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Started By
Message
re: Coronavirus Disease 2019 (COVID-19) ***W.H.O. DECLARES A GLOBAL PANDEMIC***
Posted on 3/2/20 at 7:20 am to 13SaintTiger
Posted on 3/2/20 at 7:20 am to 13SaintTiger
We have a confirmed case here in FL now. Patient was admitted last week
1
Posted on 3/2/20 at 7:25 am to 13SaintTiger
They have two cases in FL
Posted on 3/2/20 at 7:28 am to LSU1018
quote:
They have two cases in FL
And yet, there’s likely SO many more. Everywhere.
Posted on 3/2/20 at 7:36 am to Volvagia
Gotcha, it just sounds like something you would see on a neighborhood facebook page haha
Posted on 3/2/20 at 7:38 am to S1C EM
quote:
And yet, there’s likely SO many more. Everywhere.
And since these cases are going unreported, we can assume they are recovering without issue.
Posted on 3/2/20 at 7:38 am to S1C EM
You know, excuse the rant but hospital administrators need to get there shite together. We have received zero word from our administration. At least 3 of the recent pacnorthwest cases are medical professionals. If ignorance and lack of preparedness take out your first line who the frick is gonna take care of these people? The general public needs EVS, unit clerks, doctors and nurses. Quit leaving us in the dark. Come up with a plan and execute. This is not going to be mass death these people have to be nursed through out the illness. If this local area is any indication people are about to stop coming to work. Suits are the most useless frickers on the planet.
Posted on 3/2/20 at 7:40 am to GetCocky11
quote:
The fed funds rate is trading in a range between 1.5%-1.75. That’s higher than any U.S. Treasury bill, note or bond, the first time that’s happened since 2008, according to FOREX.com.
Posted on 3/2/20 at 7:40 am to GetCocky11
quote:
And since these cases are going unreported, we can assume they are recovering without issue.
Certainly possible. And that would be great. We just don’t know much about the incubation period to know for sure. If it’s been here for two weeks, there’s a much greater chance there’s still fallout to come versus if it’s been here four.
Posted on 3/2/20 at 7:48 am to jennBN
Not in healthcare but I am in a Federal Government law enforcement position that deals with the public and could be on the front lines of any mass hysteria this causes in the US.
I too am frustrated by the lack of communication from the "suits" back at HQ, they act like this isn't happening at all and haven't gone over any kind of contingency plans. We're still putting Marshals on flights without any protection or caution whatsoever, the guys that have brought up the issue have been scoffed at. They have family and friends to worry about.
It's not a huge life-altering virus outbreak at this point, but it seems to be stirring. It would be nice to have ANY sort of preparations or plans underway. We're just proceeding like it doesn't exist at all at this time.
Posted on 3/2/20 at 7:52 am to RazorBroncs
Exactly, strong leadership is what calms fears. Somebody say something so people don’t completely freak out and abandon their posts, so to speak. Even if it’s just a statement that says there are many unknowns but we will do everything we can to protect the staff. And maybe just maybe don’t lock up all the N95 and PAPRs with NO ONE IN THE BUILDING WITH KEYS. Soon unions will pull people. I would imagine without healthcare there would be more deaths so let’s try to keep the system functioning.
Posted on 3/2/20 at 7:52 am to jennBN
quote:
You know, excuse the rant but hospital administrators need to get there shite together. We have received zero word from our administration.
You overestimate these mba types. They are busy working on getting patient satisfaction scores up a half of a percent so they can get their bonus.
Posted on 3/2/20 at 8:01 am to GetCocky11
Cases are just getting reported because states just got tests.
Posted on 3/2/20 at 8:03 am to jennBN
quote:
Soon unions will pull people.
Posted on 3/2/20 at 8:12 am to latxwoman
I think you will see Italy level numbers here over the next few weeks simply because not only have we not been testing proactively, we haven’t even been screening patients who have significant symptoms.
Only patients admitted to the hospital.
Our numbers will be skewed toward the worst cases. It will be interesting to see what happens to the panic level then.
The CDC really fricked this up. They should have been out there testing everyone with symptoms. Found the mild cases and show everyone things are going to be ok. Instead they ignore it and now when people see the mortality rate they are going to freak out.
Only patients admitted to the hospital.
