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.

[toomuchbaloney]

There's nothing fair about a pandemic.  

[Wuzzie]

As of today: 1,672 more unvaccinated people hospitalized in just one week vs 92 vaccinated. 

[CrunchRN, ADN, RN]

Wow. I would love a deep dive into the hospitalizations among the vaccinated (fully? certain vaccine? preexisting high risk conditions?). 

 

 

[Rose_Queen, BSN, MSN, RN]

9 hours ago, CrunchRN said:

Wow. I would love a deep dive into the hospitalizations among the vaccinated (fully? certain vaccine? preexisting high risk conditions?). 

 

 

Anecdotal, but for my facility it’s been a mix of the vaccines, but the ones admitted to ICU after vaccination do have high risk illnesses or are immunocompromised

[turtlesRcool]

15 hours ago, CrunchRN said:

Wow. I would love a deep dive into the hospitalizations among the vaccinated (fully? certain vaccine? preexisting high risk conditions?). 

I agree that this would be interesting, but there don't seem to be that many of them. From what I've seen, almost all the COVID+ are unvaccinated with a few immune compromised patients in the mix.

Interestingly, I did have a patient yesterday who had COVID last fall, was fully vaxed in the Spring, and is COVID+ again.  But she has zero COVID symptoms - O2 sats are fine on room air, labs all look good, x-rays are fine,  etc. She is from a nursing home, and came in for something completely different, and we caught the COVID on routine swab at admission. Basically, she's there WITH COVID but not there BECAUSE of COVID.  

So, I'm kind of excited to see that the vaccine is doing its job and preventing a recurrence of symptomatic illness, even though she's obviously been re-exposed to the virus.  But it also has me curious regarding how many asymptomatic breakthrough cases are wandering about in public, and we have no idea because we're not testing vaccinated people with no symptoms.

[CrunchRN, ADN, RN]

Love your user name turtlesRcool.  I bet there are tons and tons. That would be very interesting to know.

 

[JBMmom, MSN, NP]

On 9/23/2021 at 5:29 PM, Rose_Queen said:

Anecdotal, but for my facility it’s been a mix of the vaccines, but the ones admitted to ICU after vaccination do have high risk illnesses or are immunocompromised

Also just my experience but I think we've had about 17 COVID positive admitted since August. We've had only three vaccinated. Two did not survive, they also had severe comorbidities and were immunocompromised, the third survived. Of the others that were intubated, our success rate has been slightly better this time around and four have been extubated and eventually discharged. The others have died- ages 45, 49, 52, 58, 71, 81, 85, and two in their 60s. These weren't really sick people, either. It's sad. And frustrating.

[ViolettaCCU, MSN]

It is still deadly. We have 80% of our ICUs filled with unvaccinated COVID patients. Recently we had only one vaccinated patient who was on immunosuppression therapy that developed COVID, wound up intubated and guess what! He was extubated in 9 days! He woke up! He lived!

On the other hand, in May the hospital removed the temporary negative pressure rooms (we're back down to one) - they want to do construction in November and the contractor did not want the rooms vented to the outside where he workers will be. I guess we are dispensable, after all.

[CrunchRN, ADN, RN]

Thank you for that update Violetta. What region are you in?

That is crazy about the negative pressure room revision. WTH?

[ViolettaCCU, MSN]

Midwest region. We are losing nurses to higher pay agencies. We are stretched. We are burned out...but we keep coming back...our compassion continues to persist in these unprecedented times. I am so grateful for my fellow workers - truly, they make all the difference!

[Wuzzie]

Current situation in my hospital.

84 confirmed cases (27 suspected)

40 in the ICU

36 on ventilators

[ViolettaCCU, MSN]

In one hospital in Northern Illinois, almost 25% of 230 patients admitted are positive for COVID-19. Nine of those are in ICU with eight of those vented. System wide: Illinois 322 COVID-19 positive, up by 12% over previous day.