Concerned with Hospital Prepareness

[WinniWoman]

The Lakes Region General Hospital here just furloughed like 600 employees. This hospital was already in the red and struggling and for a long time has been trying to partner with another hospital.

There are barely any COVID19 patients in this hospital yet , for example, one woman's husband's surgery was postponed for 3 months! And that was for a cancerous tumor. The doctor wanted to do the surgery but the hospital said no.

Another woman's daughter was to have a feeding tube inserted at Mass. General and was denied, even though it was critical, and had to go to another hospital to have it done.

This morning I cut my thumb while I was cutting an english muffin. Had a hard time stopping the bleeding. I thought to myself- thank goodness it was not anything more serious because no one will treat me. It would be a nightmare.

As in a previous thread of mine- DON'T GET SICK! You don't have COVID19 no one will see you! At least here in the Northeast!

 

[Miss Marty]

.
Concerned with Hospital Prepareness

Federal and State government should pass a bill to create a free no cost one-year in hospital course to become a “practical nurse” an effort to address the nursing shortage the Coronavirus pandemic has exposed.

 

[MULTIZ321]

How you could get your covid-19 test results faster.

Why some covid-19 tests in the US take more than a week

The messy network of labs rushing to increase testing capacity has some big problems, but they’re fixable.

www.technologyreview.com

Richard

 

[geekette]

.
Concerned with Hospital Prepareness

Federal and State government should pass a bill to create a free no cost one-year in hospital course to become a “practical nurse” an effort to address the nursing shortage the Coronavirus pandemic has exposed.

I don't see how this is feasible. This is not what hospitals do and I can't see them sparing a valuable nurse to be a OJT mentor for a year.

I would not like to see this happen. People that choose nursing already chose it.

 

[Miss Marty]

.
During the 1918 Spanish Flu Pandemic - February 1919
Illinois passed a bill to create a one-year course to become a “practical nurse,”

1918 Pandemic Influenza Historic Timeline | Pandemic Influenza (Flu) | CDC

Everything you need to know about the flu illness, including symptoms, treatment and prevention.

www.cdc.gov

 

[geekette]

.
During the 1918 Spanish Flu Pandemic - February 1919
Illinois passed a bill to create a one-year course to become a “practical nurse,”

1918 Pandemic Influenza Historic Timeline | Pandemic Influenza (Flu) | CDC

Everything you need to know about the flu illness, including symptoms, treatment and prevention.

www.cdc.gov

Way different time than today. How many women back then had non-nursing, non-teaching, non-secretarial jobs? Darned few, right? Even my grandmother, born in 1898, was not working outside the home because her husband would not "allow it".

one would assume that only single women without children would have enrolled, but, how could they support themselves? There wasn't "child care" back then for married with children women to go into training.

Still very few men are nurses and I wouldn't expect that to change with "free career training". I would also guess that most people cannot simply stop the career they have and volunteer for a year. Who can go without pay for a year?

Congress can pass any bill they want, but that doesn't mean that it would suddenly cause a rush into nursing, especially after seeing how little regard there is for front-line health care workers Right Now. I would expect that most nurses never thought they would be left unprotected in caring for people sick with a deadly disease. That's not going to motivate people to change to that career.

 

[MULTIZ321]

Hospitals Reject Trump's Claim They Are 'Really Thrilled' With Supplies.

Hospitals Reject Trump's Claim They Are 'Really Thrilled' With Supplies

As hospitals warn of shortages, President Trump claims without offering evidence that he's hearing from administrators who are pleased with the current levels of supplies.

www.npr.org

.


Richard

 

[MULTIZ321]

N95 Masks Have Been Leaving The U.S. During The
Coronavirus Pandemic When We Needed Them...

N95 Masks Have Been Leaving The Country During The Coronavirus Pandemic When We Needed Them Most - What Should Happen Next?

Reporting on N95 masks and other PPE being exported out of the U.S.—at a time when medical professionals desperately need them—continues to uncover new information and insights into why this has been happening as the pandemic continues.

www.forbes.com

Richard

 

[Pathways]

To keep sane, I try not to read 'news' articles and posts about the virus on a daily basis. While an interesting read, the headline and sometimes entire sections of some of these articles is so misleading or outright false it is staggering.

Best 'factual' interview of the weekend: CBS news Face The Nation. Checkout the interview with the head of New York's largest health system, Northwell Health. Mostly Long Island hospitals, but also in the city, Staten Is. and some north of the city.

They are prepared, don't expect to be overrun, when 'baited' about the doomsday planning, he clearly expressed that it was not ever expected to be enacted, only a routine plan. Supplies appear to be good, beds are easily converted to ICU beds if the need dictates.

