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I worked in a place that did this, once. It did make pulling the cards faster. I only had to pull the 3_11 cards. Another thing they did was to have the times written on the cards in different colours. Black for days, blue for 3-11 and red for 11-7. This mades things easier and quicker, but it only works if everyone goes along with it.

I am considering going into home health health as an LPN. I previously worked in nursing homes and private duty. I bought a book called Chart Smart when I first started. It really helped me learn how to chart better. Good luck.

I am in a similar situation as you. I just read this and I was wondering if you took the job. I hope it worked out for you.

We need to keep producing ventilators and PPE until we have a vaccine and it's widely available. A country like the US should NEVER be short of basic medical supplies again. Those who do not learn from history are doomed to repeat it. Any equipment that becomes outdated can be sold or donated to third world countries at a later time, perhaps 2025. A national stockpile of medical supplies should be constantly replenished, in case some other emergency, which WILL happen sooner or later. We also need another two hospital ships like the Comfort and Mercy. This will cost a great deal of money, but it will be cheaper than playing catch up.

It seems to be the case that children and young adults (under 20) aren't getting seriously ill from Covid19. Why? If we could find out, maybe there is a way to give this protection to adults. Has anyone tried taking a blood donation from a high school age person and giving it to an older person to see if there would be any protection imparted? This seems like a simple idea that wouldn't cause harm to either person. If there's something in the blood protecting younger people that we have not yet discovered, wouldn't this be prudent? I'm talking about a standard blood donation, not convalescent plasma. Does anyone know if this has been tried?

You nurses who say that these seniors have lived too long, because they've been propped up by modern medicine. How about those vaccines and pediatrician visits you got as a child. A hundred years ago, you may have died in childhood, did medicine prop YOU up? How about the chances you're getting because of school. You can put all those initials after your name. That's because of all the people who came before you and helped pave the way. Those are the same ones who you say have outlived their usefulness and deserve to die. Adolf would be proud of you. Wait until you get a few years past your prime. Things will look different.

Someday we will be called to God's table He will judge us By the way we treated those least able Who were among us Someday we may be among the least Our compassion is what will bring us to God's holy feast MGK

The politicians aren't smart enough to figure out such a complex plan.:) I think the reason behind low testing rates is the unavailability of tests. I think when the antibody test becomes available, the number of asymptomatic people will be staggering.

Before you got sick. You were taking care of Covid19 patients. That makes you a HERO. If you were n the army. They would give you a purple heart. Stay home until you feel well enough to return to work. Find a Dr. Who will support you, not one paid by your employer. You will find a job after all this is over. There's still a nursing shortage. I was told by a wise person once,"You have to take care of yourself, before you can help others." Many nurses forget this and it leads to their downfall.

Half the number of deaths from Covid19 in the state of Pennsylvania occurred in long term care centres according to the latest statistics. This is heartbreaking. The most vulnerable segment of our population is being decimated. My heart breaks for everyone of these poor souls and the brave people who show up every day to care for them.

Bill, I had the same thoughts as you. I posted in the pulmonary nursing forum. I called friends who work in hospitals and they asked respiratory therapists about using a modern day iron lung. The response from them was that the iron lung style of negative pressure ventilator would not work with Covid19 patients. This was because of the infection and loss of elasticity in their lungs due to the disease. The polio patients lungs were otherwise healthy but they couldn't breathe due to loss of muscle contractions. They said the positive pressure ventilator is needed to keep the aveoli inflated. Negative pressure ventilators, could be used in noncovid cases to free up the positive pressure ventilators. This is the answer I got after many questions and it makes sense to me.

To all of us who are not on the front lines, maybe we are right where we are supposed to be, right where God wants us. I worked in nursing homes for five years, then I got a job in benefits administration for two and a half years. My father got sick and I left that job, a really good job, to take care of him. He was a war veteran, so the VA paid me to take care of him. It wasn't much money, but we got by. I did this for 8 years, until he passed away on January 3, of this year. During this time the arthritis in both my knees and right hip worsened. I could not stand up for an hour now, let alone a full shift. I am still grieving and I believe I am in depression. Then this virus hit! Thankfully, God led my family and I to a house in the country, with neighbours few and far between. Our old house in town would have been terrible during all this. I truly believe that God has his hand on all of us. He putting us where we are for a reason. You just have to have faith in his plan. The reason will be revealed at a later time.

My father in law was a bipap for about 18 months, so I have a little experience with it. He had COPD, with a history of lobectomy for lung CA. He was retaining too much CO2 and would get goofy if he wasn't on the machine 8-10hrs a day. Eventually, it wouldn't work anymore and he passed away in January 2019. My point is most people who are on a bipap need it. They can't donate it without killing themselves. I did read an interesting article about how they are hacking the machines to function better for Covid19 patients. One Dr. Suggested cutting up a HEPA filter (new) for a vacuum cleaner and duct taping it to the air outlet. It's unbelievable what America has come to!

I have found an open source design for a positive pressure ventilator, that can be built in a home work shop or garage, using readily available components. The link is www.panvent.blogspot.com. There is a video that shows it works. It is a last resort, desperate measure, but isn't something better than nothing? These could be produced FAST.

I finally got an answer on this question. I'm told that the negative pressure ventilator will not work on Covid19 patients. This is because there lungs are too stiff from fluid and infection. This type of ventilator could, however, be used for people who don't have Covid19. This would be useful at a time when modern ventilators are scarce. There is an open source design positive pressure ventilator. The design is available at www.panvent.blogspot.com. This Design can be built for $200-$400 in a home work shop. There's a video that shows it works. With the current situation, something is better than nothing. I pray that some solution can be found, before too many people die. God have mercy on us!