MediMike Posted March 21, 2020 Share Posted March 21, 2020 Well... someone has supposedly stolen a couple of our CAPRs. As well as the stand at the hospital entrance with masks, gloves and hand sanitizer. Plus these dang gowns are too short, I've now got COVID all over my wrists. Quote Link to comment Share on other sites More sharing options...
mgriffiths Posted March 21, 2020 Share Posted March 21, 2020 2 hours ago, MediMike said: Well... someone has supposedly stolen a couple of our CAPRs. As well as the stand at the hospital entrance with masks, gloves and hand sanitizer. Plus these dang gowns are too short, I've now got COVID all over my wrists. hospital should have processes in place to ensure the security of PPE...pretty ridiculous that CAPRs were able to be stolen. Quote Link to comment Share on other sites More sharing options...
Reality Check 2 Posted March 21, 2020 Share Posted March 21, 2020 Hope these files attach. This was the first email in my queue this morning. I just don’t know what to think of it. A. It gives folks something to do B. They will tear my petticoats into bandage strips next C. Things are completely out of hand 1 Quote Link to comment Share on other sites More sharing options...
Reality Check 2 Posted March 21, 2020 Share Posted March 21, 2020 https://www.cnn.com/2020/03/20/health/coronavirus-response-must-adapt-frieden-analysis/index.html Another article of high ideals but without the HOW TO for actually getting supplies or PPE and no discussion of enforcement. America is land of the free but that shouldn’t mean free to be stupid. Quote Link to comment Share on other sites More sharing options...
Cideous Posted March 21, 2020 Author Share Posted March 21, 2020 Using non n95 masks, scarfs or bandannas and thinking they are going to do anything to protect you from this virus is like going to war with air soft guns when the enemy has M16's. Give me a break. I hate to say it, but it's going to take 5 or 6 providers and nurses dying ...be flashed all over the news and then threats of a medical strike before this administration nationalizes a few companies and starts moving heaven and earth to protect what's left us us. 5 1 Quote Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted March 21, 2020 Administrator Share Posted March 21, 2020 1 hour ago, Cideous said: I hate to say it, but it's going to take 5 or 6 providers and nurses dying ...be flashed all over the news and then threats of a medical strike before this administration nationalizes a few companies and starts moving heaven and earth to protect what's left us us. Sounds like they're retooling as fast as they can, but there's going to be a lag, probably for a few more weeks to months, before we get ahead of this. Of course, by the time you have a few dead HCPs, we're going to have a few hundred infected. Quote Link to comment Share on other sites More sharing options...
Cideous Posted March 21, 2020 Author Share Posted March 21, 2020 Our President just stated in his daily briefing that he doesn't understand why n95 masks can't be used more than once and why they can't be "sanitized in some kind of solution" and be used again. Gawd. 2 Quote Link to comment Share on other sites More sharing options...
Reality Check 2 Posted March 21, 2020 Share Posted March 21, 2020 I am in full geek mode with way too much time to read crap. So, I googled what makes N95s so special and how they are made. Turns out HEPA filters won't help much - tried to figure out if making a face mask out of a HEPA filter was a viable option. NO way to test it though... I cut the juicy bits out of this article below from NPR. I never knew how masks were made.... https://www.npr.org/sections/goatsandsoda/2020/03/16/814929294/covid-19-has-caused-a-shortage-of-face-masks-but-theyre-surprisingly-hard-to-mak COVID-19 Has Caused A Shortage Of Face Masks. But They're Surprisingly Hard To Make March 16, 20202:23 PM ET EMILY FENG AMY CHENG Partial excerpts -- Currently, of the 200 million masks China makes a day, only 600,000 are N95 standard masks, used by medical personnel, according to the National Development and Reform Commission, a state planning body. Provincial regulators have granted dozens of new licenses to open additional factories capable of producing top-grade masks, including those that meet the standards for use by health-care professionals. But this ambitious effort has run into a bottleneck. Both the masks made for medical personnel and for consumer purchase require a once-obscure material called melt-blown fabric. It's an extremely fine mesh of synthetic polymer fibers that forms the critical inner filtration layer of a mask, allowing the wearer to breath while reducing the inflow of possible infectious particles. "We're talking about fibers where one filament has a diameter of less than one micron, so we are in the nano area," said Markus Müller, the sales director at German company Reicofil, a major provider of melt-blown machine lines. And there's now a global shortage of melt-blown fabric due to the increased demand for masks — and the difficulty in producing this material. Costing upward of 3.8 million euros ($4.23 million) apiece, the machine that creates this fabric melts down plastic material and blows it out in strands, like cotton candy, into flat sheets of melt-blown fabric for face masks and other filtration products. A similar line of machines can create a related kind of fabric, called spun-bond fabric, also used in face masks and in medical protection suits worn by health-care workers. The machines are not easy to make because of the exacting precision required, says Müller: "You need to stretch these fibers by hot air, and [the air] needs to be in perfect condition over the width of the machine. The biggest dilemma is that many of the machines are not producing consistent quality." …… Chinese firms make nearly three million tons of nonwoven fabric a year, according to the China Nonwoven and Industrial Textiles Association, a state industry body. Less than 1% of that is melt-blown fabric. ========================================================================================= Then the info about HEPA filters: https://thewirecutter.com/blog/can-hepa-air-purifiers-capture-coronavirus/ 1 Quote Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted March 21, 2020 Share Posted March 21, 2020 I guess I can take the round HEPA filter that I got out of my old Dyson vacuum cleaner which I put string through off my face. 1 Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted March 21, 2020 Moderator Share Posted March 21, 2020 we have folks dropping off old, nasty paint filters at the ER. Thanks, but I would rather reuse my own N-95... Quote Link to comment Share on other sites More sharing options...