Biggest concern? Staffing. Yet talks about the thousands of staff coming in from other parts of the country so thinks they will be OK there.

Even very lightly treads on the subject of what in hindsight may be considered the biggest waste of dollars and effort, the Javits Center and USNS Comfort.

Biggest takeaway for all those (most of the country) fixated on the vents: Once put on a vent, survival rate is 20%.

And he backs that up by confirming that is the rate most areas are seeing. As someone in a previous post discussed, while not best practice, two patients can be on a single vent. In fact, up to four can be on a single vent. RT's in many hospitals around my area have recently been trained on the proper procedure to run 4 to a vent if triage conditions occur.

He also headlines the large numbers of patients recovering and leaving his hospitals every day.

Challenge to you: Find his interview. CBS news clearly didn't find his factual and front line knowledge to be 'sensational' enough to place prominently with a headline touting 'death', 'failure', or some other clickbait grabbing word. In fact, in most of the CBS News Face The Nation summaries, they don't even mention they interviewed him.

What say you?

 

[Pathways]

Second challenge - I assume in your home areas, as in mine, there are a multitude of of promos with peoples talking about staying home with ideas of activities and of course ending with 'we will all get through this together'.

Have you noticed that all of the aforementioned people still have jobs?

I would love to hear about the person touting 'no matter how long it takes' who is now unemployed and facing bleak prospects in the coming months. (and many times people in the industries affected are both halves of a couple)

Good news: (At least in my area) Many restaurants are adapting quickly. The waits at Olive Garden and Texas Roadhouse are sometimes over an hour for takeout- and they are running a full kitchen staff. A worker at one told us the takeout tips are up substantially. (From many times $0 in the past to sometimes now 15-20%)

Fast food drive through lines are long at meal times. And Chick-Fil-A? Forget it! (Funniest thing we saw this weekend: the four cars in the drive through at the Chick-Fil-A on Sunday. The line just never seemed to move! )

 

[Miss Marty]

.
Concerned with Hospital Prepareness

Hospitals need to take extra precautions
as coronavirus fears mount in New York.

April 6th New York State has surpassed 4,000 deaths from the coronavirus.

Stay home, healthy or sick, all New Yorkers must stay home unless they are essential workers or need urgent health care.

New York City to begin temporarily burying coronavirus victims in local parks
(yes you read that right). Trenches will be dug for "10 caskets in a line.”

NYC may temporarily bury coronavirus victims on Hart Island

Some coronavirus victims could be temporarily buried in the Hart Island potter’s field — or even public parks — if New York’s morgues become overwhelmed by the number of dead, officials said Monday…

nypost.com

 

[MULTIZ321]

To keep sane, I try not to read 'news' articles and posts about the virus on a daily basis. While an interesting read, the headline and sometimes entire sections of some of these articles is so misleading or outright false it is staggering.

Best 'factual' interview of the weekend: CBS news Face The Nation. Checkout the interview with the head of New York's largest health system, Northwell Health. Mostly Long Island hospitals, but also in the city, Staten Is. and some north of the city.

They are prepared, don't expect to be overrun, when 'baited' about the doomsday planning, he clearly expressed that it was not ever expected to be enacted, only a routine plan. Supplies appear to be good, beds are easily converted to ICU beds if the need dictates.

Biggest concern? Staffing. Yet talks about the thousands of staff coming in from other parts of the country so thinks they will be OK there.

Even very lightly treads on the subject of what in hindsight may be considered the biggest waste of dollars and effort, the Javits Center and USNS Comfort.

Biggest takeaway for all those (most of the country) fixated on the vents: Once put on a vent, survival rate is 20%.

And he backs that up by confirming that is the rate most areas are seeing. As someone in a previous post discussed, while not best practice, two patients can be on a single vent. In fact, up to four can be on a single vent. RT's in many hospitals around my area have recently been trained on the proper procedure to run 4 to a vent if triage conditions occur.

He also headlines the large numbers of patients recovering and leaving his hospitals every day.

Challenge to you: Find his interview. CBS news clearly didn't find his factual and front line knowledge to be 'sensational' enough to place prominently with a headline touting 'death', 'failure', or some other clickbait grabbing word. In fact, in most of the CBS News Face The Nation summaries, they don't even mention they interviewed him.

What say you?

Northwell Health President and CEO Michael Dowling on CBS FACE THE NATION INTERVIEW

Richard

 

[louisianab]

How you could get your covid-19 test results faster.

