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General COVID-19 Talk #4 MOD Warning

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Ok, just finished a few shifts and what a shit show. Basically, short staffed and taking 2 heavy patients. A normal ICU patient can be on 2 to 3 drips. Some of these real sick patients are on 5-8 drips. Keeping them going, making adjustments, dialing in sedation and getting the to ride the ventilator without fighting it or managing fluids and blood pressures. After about 5 drips, the prognosis is poor. Adding in pressors (Levophed, Epi to keep blood pressure up because the sedation medications drive BP down) however, it's so much fluid it starts blowing kidneys. If they can't handle it, then they are looking at dialysis, which we also do. There is the normal high flow dialysis that you guys hear about but then there is also 2 other types called CRRT and SLEDD. They are anywhere from 6 to 12 hours where we don't pull off too much fluid at once because they can't handle it. The dialysis nurse sets it up and then leaves to another patient and the ICU nurse manages the dialysis and calls for any problems.


Basically, to have someone on 8 drips is tough. Any dialysis patient in the ICU should always be 1:1, and that's how it is at this time. But we're getting 8 drips and then a 2nd patient who is somewhat lighter but still ICU.

But to have 8 drips going and then get a 2nd patient is just stupid which is what I'm getting now. It's very intensive, (which is why I guess they call it Intensive Care). Now the state is asking for waivers so we can take 3 patients. I feel like this is just being dumped on health care nurses to handle. So in response, I have had 5 nurses quit in the last few 3 weeks. They're going to do anything else than this. Desk jobs, soft units where COVID is not affected etc. People are having kids and are reprioritizing or leaving for Kaiser which just pays more.

I'm still seeing patients from XMAS, so this is lingering. In my opinion, this won't lighten up until March for the ICUs. February for the ERs. We are in a tough spot.

On the bright side, got my second Pfizer Vaccine today. Sore arm so far. Take solace in that. A lot of coworkers complain of mild fatigue or a mild headache after for 12 hours.
 
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Papa Mocha 15 said:
I heard they are trying to fill the attendance with health care workers at the super bowl to say thanks. If that's the case, at least most will wear masks ....
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Most should have already taken the second dose of the vaccine by then, but it still takes a few weeks after that for it to be as effective as it can be for any given person.
 
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Papa Mocha 15 said:
Ok, just finished a few shifts and what a shit show. Basically, short staffed and taking 2 heavy patients. A normal ICU patient can be on 2 to 3 drips. Some of these real sick patients are on 5-8 drips. Keeping them going, making adjustments, dialing in sedation and getting the to ride the ventilator without fighting it or managing fluids and blood pressures. After about 5 drips, the prognosis is poor. Adding in pressors (Levophed, Epi to keep blood pressure up because the sedation medications drive BP down) however, it's so much fluid it starts blowing kidneys. If they can't handle it, then they are looking at dialysis, which we also do. There is the normal high flow dialysis that you guys hear about but then there is also 2 other types called CRRT and SLEDD. They are anywhere from 6 to 12 hours where we don't pull off too much fluid at once because they can't handle it. The dialysis nurse sets it up and then leaves to another patient and the ICU nurse manages the dialysis and calls for any problems.


Basically, to have someone on 8 drips is tough. Any dialysis patient in the ICU should always be 1:1, and that's how it is at this time. But we're getting 8 drips and then a 2nd patient who is somewhat lighter but still ICU.

But to have 8 drips going and then get a 2nd patient is just stupid which is what I'm getting now. It's very intensive, (which is why I guess they call it Intensive Care). Now the state is asking for waivers so we can take 3 patients. I feel like this is just being dumped on health care nurses to handle. So in response, I have had 5 nurses quit in the last few 3 weeks. They're going to do anything else than this. Desk jobs, soft units where COVID is not affected etc. People are having kids and are reprioritizing or leaving for Kaiser which just pays more.

I'm still seeing patients from XMAS, so this is lingering. In my opinion, this won't lighten up until March for the ICUs. February for the ERs. We are in a tough spot.

On the bright side, got my second Pfizer Vaccine today. Sore arm so far. Take solace in that. A lot of coworkers complain of mild fatigue or a mild headache after for 12 hours.
Click to expand...
Grateful for all of you. Thank you!
 
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Papa Mocha 15 said:
Ok, just finished a few shifts and what a shit show. Basically, short staffed and taking 2 heavy patients. A normal ICU patient can be on 2 to 3 drips. Some of these real sick patients are on 5-8 drips. Keeping them going, making adjustments, dialing in sedation and getting the to ride the ventilator without fighting it or managing fluids and blood pressures. After about 5 drips, the prognosis is poor. Adding in pressors (Levophed, Epi to keep blood pressure up because the sedation medications drive BP down) however, it's so much fluid it starts blowing kidneys. If they can't handle it, then they are looking at dialysis, which we also do. There is the normal high flow dialysis that you guys hear about but then there is also 2 other types called CRRT and SLEDD. They are anywhere from 6 to 12 hours where we don't pull off too much fluid at once because they can't handle it. The dialysis nurse sets it up and then leaves to another patient and the ICU nurse manages the dialysis and calls for any problems.


