No ICU beds left in Mississippi?
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https://nypost.com/2020/12/12/san-joaquin-region-are-out-of-icu-beds-as-covid-19-surges/
A 12-county region in California is out of ICU-bed capacity as a second wave of COVID-19 ravages the state’s rural Central Valley.
San Joaquin County, an agriculture hub where the majority of fruits and vegetables in the US are grown, has been hit particularly hard in recent weeks.
ICU capacity at all seven hospitals in the county stood at 100 percent on Saturday, the highest rate anywhere in California, according to the state’s Department of Public Health.
A team of 17 nurses is expected to arrive Monday at one local hospital that has built a second ICU area where it plans to take in coronavirus patients from San Joaquin County’s six other overflowing hospitals.
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Any bed can be converted to an ICU bed. It’s really a staffing issue and there are many many ways to deal with that. None of them are cheap nor desirable but the full set of facts should be presented when these headlines are thrown around.
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Any bed can be converted to an ICU bed. It’s really a staffing issue and there are many many ways to deal with that. None of them are cheap nor desirable but the full set of facts should be presented when these headlines are thrown around.
@loki said in No ICU beds left in Mississippi?:
Any bed can be converted to an ICU bed.
Jolly has said many, many times that that's completely untrue. He works in hospitals.
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@loki said in No ICU beds left in Mississippi?:
Any bed can be converted to an ICU bed.
Jolly has said many, many times that that's completely untrue. He works in hospitals.
@aqua-letifer said in No ICU beds left in Mississippi?:
@loki said in No ICU beds left in Mississippi?:
Any bed can be converted to an ICU bed.
Jolly has said many, many times that that's completely untrue. He works in hospitals.
I respect Jolly’s first hand knowledge but I 100% stand by my comment. It’s more important to follow what hospitals are doing in terms of planning than news headlines.
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Any bed can be converted to an ICU bed. It’s really a staffing issue and there are many many ways to deal with that. None of them are cheap nor desirable but the full set of facts should be presented when these headlines are thrown around.
@loki said in No ICU beds left in Mississippi?:
Any bed can be converted to an ICU bed. It’s really a staffing issue and there are many many ways to deal with that. None of them are cheap nor desirable but the full set of facts should be presented when these headlines are thrown around.
To put it bluntly, you're full of shit.
Dr. K's wife was an ICU nurse. Ask her if you can snap your fingers and turn a pedi or psyche nurse into an ICU nurse in a day or two.
Experienced nurses with ICU or Med-Surg experience normally take weeks to orientate into a new ICU.
“Cry havoc and let slip the DOGE of war!”
Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton
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@loki said in No ICU beds left in Mississippi?:
Any bed can be converted to an ICU bed. It’s really a staffing issue and there are many many ways to deal with that. None of them are cheap nor desirable but the full set of facts should be presented when these headlines are thrown around.
To put it bluntly, you're full of shit.
Dr. K's wife was an ICU nurse. Ask her if you can snap your fingers and turn a pedi or psyche nurse into an ICU nurse in a day or two.
Experienced nurses with ICU or Med-Surg experience normally take weeks to orientate into a new ICU.
@jolly said in No ICU beds left in Mississippi?:
Dr. K's wife was an ICU nurse.
And she held floor nurses in an amazing amount of disdain.
There are three groups of nurses you don't want to piss off.
- ER nurses
- OR nurses
- ICU nurses.
There's a reason for that. They are the best, the most aggressive, the most trained to deal with critical issues, and they brook no BS. Even in my small place, we had nurses trying to transfer from the floor to the OR - they couldn't cut it. And, IMO, the OR was the simplest of those three.
Weeks? You're too optimistic.
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@loki said in No ICU beds left in Mississippi?:
Any bed can be converted to an ICU bed. It’s really a staffing issue and there are many many ways to deal with that. None of them are cheap nor desirable but the full set of facts should be presented when these headlines are thrown around.
To put it bluntly, you're full of shit.
Dr. K's wife was an ICU nurse. Ask her if you can snap your fingers and turn a pedi or psyche nurse into an ICU nurse in a day or two.
Experienced nurses with ICU or Med-Surg experience normally take weeks to orientate into a new ICU.
@jolly said in No ICU beds left in Mississippi?:
@loki said in No ICU beds left in Mississippi?:
Any bed can be converted to an ICU bed. It’s really a staffing issue and there are many many ways to deal with that. None of them are cheap nor desirable but the full set of facts should be presented when these headlines are thrown around.
To put it bluntly, you're full of shit.
