Covid and Hospitals: How are things now?

[CrunchRN]

Just curious. Here in DFW I see hospitalizations are rising to 14%. How are things in the hospitals? Are things relatively normal? No more furloughs?

Please share. I am not in acute care, but I am of course very interested in the effects on acute care staff.

[SmilingBluEyes]

17 minutes ago, CrunchRN said:

Ah, the PNW, my old stomping grounds.

Here in DFW the childrens hospital is begging people to mask and vaccinate and not bring their kids for testing because of exposure and mild symptoms.  Their 24 hour ER visits jumped from 300 to 600 the day previous and they just do not have the staff and cannot get any more. Between Covid and RSV they are just in total crisis staffing wise.

That is awful!

[CrunchRN, ADN, RN]

Normally they receive critical patients from the region, but the other day they had to fly an ICU kiddo to another state because they have no staffed ICU beds. They are telling parents on the news again today to not come to the ER for Covid testing. Go somewhere else because they cannot care for the sick kids.

 

[NurseDebdeb]

On 8/26/2021 at 1:03 PM, Wuzzie said:

74 Covid + /31 on vents

41 suspected

No staff, no beds -not necessarily related to Covid

All those people who wouldn't get the vaccine because it wasn't "FDA approved" are now beating feet to get the monoclonal antibodies that still aren't "FDA approved" the second they pop positive.?

 

It's amazing how so many won't do the jab but are clamoring for the monoclonal antibodies or all the other medicines they need now that they are positive. There's a part of me that wants to say "we told you so" and send them to the back of the line so the more at risk can get the antibodies sooner. Not only do we not have enough hospital beds for those with non covid needs, the infusions centers are booked out days for new positive cases.  

[SmilingBluEyes]

9 hours ago, NurseDebdeb said:

It's amazing how so many won't do the jab but are clamoring for the monoclonal antibodies or all the other medicines they need now that they are positive. There's a part of me that wants to say "we told you so" and send them to the back of the line so the more at risk can get the antibodies sooner. Not only do we not have enough hospital beds for those with non covid needs, the infusions centers are booked out days for new positive cases.  

And that's what my problem with this is. Other patients' needs are taking a backseat  and that is complete crap (in my not-so-eloquently way of saying it). This is preventable. I will keep saying it over and over and over again. Tired of it? Don't care.

[CrunchRN, ADN, RN]

Do any of you have time for updates?

[Wuzzie]

In our system:

88 confirmed

42 PUI

41 of the 88 in ICU

38 of the 41 on a vent

46 patients waiting for a bed

Multiple beds closed due to staffing (nothing to do with vaccine mandate)

In My State:

53% of residents have at least one vaccine

Hospitalizations since 1/1/21: Unvaccinated/Vaccinated: 22,663/652

75% of our ICU beds in the state are in use

Some hospital systems are stopping electives (not ours)

9 kids on ECMO with COVID-no idea about pre-existing conditions

 

[Rose_Queen, BSN, MSN, RN]

In my hospital (system will have many more):

69 confirmed (13 ICU with 3 vaxxed, 6 vented)

44 suspected (2 ICU, 1 vented)

20+ still in hospital considered no longer infectious, but still tying up beds including in ICU

ER constantly on/off divert, no ICU beds, surgery is assigned as code blue bed, 50ish holds in ER, 20 waiting for beds in temporary unit, ER waits 8+ hours

Staffing issues closing beds

[CrunchRN, ADN, RN]

Still a big mess huh? Our Children's hospital here in Fort Worth had to stop all elective surgeries now. 

 

Thank you for the updates.

[emtb2rn, BSN, RN, EMT-B]

[nursej22, MSN, RN]

In the northwest: 

Alaska's largest hospital in Anchorage: declared crisis standards of care, ED patients are waiting in their cars to be seen. 

Idaho: entire state has declared crisis standards of care, has been transferring patients out of state when they can find a bed, as far away as Sacremento (800 miles). 

Montana: Hospital in Helena has declared crisis standards of care. The largest system in the state, Billings Clinic said it could be next. 

Neighboring Washington State is taking transfers when they can, but this just doesn't seem fair when they have done mask mandates and have a 70% vaccination rate.

Freedom!  

[CrunchRN, ADN, RN]

It does not seem fair at all.

[SmilingBluEyes]

It's not fair. People stand to die waiting for beds who have not got a diagnosis of COVID. HOW in hell is that fair?