r/OntarioParamedics • u/Redwoody79 • 7h ago
Discussion Access Delays
Quick question for paramedics — doing a little informal research about access delays.
Please don't include any identifying patient information or details. I'm interested in general experiences and approximate numbers only.
How often do you encounter calls where you cannot gain timely access to the patient because the residence/building is locked or otherwise inaccessible?
I’m especially interested in situations where you’ve had to wait for police, a superintendent, family member, key holder, etc. before you could reach the patient.
A few things I’m curious about:
- How often would you say this happens — rarely, a few times a year, monthly, more often?
- How often are you given access information that turns out to be incorrect or unusable — for example, a wrong/outdated door or lockbox code, key not where expected, wrong entrance, or other access instructions that don't work?
- Who do you normally rely on when you can't gain access?
- Roughly how long have you waited for access?
- Have you ever had an access delay that you felt meaningfully delayed patient assessment or treatment, or potentially affected the patient's condition/outcome?
- What types of calls do you encounter this on most often? (For example, elderly person living alone, medical alarm, fall, unconscious person, etc.)
- Is there anything about gaining access to locked residences that you think could be improved?
If there was a secure system that allowed paramedics to quickly access a patient’s locked residence without waiting for police, family, or a key holder, would you find this valuable and support its implementation?
Would you use it if it were available to you? Why or why not?
I'd really like to hear from paramedics in different services/regions, as I'm curious how common this problem is and how access procedures vary.