Dr. K's wife was an ICU nurse. Ask her if you can snap your fingers and turn a pedi or psyche nurse into an ICU nurse in a day or two.
Experienced nurses with ICU or Med-Surg experience normally take weeks to orientate into a new ICU.
Ok Jolly. I guess we will see over time. Of course like I said the alternatives are not so great to very bad but ICU bed capacity is much more expandable than your full of shit comment.
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@jolly said in No ICU beds left in Mississippi?:
@loki said in No ICU beds left in Mississippi?:
Any bed can be converted to an ICU bed. It’s really a staffing issue and there are many many ways to deal with that. None of them are cheap nor desirable but the full set of facts should be presented when these headlines are thrown around.
To put it bluntly, you're full of shit.
Dr. K's wife was an ICU nurse. Ask her if you can snap your fingers and turn a pedi or psyche nurse into an ICU nurse in a day or two.
Experienced nurses with ICU or Med-Surg experience normally take weeks to orientate into a new ICU.
Ok Jolly. I guess we will see over time. Of course like I said the alternatives are not so great to very bad but ICU bed capacity is much more expandable than your full of shit comment.
@loki said in No ICU beds left in Mississippi?:
your full of shit comment
Nope, nope, nope.
ICU nurses know what blood gas analysis means. They know how to look at a monitor and see troubling things on an EKG. They know about ventilator settings.
This is no something you learn in a week. This is something you learn after months of mentoring.
I could always pick out the noobs in the ICU from the experienced bitches who would cut my balls off if I screwed up.
Ask any floor nurse to look at a 12-lead EKG and they'd scratch their pretty heads and say, "Hmmm??" Not gonna happen with an ICU or an ER nurse. They're a different breed, thank goodness. They were my eyes and ears.
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@loki said in No ICU beds left in Mississippi?:
your full of shit comment
Nope, nope, nope.
ICU nurses know what blood gas analysis means. They know how to look at a monitor and see troubling things on an EKG. They know about ventilator settings.
This is no something you learn in a week. This is something you learn after months of mentoring.
I could always pick out the noobs in the ICU from the experienced bitches who would cut my balls off if I screwed up.
Ask any floor nurse to look at a 12-lead EKG and they'd scratch their pretty heads and say, "Hmmm??" Not gonna happen with an ICU or an ER nurse. They're a different breed, thank goodness. They were my eyes and ears.
@george-k said in No ICU beds left in Mississippi?:
@loki said in No ICU beds left in Mississippi?:
your full of shit comment
Nope, nope, nope.
ICU nurses know what blood gas analysis means. They know how to look at a monitor and see troubling things on an EKG. They know about ventilator settings.
This is no something you learn in a week. This is something you learn after months of mentoring.
I could always pick out the noobs in the ICU from the experienced bitches who would cut my balls off if I screwed up.
Ask any floor nurse to look at a 12-lead EKG and they'd scratch their pretty heads and say, "Hmmm??" Not gonna happen with an ICU or an ER nurse. They're a different breed, thank goodness. They were my eyes and ears.
I believe I said it was a resource issue so if that’s the argument we have no issue but we are not going to run out of beds as the limiting issue. Caregivers will be traveling. By the way we already saw this movie in NYC.
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@george-k said in No ICU beds left in Mississippi?:
@loki said in No ICU beds left in Mississippi?:
your full of shit comment
Nope, nope, nope.
ICU nurses know what blood gas analysis means. They know how to look at a monitor and see troubling things on an EKG. They know about ventilator settings.
This is no something you learn in a week. This is something you learn after months of mentoring.
I could always pick out the noobs in the ICU from the experienced bitches who would cut my balls off if I screwed up.
Ask any floor nurse to look at a 12-lead EKG and they'd scratch their pretty heads and say, "Hmmm??" Not gonna happen with an ICU or an ER nurse. They're a different breed, thank goodness. They were my eyes and ears.
I believe I said it was a resource issue so if that’s the argument we have no issue but we are not going to run out of beds as the limiting issue. Caregivers will be traveling. By the way we already saw this movie in NYC.
@loki said in No ICU beds left in Mississippi?:
@george-k said in No ICU beds left in Mississippi?:
@loki said in No ICU beds left in Mississippi?:
your full of shit comment
Nope, nope, nope.
ICU nurses know what blood gas analysis means. They know how to look at a monitor and see troubling things on an EKG. They know about ventilator settings.
This is no something you learn in a week. This is something you learn after months of mentoring.
I could always pick out the noobs in the ICU from the experienced bitches who would cut my balls off if I screwed up.
