Nubs70
Well-Known Member
One thing that can be done now is to ship patients to facilities with no capacity to facilities with capacity. For example, since Florida has open capacity, ship patients to Florida.
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Coronavirus and Walt Disney World general discussion
- Thread starter Parker in NYC
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lazyboy97o
Well-Known Member
I’m not against preparing, but I doubt the sincerity from those who openly oppose what those preparations will inevitably entail. It’s easy to say you’ll prepare than to actually prepare and act on those preparations, which is exactly what happened.Okay, then let's just worry about now and not later.
Man, you have your foot set on one side and can't possibly even look out to the future can you. How can you argue the need to be better prepared for future pandemics?
This is an example of preparing for future infectious disease outbreaks.
‘This Is What Rush Was Built For’
www.rush.edu
Another article discussing more out of the box ways to prepare, not just building a new hospital:
Preparing Hospitals for the Next Pandemic
The Covid-19 epidemic response has shown that the U.S. is blessed with heroic physicians and other health care providers, researchers, and facilities. But it has also revealed a health care system that was woefully unprepared for the surge of pandemic patients. In the authors’ analysis, the...hbr.org
Heppenheimer
Well-Known Member
Long distance medevacs are neither cheap nor logistically easy. Only the military really has an efficient system for this, and their infrastructure is more geared towards getting injured sick and injured soldiers first to Landstuhl, Germany, then back to a few designated medical centers in the US. It works when you have a few large hubs that are directly connected to each other and you gain from efficiencies of scale, but this system wouldn't work for point-to-point long distance transportation within the US.
lazyboy97o
Well-Known Member
Moving people is not something undertaken lightly when it is to the hospital down the street. Even more so for patients in intensive care. You also assume Florida has no backlog or will not need that capacity in the future.
DisneyCane
Well-Known Member
That goes a lot further in the Philippines then in the US. I mean you couldn't possibly live on that in the US without all kinds of government assistance.
Andrew C
You know what's funny?
Ahh. Thanks for this. I didn’t know it could be a different test type. This should make things a bit easier for us when we travel back to the US.
Heppenheimer
Well-Known Member
I'm not sure if it's been brought up, but I was surprised that a negative test result is not required for people entering the US from Canada or Mexico by land. Only proof of full vaccination.
hopemax
Well-Known Member
Certainly in this new reality where Covid sucks up health care resources forever. The effect of a worldwide shortage of qualified doctors, nurses and facilities will be devastating for countries that already have inadequate resources. People think the vaccination distribution inequity was a geopolitical problem, try lack of everything healthcare if the US plan for itself is to simply import what they need, including the people, as we do for everything else.
Like I’ve been saying this whole time, we’re choosing the path that is more costly and leads to more suffering than people can imagine. But the realization won’t be there until after the bills come in.
hopemax
Well-Known Member
There is a post on the DIS of a Canadian family whose daughter tested positive before flying home from WDW. They rented a car since they could no longer fly home. But had no problem crossing the border going the other way after they declared the positive test result. They were allowed to continue driving home. This family was careful, but any contact for food, gas, hotel is not a full quarantine and the next family might not be so mindful. This would certainly not fly in countries with mandatory quarantine for any arrivals.
It is not difficult to figure out why foreign nurses want to work and do work in the USA earning US wages, sending back home money Western Union to support family. Some nurses we know live in a 1 bed room apt with (5) living there working different shifts.
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DisneyCane
Well-Known Member
One of the many contradictions of this whole thing. Even if you are double vaccinated and boosted you should be wearing a mask because you can still be infected and spread the virus but if you are entering the country (at least legally) all we care about is that you are vaccinated.
Of course, testing wouldn't be anywhere near perfect either because people can be infected but not be at the point yet where they test positive.
Ayla
Well-Known Member
There is no reason to add additional capacity if there is no one to fill it. Nursing shortages have been going on for years and Covid has only made it worse (my sister is an ID BSN RN and my Mother is a retired MSN).
Rather than implement plans for more health care workers that won't come to fruition for the next three or four years from now, there is a simpler and quicker solution: vaccine mandates.
correcaminos
Well-Known Member
Because risks for spread are lower for vaccinated and by driving you are not risking others as much.
I'm very much in favor of treating vaccinated completely different than unvaccinated
Every day that passes I get closer to pushing for them. Though I am seeing an increase in vaccinations in my state but not sure if it is kids or not. Adults suck. I'm working with a group of parents to run religious ed for our kids only next fall. Mostly because the new head is a total anti-vaxxer who goes against Pope teachings. Don't want unmasked unvaxxed near my kid or others tbh and I don't want the head going against Pope either. What else will they go against? I opted not to have them teach this year for other reasons and I'm glad for it.
networkpro
Well-Known Member
- In the Parks
- Yes
I got mine at Walgreens last Wednesday... they told me I could leave right away. Moderna x3
Heppenheimer
Well-Known Member
As I posted earlier, I think the rules are more about not overtaxing US healthcare capacity rather than trying to keep the virus out. At this point, anything brought into the country from abroad is really a tiny drop in the larger ocean of circulating domestic virus. But at least if a foreign visitor is fully vaccinated, their chances of ending up in a US hospital drops substantially. The logistics, man-hours and cost of treating, discharging and setting up follow up care for a foreigner without travel insurance can be a nightmare if they end up in a US hospital. Maybe not so bad for something simple, like a broken leg, but for a prolonged illness like COVID, those patients will consume a disproportionate amount of already strained human resources.
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correcaminos
Well-Known Member
IMF chief says Omicron could dent global economic growth
The International Monetary Fund is likely to lower its global economic growth estimates due to the new Omicron variant of the coronavirus, the global lender's chief said at the Reuters Next conference on Friday in another sign of the turmoil unleashed by the ever-changing pandemic.
www.reuters.com
Why vaccination here has become such a sticking point bugs me. I think at this point all should push for this vs other means at this time. Protect those who cannot and help reduce spread. I know the US does share vaccines with other countries so push here and help elsewhere.
Nubs70
Well-Known Member
Nursing shortages are a product of the accreditation process. Preceptors need to be Masters prepared to teach. My wife is an RN BSN who was a preceptor in addition to frontline nursing until the Masters prepared mandate was enforced. So an RN BSN with 25 years experience in ER, PACU, PICU, etc was deemed "not educated enough" to teach. She started to go for an MSN but realized that the investment in money and time with no increase in pay was not economically justified. If advance education was on the table then it was going to be an NP as there is an actual increase in pay.
Now your nursing preceptors are Masters prepared with no clinical experience as opposed to RN BSN with 25 years experience in many aspects of nursing. Who is going to provide the best practical education?
Additionally, to be accepted into a RN BSN program, you need to have a higher grade point than to takes to get into Med School. If you have the GPA to get into a RN BSN program and sufficient MCAT to get into Med School, which path are you going to choose?
Finally, in Appeal to Authority, my wife is RN BSN, my mother is RN BSN, my father is MD Anethesiology Northwestern University.
I just have to ask - Why can't we do both? Why can't we continue the vaccine push for now, but also work on future ideas/plans for the upcoming pandemics?
It may end unfortunately up a political issue but the ideas don't have to start as one.
(also it's not just limited to building more hospitals or hiring more people - there are a lot of exiting new approaches to patient care that can be utilized in pandemic planning - just for example - telehealth has EXPLODED this past year, in part due to waivers for what's allowed to be considered telehealth granted by CMS for duration of pandemic - but providers already working on how to make some of those waivers permanent policy. An interesting read: https://healthtechmagazine.net/article/2021/10/hospital-home-future-healthcare )
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