Not gonna lie. I don't even know what this means.
Are you suggesting that the medical field move covid patients to a place and hire people to care for them, learning as they go?
I am referring to people that require hospitalization. Not people who are okay enough to go home or back to a nursing home.
I'm starting to get the feeling that some people may think all positive covid patients are hospitalized. If they are breathing on their own and maintaining their oxygen level above 92%, can eat and drink, and don't have very high risk comorbities, they go home. At least where I work they do.
Before I bother getting into it, are you of the opinion that only nurses and doctors are capable of giving care to covid patients?
No.
Some covid patients care for themselves.
I was only referring to patients that require hospitalization.
You don't have to bother getting into it.
I don't know what we are even trying to discuss anymore. And I'm okay with that. Lol
I was pointing out that requiring hospitalization is a sliding scale that changes based on how much care one can get from places other than a hospital. If people that need oxygen, a shot of steroids and a couple days of supervision go somewhere other than a hospital it frees up space for more severe cases and more qualified personnel to deal with them.
i think that anyone who can follow directions can be trained to do almost any task. As I understand the regime for a lot of the hospitalizations the course of care is pretty simple to administer. I don't know the percentages, but if 50% of the hospitalizations require periodic monitoring and preventive maintenance, the competency to administer "COVID-care" would be pretty low.
The problem that you'll encounter in many cases is the lack of people willing to do that job, at that risk, for the price. The level of care given in a lot, a ton, a massive number of retirement homes and nursing homes by the CNAs and PCAs is pretty atrocious. They're compensated accordingly.
People making $12 an hour aren't going to be super enthused about working 8 hours a day with nothing but Covid patients. Especially if they weren't that enthused about doing that same basic job with "healthy" patients.
So while the idea of an intermediate Covid Hotel with a few Drs and RNs overseeing a group CNAs to hopefully keep them from getting bad enough for full hospitalization yet keeping them quarantined from family and friends to minimize the spread is great.... Logistically it could be a damned nightmare to implement with quality people that can actually handle it.
Exactly, it'd be Covid TSA
Don't you have mobile nursing services?
It's pretty common around here.
Would someone requiring oxygen to maintain O2 sat above 92% qualify for intermediate care in your opinion?
Also, Our docs don't even like to intubate on the medical unit with med surg nurses . If at all possible they want to do it in the ICU.
I can't imagine many doctors agreeing to oversee a place like this.
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Pay them more.
I'm no doctor or nurse. I would want those guidelines to be determined by the people that are trained. Not me.
Do you even America, bro?!?!?
I capitalism very much.
You sound like a neoliberal capitalist shill!!! *incoherent screeching because I'm mad at Jews*
Well as I understand the course of care for a covid patient......
If you need oxygen to maintain sustainable life (not talking slow progressing chronic diseases), you need telemetry monitoring at all times. AT the hospital there is literally someone watching your vitals on a computer screen who will alert the nurse to any changes.
Covid patients generally receive blood thinners. Blood needs to be drawn and assessed every 6 hours. So please put a lab in your covid unit and have someone qualified to interpret them. (Other labs are monitored at different intervals also). Oh, and please Lord, don't let them have a stomach ulcer or something we aren't aware of. So yeah, have blood on hand for a possible transfusion and an RN available for that.
If they get steroids, well most states won't even allow LPN's to administer steroids, so make sure you have a RN available to do that.
Most places, LPNs are not licensed to do the assessments. It has to be the RN.
Covid patients that "go south" (in my experience) do so quickly. So when your doctor and nurse run to intubate that one make sure someone is monitoring the rest. Maybe you won't have 2 going bad at the same time and they have to pick which one to save.
There's more.....
Sounds to me like you just need to build another hospital.
Do we have patients that get admitted that don't require oxygen? Sometimes. If it's just for monitoring or precaution, then maybe they can go to an intermediate care facility. But we are sending these people home if at all possible.
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@Filthy and
@Thor Georgeos I think I see your point though. And it's a good one especially if people are being hospitalized that likely don't need to be there. Which was an issue in the beginning. I loved getting not so sick covid patients. It was an easy day. There were many times when I thought "this person probably doesn't need to be here". But there were a lot of unknowns then. I'm now seeing the hospital full and not seeing very many that I would be comfortable with the doctor sending home.
So now we're paying non-nurses near nurse wages for non-nursing skills...
We're talking about a system in which SPD associates which are responsible for making sure that all instrumentation is functional, accounted for, and properly sterilized to minimize complications and patient infections are paid +/- $10 an hour...
So again... Do you even America, bro?
(I like the concept but the system is so trash down here that it would require dramatic change for it to be realistic. The pessimistic side of me thinks that with our current setup and standards that they would just turn into a holding pen until they can be transported to a hospital.)
Drastic times call for drastic measures.
I get what your saying.
But me personally, the needing oxygen breaks that deal for me.
I'm trained to start from the top, the ABC. Airway, breathing, and circulation. If you come in with your leg hanging off I'm going to ignore that and make sure you are breathing appropriately first. If you need oxygen, I'm going to give it to you before even glancing back at that leg.
Same with maintaining hospital patients.
For example, if I take report on 3 patients.
Covid patient (or any patient) whose oxygen was titrated from 2 liters to 4 liters during last shift.
Heart patient whose heart is "out of rhythm " and on IV meds to maintain that rhythm. Pressure is ok.
Surgery patient who had to have bandage changed early because blood is leaking through the bandage.
I'm going to that covid patient's room first. ABC's. That breathing is the most important.
What I'm saying is, a patient that needs oxygen to maintain life is exactly the one who needs the more qualified personnel.
Unfortunately that situation is compounded by the hospitals being full. From what I understand capacity and severity are pretty directly related.
I think I see your point though. And it's a good one especially if people are being hospitalized that likely don't need to be there. Which was an issue in the beginning. I loved getting not so sick covid patients. It was an easy day. There were many times when I thought "this person probably doesn't need to be here". But there were a lot of unknowns then. I'm now seeing the hospital full and not seeing very many that I would be comfortable with the doctor sending home.