primary care nurse practitioners can make confident decisions in their practice. This toolkit was developed by the CEP in collaboration with McMaster University's Department of Family Medicine, OCFP and NPAO. Check back daily for the latest updates.
The COVID-19 pandemic presents an unprecedented challenge to the capacity of health care systems and providers around the world. Now, more than ever, stewardship of limited resources is critical.
In response, this list was developed to raise awareness about the need to use limited health care resources wisely.
Bereavement care is considered an integral component of quality end-of-life care endorsed by the palliative care movement. However, few hospitals and health care institutions offer universal bereavement care to all families of patients who die. The current coronavirus disease 2019 pandemic has highlighted this gap and created a sense of urgency, from a public health perspective, for institutions to provide support to bereaved family members. In this article, drawing on the palliative care and bereavement literature, we offer suggestions about how to incorporate palliative care tools and psychological strategies into bereavement care for families during this pandemic.
A public health emergency may force a shift away from the usual patient-first ethics, to a public-first approach. Such a shift in mindset is difficult for everyone involved. In this podcast, CMPA Physician Advisor Dr. Yolanda Madarnas and CMPA Director of Practice Improvement Dr. Steven Bellemare discuss the stress generated by the sudden need to ration resources and restrict access to certain treatments in the context of the COVID-19 pandemic.
Listen to them discuss the concept of reasonable care and the patient’s best interests to help you make sense of the unusual demands the COVID-19 pandemic may place on you.
Last Updated: December 23, 2021
The COVID-19 Treatment Guidelines Panel (the Panel) has recommended several therapeutic agents for the treatment and prevention of SARS-CoV-2 infection in individuals who are at high risk for progression to severe COVID-19. These anti-SARS-CoV-2 therapeutics are of greatest benefit for nonhospitalized patients who have risk factors for progression to severe COVID-19. The risks for progression are substantially higher for those who are not vaccinated or who are vaccinated but not expected to mount an adequate immune response to the vaccine.
".. The aim of this collection is to ensure immediate access to systematic reviews most directly relevant to remote health care through telehealth. The measures adopted internationally to curb the spread of COVID-19 have led to significant changes in how health care is accessed and provided. As face-to-face consultations between healthcare workers and patients pose a potential risk to both parties, remote care and telehealth offer alternatives. .."
".. Rapid evidence reviews, data analysis and thought-provoking writing relating to the coronavirus pandemic updated regularly.
The Centre for Evidence-Based Medicine based in the Nuffield Department of Primary Care Health Sciences in the University of Oxford is an academic-led centre dedicated to the practice, teaching and dissemination of high-quality evidence-based medicine to improve healthcare in everyday clinical practice..."
Virtual care is a powerful tool in Ontario’s efforts to contain the spread of COVID-19.
Phone consultations, emails, text messaging, remote monitoring and video visits allow care providers and patients to connect safely at a distance, minimizing the risk of community infection.
".. We operate COVID-19 Testing Centres in Oakville, Milton and Georgetown.
For your safety testing is done by appointment only.
TELEPHONE BOOKING: Call the COVID-19 Booking Line at 905-203-7963.
ONLINE BOOKING: Please book an appointment online (see below) .."
Ontario Health Data Platform COVID-19
The Ontario Health Data Platform (OHDP) is being built to better detect, plan and respond to the COVID-19 outbreak.
This is a collaborative effort by leading public sector organizations to accelerate research and analytics within Ontario to help the province better manage and respond to the pandemic.
Shopify, RIM and Gov't of Canada Shopify, RIM and Gov't of Canada
This COVID-19 Community of Practice is a joint initiative from the University of Toronto Department of Family and Community Medicine (DFCM) and the Ontario College of Family Physicians (OCFP). Approximately every month, they bring people together virtually and share perspectives from a few practicing family physicians on topics ranging from implementing virtual care, to organizing community collaborations, to supporting patients with mental health and addiction. These one-hour webinars are interactive and questions from participants are be answered in real-time. Answers, resources, and recordings are posted after each session so that the sharing continues in the time between virtual sessions.
The Continuing Professional Development office is working closely with our Academic and Clinical partners to provide important COVID resources for our community.
We are developing a database of resources and need your help. If you have an important resource for Health Professionals that you think should be included in our listing, please let us know.
Content is updated daily.
LOCAL CMHA BRANCH SERVICES DURING COVID-19
CMHA branches are open but many are offering alternative service delivery at this time. Service delivery may be in person, by phone or the following virtual ways:
PCVC – Personal computer video conferencing
OTN – Ontario Telemedicine Network
ZOOM – Video/web conferencing platform
"..During this time of crisis, Heart & Stroke is making new course types available as a temporary measure to respond to requests from healthcare partners in helping them maintain the capacity of healthcare services to essential and critical areas during COVID-19. Our objective is to ensure that through virtual means, healthcare providers can be quickly and effectively trained to be ready to work in needed healthcare services.."
In the MH region, In order to best support patients and providers in our community we have stepped forward to work with local OHTs in gathering this information so that personnel can be quickly deployed where required. By having this centralized collection point, it will help us coordinate and avoid individual physicians from having to complete this information for several different sources.
Editorial note from the staff at PrimaryON.ca. This article establishes basic principles but leaves the actual documentation and vetting to your local public health unit (PHU). The fastest way to find your PHU to begin this process is through the PHU itself. Your PHU can be located on Ontario's PHU listings or by navigating the online booking portal as though you were booking then seeing which PHU your postal code pulls up.
excerpts from this linked guidance document..
" .. This document is intended to provide health care providers and Public Health Units (PHUs) with approaches for individuals who have received COVID-19 vaccination outside of Ontario or Canada...
This guidance provides basic information only. This document is not intended to provide or take the place of medical advice, diagnosis or treatment, or legal advice..."
This links to ... V. 1.0 June 4, 2021
The eCE Automates team at the eHealth Centre of Excellence has launched a new bot process that will help primary care clinicians to seamlessly and efficiently document their patients’ COVID-19 vaccinations within their electronic medical records (EMRs).