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re: Hospitals are asking for donations of masks and other essential PPE

Posted on 3/23/20 at 10:33 am to
Posted by windshieldman
Member since Nov 2012
12818 posts
Posted on 3/23/20 at 10:33 am to
quote:

They can't order them. No stock.



We brought in a possible corona pt other day and ER nurses were telling us how desperate they are getting with PPE, especially eye protection. We've had quite a few of them, but other day was first time I'd been asked by ER nurses to give them some PPE off our ambulances.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 3/23/20 at 10:34 am to
quote:

but aren't they used in some capacity all of the time?


Not at the amount being used right now.

Before all this...the only time you used an N95 was for caring for a confirmed/suspected patient with TB, measles, chickenpox, and disseminated shingles(meaning the shingles are in several areas of the body).

That's mostly it. Depending on the hospital region...they may not see TB that often. So while they need all HCWs trained and fitted on the N95s....the likelihood they will ever need to wear one is low.


So why would a hospital need to stockpile a massive amount of a mask they don't really use?
Posted by Keltic Tiger
Baton Rouge
Member since Dec 2006
22341 posts
Posted on 3/23/20 at 10:36 am to
My general surgeon's nurse told me that their practice gets all their masks, gowns, gloves, bed sheets, etc from China. Since the outbreak there they are no longer getting any supplies from China. Does anyone trust China's manufacturing safety guidelines???
Posted by TexasTiger90
Rocky Mountain High
Member since Jul 2014
3576 posts
Posted on 3/23/20 at 10:37 am to
quote:

Yeah frick the people working there because corporate hospital billed you.

And then probably worked with you when you said you couldn't pay the original price.

Do people not know you can work with hospitals on costs?
Posted by Jack Bauers HnK
Baton Rouge
Member since Jul 2008
6088 posts
Posted on 3/23/20 at 10:39 am to
quote:

A couple years ago they sent me a bill for $900 because a nurse practitioner gave my 3 year old son 600mg ibuprofen after he had a fever seizure


You think a whole hospital staffed with professionals that are there 24 hours a day just in case you need them to see your child on an emergent basis should only charge you the cost of the medication they ultimately gave him?
Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
31201 posts
Posted on 3/23/20 at 10:40 am to
quote:

The big question Scruffy has is whether the masks actually degrade during that time or whether the manufacturer just puts an arbitrary number on the package to keep them buying supplies.


The filter material doesn't degrade (not in close to a 5 year time frame anyway) the issue is the elastic band which does degrade and can impact the sealing ability of the respirator. The second thing to go would be the plastic around the valve but that will remain intact long after the elastic gives up the ghost. In most industries you would see reusable respirators like 3m 6000/7000 series half face but the problem in a medical environment is a reusable mask represents a fomite.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 3/23/20 at 10:40 am to
quote:

especially eye protection


The goggles are the best bet because they can easily be reused by many HCWs. If the only goggles the HCW can find are those with the tiny vents on the side we are having them tape them up and then when they take them off they take off the tape each time and wipe them down.

The face shields...I mean...you could reuse say for one nurse that shift. But they have a foam pad at the top that goes up against the HCW's forehead that has no way to be cleaned/disinfected. That's not a good idea to be having multiple people using that.
Posted by LSUFanHouston
NOLA
Member since Jul 2009
41694 posts
Posted on 3/23/20 at 10:40 am to
quote:

Not at the amount being used right now.

Before all this...the only time you used an N95 was for caring for a confirmed/suspected patient with TB, measles, chickenpox, and disseminated shingles(meaning the shingles are in several areas of the body).

That's mostly it. Depending on the hospital region...they may not see TB that often. So while they need all HCWs trained and fitted on the N95s....the likelihood they will ever need to wear one is low.


So why would a hospital need to stockpile a massive amount of a mask they don't really use?


