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TCI Hospital restructures the Emergency Department Triage Process

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#Providenciales, January 10, 2019 – Turks and Caicos – Turks and Caicos Islands Hospital has restructured the process for triage in the Emergency Department to create faster access to medical care for patients and more efficient use of resources.

The restructured approach features a moderate adjustment to the current process whereby a clinician will be a patient’s first point of contact. Walk-in patients will be required to undergo triage prior to visiting the Patient Services desk. The new process is scheduled to commence at Cheshire Hall Medical Centre and Cockburn Town Medical Centre on January 11, 2019 and February 4, 2019, respectively.

Patients will be called by a triage nurse in the order of arrival and clinically assessed. Patient verification and registration will also be conducted during the triage assessment. Each patient is assigned a CTAS triage score, which may range from Level 1 to 5. The Canadian Triage Acuity Scale (CTAS) is a five level scale with Level 1 (Resuscitation) representing the most critical patients and Level 5 (Non urgent) representing the least ill.

Any patient requiring urgent intervention (CTAS 1 and 2) will be accompanied to an assessment room or the Rhesus room and treatment initiated immediately. These patients will be registered during treatment. Other patients will continue to be prioritized and seen by a doctor based on the severity of their condition (CTAS Score). The triage nurse will direct ambulatory patients (CTAS 3) to the Patient Services desk to complete the NHIP-eligibility verification and payment process, and then wait to be seen by an emergency doctor.

Non-urgent patients (CTAS 4 and 5) may be transferred to the Outpatient Department or Ministry of Health Primary Health Care clinic, which is located on the hospital property. The clinical transfer is also dependent upon the type of resources required to treat the condition. As a result, some non-urgent cases may remain in the Emergency Department.

Once the Ministry of Health clinics are closed, all patients will be registered and treated in the Emergency Department or Outpatient Department in accordance with their triage score and a payment (co-pay fee or private fees) shall be applied. Payment also applies to any patient transferred to the hospital’s Outpatient Department.

The Emergency Department at Turks and Caicos Islands Hospital treats cases of various acuity levels, including benign conditions that can be treated by a primary care doctor. Patients are therefore encouraged to consider the seriousness of an illness or injury in advance and determine the most beneficial and appropriate place for care, where possible. Primary care clinics operated by the TCI Government Ministry of Health are primarily free of charge and are open during extended hours.

Medical conditions suitable for treatment at a primary care clinic include common illnesses, such as colds, the flu, earaches, sore throats, migraines, low-grade fevers, prescription refills and limited rashes. Minor injuries, such as sprains, back pain, minor cuts and burns, minor broken bones, or minor eye injuries. Patients are encouraged to visit the Primary Health Clinics directly during their opening hours.

Patients should visit the emergency department for emergency and urgent complaints such as: Trouble breathing; Unresponsive and not breathing; Suddenly not able to speak, see, walk, or move; Suddenly weak or drooping on one side of the body; Sudden confusion; Heavy bleeding; Severe allergic reaction with trouble breathing, swelling, hives; High fever with headache and stiff neck; High fever that does not get better with medicine; Poisoning or overdose of drug or alcohol and Seizure. The symptoms above are not a complete, specific listing, but rather guidelines.

 

Press Release: InterHealth Canada

 

 

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TCI Court

Eight Months facing Police Accusations and Court, now Pedro Grant Exonerated

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Dana Malcolm 

Staff Writer 

With no evidence to support their claim, the prosecution has dropped their case against Pedro Jose Alfredo Grant Gallon, the Dominican Republic citizen who was accused of impersonating an officer in September 2023.

The Police, who publicized the arrest and charge, have not yet commented on the matter despite Magnetic Media queries.

Grant, for his part, has always vehemently denied the accusations that he was impersonating an officer and described the circumstances surrounding his arrest as unfair.

He contends that on the evening of July 13, 2023, he was being followed by a strange driver, concerned, he waited until the man pulled off at a bar, then took his license plate number and called the police, but police never came to help Grant. He alleges that the next time he saw them, they came with handcuffs to arrest him. In a search, police found his IDs which included his documentation for humanitarian work with the International Diplomatic Alliance (IDA) and police lights attached to his vehicle. In explaining the possession of those lights, Grant said he told officers that they had been in his car from his time in the Dominican Republic where he was involved in law enforcement.

Since that time, Grant has maintained several facts:

  • The Police did not have a warrant to search his home and car;
  • The Police took his documents including passports and IDs, one of which was issued by the IDA, and to date have not returned them despite being court-ordered to do so;
  • The Police intimidated his wife with threats of deportation;
  • He never showed any ID, flashing lights at the man following him, or claimed to be an officer.

Police have steadfastly refused to comment on the case despite numerous queries into the bizarre circumstances, even with serious allegations like intimidation against them. Grant was officially charged with Impersonating an Officer in September but IDA Head Jerrod Crockett told Magnetic Media despite seizing documents from Grant to support their case, no one even called the organization to see if they were real or fake.

Now, when called to provide evidence to the court as to why they arrested and charged the resident, the police and DPPs office drew a complete blank as Wilkie Arthur, Magnetic Media Court Correspondent, confirmed it was a lack of evidence that got the case dropped.

Despite this win serious damage has been done Grant claims, describing his life as a ‘living hell’ and ‘miserable’ since the accusations were publicized.

The IDA says it has been affected as well.

