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  1. Labs: CMP; Liver panel; amylase & lipase; CBC Vital Signs? Any urinary symptoms? Any aggravating factors such as fatty foods?
  2. If you look at the photo, they have proper PPE gowns underneath the garbage bags. Maybe the bags just serve to extend the life of the PPE? Like wearing a surgical mask over an N95. They look pretty safely garbed
  3. That mortality rate is inaccurate because it is based on CONFIRMED cases. We cannot know the true mortality rate without knowing the true infection rate. and https://www.statnews.com/2020/03/17/a-fiasco-in-the-making-as-the-coronavirus-pandemic-takes-hold-we-are-making-decisions-without-reliable-data/
  4. The patients have got to feel lonely and isolated with no visitors allowed. I could see a role for volunteers to visit and provide company and comfort. to those who want it. I expect the hospital would want them to sign a liability release waiver.
  5. Jerri Jorgensen age 65 had the virus and had a few hours of symptoms- otherwise felt fine. https://video.foxnews.com/v/6139308142001 Keep in mind that at least 80% of cases are mild to moderate. (And that percent may be far higher because we don't know how many have had a mild case and cleared it without being tested). Here are some more recovery stories:
  6. If you are under age 44, the death rate is minimal. NYC is finally publishing age data: https://www1.nyc.gov/site/doh/covid/covid-19-data.page Under age 44- only 4 deaths per hundred thousand.
  7. Yes, LIFE INSURANCE, and a Veteran's benefit style health and disability insurance for disease related complications. Double Ditto and I'll raise: When they give you "occurrences" for calling in sick, double "occurrences" if it is on the weekend or a holiday and your pink slip if you have 4 occurrences. The following is just how it is as a nurse- there are shaming and punitive tactics faced when one calls off: But Annals for Internal Medicine says: Which of the above is evidenced based? But which is practiced?
  8. Lesson learned: We should become less reliant on disposable PPE and come up with reusable options. Perhaps each nurse could aquire our own reusable mask -much like we do our stethoscope- but from a list of "approved" models. I know of a hospital which is using reusable N99 masks on the COVID floors. In between patients, the nurse wipes the exposed part of the mask down with purple top wipes. At the end of the shift, the nurse washes the mask with soap and water in preparation for use by the next shift. They attend an inservice and fitting. The mask in use looks something like this: As for GOWNS: One hospital where I worked used washable isolation gowns which were washed in house in the laundry room, We can return to that and hire extra laundry personnel in an emergency.
  9. I know of a hospital which is using reusable N99 masks on the COVID floors. In between patients, the nurse wipes the exposed part of the mask down with purple top wipes. At the end of the shift, the nurse washes the mask with soap and water in preparation for use by the next shift. They attend an inservice and fitting. In light of the problems with PPE, I think we should go to each nurse acquiring our own reusable mask -much like we do our stethoscope- but from a list of "approved" models. The mask in use looks something like this: Don't go buy your own though. Hospital policy only allows "CDC approved" masks for infection prevention. One hospital where I worked used washable gowns which were washed in house in the laundry room, We can return to that and hire extra laundry personnel in an emergency,
  10. You can get a doctor's note. The doctor will not refuse. Send an email through their contact portal listing your risk factors- that way your request is documented. My doctor called back immediately and insisted that I accept a note excusing me from work altogether because even non-COVID floors are risky (colleagues can have it and be asymptomatic and we don't have a large break room, bathroom, or locker-room to maintain the appropriate social distance)
  11. Of patients age 0-44 there have been 3 deaths per 100,000 people in NYC. That is a 0.003% death rate.
  12. On the highly publicized deaths of the exceedingly rare younger patient "with no known risk factor" Even though there is no KNOWN risk factor, there could be undiagnosed or undocumented risk factors. CDC collects data "on presence or absence of underlying health conditions and other recognized risk factors for severe outcomes from respiratory infections" https://www.CDC.gov/mmwr/volumes/69/wr/mm6913e2.htm There is no mention in the above link of screening for vaping or substance abuse. Anyone who has taken care of substance abuse patients knows that they are a vulnerable population and can be quite young and their families may not be aware. It would not surprise me to hear that they succumb to this virus at a much higher rate than others in their age range.
  13. This is the data from NYC. They are finally publishing the rates by age. It will be reassuring for those of you under age 44. https://www1.nyc.gov/site/doh/covid/covid-19-data.page
  14. California: On March 30, 2020 Governor Newsom issued Executive Order N-39-20, authorizing the Director of the Department of Consumer Affairs (DCA) to waive any of the professional licensing requirements relating to healing arts licensees in Division 2 of the Business and Professions Code, and any accompanying regulations. This includes, but is not limited to, the examination, education, experience, and training requirements necessary to obtain and maintain licensure, and requirements governing the practice and permissible activities for licensees. The Board of Registered Nursing is working closely with the Department of Consumer Affairs to determine which licensing requirement waivers would allow individuals to continue assisting with the COVID-19 pandemic and allow licensees regulated by the Board of Registered Nursing to maintain and renew a license and remain employed. Current waivers in place are: Examination and continuing education requirements for current healthcare licensees.Reactivation requirements for inactive, retired, or canceled licensees.A full list of waivers will be placed on the DCA website as they are approved. The Board of Registered Nursing encourages licensed Registered Nurses to be part of the workforce to support the medical surge during this time of need. The state is in need for help at quarantine sites, testing sites, and medical surge facilities and needs assistance with pre-hospital triage and pharmacy services. Interested medical and health care professionals are encouraged to visit covid19.ca.gov/healthcorps/ for more information and to register for the California Health Corps. The Board of Registered Nursing thanks licensed Registered Nurses for doing their part during the COVID-19 health emergency.
  15. Your doctor will write a work waiver for you. I'm not sure how that would works out financially but your life is the priority right now. If you qualify for FLMA, you can use to preserve the job option.

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