DarwinStarwin Posted March 21, 2020 Share Posted March 21, 2020 I'll just remove my truck's cabin filter from its plastic frame. #butseriously..... Quote Link to comment Share on other sites More sharing options...
mgriffiths Posted March 21, 2020 Share Posted March 21, 2020 Just had a patient in my UC with clear coronavirus consistent symptoms (I know that doesn't mean an absolute positive). We still have to get authorization from the state to test. First time I called they denied the PUI #. I called back to confirm because it just didn't make sense...they gave me a PUI because I "gave new information" and told me the outpatient lab to have the test sent for testing. I told them nothing new. I had to call my hospital to courier over a swab so we could do the test because the hospital won't allow the clinics to have the swabs "in stock." Then because the courier questioned where he was supposed to take the sample I called my lab director, who then called the state to confirm...now the sample is to be sent to the state for testing. This process took a total of 5.5 HOURS!!! I give up...how in the world is the process that convoluted at this point? Living it now it is obvious how much my employer (the hospital) and the state have failed beyond belief. 2 Quote Link to comment Share on other sites More sharing options...
pavlovacloud Posted March 21, 2020 Share Posted March 21, 2020 Just had a patient in my UC with clear coronavirus consistent symptoms (I know that doesn't mean an absolute positive). We still have to get authorization from the state to test. First time I called they denied the PUI #. I called back to confirm because it just didn't make sense...they gave me a PUI because I "gave new information" and told me the outpatient lab to have the test sent for testing. I told them nothing new. I had to call my hospital to courier over a swab so we could do the test because the hospital won't allow the clinics to have the swabs "in stock." Then because the courier questioned where he was supposed to take the sample I called my lab director, who then called the state to confirm...now the sample is to be sent to the state for testing. This process took a total of 5.5 HOURS!!! I give up...how in the world is the process that convoluted at this point? Living it now it is obvious how much my employer (the hospital) and the state have failed beyond belief.That is ridiculously long and tough! Very worrisome how we still have to jump through loops to just get someone tested!Sent from my Pixel 3 using Tapatalk 1 Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted March 21, 2020 Moderator Share Posted March 21, 2020 16 minutes ago, mgriffiths said: Just had a patient in my UC with clear coronavirus consistent symptoms (I know that doesn't mean an absolute positive). We still have to get authorization from the state to test. First time I called they denied the PUI #. I called back to confirm because it just didn't make sense...they gave me a PUI because I "gave new information" and told me the outpatient lab to have the test sent for testing. I told them nothing new. I had to call my hospital to courier over a swab so we could do the test because the hospital won't allow the clinics to have the swabs "in stock." Then because the courier questioned where he was supposed to take the sample I called my lab director, who then called the state to confirm...now the sample is to be sent to the state for testing. This process took a total of 5.5 HOURS!!! I give up...how in the world is the process that convoluted at this point? Living it now it is obvious how much my employer (the hospital) and the state have failed beyond belief. the guidance we have been given is ONLY to test patients who are sick enough to be admitted. This makes sense as there is no change in tx. I might make exceptions for someone with a spouse with cancer, HIV, on chemo, etc Quote Link to comment Share on other sites More sharing options...
mgriffiths Posted March 21, 2020 Share Posted March 21, 2020 8 minutes ago, EMEDPA said: the guidance we have been given is ONLY to test patients who are sick enough to be admitted. This makes sense as there is no change in tx. I might make exceptions for someone with a spouse with cancer, HIV, on chemo, etc and if that is the decision that is fine...but it shouldn't take 5.5 hours for the process to occur for the decision to be made. The point is that we should expect patient's to arrive with symptoms consistent with the coronavirus, therefore the processes to determine testing, where to send samples, etc. should be well defined after this has been going on for weeks. 2 Quote Link to comment Share on other sites More sharing options...