“That really put a hurt on us for the last six to eight months now because of accusations of fraudulent documents that everybody else has seen. We’re trying to prove our legitimacy now because you guys can’t verify any documents— before you put everything out there as public information,” Crockett said of the Royal Turks and Caicos Islands Police Force (RTCIPF)

The president also told our news team they had lost thousands of dollars in funding.

Following the closure of the case we reached out again to police to find out on what grounds Grant had been arrested and charged but no response was issued.

 

 

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Crime

Man accused of kidnapping, raping and filming sex acts with woman for two days; Remanded until June

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Wilkie Arthur

Freelance Court Correspondent

A Dominican female, after allegedly being sexually assaulted, allegedly recorded performing sexual acts and allegedly threatened and held against her will overnight by a jitney driver will have to wait a little longer for the conclusion of the matter.

Identified as the accused in this case is ELVETHAN MCFAIAN HANDFIELD, 47 of Parrot Cut Street, Cooper Jack, Providenciales; it is in the area residents call, Glass Shack.

Hon Chief Magistrate, Mr Jolyon Hatmin has remanded the man to prison until his sufficiency hearing on June 7, 2024.

A Dominican woman, resident in Dock Yard, Providenciales reported to police that she was on the road waiting on a jitney when she was picked up by the accused HANDFIELD.  She said he asked her where she’s going?  She said she told him to Dock Yard and then jumped into his car.  The woman said she had just gotten off from work and wanted to get home, instead, the driver allegedly detoured to what she suspected was his home, where he reportedly pulled out a knife and forced her inside.

The woman was held captive, according to her account of events to Police.  Raped repeatedly between Friday April 19th to Saturday April 20th; and then was threatened not to report the matter or face being humiliated, because her alleged attacker recorded the sexual encounter, without her consent and was prepared to post it online.

 Officers of the Safeguard and Public Protection Unit arrested ELVETHAN HANDFIELD shortly after the release of the woman, who filed a formal complaint. He was subsequently charged by female detective Ms. Michelle Goslyn with two acts of rape of female complainant, her identity revealed but which we withhold due to the sensitive nature of the crime.

The charges were laid against him on Friday April 26 and his court appearance was on Monday, April 29, 2024. HANDFIELD was not required to enter a plea as the CM explained to him that these are indictable offenses. The serious nature fit only for a Supreme Court trial.

In his attempt to get bail, as he was unrepresented at the arraignment, Ms.Tassja Mitchell of the DPP’s Office outlined all that is mentioned above and further told the Court that he there are other investigations pending, with more charges to come for the man who is known to the Police.

Mitchell explained that the Crown is opposing bail; expressing sincere concern for public safety if the suspect were to be released.  

While the Chief Magistrate dismissed hearing more about the other matters pending against ELVETHAN HANDFIELD.  

The Senior Public Prosecutor, Tassja Mitchell, in making a case for NO BAIL expressed to the Court that the Rehabilitation of Offenders’ Ordinance prevented her from giving the details of HANDFIELD’ convictions.

Bail for the man was denied; he is currently on remand at His Majesty’s Prison in Grand Turk.

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TCI News

Graceway Communities Hosts Successful Earth Day Farmers Market and over 1.2 tons of litter removed from the Nation’s Capital

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Providenciales, Turks and Caicos Islands – April 28, 2024– Graceway Communities, the charitable arm of Graceway Supermarkets, proudly hosted it’s fourth annual Earth Day Farmers Market, providing a platform for local farmers to showcase and sell their produce, fruit trees, and vegetables grown in their own backyards. The event, held in conjunction with various partners, aimed to promote sustainability, support local agriculture, and raise environmental awareness.

Collaborating with Environmental Arts, Sunshine Nursery, the Department of Agriculture, DECR, Fortis TCI, and TC Reef Fund, Graceway Communities saw the participation of farmers and community members from across the sister islands.

As part of the Earth Day festivities, Graceway Communities, in partnership with the Edward Gartland Youth Center displayed the first of three sculptures at IGA from April 19th to 23rd, captivating onlookers with its powerful message and artistic expression. The collaborative sculpture effort, led by youth from the Clement Howell Environmental Club, aimed to raise awareness about environmental issues, particularly the impact of plastic pollution on our planet.

In a bid to further commemorate Earth Day, Graceway Communities extended its efforts to Grand Turk, where a successful clean-up campaign was organized the following weekend. Six teams participated in the campaign, collectively collecting an impressive 2567.77 pounds equivalent to 1.2 tons of garbage from the environment. The New Testament Church of God emerged as the winners of the clean-up campaign, receiving a prize of three thousand dollars in recognition of their dedication and hard work.

Board Director of Graceway Communities Ms. Edith Cox commenting on the Earth Day festivities stated “Graceway Communities continue to make a positive impact on our local communities. Earth Day reminds us of our stewardship to protect and preserve our environment for future generations. The collaboration of our various stakeholders contributed to making this event an awesome success!

Commenting on the massive cleanup campaign the board chair stated “The Grand Turk Communities benefitted from a massive cleanup ridding their communities of more than 2,500 pounds of trash. Kudos to all who showed up to support their communities and their environment! The TCI can look forward to more environmentally friendly initiatives from Graceway Communities as we continue to make a difference in our communities!”.

For more information about Graceway Communities and their environmental initiatives, please visit www.gracewaysupermarkets.com.

 

 

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