Our numbers will be skewed toward the worst cases. It will be interesting to see what happens to the panic level then.
The CDC really fricked this up. They should have been out there testing everyone with symptoms. Found the mild cases and show everyone things are going to be ok. Instead they ignore it and now when people see the mortality rate they are going to freak out.
Posted on 3/2/20 at 8:28 am to WaWaWeeWa
quote:Yep.
The CDC really fricked this up. They should have been out there testing everyone with symptoms. Found the mild cases and show everyone things are going to be ok. Instead they ignore it and now when people see the mortality rate they are going to freak out.
That is their job.
Like NASA, they were probably switched to some form of “outreach” and lost their focus.
Certain agencies should never become political.
Posted on 3/2/20 at 8:29 am to WaWaWeeWa
Couple that with the fact that most believe the US is the best prepared and it translates to people thinking this is the plague. The disease isn’t that big of a deal. how we deal with it is what will dictate global impact. I am truly flabbergasted at how poorly we are dealing with it. And I never had much faith in the US healthcare system.
Posted on 3/2/20 at 8:35 am to jennBN
I stated before I work in a nursing home in Louisiana -- one flu case so far that turned into pneumonia OR was it aspiration pneumonia as he ended up with a feeding tube due to a failed MBS.
At any rate, not a soul has said a word as of my last visit to the home on last Wednesday.
At any rate, not a soul has said a word as of my last visit to the home on last Wednesday.
Posted on 3/2/20 at 8:35 am to jennBN
Just got this email
Absurd. If you are working in clinic and you have a high suspicion of a potential case, we are supposed to sit on the phone with someone from the Louisiana department of Public Health. That place is run like the DMV.
What a disaster
quote:
The State Public Health Laboratory has validated the testing for COVID-19, and now has the ability to test within Louisiana. This will shorten the time to diagnosis or rule-out cases. Clinicians who suspect COVID-19 in a patient should call 1-(800) 256-2748 to determine whether a specimen should be collected and submitted for testing.
quote:
Criteria to Guide Evaluation of PUI for COVID-19 Updated February 27, 2020 The Louisiana Office of Public Health, in consultation with clinicians, will determine whether a patient is a PUI for COVID-19. The CDC clinical criteria for COVID-19 PUIs have been developed based on available information about this novel virus, as well as what is known about Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). These criteria are subject to change as additional information becomes available.
Fever1 or signs/symptoms of lower respiratory illness (e.g. cough or shortness of breath) AND Epidemiologic Risk Any person, including health care workers 2, who has had close contact 3with a laboratory-confirmed 4 COVID-19 patient within 14 days of symptom onset
Clinical Features Fever 1 and signs/symptoms of a lower respiratory illness (e.g., cough or shortness of breath) requiring hospitalization AND Epidemiologic Risk A history of travel from affected geographic areas5 (see below) within 14 days of symptom onset
Clinical Features Fever 1 with severe acute lower respiratory illness (e.g., pneumonia, ARDS) requiring hospitalization 4 and without alternative explanatory diagnosis (e.g., influenza) 6 AND Epidemiologic Risk No source of exposure has been identified
Affected Geographic Areas with Widespread or Sustained Community Transmission Last updated February 26, 2020 China Iran Italy Japan South Korea
The criteria are intended to serve as guidance for evaluation. In consultation with public health departments, patients should be evaluated on a case-by-case basis to determine the need for testing. Testing may be considered for deceased persons who would otherwise meet the PUI criteria.
Absurd. If you are working in clinic and you have a high suspicion of a potential case, we are supposed to sit on the phone with someone from the Louisiana department of Public Health. That place is run like the DMV.
What a disaster
This post was edited on 3/2/20 at 8:36 am
Posted on 3/2/20 at 8:37 am to WaWaWeeWa
My docs don’t have time for that. That is a piss poor plan. However, at least you have a plan. Radio silence here in California (for front line staff I can’t speak for MDs).
Posted on 3/2/20 at 8:43 am to jennBN
That is why after Katrina I went PRN. Hospitals could not force PRN staff to volunteer for shifts, post Katrina in New Orleans was horrible. Hospital administration needs to make health care workers their FIRST priority to keep them safe. Healthcare workers also need to take every precaution to keep themselves safe and quit the blame game.
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