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+--- Thread: Shrinking band of southern nurses, neck-deep in another Covid wave (/thread-11621.html)
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Shrinking band of southern nurses, neck-deep in another Covid wave - C C - Jan 24, 2022
https://www.nytimes.com/2022/01/23/health/covid-mississippi-nurses.html
EXCERPT: . . . Even as new cases peak and begin to decline in the Northeast and Upper Midwest, the nation’s hospitals are still confronting a crushing influx of patients. In Mississippi, the latest wave of infections has pushed nearly all of the state’s acute-care hospitals to capacity.
At Pascagoula Hospital, the city’s only acute-care health facility, a wave of departures has left 80 unfilled openings for registered nurses, forcing administrators to mothball a third of its beds. By the end of last week, every remaining bed was full, prompting an alarming systemwide backup. With nowhere else to go, coronavirus patients in the I.C.U. who were well enough to move to another unit had to stay put. Also stuck were several gravely ill patients in the E.R. who could not be transferred to the I.C.U., where care is far more exacting.
Lee Bond, Singing River’s chief executive, said the current surge was simply exacerbating a calamitous labor shortage that state hospital leaders and public health officials say will persist long after Omicron fades. “The real crisis we’re facing right now is a foundational shortage of nurses,” he said.
The nation’s frontline medical workers were running on fumes even before the arrival of Omicron. Successive waves of illness and death have left them exhausted and numb; nearly one in five have left the profession over the past two years. And they are angry — at the patients who refuse to get vaccinated, at the hospital executives who won’t spend the money needed to maintain safe nurse-to-patient ratios, and at the political leaders who call them “health care heroes” while opposing mask and vaccine mandates that might blunt the tsunami of new infections.
The labor shortage has been especially brutal for the small, nonprofit safety-net hospitals like Singing River where millions of Americans seek care. Financially fragile even before the pandemic, they have been unable to match the lofty salaries dangled by travel nurse agencies and large health systems, further accelerating the personnel drain that threatens their ability to provide quality care. Travel nurses can make more than $200 an hour, far more than the $30 earned by most staff nurses in Mississippi.
“A lot of community hospitals are wondering how they’re going to keep the lights on,” Tim Moore, president of the Mississippi Hospital Association, said.
The financial strain has been exacerbated by the refusal of Mississippi and other southern states to embrace Medicaid expansion... (MORE - missing details)
RE: Shrinking band of southern nurses, neck-deep in another Covid wave - Syne - Jan 24, 2022
They did that to themselves. Early in the pandemic, they laid people off since they weren't doing elective procedures. State and federal government incentivized people not to work. Then they laid people off for not being vaxxed. Now they want to pretend that being at or beyond capacity has nothing to do with their own shortsightedness.
RE: Shrinking band of southern nurses, neck-deep in another Covid wave - Magical Realist - Jan 24, 2022
The hospitals should refuse to admit everyone who hasn't been vaccinated. I bet that'd free up alot of beds.
RE: Shrinking band of southern nurses, neck-deep in another Covid wave - Leigha - Jan 24, 2022
Wouldn't that ^^ be violating the Hippocratic Oath?
RE: Shrinking band of southern nurses, neck-deep in another Covid wave - Magical Realist - Jan 24, 2022
(Jan 24, 2022 09:32 PM)Leigha Wrote: Wouldn't that ^^ be violating the Hippocratic Oath?
Maybe...another word for it may be "triage". When in an emergency situation it's ok to calculate losses..
RE: Shrinking band of southern nurses, neck-deep in another Covid wave - Leigha - Jan 24, 2022
(Jan 24, 2022 09:41 PM)Magical Realist Wrote:(Jan 24, 2022 09:32 PM)Leigha Wrote: Wouldn't that ^^ be violating the Hippocratic Oath?
Maybe...another word for it may be "triage". When in an emergency situation it's ok to calculate losses..
I don't think doctors can cherry pick who they wish to treat, based on politics, and their own opinions of the vaccine. They're required to treat everyone, equally - without bias.
RE: Shrinking band of southern nurses, neck-deep in another Covid wave - Magical Realist - Jan 24, 2022
There's precedent in denying treatment to those who cause their own malady. It's why alcoholics are so far down on the list for liver transplants.
RE: Shrinking band of southern nurses, neck-deep in another Covid wave - Leigha - Jan 24, 2022
But, we're talking about emergency care. Can you imagine the admissions desk asking if you're vaxxed and you say no...and they say, sorry you have to leave? I don't want to live in that kind of America.
RE: Shrinking band of southern nurses, neck-deep in another Covid wave - Magical Realist - Jan 24, 2022
The admissions nurse can always hand them a bottle of hydroxichloroquine. lol!
