Medical Equipment

  1. Inuit patients obtain funding for medical equipment and medication from Non Insured Health Benefits (NIHB) of Health Canada. This may take several days to several weeks.
  2. NIHB require a doctor’s detailed prescription for all equipment. Please fax the prescription to the OHSNI case manager at least 48 hours prior to the expected patient discharge. The OHSNI case manager will apply for the equipment.

  3. Ostomy supplies: NIHB require a doctor’s prescription stating “Ostomy supplies for one year”. This prescription will be renewed yearly by a Nunavut doctor. Please send the OHSNI case manger a separate detailed list of the ostomy supplies required including the brand and number.

  4. Wound dressing supplies: NIHB requires a “Wound Assessment Table” as well as a detailed prescription listing all the dressing supplies. The OHSNI case manager will fax this form to the floor to be completed by the patient’s nurse.

  5. Oxygen: If a patient requires O2, please fax a doctor’s prescription and the patient’s blood gases to the OHSNI case manager who will apply for funding and arrange the O2. The criteria for O2 funding can be found on the NIHB website:

    http://www.hc-sc.gc.ca/fniah-spnia/pubs/nihb-ssna/_medequip/2009-prov-fourn-guide/index-eng.php
  6. For non-Inuit patients, funding for medical equipment may be obtain from the patient’s insurance company. If there are funding issues for Non-Inuit patients, please contact the OHSNI case manager.

Discharge Medications

  1. Inuit patients obtain funding for medication from Non Insured Health Benefits (NIHB) of Health Canada. This may take several days if the drug requires prior approval.

  2. When the Ottawa pharmacy receives a medication prescription, it is submitted to NIHB. For many medications, funding is immediate. However for Prior Approval medications, a form will be generated by NIHB and the OHSNI case manager will fax the form to the prescribing doctor to be completed and fax back to OHSNI as soon as possible. Without this, the patient will not receive the medication.

  3. IV therapy: To start the process of obtaining funding for IV medication, please fax the doctor’s prescription to the OSHNI case manager who will send a request to Medical Pharmacy in Ottawa. The OSHNI case manager will let the patient’s nurse/doctor know when funding is arranged so that the patient can be discharged.

  4. For non-Inuit patients, funding for medication may be obtain from the patient’s insurance company. If there are funding issues for Non-Inuit patients, please contact the OHSNI case manager.

  5. The NIHB Drug List 2103 and subsequent updates is available on the NIHB website:

    http://www.hc-sc.gc.ca/fniah-spnia/nihb-ssna/provide-fournir/pharma-prod/med-list/index-eng.php

Home Care

  1. The OHSNI case manager will arrange for nursing care for Nunavut patients in Ottawa. Please fax the medical referral to OHSNI.

  2. PSW help may be obtained under certain circumstances.

Discharge summary

  1. OHSNI requires a completed medical discharge summary upon discharge.
  2. For CHEO patients a “Dear Doctor letter” and “Multidisciplinary Discharge Form” are required (under review).

  3. The OHSNI case manager will require the dates of any patient’s follow-up appointments and if there are no appointments will need to know if the patient is medically safe to fly home to Nunavut.

Newborns

  1. For newborns born in Ottawa, OHSNI requires:
     
    • The birth records
    • Vaccination records.
    • A First Air/ Canadian North Advisory form.
    • Hearing test results if done.