Ask any floor nurse to look at a 12-lead EKG and they'd scratch their pretty heads and say, "Hmmm??" Not gonna happen with an ICU or an ER nurse. They're a different breed, thank goodness. They were my eyes and ears.
I believe I said it was a resource issue so if that’s the argument we have no issue but we are not going to run out of beds as the limiting issue. Caregivers will be traveling. By the way we already saw this movie in NYC.
They can travel, but you ain't never worked with agency nurses. Assuming you can get them.
Again, ask George's wife about her opinion of agency nurses.
“Cry havoc and let slip the DOGE of war!”
Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton
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A general word about hospitals...To provide good care, a hospital becomes a very complicated system, much like landing fighters on an aircraft carrier. If they do it well, it becomes almost seamless and looks easy.
One good screw-up, sometimes even a minor screw-up, and somebody dies.
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A general word about hospitals...To provide good care, a hospital becomes a very complicated system, much like landing fighters on an aircraft carrier. If they do it well, it becomes almost seamless and looks easy.
One good screw-up, sometimes even a minor screw-up, and somebody dies.
@jolly said in No ICU beds left in Mississippi?:
A general word about hospitals...To provide good care, a hospital becomes a very complicated system, much like landing fighters on an aircraft carrier. If they do it well, it becomes almost seamless and looks easy.
One good screw-up, sometimes even a minor screw-up, and somebody dies.
True. On the positive side hospitals uniquely never shut down some have been 24/7 for 200 years, they are our most advanced ecosystem.
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@loki said in No ICU beds left in Mississippi?:
@george-k said in No ICU beds left in Mississippi?:
@loki said in No ICU beds left in Mississippi?:
your full of shit comment
Nope, nope, nope.
ICU nurses know what blood gas analysis means. They know how to look at a monitor and see troubling things on an EKG. They know about ventilator settings.
This is no something you learn in a week. This is something you learn after months of mentoring.
I could always pick out the noobs in the ICU from the experienced bitches who would cut my balls off if I screwed up.
Ask any floor nurse to look at a 12-lead EKG and they'd scratch their pretty heads and say, "Hmmm??" Not gonna happen with an ICU or an ER nurse. They're a different breed, thank goodness. They were my eyes and ears.
I believe I said it was a resource issue so if that’s the argument we have no issue but we are not going to run out of beds as the limiting issue. Caregivers will be traveling. By the way we already saw this movie in NYC.
They can travel, but you ain't never worked with agency nurses. Assuming you can get them.
Again, ask George's wife about her opinion of agency nurses.
@jolly said in No ICU beds left in Mississippi?:
ask George's wife about her opinion of agency nurses
Her place (the university) never had agency ("temp") nurses in the ICU.
My bride worked as an agency ICU nurse for about a year back in the early 1990s. One day a week, perhaps two days per month. She hated it. Always felt behind the 8-ball. Always felt like she never got to "know the place."
And, she always got the shittiest patients.
Do you want that taking care of you?
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Interesting article from Health Affairs.
There Are Not Nearly Enough Nurses To Handle The Surge Of Coronavirus Patients: Here’s How To Close the Gap Quickly
https://www.healthaffairs.org/do/10.1377/hblog20200327.714037/full/```
@loki said in No ICU beds left in Mississippi?:
Interesting article from Health Affairs.
There Are Not Nearly Enough Nurses To Handle The Surge Of Coronavirus Patients: Here’s How To Close the Gap Quickly
https://www.healthaffairs.org/do/10.1377/hblog20200327.714037/full/```
code_textWritten by a bean counter.
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Today is the peak day for ICU beds and the decline begins
Nationally less than half of available ICU beds are in use. Of course that doesn’t account for specific states but still ICU availability was a burning issue some months ago and now we can start looking at the reality.
PS don’t look at national ventilator use. It’s a fourth of what Coumo wanted for his state alone back in March.
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Today is the peak day for ICU beds and the decline begins
Nationally less than half of available ICU beds are in use. Of course that doesn’t account for specific states but still ICU availability was a burning issue some months ago and now we can start looking at the reality.
PS don’t look at national ventilator use. It’s a fourth of what Coumo wanted for his state alone back in March.
@loki said in No ICU beds left in Mississippi?:
Today is the peak day for ICU beds and the decline begins
Nationally less than half of available ICU beds are in use. Of course that doesn’t account for specific states but still ICU availability was a burning issue some months ago and now we can start looking at the reality.
PS don’t look at national ventilator use. It’s a fourth of what Coumo wanted for his state alone back in March.
How did the CDC do for the IFR again? I mean when this began.
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I disagree with Jolly about a lot of things, but I'd trust him regarding hospital logistics every time.