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FNWiTiKbUjNUD3B1pgPmuL0FiMciCWYAd5is9j/a1ActpTcb/L8PmalzSGk2aTF4pUUsxAA5msXj+IvjHyW5FoHtNtm8O6lTh9/EnNfMLyQbefWtFgOFQALa7dBWMpOWkWopdg+AwCIoEaUU7qg10FTvZZTDqVpuRW3E1FUVZ1i4ImaDvK4YkCRRiYYT2U9KmxGFdRmyGimFjvZ51e5lcDbQHrWpayBqoAPUViMI+Rg/4gdhW4w99XUMCNRW/E1RnJbIMHxFXJU6MDBBqHjGGQozNAIGhql41HviUMMAJI61Ahd4DtInQcqJTW0wUfJY8FwDModnOXko+9X6qFHQUNgcKbawDPjVNxfE3CxRuyo6c6q8Y7F2wjE8URbykagAgmicVxhMhy6sRpWdNsxoh9DUioQPhjyrP5H6KxRLgiudc2snXxNae7hEZYyisiAfOtRw3Fh0EnUaGnxvwEgD+VUtXMr1FdWmK9EWzI5QDIpxc8qRLojlXTrXKakiOIphST3VxGtOk0wIrmGVhrrVNifZy25LAFG/MhKn5VeoJ6inHpSodmZXg+JT/DxJPc4BrgnEFMZ7Tf6SPvWngVa8Iw4YlyNBoPHmauKk3SZLaMBdXiPM2x35T+tQfy7GuYfEZR/kEV6xiVXI2YCADNY+2JAYbHUU5Ra8gmn4M0nsmpMu7ueeYkirvC8KtWxogFGID4U0oZ5n51nRVhnD+HtcO2VRz/StJh7CouVRH751VcL4mipkfQiaX+cC5dW1bk82boo+k7V0RikjKTbH8dtO6BUTMZBJ00FB8I4UCCzg7xl8OtXxNZjEcccYlrdtM47I0/Nzmm4xu2CbqjR27CrsAKixOKReyWEnQDqTT7YYjtannG1VPEODI7o69lgZMdBrMdZquhE6cGUDUme6mNwXSFuOvpVpnYLpqR1qot8fzHLkMzEa7+lKoodtgmO4X7pCwJbqTvQCEsJBrT4yw11MpOSYJjXyrO4jDG0+U89QetYzjTtFRdmj4Vi86CfiGhp2NwysVYj4TPlVVw+xckOkAHeedO4pj7nwMuUHQsNiO41qn9bZNb0XiFCNCKdkXurK2kJgK55CtEmGULHzoi8hNUVfG0RSpEBjuB061VFyDoSPCieKYbLc0JMiRPLuocHrvWMn9jSPQvvD+dqSunurqVsdI73i/lipGuCJoUoTUotaVIDPeHwqVG61D7szJ8hU6r1igbHMsazTiaYz9aQHSmIcvf61qcFbCooHT61lSdKmTi11BlUFukR6a1pCSXZEk2G+1mMyWsg+J2CAd34vlVMLqqoUHYVd2eFB8r35Z94nRJ5CNzQXGOGohQoDLNkC76wTI9DVTi3scWugNNRqa0fCba+7BGpO57+lMwHD1RdQGbmT9BQ3G8Z7hA6RmzKMv5gd6Ixx2xN2HY/hyXR21E8jzHnQnCuHrYZtBBiG28jS4DjSXBBOVuYOlR8c4miWn7YLFSFAIJkiBV0v5E76CeKcRS0jMWEgGANyeVVfsjh1yNcOruxLTuJ1iqn2fwguuPeuXgZghgAt3gDWK2C2gNgB4aUl9tjetCY7GLaQu5gD59wqHhdxnTO+hfUDov4R6a+dVnFODNcIbOSBqEbafGm2eNCwBbujKyjSTEjqDsRVXsVFpxjG+6tM/PZR1Y6Ck4VgciKTq5AJPj0qsxeFfFZHkIg1VTJLE7MelPbiNyxCOubTssASCB4fek+7Y/Bd4jEKilmMAVj+JY83XLEQoEKO7rSYzFPebM47I2T7mmgA6xpWM53pFRjWy/4FxJSgRtCNBPMcqtr1pXEMJFY1kBgzBGxFWGC42U7Fzbkf0P2q4zTVMTXlB9rhpS4pBlJO/I8hVzWdx/Fy6gWgdwS0EiBykbUVwfHtdDBgQVgQY1kbyKqNJ0hO2VePv5rjnvgeA0pcBD3EU66/ICrXE8KU6p2T8jQPDbWS+FYQcpidj4Gs3F5bKyVF/wC7X8o9K6nV1a4kGTXbup6DQ006femwK5jUc2tG8PwReSTCjn1PdQE1o+ErFsd5J+