Coronavirus and Walt Disney World general discussion

[Miss Bella]

Having to use the emergency plan is not a good thing. It means the issue went too far.

That was the whole point of flattening the curve, but too many people thought a high flattened curve was enough.

I think you need to go back and read all these articles you’ve been posting. Try to get past the headlines.

 

[Miss Bella]

yes I did, its been activated in states who are facing trouble, and it legally protects them because if someone dies under a healthcare workers care, then the worker is protected based on who may have been determined a more critical patient.

Nowhere does it say that any hospital has had to resort to deciding who lives and dies.

 

[Miss Bella]

Wasn't Arizona the state a forum member said a few months ago that Covid hardly affected the state and the hospitals hardly had any business treating patients? Wow, have times changed!

It could happen to any of these states with low cases.

 

[oceanbreeze77]

but. You just said it is imperative they act NOW. So, if they are utilizing an emergency plan as you said they are, that is acting, right? If the are pulling back on openings, they are acting, right. If they are requesting nurses, they are acting, right?

Acting before its too late an acting when it is too late are two very different things.
Yes acting is a good thing, but the point is to not deplete your resources.

 

[Andrew C]

When they ask what your pain level is between 1 and 10, 1 being the lowest pain and 10 being the worst pain, say 10.

 

[oceanbreeze77]

Nowhere does it say that any hospital has had to resort to deciding who lives and dies.

That is LITERALLY what the emergency plan entails. Who gets the resources, and who doesn't.

 

[toolsnspools]

That's fine. But I'm still not sure what the difference between a bar and a restaurant is in terms of transmission, especially if you had some sort of social distancing guidelines in practice at both.

Even if they do a good job of cleaning the bar, a bar-keep can't reach over the bar and clean your chair.

 

[Miss Bella]

That is LITERALLY what the emergency plan entails. Who gets the resources, and who doesn't.

I think we’ve been over this. It’s a plan.

 

[Miss Bella]

When they ask what your pain level is between 1 and 10, 1 being the lowest pain and 10 being the worst pain, say 10.

You must be a professional patient. Unfortunately those people are still getting beds.

 

[milordsloth]

Nowhere does it say that any hospital has had to resort to deciding who lives and dies.

To be fair, that is pretty much the "scorecard" @oceanbreeze77 mentioned, that is clearly described in the "covid-19-addendum" pdf they linked from the Arizona department of health website. Just sayin.

 

[Andrew C]

Acting before its too late an acting when it is too late are two very different things.
Yes acting is a good thing, but the point is to not deplete your resources.

Then I don’t know what you want. Maybe rather than saying “it is imperative that they act now” it would have made more sense to say “it is good they are taking action now, but they should have done this sooner. They waited too long and shouldn’t have let it get to this point.” Perhaps that better expresses your thoughts? I dunno, I am not a mind reader. I can only respond to what you said.

 

[hopemax]

This was posted in one of my other forums. It's origination is a Facebook group of nurses in Arizona.

****

Banner Desert:
3 COVID telemetry units full ( patients)
1 medsurg (regular floor) COVID unit full
2/3 ICU dedicated to COVID only, 3 patients to 1 RN ratio (normally 2:1)
Expanded regular ER into pediatric ER
Using some peds floors for adults
Code purple (hospital full or approaching full and not enough staff to cover upcoming shifts)
Interventional radiology (vascular procedures) filling separate, additional ICU

Banner Boswell:
2 out of 3 of our ICUs are for COVID, they are full, and overflow into PACU. Ratio is 3:1 or 4:1 if we don’t have staff.
3 out of 6 of our PCUs dedicated to COVID are full. Ratio is 5:1 or 6:1 if we don’t have staff.
Med/surg units are being converted to COVID now with a 7:1 or 8:1 ratio if we don’t have staff. We are doubling up rooms now. We have been getting patients flown in from rural hospitals in the northwest and off reservations as well. All these unsafe ratios are the same for the non COVID units since we are short staffed. We piloted team nursing but it wasn’t that helpful. Elective surgeries have stopped again. We now have reusable gowns and masks that get washed. Whatever hair nets and shoe covers we have left is all we will have for a while. Boswell is drowning so they initiated the emergency response to help bring in more staff from other states.

Banner Baywood:
ICU 3:1 ratio.
Code purple (this time of year in 7 YEARS I’ve never seen it
5 COVID units (might be 6 now)
Doubled up rooms with confirmed positive COVID patients

Banner Estrella:
Doubling up patients in rooms
6 COVID units

Banner Cardons Children’s Hospital:
3 of 5 floors dedicated to adults
ER has lots of hallway beds (patients don’t get a real room)

Banner University Phoenix:
2 of 3 ICUs dedicated to COVID.
Progressive Care Unit (PCU) dedicated to COVID patients with a second one coming soon.
2 COVID medsurg floors

Valleywise Hospital:
2 COVID ICUs, 4 COVID medsurg units
Code lavender (same as code purple)
Asked for 26 travel RNs, only received 6

St. Joe’s:
4 COVID ICUs. Now placing double beds in rooms. 64 beds currently occupied
Stopped elective surgeries today.
Difficulty accommodating traumas, strokes, brain aneurysms due to shortage of ICU beds.
Pulmonologist Intensivist (critical care lung doctor) working 7 days a week.

Dignity Chandler:
27 vented COVID - will double patients in rooms once they get to 32, max 64
3 medsurg floors COVID

Mercy Gilbert:
2 ICUs COVID full
2 medsurg floors COVID full

Honor Health Shea:
30 medsurg COVID beds full
One ICU unit full, took 5 beds from the “clean” (non-COVID) ICU.

