RedRocket1647545505

If they come in fitting any semblance of criteria for being COVID-19 (+), they will be tested appropriately and admitted to their required level of care. If they don't require admission, I don't think we're testing them, i.e. we aren't just testing every schmuck who walks in the door and wants it. In fact, we aren't even letting them in the door at all as we have triage tents setup outside. We have designated areas throughout the hospital where we are putting suspected/positive patients. We treat them as positive until confirmed otherwise. If they come back negative, they will be sent to another area for non-COVID patients. The problem is, we are burning through PPE while we await test results. That's why a fast turn around time for results is so important; it saves other valuable resources.

The asymptomatic patients who aren't staying home are still spreading it. The % isn't necessarily what gets you. Even if it's a low % that end up hospitalized, that physical number is going to overwhelm the healthcare system, even here in Ohio. Incorrect. We are testing for H1N1 as well because it shows up on your normal respiratory PCR panel. H1N1 isn't the problem. COVID-19 (positives and rule-outs) is the problem and is only going to get worse. Because numbers. Right now. The hospitals are clearing out in anticipation of surging. Our census at Grant is about half of what it normally is on a regular day (which brings up other questions for me...). Testing is the big slowdown right now but it's getting better. Initial results were taking upwards of 7 days, now most are 24-48 hours with some being as quick as 6hr. Sitting on a patient for 7 days while you wait for results to come back is a huge killer of resources, so the fact that they are turning them around much more quickly is greatly appreciated.

NYC and Seattle are seriously hurting for nurses right now. They are offering $5000 Net/wk for a 13wk travel assignment for critical care nurses. If I could get my specific job back at Grant when I returned, I'd do that in a heartbeat.

EVERYTHING in medicine is a compromise. Everything. There are no perfect solutions.

That guy was on the Joe Rogan podcast a week or so ago if you haven't listened to him.

I wonder if the wanton waste of expired medical supplies is going to change in any way after all of this. I cringe to think how much PPE we (medical community) have thrown away over the years because they were a week past their expiration date. I know OH now has a strict 'don't throw away expired stuff' guideline going right now for obvious reasons. I'd like to see this stuff tossed in some storage containers some where so that if this happens again, and it probably will, we won't be fretting over supplies during the first 2 weeks of the epidemic.

I can understand testing only those who are hospitalized. From a treatment standpoint, it changes nothing, even in a hospital. We still treat the respiratory symptoms just the same, whether we know you're positive or not. I can understand tracking for tracking's sake, but that becomes an absurd amount of testing.

I also wonder if those are all SARS-CoV-2 swabs, or if they are including the 4 common cold Coronavirus strains that show up on a respiratory PCR swab. OH turn around time for test results is 4.2 days using, I believe, multiple labs. All of which are backed the fuck up right now. I'm not sure where the NY hospitals are sending theirs. I haven't been to work for several days, but when I was swabbing folks at the drive thru tents, we did did about ~250 swabs in two days. The second day actually started to die off (no pun intended) because....reasons. Not sure if it was due to lack of orders by the providers, lack of requests by patients, or just lack of available swabs. Either way, I assure you people are being swabbed as fast as humanly possible. I imagine NY's numbers are up so high because those fuckers are packed together like sardines. They almost can't socially distance themselves, so of course it's going to spread more there.

I just want to know if nurses are going to get discounts like first responders after this whole thing is over? :masturboy:

What stimulus check?

Working OH's drive thru testing tent on Monday and Tuesday, telling people they need to self quarantine for 14 days and socially distance as much as possible. "Even from work?" "Are there people at work?" "Yes" "Then yes, even from work"

Rivers edge cutlery on the west side will do walk ins and do a decent job for a belt sharpening. Or, do yourself a favor and get a paper wheel for a bench grinder and some white rouge and make your own scalpel edge in about 2 minutes. zero skill required.

The people bailed out the banks in 2008; perhaps its time for the banks to return the favor?

It truly isn't good for your mental health to perseverate on this stuff. Turn it off and go outside.

Ford, Chrysler, and Chevy shutting plants down? Just heard that.

I'll buy Ford when it hits $0.10/share.

:gabe:

Yes I do, but I won't be going into detail being that I work for a major healthcare player in the area. Healthcare work and social media don't mix very well, so I'm not going into any deets. It's amazing how close they can track this stuff. Just take the advice.

It makes people sick.

Got a good, solid look at it today while manning OH's drive-thru swabbing station. Follow the guidelines, please. It's not good. For the love of God, don't be an idiot and shrug this off as nothing.

I feel like during this time, there needs to be some sort of moratorium on punitive action on healthcare workers. If you start overworking the shit out of them while being severely understaffed, you can't really fault them if something goes amok.

And at the end of this, they will still have 8 hazmat suits because they aren't needed for this. The prevailing theory is that it only requires droplet precautions (regular surgical mask, gloves, impervious gown), however, to err on the side of caution, we (the country) will continue to treat it with airborne precautions (swap surgical mask for N96 or PAPR) just to cover our ass. Still, the virus isn't the big problem; it's the load its going to put on the healthcare system. It cannot handle a massive surge of even mild to moderately ill patients. Grant is usually stuffed to the gills on a daily basis without COVID-19 patients. It's a daily struggle to sort out patient throughput. Adding these caseloads on is going to be quite a challenge, for every hospital. Factor in that healthcare workers are also going to start getting sick and calling off, or dealing with family issues and whatnot, and your already short staffed places (pretty much all of them) are going to be hurting. I'm not looking forward to the next few weeks.

I've come to believe a lot of the .govs plan of action is to scare the ever-loving shit out of everyone so that they truly do follow the recommendation to socially distance themselves from others, thereby slowing the spread. If they went at it half heartedly, I don't think anyone would pay attention to them and the situation would be much worse than its already going to be. Most people are going to get it at some point. The idea is to avoid everyone getting it at once and overloading the healthcare system as it simply cannot handle the surge.

Ohio Health is already doing it.

The human race is filled with a bunch of idiots.