Gotcha. Like I said, I know the use right now is way higher than normal, but it's clearly much higher than I even thought. I thought the usage was higher now just because hospitals are seeing more patients, not that they are hardly ever used in regular ops.

I still think maybe we need to consider stockpiling and just dealing with any obsolescence cost.
Posted by baldona
Florida
Member since Feb 2016
24485 posts
Posted on 3/23/20 at 10:43 am to
quote:

So why would a hospital need to stockpile a massive amount of a mask they don't really use?


They shouldn't be tasked with keeping a stockpile, but they should be tasked with knowing what they would need in a pandemic that would run out. As you said, we've dealt with this numerous times now in the past 10-20 years. There's no excuse. If shite hits the fan with a potential outbreak, we should start the process to build a stockpile. Then if we don't need it, dispose of the stockpile.

The cost to do that would be pennies on the dollar compared to the current issues at hand.
Posted by dagrippa
Saigon
Member since Nov 2004
12171 posts
Posted on 3/23/20 at 10:47 am to
If anything this virus has really brought the morons out of the woodwork.
Posted by Scruffy
Kansas City
Member since Jul 2011
78046 posts
Posted on 3/23/20 at 10:48 am to
quote:

The cost to do that would be pennies on the dollar compared to the current issues at hand.

Hospitals aren’t exactly rolling in dough, at least not most of them.

Take Scruffy’s as an example.

The adult hospital is always a money loser. It is never in the black.

It is kept afloat by the pediatric hospital.

Most hospitals, especially smaller ones, ride a very fine line.
Posted by JohnnyKilroy
Cajun Navy Vice Admiral
Member since Oct 2012
41914 posts
Posted on 3/23/20 at 10:50 am to
quote:

One major issue with medical supplies is they all have shelf lives.

For example, the manufacturers of the N95 mask recommend storage for no longer than 5 years post-manufacture.


This is no excuse lol
Posted by LSUFanHouston
NOLA
Member since Jul 2009
41694 posts
Posted on 3/23/20 at 10:51 am to
quote:

Hospitals aren’t exactly rolling in dough, at least not most of them.


And yet everyone complains that medical care is too expensive.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 3/23/20 at 10:52 am to
I was about to say....many hospitals have been closing over the past few years.

People forget they are still a business and if they can't make money...some have no choice but to close.



It just sucks. This is 2020. I should NEVER be telling hospital staff to reuse items that are cheap and designed to be single use only.
Posted by Scruffy
Kansas City
Member since Jul 2011
78046 posts
Posted on 3/23/20 at 10:53 am to
quote:


This is no excuse lol

It is when hospitals can’t afford to stockpile something that isn’t used very often and degraded over time.

Seriously, media and politics has really given everyone a skewed view of how much money hospitals make.
Posted by terd ferguson
Darren Wilson Fan Club President
Member since Aug 2007
114938 posts
Posted on 3/23/20 at 11:01 am to
Bitch, bitch, bitch... at least you still have your job.
Posted by John88
Member since Sep 2015
6439 posts
Posted on 3/23/20 at 11:04 am to
Posted by redfish99
B.R.
Member since Aug 2007
19775 posts
Posted on 3/23/20 at 11:11 am to
I rep numerous PPE lines. I’ve been giving out respirators, glasses and suits for days to friends and relatives in Health Care industry. Though about donating but thought this was better way to distribute to known users being put in bad positions. If I was a heathen I’d made 20K on eBay.
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 3/23/20 at 11:16 am to
Scruffy does your hospital use UV light towers to disinfect rooms?


I'm reading about many hospitals using the UV tower to create a room where N95s can be UV'd and decontaminated.

Posted by Scruffy
Kansas City
Member since Jul 2011
78046 posts
Posted on 3/23/20 at 11:27 am to
quote:

Scruffy does your hospital use UV light towers to disinfect rooms?

Yes.
quote:

I'm reading about many hospitals using the UV tower to create a room where N95s can be UV'd and decontaminated.

Interesting.
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