Why some covid-19 tests in the US take more than a week

The messy network of labs rushing to increase testing capacity has some big problems, but they’re fixable.

www.technologyreview.com

Richard

I can comment directly on this -
Even when devices are available, we as a lab still have to validate (confirm results and testing runs as it is supposed to), do quality control (in an interval defined by the manufacturer or the government or both - along with having QC materials on hand), train techs to run the test (with documentation), have written policies and procedures as to how the test works and how it works in our lab (don't even start if you go off label, extra extra documentation) and have the supplies to collect testing and run testing. Every lab. They don't just deliver a case of tests and the results start running freely. We have some instrumentation that has to have all of this done over again if we move it. Even 3 feet.

Also, medical technologists and clinical lab scientists - the staff that run your testing for everything - has been a declining profession for years. Have a kid/adult that enjoys science and medicine but not patients? Go get your MT or MLT (associates or bachelors) the job demand is huge.

 

[Pathways]

New York City to begin temporarily burying coronavirus victims in local parks
(yes you read that right). Trenches will be dug for "10 caskets in a line.”

Wow. What a headline. Yet right in the article they admit they have no real plans to do that, and there is currently plenty of space. And no one wants to point out the only reason they are temporarily doing anything different than the norm, is because the families are requesting it so they can have 'normal' services later when the group restrictions are not in place.

Anything to 'sell' a paper

 

[Pathways]

have written policies and procedures as to how the test works and how it works in our lab

Spot on - Sometimes this part takes longer than all the rest put together.

 

[louisianab]

Spot on - Sometimes this part takes longer than all the rest put together.

My technical specialist has pre-written as much of our covid stuff even though we have not gotten our testing yet, she's hoping to fill in the blanks, per se, and have it ready immediately. Within the legally measured margins of the paper and stuff obviously. (Yes. there are criteria for the physical margins of the procedures, whether on paper or a .pdf or .doc.)

 

[MULTIZ321]

Crewmember on Navy hospital ship Comfort tests positive for coronavirus

Crewmember on Navy hospital ship Comfort tests positive for coronavirus

A crewmember aboard the Navy hospital ship USNS Comfort has tested positive for the coronavirus.

abcnews.go.com

Richard

 

[MULTIZ321]

Exclusive: South Korea to ship 600,000 coronavirus testing kits to U.S. on Tuesday - source.

Exclusive: South Korea to ship 600,000 coronavirus testing kits to U.S. on Tuesday - source

South Korea plans to send 600,000 coronavirus testing kits to the United States on Tuesday in the first such shipment following a request from U.S. President Donald Trump, a Seoul official told Reuters on Monday.

www.reuters.com

.


Richard

 

[MULTIZ321]

As we await ventilator production, Foxconn's Wisconsin offices still empty.

Foxconn's Wisconsin offices still empty one year on, says report - 9to5Mac

Foxconn's Wisconsin offices remain empty a year after the company said it would 'correct' statements about them being unoccupied, says a new report today ...

9to5mac.com

Richard

 

[MULTIZ321]

Nurses Suspended for Refusing COVID-19 Care Without N95 Mask.

https://www.usnews.com/news/politics/articles/2020-04-16/nurses-suspended-for-refusing-covid-19-care-without-n95-mask?src=usn_fl

.


Richard

 

[MULTIZ321]

Elon Musk's promised ventilators never
delivered to California hospitals, governor's office says.

Elon Musk's promised ventilators never delivered to California hospitals, governor's office says

Elon Musk said last month he had obtained more than 1,000 ventilators to help California hospitals treating patients infected with the coronavirus, an effort California Gov. Gavin Newsom hailed as "heroic."

www.cnn.com

Richard

 

[geekette]

Elon Musk's promised ventilators never
delivered to California hospitals, governor's office says.

This doesn't surprise me. He seems to be a bit of an egotistical flake.

 

[MULTIZ321]

The Trump administration paid a bankrupt company with zero employees $55 million for N95 masks, which it's never manufactured.

The Trump administration paid a bankrupt company with zero employees $55 million for N95 masks, which it's never manufactured

FEMA told Insider it "does not enter into contracts unless it has reason to believe they will be successfully executed."

www.businessinsider.com

.


Richard

 

[MULTIZ321]

THE TESTING PARADOX

The Testing Paradox

As the number of coronavirus cases spike, the call for more testing has gotten louder, especially as it becomes a key part of how we reopen the country. But the reality is we're not doing enough testing now and the process can be confusing to many. Plus, can an antibody serology test determine...

amp-flipboard-com.cdn.ampproject.org

.


Richard

 

[MULTIZ321]

The White House Has Erected A Blockade
Stopping States and Hospitals From Getting
Coronawrus PPE.

There Is A White House Blockade Stopping States From Getting Coronavirus PPE

The NEJM has published a horrifying account of a health-care executive trying to evade what appear to be mafia tactics by the federal government.

nymag.com

.


Richard