Jump to content

Low census and COVID-19?

Disasters   (939 Views | 11 Replies)

TeeRN has 5 years experience as a BSN, MSN, RN and specializes in MedSurg, Pediatrics.

119 Profile Views; 2 Posts

Is anyone else experiencing low census at this time? My California hospital is a 400+ bed adult medical center and a 250+ bed children’s hospital. At this time, we are being told we are not admitting any respiratory patients as well as non urgent OR cases (including asthma and PNM). Due to this our unit census is below 50% on almost all units and multiple staff members are being budgeted and/or sent home for low census and told we have to use our PDL to cover our shifts. 

Share this post


Link to post
Share on other sites

Rose_Queen has 15 years experience as a BSN, MSN, RN and specializes in OR, education.

9 Followers; 4 Articles; 9,307 Posts; 108,023 Profile Views

How exactly is your hospital getting away with not admitting respiratory patients? Couldn't that potentially be an EMTALA violation if these folks are coming in through the ER?

We have also cancelled elective surgeries, and the outpatient surgical centers closed as of 3pm today. For now, we are being given alternative tasks: we are emptying 4 ORs of all supplies in case there would need to be a COVID patient coming to surgery. Other staff are tackling cleaning and reorganizing the clean supply room- we're talking 10s of 1000s of items, plus all the bins and shelving to clean. As for the inpatient units, our census has not dropped quite that much yet- we're still somewhere around 70-75%. I'm sure they will try to find things for staff to do before sending them all home.

Share this post


Link to post
Share on other sites

Sadala has 6 years experience as a ADN, RN and specializes in Med Surg.

354 Posts; 6,487 Profile Views

You're not admitting them?  Where are they going.  How are you even able...

Share this post


Link to post
Share on other sites

TeeRN has 5 years experience as a BSN, MSN, RN and specializes in MedSurg, Pediatrics.

2 Posts; 119 Profile Views

I know right?! I’ll have to ask that! When our manager told us that this morning we were all in shock! Thanks for the ideas, I’ll be sure to bring them up to our administrators! I appreciate it! 

Share this post


Link to post
Share on other sites

OUxPhys has 4 years experience as a BSN, RN and specializes in Cardiology.

832 Posts; 9,748 Profile Views

We have low census but we are still admitting people. Elective procedures have been cancelled but we are still doing cath/EP procedures for people who truly need them.

Share this post


Link to post
Share on other sites

13 Followers; 4,056 Posts; 31,619 Profile Views

13 hours ago, TeeRN said:

At this time, we are being told we are not admitting any respiratory patients as well as non urgent OR cases (including asthma and PNM).

 

12 hours ago, Rose_Queen said:

How exactly is your hospital getting away with not admitting respiratory patients? Couldn't that potentially be an EMTALA violation if these folks are coming in through the ER?

I don't think the OP's facility has explained the details of their statement that they aren't admitting any respiratory patients; it does not mean that unstable patients can be just turned away, so-to-speak. Facilities are allowed to screen patients elsewhere at this time. If "respiratory patients" are not being admitted at a particular facility that would be possible if the patients did not strictly require admission and/or if their admission were being coordinated elsewhere under a facility's disaster response plan.

A declaration of national emergency has been made and an 1135 Waiver has been issued.

https://www.phe.gov/emergency/news/healthactions/section1135/Pages/covid19-13March20.aspx

 

Share this post


Link to post
Share on other sites

mmc51264 has 8 years experience as a ADN, BSN, MSN, RN and specializes in orthopedic; Informatics, diabetes.

2,807 Posts; 39,388 Profile Views

We are doing the opposite, our census is low but that is because we are cancelling elective surgeries to save room for any resp cases that need beds. 

Share this post


Link to post
Share on other sites

RosesrReder has 16 years experience as a RN and specializes in NICU/PICU/OR.

8,464 Posts; 28,180 Profile Views

Our census is low as well.  The OR has come to a halt and only doing surgery on emergency cases to ensure we are not wasting supplies on electives that can wait.  Having said that, we are working just as hard and tired by emptying out all shelves, going through inventory, dated items, wiping everything down, opening up some OR's to cohort COVID patients, and use anesthesia machines to vent them if needed.  Some of us have jumped into Cath lab to circulate and even scrub cases, and help all over the hospital wherever needed.  We are wiping stuff down, traffic control, helping hands wherever, and learning new skills.  That is crazy that they are low censusing you when other hospitals across the nation are paying crisis response pay and can't get travelers in fast enough.  

Share this post


Link to post
Share on other sites

2 Posts; 24 Profile Views

I work at a usually very busy med-surg unit in Massachusetts, and lately our census has been low as well. I'm sure because of cancelled elective procedures, and and possibly because people are avoiding coming to the ED

Share this post


Link to post
Share on other sites

Loco-Bonita has 1 years experience as a BSN, RN.

55 Posts; 1,649 Profile Views

Our census is also low, currently. I think this is primarily from canceling non-emergent/critical procedures, since we are a CIMCU/CVICU floor. We are just waiting for it all to “hit” and get busy. 

Share this post


Link to post
Share on other sites

marienm, RN, CCRN has 6 years experience and specializes in Burn, ICU.

223 Posts; 4,470 Profile Views

Us too: elective surgeries cancelled, huge push for telemedicine wherever possible so we're taking fewer transfers, lots of beds open and waiting...  Staff who get called off can use accrued time or decline to be called off (someone else will be happy to take their spot, especially since requests for using accrued time are being declined right now and some of it expires annually). 

Share this post


Link to post
Share on other sites

Reelynicenurse has 17 years experience and specializes in Paeds.

1 Post; 14 Profile Views

I'm a paeds nurse in a 3 ward/ED paeds hospital in a large general adults hospital. We have 55 beds but have had no more than 10-12 kids on our wards since schools closed. On Monday last they told us they we will be closing is and giving our wards over to adult services :( 

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.