Scotties Toy Box

March 25, 2020

Covid-19 is serious

Filed under: Economics, Family, Health, My Life and Rants, News, opinion, People I like, Reason, Science — Scottie @ 12:04

Hello everyone, you wonderful grand people.    I care about all of you ( yes a human caring for other humans, what is wrong with me as it doesn’t seem normal these days ) and I want you to be safe.   

I have the advantage and the serious risk of having a spouse in healthcare, in an  ICU.  I use to work in a surgical ICU myself.   The N95 disposable masks which I am sure everyone knows there is a shortage of but I don’t think everyone understands what that means.   Let me explain.  These masks used to be a normal unit stock item, kept in large amounts on the floor like other PPE such as paper gowns and gloves.   Because of the shortage now every floor person who needs to go into a room where these are required must go individually to the CSR ( the central supply room ) and sign out one mask to be used all day.   They must do this personally, no one can do it for them.   They must have a need for the mask.  

Seems like a way to make sure there is no waste of a much needed item in very low supply, right?   Wrong.   Everyone has seen TV medical shows where a “code blue” is called.    TV surprisingly gets some things correct and some are just for drama.   Here is what happens when a PT needs emergency lifesaving care like if they stop breathing, their heart stops, something like that and it is dramatic, scary , and serious.    I know I have been in many of them.   Someone on the floor will see what is happening due to the many monitors and in person observation of the PT and yell “call the code” or “call a code” or “call code blue”.   Whoever was closest to the desk would initiate the call which is done by picking up the phone and hitting the code that gives a priority call to the main system operators, when they pick up which is normally instantly you state the code ( blue ) room ####.   Then you repeated it.   The operator knows what hospital you called from and this is important as all the hospitals in the system are connected to the same system but have different ways of numbering their rooms.  The operators call the code over that hospitals PA system which activates a host of actions.  

On the ICU floors we sadly have lots of practice with this.  It is almost like a choreographed dance.   In our ICU’s we keep crash carts, fully loaded with emergency drugs and life support equipment including the necessary respiratory tools and a defibrillator for shocking the heart.   Forget the drama showing paddles with someone yelling charge and then clear while slamming the paddles down on the body.   The ones used in real life have two pads, one goes under the PT the other on their chest, the unit is all electronic and starts recording the heart rate and will tell you what to do and when to use it.  but back to what happens in a code blue.   

The closest crash cart is raced to the room.  While that is happening floor staff are already starting life saving measures such as CPR and needed other preparations.   Any of the nurses on the floor that can rush to the room.  Respiratory people nearby in the hospital run to the room as do the doctors / ARNPs / PSCs assigned to the floor.   There is normally a lot of people in the room not just the assigned nurse and CNAs.  ICUs have different sizes and different rules, ours were 11 room units separated by specialty.   Each nurse had two patients only, the charge nurse normally only had one PT but in an emergency could take two.  There is normally a CNAA on the floor also who assists the nursing staff, but mostly ran the unit non-PT care such as monitoring / allowing access to the units, handling the phone, coordinating supplies, logging PTs into the computer systems among other tasks.     Normally that person would be the one to call the code and stays at the desk to coordinate things outside the room, but sometimes after calling the code the CNAA will be needed to help the nurses do CPR or other tasks to save the PT.  

Do you see the problem with each person needing to enter the room in an emergency to have to report to the CSR personally to get one mask to be kept all day?   Many of the staff now needed in the room wouldn’t have needed to be in the room otherwise, most were not directly assigned the PT.  Those people can not enter the room without a mask, it would expose themselves to the very disease killing the PT.   Remember how easily covid-19 is transmitted.  