Reality Check 2 Posted March 21, 2020 Share Posted March 21, 2020 (edited) We have a drive through screening set up in the Fairgrounds parking lot stating you DO need a prescription or referral to get tested. Not sure what criteria they are using or where they are getting the tests. Unfortunately lots are showing up with no referral. Max 2 people per car, 280 cars in a day. Our county is about ½ million people. We have the swabs and reagents at work but sent out - about 3 days to results. One of my patients tested negative last week - haven’t seen her in months myself - went to UC. Another patient with really tough health problems STILL went to Vegas last week and now has classic symptoms and will likely end up admitted. Exhausted. Time for folks to STOP DOING STUPID THINGS. STAY THE HELL HOME. Edited March 21, 2020 by Reality Check 2 1 1 Quote Link to comment Share on other sites More sharing options...
Cideous Posted March 21, 2020 Author Share Posted March 21, 2020 1 hour ago, pavlovacloud said: That is ridiculously long and tough! Very worrisome how we still have to jump through loops to just get someone tested! But I was told by our President that...."Anyone who wants a test...can get a test!" Right. 1 Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted March 21, 2020 Moderator Share Posted March 21, 2020 2 minutes ago, Cideous said: But I was told by our President that...."Anyone(RICH or FAMOUS) who wants a test...can get a test!" fixed that for you..... 2 1 Quote Link to comment Share on other sites More sharing options...
EMSGuy1982 Posted March 22, 2020 Share Posted March 22, 2020 3 Quote Link to comment Share on other sites More sharing options...
Reality Check 2 Posted March 22, 2020 Share Posted March 22, 2020 Back to present day COVID..... 1 Quote Link to comment Share on other sites More sharing options...
Marinejiujitsu Posted March 22, 2020 Share Posted March 22, 2020 But I was told by our President that...."Anyone who wants a test...can get a test!" Right.No joke. I believe he also said if we like our doctor we can keep our doctor... friggin Turmpcare."Sent from my SM-N975U using Tapatalk 2 Quote Link to comment Share on other sites More sharing options...
PickleRick Posted March 22, 2020 Share Posted March 22, 2020 Just so I know I have this straight, Cideous can diss the current president's handling of the corona situation but, I cannot mention any goofs by a previous administration without my posts being deleted? Gotcha. My best to all now and in the future. Mods, please delete my profile. 1 1 Quote Link to comment Share on other sites More sharing options...
cbrsmurf Posted March 22, 2020 Share Posted March 22, 2020 I don’t envy the mods’ job with regulating political posts since it is practically impossible to separate politics from public health policy, especially during a pandemic. The frustration is understandable as the lack of preparation (or proper response, depending on your perspective) has and will result in healthcare professionals and patients being hurt or killed. I’m afraid bitching about it here won’t get anything done, unfortunately. 1 Quote Link to comment Share on other sites More sharing options...
Reality Check 2 Posted March 22, 2020 Share Posted March 22, 2020 So, if Pence just said he would get tested and the news just said he is negative - did he get the new 45 min test the FDA just approved from Cepheid, Dr David Persing, that said they would ship the tests next week? How many tests did they make, how much $$, does it require PCR verification? Who gets these tests? What is the current US capacity to test? Inquiring minds want to know..... 2 1 Quote Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted March 22, 2020 Moderator Share Posted March 22, 2020 1 hour ago, Reality Check 2 said: So, if Pence just said he would get tested and the news just said he is negative - did he get the new 45 min test the FDA just approved from Cepheid, Dr David Persing, that said they would ship the tests next week? How many tests did they make, how much $$, does it require PCR verification? Who gets these tests? What is the current US capacity to test? Inquiring minds want to know..... I am guessing if you are the VP the CDC runs that test first. 1 Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You can post now and register later. If you have an account, sign in now to post with your account.