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re: A reminder for those concerned about hospital capacity and staffing

Posted on 7/21/20 at 8:05 pm to
Posted by Gountiss
Boone, NC
Member since Aug 2012
527 posts
Posted on 7/21/20 at 8:05 pm to
So what exactly were the hospitals doing in March, April, May? Why could they not put together a worst case scenario plan in place? I know it’s not ideal, but private business have to figure it out whenever they are busy, why should hospitals get special treatment?
Posted by lsu xman
Member since Oct 2006
15659 posts
Posted on 7/21/20 at 8:12 pm to
All the hospitals will say whatever JBE wants b/c hes handing them federal money.

All my sources tell me the local hospitals in BR are no where near capacity. They have actually closed some of the covid units.
Posted by greygoose
Member since Aug 2013
11477 posts
Posted on 7/21/20 at 8:17 pm to
quote:

Every RN went to school, Baw. They may have a specialty, but they are smart. Treating 100 patients for different illnesses is hard. Treating 100 for the same illness makes the learning curve less steep.

TLDR, I'm not buying that. They know how to work a bi-pap machine.


Two RNs that are extremely close to me, one graduated 2 years ago, the other was "deemed" graduated after Covid shut down all the schools. Both went to work at mid-sized hospital, straight into the ICU. Don't tell me they can't train a floor nurse to work the unit, especially during the shut down of elective procedures. The two I know, had ZERO experience, but were hired to work the ICU RIGHT OUT OF SCHOOL!
Posted by ell_13
Member since Apr 2013
85270 posts
Posted on 7/21/20 at 8:19 pm to
Many entities (including Ochsner) have been given grant money to complete covid studies and testing. I know for a fact that some of them have been given the mandate to try and test more black people because black people are more likely to test positive.
Posted by Klark Kent
Houston via BR
Member since Jan 2008
67051 posts
Posted on 7/21/20 at 8:21 pm to
Did we train all ICU nurses to be COVID ICU nurses before COVID19?
Posted by Breesus
House of the Rising Sun
Member since Jan 2010
67023 posts
Posted on 7/21/20 at 8:24 pm to
quote:

Covid floors are absolutely slammed


A floor dedicated to keeping Covid patients as a way to make up income lost from elective procedures is full of people admitted and then kept for observation.

No
fricking
Way
Posted by ell_13
Member since Apr 2013
85270 posts
Posted on 7/21/20 at 8:24 pm to
quote:

All the hospitals will say whatever JBE wants b/c hes handing them federal money.
He admitted this today without many people noticing. States with the highest cases per capita will receive the most money and be first in line for the money... Louisiana is second behind NY in that metric.
Posted by fightin tigers
Downtown Prairieville
Member since Mar 2008
73729 posts
Posted on 7/21/20 at 8:25 pm to
Why would he be trying to reduce the spread then?
Posted by Lebowski
Dallas
Member since Oct 2013
3544 posts
Posted on 7/21/20 at 8:27 pm to
Wouldn’t “those” nurses offer relief to those working the completely stressed ICUs?
Posted by ell_13
Member since Apr 2013
85270 posts
Posted on 7/21/20 at 8:27 pm to
Reduce it how?

Most of the spread is with young black people hanging out with each other at private residences. Has he mentioned that yet? Bars were low hanging fruit and doesn’t address the real problem. Masks are better for virtue signaling than actually limiting spread.
Posted by saderade
America's City
Member since Jul 2005
25760 posts
Posted on 7/21/20 at 8:29 pm to
Has Ochsner stopped elective surgeries? This is the first I’ve heard this. This isn’t happening at any of the LCMC hospitals.
Posted by Cracker
in a box
Member since Nov 2009
17870 posts
Posted on 7/21/20 at 8:30 pm to
Don’t care
Posted by TheMightyTerrier
Member since Nov 2010
2100 posts
Posted on 7/21/20 at 8:31 pm to
Maybe now people will see hospital systems for the manufacturing businesses they became decades ago. Their raw materials (patients) disappeared so they had to cut back on cost. Only way to make up for the revenue lost in Q2 is to charge a premium for new materials (covid). They are just managing inventory and cost. Doctors and nurses are just the physical laborers doing the actual work while someone else manipulates the numbers.

People blame the doctors for rising medical costs, meanwhile the hospital management and insurance companies are making money by the truck load.

End rant.
Posted by ell_13
Member since Apr 2013
85270 posts
Posted on 7/21/20 at 8:31 pm to
Nothing was ever officially stopped by the hospital that I’m aware of. People are just delaying or choosing not to.
Posted by ell_13
Member since Apr 2013
85270 posts
Posted on 7/21/20 at 8:32 pm to
Hell of a post. Agree completely.
Posted by RIPMachoMan
Member since Jun 2011
5977 posts
Posted on 7/21/20 at 8:32 pm to
quote:

What is the most frustrating thing to me is that if we had a Democratic President right now, we would never have heard of the china virus


Come on man surely you don’t really believe this. This virus has impacted the entire world, not just our country. I think it was going to be on our radar
Posted by htran90
BC
Member since Dec 2012
30174 posts
Posted on 7/21/20 at 8:33 pm to
quote:

Has Ochsner stopped elective surgeries? This is the first I’ve heard this. This isn’t happening at any of the LCMC hospitals.



No, they haven't.

But because there's not AS many surgeries and procedures going on, surgical units are being 'asked' (or forced) to take vacation.
Posted by ell_13
Member since Apr 2013
85270 posts
Posted on 7/21/20 at 8:35 pm to
Much like swine probably. Many other places around the world have begun to move on. They’ve slowed testing and relaxed restrictions. When it’s on the news, it’s in reference to America and our numbers and a diss on Trump.
Posted by fightin tigers
Downtown Prairieville
Member since Mar 2008
73729 posts
Posted on 7/21/20 at 8:35 pm to
quote:

Reduce it how?

Most of the spread is with young black people hanging out with each other at private residences. Has he mentioned that yet? Bars were low hanging fruit and doesn’t address the real problem. Masks are better for virtue signaling than actually limiting spread.


So, he closed some revenue producing entities in order to get more money even though closing those entities wouldn't slow spread.

Why not leave those entities open if the goal is to get more money and not slow spread?
Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
26061 posts
Posted on 7/21/20 at 8:36 pm to
quote:

You can’t take a med surg nurse and throw her into the ICU with no training and experience, but the mouth breathers here will lap this up.


While true to an extent that's what the larger hospitals have had to do. They close down med-surge units and open COVID units. They have had to spread the critical care nurses around so the more experienced med-surg nurses essentially have a mentor close buy. Going from 5 or 4 to 1 to 2 to 1 nurse-patient ratios common with unit nursing helps the med-surg nurses as well. Running BiPAP and Vapotherm is something most med-surge nurses can do with a limited amount of oversight which is now much more prevalent than venting patients.

That all said the OP is still skewing the facts likely from ignorance of how hospitals operate. For example, the much higher nurse to patient ratio of a COVID unit (compared to the avg. med surg floor) and the higher level of nursing experience needed (especially when shifting med-surg to critical care) means that a lot of hospitals are indeed seeing staffing problems.
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