No ICU beds left in Mississippi?
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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.
wrote on 13 Dec 2020, 23:18 last edited by Jolly@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.
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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.
wrote on 13 Dec 2020, 23:28 last edited by@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.
wrote on 13 Dec 2020, 23:34 last edited by@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.
wrote on 13 Dec 2020, 23:38 last edited by@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.
wrote on 13 Dec 2020, 23:50 last edited by@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.
wrote on 14 Dec 2020, 00:10 last edited by@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.
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wrote on 14 Dec 2020, 00:14 last edited by
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.
wrote on 14 Dec 2020, 00:16 last edited by@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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wrote on 14 Dec 2020, 00:16 last edited by Loki
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/```
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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.
wrote on 14 Dec 2020, 00:17 last edited by@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/```
wrote on 14 Dec 2020, 00:20 last edited by@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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wrote on 10 Jan 2021, 19:38 last edited by Loki 1 Oct 2021, 19:40
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.
wrote on 10 Jan 2021, 19:41 last edited by@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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wrote on 10 Jan 2021, 20:14 last edited by
I disagree with Jolly about a lot of things, but I'd trust him regarding hospital logistics every time.
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wrote on 24 Jan 2021, 21:32 last edited by
Notice how ICU bed shortage stories just collapsed.
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wrote on 24 Jan 2021, 22:24 last edited by
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wrote on 24 Jan 2021, 22:33 last edited by
The ICU bed problems still exist down here. Although, it may have slacked a little.
I served as a pallbearer last week. She was the second death in the community within seven days.
The lack of stories dovetails with states like Michigan opening up businesses two days after inauguration.
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wrote on 25 Jan 2021, 01:59 last edited by
Just the facts ma’am
ICU capacity as of Jan 18, Near our peak demand.
https://carlsonschool.umn.edu/mili-misrc-covid19-tracking-project
Message is don’t believe the news just because they are advocating a narrative for their purposes.
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wrote on 25 Jan 2021, 02:04 last edited by jon-nyc
@loki said in No ICU beds left in Mississippi?:
Notice how ICU bed shortage stories just collapsed.
Do a google news search on ‘ICU capacity’. I see lots of stories on NoCal and Texas in the last 24 hours.