Honor Health Osborn:
40 COVID medsurg beds full
3/4 ICUs dedicated to COVID and overflowing into ER & PACU (post anesthesia care unit)
10 rooms available for COVID patients but no one to staff them

Helicopter pilot from Yuma medical center flying patients to Phx because Yuma is full

Tucson Medical Center called me at 9pm saying they are in desperate need of ICU NPs and will require an 8-12 week contract. (I’m not trained in critical care).

 

[Andrew C]

You must be a professional patient. Unfortunately those people are still getting beds.

I got food poisoning last year. That was the last time I had to answer this question and I was honest about it. I said....11!!!!

 

[oceanbreeze77]

To be fair, that is pretty much the "scorecard" @oceanbreeze77 mentioned, that is clearly described in the "covid-19-addendum" pdf they linked from the Arizona department of health website. Just sayin.

exactly.

 

[milordsloth]

This was posted in one of my other forums. It's origination is a Facebook group of nurses in Arizona.

****

Banner Desert:
3 COVID telemetry units full (❤ patients)
1 medsurg (regular floor) COVID unit full
2/3 ICU dedicated to COVID only, 3 patients to 1 RN ratio (normally 2:1)
Expanded regular ER into pediatric ER
Using some peds floors for adults
Code purple (hospital full or approaching full and not enough staff to cover upcoming shifts)
Interventional radiology (vascular procedures) filling separate, additional ICU

‼‼Banner Boswell:
2 out of 3 of our ICUs are for COVID, they are full, and overflow into PACU. Ratio is 3:1 or 4:1 if we don’t have staff.
3 out of 6 of our PCUs dedicated to COVID are full. Ratio is 5:1 or 6:1 if we don’t have staff.
Med/surg units are being converted to COVID now with a 7:1 or 8:1 ratio if we don’t have staff. We are doubling up rooms now. We have been getting patients flown in from rural hospitals in the northwest and off reservations as well. All these unsafe ratios are the same for the non COVID units since we are short staffed. We piloted team nursing but it wasn’t that helpful. Elective surgeries have stopped again. We now have reusable gowns and masks that get washed. Whatever hair nets and shoe covers we have left is all we will have for a while. Boswell is drowning so they initiated the emergency response to help bring in more staff from other states.

Banner Baywood:
ICU 3:1 ratio.
Code purple (this time of year in 7 YEARS I’ve never seen it
5 COVID units (might be 6 now)
Doubled up rooms with confirmed positive COVID patients

Banner Estrella:
Doubling up patients in rooms
6 COVID units

Banner Cardons Children’s Hospital:
3 of 5 floors dedicated to adults
ER has lots of hallway beds (patients don’t get a real room)

Banner University Phoenix:
2 of 3 ICUs dedicated to COVID.
Progressive Care Unit (PCU) dedicated to COVID patients with a second one coming soon.
2 COVID medsurg floors

Valleywise Hospital:
2 COVID ICUs, 4 COVID medsurg units
Code lavender (same as code purple)
Asked for 26 travel RNs, only received 6

St. Joe’s:
4 COVID ICUs. Now placing double beds in rooms. 64 beds currently occupied
Stopped elective surgeries today.
Difficulty accommodating traumas, strokes, brain aneurysms due to shortage of ICU beds.
Pulmonologist Intensivist (critical care lung doctor) working 7 days a week.

Dignity Chandler:
27 vented COVID - will double patients in rooms once they get to 32, max 64
3 medsurg floors COVID

Mercy Gilbert:
2 ICUs COVID full
2 medsurg floors COVID full

Honor Health Shea:
30 medsurg COVID beds full
One ICU unit full, took 5 beds from the “clean” (non-COVID) ICU.

Honor Health Osborn:
40 COVID medsurg beds full
3/4 ICUs dedicated to COVID and overflowing into ER & PACU (post anesthesia care unit)
10 rooms available for COVID patients but no one to staff them

Helicopter pilot from Yuma medical center flying patients to Phx because Yuma is full

Tucson Medical Center called me at 9pm saying they are in desperate need of ICU NPs and will require an 8-12 week contract. (I’m not trained in critical care).

Too bad we can't send the medical ship to the coast of Arizona

 

[oceanbreeze77]

Too bad we can't send the medical ship to the coast of Arizona

I think L.A. will be needing it soon anyways...

 

[xdan0920]

Arizona....

People with coronavirus are crossing the US-Mexico border for medical care | CNN

Chris Van Gorder says he's seeing a telling trend in the hospitals he runs.

www.cnn.com

 

[Miss Bella]

Arizona....

People with coronavirus are crossing the US-Mexico border for medical care | CNN

Chris Van Gorder says he's seeing a telling trend in the hospitals he runs.

www.cnn.com

That doesn’t surprise me at all.

 

[oceanbreeze77]

Arizona....

People with coronavirus are crossing the US-Mexico border for medical care | CNN

Chris Van Gorder says he's seeing a telling trend in the hospitals he runs.

www.cnn.com

People who live in border states do a ton of crossing back and forth.

In fact here is a quote from the article

"Most of the coronavirus patients crossing the border, they say, are Americans."

 

[Miss Bella]

Too bad we can't send the medical ship to the coast of Arizona

We really need staff. I’m not sure what the military nurses are going to do. There is normally a period of training for supplemental staff.