The BVI Health Services Authority in a recent release has acknowledged recent concerns regarding healthcare services and remains dedicated they say, to delivering high-quality, patient-centered care to the people of the Virgin Islands.
Like many healthcare institutions worldwide, the agency said “we continue to face staffing challenges. To address this, we are actively recruiting clinicians and have initiated the process of engaging a consultant to review our compensation packages, ensuring we remain competitive. Additionally, we are exploring strategies to enhance staff retention by improving working conditions, expanding career development opportunities, and advocating for increased funding during our Standing Finance Committee appearances, particularly in light of rising healthcare costs.”
Clarification on Hospital Space Utilization
In response to concerns about an “abandoned” hospital ward, the agency stated that they “wish to clarify that the fifth floor of Dr. D. Orlando Smith Hospital was not in use prior to the COVID-19 pandemic. As part of our pandemic response, we relocated the third-floor Medical Unit to the fifth floor in order to establish an isolation unit in close proximity to the Emergency Room.”
Following the pandemic, this relocation was maintained strategically to ensure that we continue to have a dedicated isolation ward should another health crisis arise. However, as part of our ongoing capital project—the renovation of the Major Peebles Wing—a permanent isolation unit is being formally constructed. Once this project is completed, the third-floor space will no longer need to be reserved for this purpose, allowing for even more efficient use of hospital resources.
While staffing challenges have required the agency to streamline resources in some areas, the agency said the adjustments made to the third and fifth floors were not due to staffing shortages but rather a deliberate effort to enhance pandemic preparedness while continuing to provide high-quality patient care.
Pharmacy & Medical Supplies
Additionally, with respect to the pharmacy unit, the agency confirmed that the formulary for asthma medications remain fully stocked. Reports of shortages may have been related to the timing of the stocking schedule or delayed notification of low supply. In response, they agency has launched an internal review to assess the situation and strengthen our supply management processes.
The internal review is said to have confirmed that the procurement unit has Hep-locks in stock. However, as part of efforts to optimize supply management and reduce waste, a recent policy adjustment placed certain supplies under the oversight of the charge nurse on duty, ensuring they are distributed as needed and properly accounted for. In light of the concerns raised, BVIHSA say they are now reviewing this process to ensure it remains both efficient and responsive to patient care needs.
Understanding the Use of Hep-locks
The BVIHSA also said they wish to clarify that Hep-locks are not required in all cases. A Hep-lock (heparin lock) is a small IV device used to provide intermittent access for medication or fluids without the need for repeated needle sticks. However, not every patient requires one, as many medications can be administered orally, by injection, or through alternative IV setups when necessary.
Importantly, the absence of a Hep-lock does not put a patient at risk of “bleeding out” unless they have a specific medical condition that affects their blood clotting. The decision to use a Hep-lock is based on clinical necessity, ensuring that resources are used appropriately while maintaining the highest standard of patient care.
Commitment to Excellence
The BVIHSA reaffirmed the organizations sole mandated to provide comprehensive public healthcare services 24/7. They expressed appreciation in level of patience and understanding of the community and remain committed to enhancing the quality, accessibility, and efficiency of healthcare throughout the Virgin Islands.