What is it like in your hospital right now?

[FloatFNP-C]

I'm PRN and have been on call because of low census. I know we have COVID and r/o COVID patients; I'm actually "assigned" to the COVID floor, but because of my status + elective surgeries canceled + people avoiding the hospital, our census is low.

I wonder what it will look like a week or 2 from now.

In the Denver Metro area for reference!

[olyrmz]

On 3/25/2020 at 7:15 PM, brap740 said:

P

Put your foot down and tell them to write you up.

Take it to the media, it can be anonymous.....and wait.

[tnbutterfly - Mary, BSN]

Bumping this thread up to see what kind of changes have occurred in your hospital since the time this was posted 4 months ago. It is interesting reading through some of these earlier threads to see what we have gone through.

If you respond, please post the state or city where you are located.

I am in Tennessee and the numbers are going up. Our hospital in the designated "COVID hospital" for our area. Some smaller community hospitals have closed down for admissions and staff has been moved to our hospital to be able to open more COVID units.

[OUxPhys, BSN, RN]

13 hours ago, tnbutterfly - Mary said:

Bumping this thread up to see what kind of changes have occurred in your hospital since the time this was posted 4 months ago. It is interesting reading through some of these earlier threads to see what we have gone through.

If you respond, please post the state or city where you are located.

I am in Tennessee and the numbers are going up. Our hospital in the designated "COVID hospital" for our area. Some smaller community hospitals have closed down for admissions and staff has been moved to our hospital to be able to open more COVID units.

My floor is still the covid unit. It was the cardiac floor (and really the only specialty unit in the hospital that wasn't an ICU). As a result some of us are taking care of cardiac pt's on one of the gen med floors but there is no cardiology team anymore. If they need to see cardiology then a consult is placed and a fellow and attending see them. The primary team is gen med (which is a huge pain).

[turtlesRcool]

CT here. We had a big surge back in March/April where most of the hospital was turned into COVID, including the creation of 2 auxiliary ICUs, cancellation of all non-emergent surgeries, having the telemetry floor take many non-COVID patients who would normally be in critical care areas, oncology moved to another building, rehab closed, strict no visitors policy, etc.

Now our hospital is largely back to pre-COVID census. The auxiliary ICUs have been dismantled. Elective surgeries are back on (though with a mandatory COVID test for patients beforehand). Everyone who comes through the ED gets a rapid COVID test. Everyone wears masks, but we now have visitors returning to the hospital, albeit for limited visiting hours. Our units are mostly back to their pre-COVID specialties with the exception of half of one general medicine floor that remains the COVID r/o floor, and is the only floor where visitors are still not allowed.

We still have temperature checks at the entrance, and must answer questions about symptoms, tylenol/advil use, and recent travel to hot spot states that are subject to quarantine.

We could surge again and revert to some or all of the policies we had back in the Spring, but for the moment, I think we're in the "new normal."

[Wuzzie]

We started elective procedures again in June and opened to limited visiting at the beginning of July. We are masked/goggled at all times. We never closed the 2 dedicated COVID floors. My area is surging and the hospital is starting to fill up. We have back up plans but are okay for now. If this keeps up though we are going to be in trouble in about 3-4 weeks.