4 ms·
Yes. Unquestionably. Here are a few different articles from around the gulf coast states that speak to this: https://www.khou.com/article/news/health/coronav
by kxyvr 5y ago
Yes. Unquestionably.
Here are a few different articles from around the gulf coast states that speak to this:
https://www.khou.com/article/news/health/coronavirus/houston-record-covid-19-hospitalizations-44-icu-beds/285-6a81e5c4-cfda-415d-8d47-5998aba484e3 https://www.khou.com/article/news/health/coronavirus/houston...
https://www.npr.org/2021/08/19/1029260134/alabama-hospitals-icu-beds https://www.npr.org/2021/08/19/1029260134/alabama-hospitals-...
Something that may be a little confusing as well is what does "full" mean. Both morally and legally, it is very difficult for a hospital to turn someone away. Rather than turn someone away, the hospital will have new people wait, attempt to make more room, and provide less care to more people. This leads to the question: Is a hospital full if they're stashing patients in hallways and providing hallway care? Within an ICU, typical care is either one nurse to two patients or one to one depending on the reason for the ICU stay. At the moment, the ratios are 3-4 to 1, which is not the standard of care, but the best they can do. Does this count as a hospital being full?
On a more personal note, my wife is an ICU physician. At the moment, I'm writing this from a hotel room because I started traveling with her to help alleviate the stress from her work. On this trip, she will do seven days of twelve hour shifts in a row. The hospital has asked us to stay for longer, but we're exhausted and have work elsewhere. This sort of thing does not happen during flu season, so I will assert strongly that we are still not close to the realm of normal.
In a direct answer to your manpower question, this hospital does not have enough staff. They don't have enough physicians and they don't have enough nurses. Recently, this particular hospital acquired multiple new ECMO units, which do absolutely help with care. They can't use them. They don't have the nurses.
As one more anecdote, a friend of my wife who is also an ICU physician called the other day with a story from her unit. She just admitted a patient who spent six days waiting in the ER with COVID. They had no available, staffed beds until then.
Now, to be sure, I am just another voice on the internet. You can choose to believe me or not and that's fine. I will say that getting news from what actually occurs in the hospital is difficult. Reporters are people too and they're not necessarily trained to understand the nuance of hospital reality. That doesn't mean what they report isn't useful, but it may be frustratingly incomplete.
Some questions that may help with any personal investigation:
1. What are the number of staffed bed available in the hospital? Beds are different than staffed beds, but they are sometimes used synonymously. Right now, with the lack of staff, it may not be.
2. Are the ICUs in the Level 1, 2, or 3 trauma centers full? Trauma center designation gives information about the number and type of staff that a hospital is required to keep available 24-hours a day. Generally speaking, the large trauma centers have better staff and better equipment. Even if there is an ICU bed available in a regional medical center, it doesn't mean it can provide the care required. Simply, they may not have the equipment or specialists required for care. As long as the large hospitals in the cities are full then transfer is not possible and overall medical care in that region is reduced.
- aero142 5y agoFrom what you are hearing, are staffing levels the same as pre-covid, and how much is reduced staff vs increased COVID patients contributing?
- kolanos 5y ago> More than 260 hospitals and health systems furloughed workers in the last year, and many others implemented layoffs. [0]: https://www.beckershospitalreview.com/finance/20-hospitals-laying-off-workers.html https://www.beckershospitalreview.com/finance/20-hospitals-l...
- kxyvr 5y agoThat, I don't know. Since we've been together, prior to COVID, I never recall her mentioning they had trouble getting nurses. If there was a particularly busy night, the nurse manager had a number of nurses on-call who would then come in to staff beds. Now, that's impossible. They're not there. On top of that, the nursing staff calls out sick far more often now than before. Are these difficulties because there are fewer nurses on the market, the existing staff are burned out, there are better opportunities to work locums, or some other factor? Not sure. Mostly, it's to say that there was never a conversation between us on the lack of nurses prior to COVID. As far as physicians, also not sure. I will say that demand was consistent prior to COVID, but now demand for both temporary and permanent positions is extremely high. They won't stop calling. Something to understand here is that the supply of new critical care physicians takes a very long time to ramp up, four years of medical school, four years of residency, and two years of fellowship. They're not easy to replace. As a final side note, whether they do or not, they would all like to quit. They're burned out. This has gone on too long. The families dealing with end of life care are often abusive. Virtually all of their patients are unvaccinated, which means that this is preventable. They're frustrated that their professional opinion has very little impact on the public discussion of COVID, especially when they deal with the issue so intimately and they spent a good portion of their life dedicated to understanding and treating the issues behind illness.
- spookthesunset 5y agoThose articles never define what “covid hospitalization” means. Is it people in the hospital because of covid or is it people that test positive for covid and are there for something else? There is a big difference between the two. Covid positive test results probably invoke a lot of extra overhead even if the patient has no symptoms and this could be a self made problem.