cfarhG3smTpA+I4QsEgmQOfOKpEcMJB7/KtPjrmW27dEY+imsbwqBaTvANOaSegiw1zpVhwfC5jnOw27z/AGqpvOQKuOE49ETI3KTI10JnWlBLLYS6LomoEUOQ++hy9w5keNUXH+PAIUtyXYECdPl076C4dxJ8PbVDLgTBIzakydtdzWzkk6JxZqsViVRS7GAP3ArM8KH8c7Xn/wANGyonIn8x7unXXuqt4njHxJytKpzB0nuAGw7zVvwDBXUlgVVGiFM6jloNqnJSlS6HVKyyxXB7TjRcp5MuhH61m8dwg29XlxyYmQPLka2gf1proCIIkHlTlBMSlRgbV5kIZNCO/wDSrrA+0pnLcWO8/wD6GnrFBLw4veuJbXsI8Zvw7AkTzgmK0OA4WluDGZvzH7DlUQUlocqYUuLQiScv9Qiqi86Ym+qIMyWwS7RpJIyoPQ1dXlXKc0ZYMztFUHslftqjKOz2yQTzGwJJ56Vq96JWjSAVm+N4rPcVF1CA5v6jyqz4rxRLSMwIZohQNZJ2rNcNwz3J3LEyxPU8z3VHJLWKKS8kjoZp3uWAkqR4g1pMFw5UgntN16eAox0BEESOc1C4vY8jGFo1qzwHCC8Pd23C9fHuqrW8PeSNUV/kG0rY2r6MJBH6eNEIp9g3Q9EAEAQOgrP8Sv8Aur2ZD+EF1H1j7UbjeIsxKWBnYbsPhXzrN4nCujZnmTuSd/Crm66ElZquH8WS4BqAfkf30o29aDDUf28Kw5WTmU5W+R/qHOrzgmJvPIYwq6EgzJ6DSRRGakDjRZfwz/nb1pKn90Onzrq0JMnjYUqSdNfsPPc1IjAjSpnaZEDlUGdZgnX71yGo24w79K1vDCDaSPyj15/Osg/MZokdeYOutM/j7i6IRry138joPGrhJReyZK+jQe1mNVMNcWe0yFVHPtafes7hwcihTAA1jwqI4N7hzXGnmFAhZ6mSST3zUmGSGKbEbHzIM9dh60pSyY4qkKLZIzE7iNen60dgOHi+TsFXQncz0HfQJeJB0A7/AFBo7g3EktZgSCrGdNIPPu6URSb2ErotrXAbKbLvuZ1PiRUh4Va/LPiT+tQXPaKyOfqVH3oV/aux+ZPN0H3reo+iLY7i/CrYtu6jKUUtIO+UTrNWWAxiXUDIeQkdNKyPGuPnEKbVsQr9lmGoA5y23kO6ocDiXssMg0G4ncdY+1RlGMh02jdOJrOcexGJTRGlG0DkxB10aBPLzq1wnEkdQcwB5gmPSapfaniqZAiMGdnTbUABgTr1gGrk/rZKWy64Ey+5QAgkKM3XN+Ikd5k0RfxqqwQdpzsg38SeQ8axPaHwuV02IkT1HP50V7N3Al5y7ElkgM0adoHQDQCpjyJ0inEuOI8PxF7QuiJzC5ifAaRPfrUdn2dygAXCI/KP1OvnV0b6/mX1FRtjrY/GvqKpxTdsVlDj+CMnbzm5HJoGUdQBoas/Z64uVlntTPjoKg49xVUtMFks4yLoYltPPSapEQjtBmBjoIMciKyk1GVlJNo2+IxCopZiABzNZ3F8Ta+CE7NvbNzbw7qrblstGdi40MbDzHOn274GnI7Upct9AoiBFVSoiPr1+9QtZcghHYLy+E+IBImpLrjlTBc01O3Ss1Jopo0XsykWBpBLOTz2Yrvz2qfjeX3LluQBHjIpnBW/5Fs9VB8zqfrUPtE8WGnmUH/UP0rp/p/hn5Mubva7udWfBOKC0zI+zHMD+n6VBwzh3vTzCDc9T0FWOK4ChXsEzGzQQfHTSsYKS2kXJrotP5xa6n0rqxv8EP8A0j/8a6tM36Jr8l258tqBbDHTtRHIwZ7z8+dEs8/vfuqB3JBnpsRttFYlo5rEbtp0691RusQw1mf0p1kFvDn670jsJJiRMemhMUDFRzJJOmm1NeOg8/1/e9ciyxOwGpjXyqVrc7QfH9/uaAIiSdxpy6fI6mke2Y0iPD6VzyDHTfX6U97xA3B8qQgJra6HKJ01yifX1pEs9kzAGYn/AGoxxQwJ0Bjy50DsatrqY05cqXbnt+4pt4ZYmOdRlDHj8qAOvdQxWN8ux8jImhktJmzSzNtmJkwdYA2HlFSOpjTaolaNVI+8UWwoJR9N6hckmJI13G47xTVumdhJ17h12pUuDn1pDHi08HM7+WX65at/Zrhkn3rlzGiBnYgnmxEx4afShOHW/euEnTdiPyjeO8kgVrVgAAaACAOgFa8ab2zOTS0TtBEHUHcHUGqSzw4OzkGFV2UHecpgx4GRPdUftPxr+HtErrcfsov+Y8/L7VB7JcRBsIjt21kEn8TEknzkz51pJRk6Yk2gnH4F0Er2hzjfxI6VRYi+VjTSJB8zp9PWtrmqt4hw1XkqcjfI+I+4rKfF5iOMvZm7d06kzXO8gxvG1MvoUYodCDB/WobrlRvWNmgXwzj74cZGUlBtoWEdOzqD5RRo4i2NdUAKIvbJIIkDSdd9486ozckbU7hvEvcYgFgSrrl+ckDv2IHca2jNv6shxrZ6Bh7YRQqiANv31puOxq2kLtsNh1PIChk4raK5g4jzn0rK8S4j795PwD4QfmT31s5KKIStk3/iC50T1pKq8i9K6sPkfs0xRpCM0zPht/eka0oEbbc+YpsnnAnb5f3pmQk/HIpAPTszA0j0mhVUtACkQTJ2O88qLZTGhzegpACFnmd/CgYg0EDaeU7muAzaEkH96ULetuzgqYH9vnrPpRF3fcEjf+45UhCqkA6yZqC62kd1PA76gdt515UDCA3Z116nSgcTikXbWlxKsR2THX7EUKkdkndZJBg69e86/OgAb+KZ3EyflGnKD9aPwzkKM5Gkz361ExBBOmp9d48NvlS3CQAVAP7+lAEl98220jlQ7gKCefjyrleJk9B/eoY0APSOu46+VIBpcncayR1ETHTwpM20AjqSTNKCAIpUUGNT/byoGGcMxos3A5EAgqSTyJB16bb1o73H7SrmJO3SPU7VlLwXmN+dA4jDoIIQbzoOfX6VceTFUS42OxWMfEXjeb4RKop5L1g9fpTXzA5kOU+oIHJhzH7FRs+mnPf5R96dadprNyd2VWqL7g3tQQQlwEHYSdf9B/EO461p7fErbCQ6+sH03rAXbCvoyg9/Q0JDroHfLtvr01PxfOtY83shxL/i2KFy85XbQDvygAn1oInTfbefShrLhez6RTA5B694NZN27LWtEz3I5zPTYdabcObsmGHfFKCQNPQf701TrMnwIikAThrGQbsegZmI9Ca64Mp056/rSJciSa5+0CJ1qgE95311B+7fu+dLQBqcT8SeB+jURhd/L9K6upi8E7fFTcT8PnXV1NiBxsP6hQx2bz+rV1dSGh9n4R5famXd66upARvz8KCbc+H/ANWrq6mByb+Q+q1Iuw/fWurqBg979/KhLvw/6a6uoAgXc/vrRSbHz+tdXUgJzy8fsaHucq6uqQQy39hT8Nzpa6gBb3wGhU2PiPoK6upIYxvhHj9q6urqYHc6If4h4frXV1Ah/IeK/wDcKS38fn+tdXU0AVXV1dTA/9k=[/img]
RE: Shrinking band of southern nurses, neck-deep in another Covid wave - confused2 - Jan 24, 2022
As I understand the American system it is normally the sick person that pays - ideally they would be insured. If you were injured (say) racing jetskis and you haven't advised the insurer and negotiated a premium would you still be fully covered? I'd think an insurer could reasonably class the unvaxxed as reckless and maybe refuse some or even all cover.
From an employer point of view it wouldn't surprise me if the unvaxxed aren't frequently high on list of employees you'd be happy to lose anyway - the vax thing is as much an excuse as a reason.