Basically, to have someone on 8 drips is tough. Any dialysis patient in the ICU should always be 1:1, and that's how it is at this time. But we're getting 8 drips and then a 2nd patient who is somewhat lighter but still ICU.

But to have 8 drips going and then get a 2nd patient is just stupid which is what I'm getting now. It's very intensive, (which is why I guess they call it Intensive Care). Now the state is asking for waivers so we can take 3 patients. I feel like this is just being dumped on health care nurses to handle. So in response, I have had 5 nurses quit in the last few 3 weeks. They're going to do anything else than this. Desk jobs, soft units where COVID is not affected etc. People are having kids and are reprioritizing or leaving for Kaiser which just pays more.

I'm still seeing patients from XMAS, so this is lingering. In my opinion, this won't lighten up until March for the ICUs. February for the ERs. We are in a tough spot.

On the bright side, got my second Pfizer Vaccine today. Sore arm so far. Take solace in that. A lot of coworkers complain of mild fatigue or a mild headache after for 12 hours.
Click to expand...
I've got some east coast fam in healthcare that got the second dose and they said they were run down for a day but fine after. Hope you bounce back quick and I don't think I've said it before, but thank you for doing what you do.
 
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upload_2021-1-11_12-25-51.png



Vs Friday- Hosp down from 2259 but ICU up from 514



Rolling 7 day

Mon-29
Sun- 50
Sat- 43
Fri -26
Thurs- 29
Wed- 17
Tues- 0

27.71 average (for reference on 12/10 the average was 7.71)
 
Visiting family in Arizona. Got my Mom and my Aunt signed up to get their first dose of the vaccine tomorrow night at 10:30 pm via the drive through vaccination program they have set up at the Arizona Cardinals' stadium. They are vaccinating 24 hours a day, 7 days a week at the stadium in Glendale, Arizona. Appointments were going fast.
 
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KINGS17 said:
Visiting family in Arizona. Got my Mom and my Aunt signed up to get their first dose of the vaccine tomorrow night at 10:30 pm via the drive through vaccination program they have set up at the Arizona Cardinals' stadium. They are vaccinating 24 hours a day, 7 days a week at the stadium in Arizona. Appointments were going fast.
Click to expand...

This place really is 50 different countries right now, wow.
 
LT Dan said:
Newsom is an ineffective blowhard
Click to expand...
California trying to speed up COVID-19 vaccine rollout, Gov. Gavin Newsom says

Newsom said the state is working to get 1 million doses administered by the weekend.

To help meet that goal, and speed up vaccination generally, Newsom wants to expand the list of eligible vaccinators to include pharmacists, dentists, and 15 national guard strike teams.

We noticed nursing students weren't on the list.

"We've been in touch with the California Board of Registered Nursing with hopes 30,000 nursing students who are trained and certified to help administer vaccines could help aid the backlog. Would you consider that?" reporter Stephanie Sierra asked.

"Yeah, in fact enthusiastically so," Newsom said. "Our fire agencies and our nursing schools will be essential and critical."

California also wants to open large-scale vaccination sites. The governor said vaccination sites at Dodger Stadium in Los Angeles, Petco Park in San Diego and Cal Expo in Sacramento should be opening up by the end of the week. He said "many, many more" large sites would follow these three.

Two words: Ass. Clown.

Stephanie Sierra for Governor. She can think on her feet.

Why just Dodger Stadium? Why not the Rose Bowl, etc.? In San Bernardino Country, why not the Ontario Speedway (huge parking lot and easy access off the 10 Freeway)?
 
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Let’s get all the veterinarians and vet-techs to jab some arms ...

... and ranchers n ranch-hands too!!!

If you can snip a scrote on a steer or hog why not jab an arm? Brands and ear tags strictly voluntary!!!
 
Token said:
Let’s get all the veterinarians and vet-techs to jab some arms ...

... and ranchers n ranch-hands too!!!

If you can snip a scrote on a steer or hog why not jab an arm? Brands and ear tags strictly voluntary!!!
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keep those f***in drinking straw livestock needles away from me, thank you very much

funnily enough re: the vaccination sites, SD county claims that it's received no state funds relevant to the vaccine distro and the padres, UCSD and the city are paying out of pocket for it.. but there's newsom taking credit for it
 
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Bandit said:
I've got some east coast fam in healthcare that got the second dose and they said they were run down for a day but fine after. Hope you bounce back quick and I don't think I've said it before, but thank you for doing what you do.
Click to expand...
Same, I wanted to wait before posting just in case but I'm about 3 days removed from it now. Small headache, took Tylenol. Went away. It was mild for me and I screened a bunch 0f health care workers to check their reactions before I got mine and everyone is saying the same thing. It's gonna kick start the immune system but it is short lived. I'd do it again in a heart beat. :)
 
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KINGS17 said:
Most should have already taken the second dose of the vaccine by then, but it still takes a few weeks after that for it to be as effective as it can be for any given person.
Click to expand...
Yes, they say 10 days after first dose for Phizer you reach about 54% efficacy and then 7 days after the 2nd dose you'll hit 95%. I'm not saying this to you, but generally speaking, we still mask up after one gets it. It doesn't prevent us from catching it, just getting deathly sick from it. We can still catch it and spread it to others so we still need to mask up. I didn't realize that at the time, I was just focused on getting it but it makes sense.
 
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