The hospital my spouse works at has already had 3 PTs die from Covid-19.  They have moved PTs from an entire floor and  are setting it up for just Covid-19 PTs.  Here are the stats from the county in Florida I live in.  

https://www.winknews.com/2020/03/23/latest-coronavirus-update/ <blockquote>

Monday’s Coronavirus Updates: 11 new cases in Southwest Florida

As of 5:45 p.m. Monday, there are 1,227 positive cases of coronavirus (COVID-19) in Florida. The case count includes 1,147 Florida residents and 80 non-Florida residents. There are 18 deaths reported in Florida, with the latest reported Sunday in Palm Beach County.

STATEWIDE NUMBERS

  • Total number of cases: 1,227 (up from 1,171)
  • Number of Florida residents: 1,147 (up from 1,096)
  • Number of non-Florida residents: 80 (up from 75)

SOUTHWEST FLORIDA NUMBERS

Total number of cases: 73*

  • Lee County: 30 (up from 28)
  • Collier County: 39 (up from 34)
  • Charlotte County: 3 (up from 2)
  • DeSoto County: 1
  • Glades County: 0
  • Hendry County: 0

There have been 13,965 total tests administered in the state of Florida, with 1,227 positive tests. 11,637 tests have come back negative, and the remainder are pending, according to the FDOH website. </blockquote>

Also the hospital has stopped visiting hours for any PT not in danger of imminent death.   Any thing a family member wants to be given to the PT has strict procedures.  A member of the staff in connection with the care of the PT in question must meet the family member at the entrance to the hospital.  That staff member will accept the items and clean them before bringing them into the hospital.  

The more people tested the more cases there will be.   Country wide there is not enough supplies nor beds to even begin to help the many people with this virus.  This is not a joke or political game, this is a serious virus that is killing people.   Here is how easy it can be to infect a large number of PT.   Say a PT with an unknown case of Covid-19 is in the hospital.   Say a family member visits the PT or a staff member without protective gear on because the PT was admitted for other reasons than Covid-19 symptoms enters the room, then having been exposed but is unaware goes about their day, everyone they interact with, every surface they touch is possibly infected.   Remember the distance this can travel between people is at a minimum 6 feet just for talking or normal breathing, and it has been found living on surfaces weeks after deposited there.  

On last thing I want to mention.  I care about people, and I care even more for my viewers.  If possible get some gloves, no matter what kind.  Of course latex medical / surgical care gloves are the best, but I have even seen heavy gardening gloves used and keep them in the car.  Also disinfecting wipes and spray in the car.  Use them when getting gas for your car.  Think how many other people have used the pump handles.  I put on my latex gloves, spray the pump handle with disinfectant spray, fill the car then put the pump handle back.   Take the gloves off properly, there is a trick to do that where you are protected and it can be found online and on YouTube, then use the wipes to clean your hands before touching buttons or your steering wheel.  Seems like a lot of steps and maybe a bit over the top doesn’t it.  It is not.  This thing kills the young, the healthy, and those who have health issues as the military is reporting both cases and deaths from it.    If you have any breathing problem even occasional shortness of breath then this thing is even more deadly for you.  

Be well and safe, follow the medical professions guidance.  Ignore tRump as his interest is the stock market and his reelection, despite what he claims he is not a doctor nor does he have an advanced degrees in medicine.  He is talking hope and dreams, not well known science and facts.  Ignore opinion shows that pretend to be news who are either catering to the president or to religious people who hope their god is able to protect them, it has not so far.  I have posted just today about religious leaders calling for people to gather in groups for services, activites, in spite of recommendations just to prove how powerful their faith is.  Now many of those people have fallen ill and those they met are also exposed.  How selfish.    Also do not hoard supplies.   It is not needed and causing problem.   There are plenty of goods and supplies in the US and coming to stores.   Trucks are arriving many times a day.   But if you take more of an item than you can use in a few days you are creating a supply problem our current grocery system is not prepared to handle.  Stores order just what they need at that time depending instead on frequent deliveries.   Besides what are you going to do with a pickup truck bed full of toilet paper?  It is illegal to price gouge in an emergency which this now is.  If you have piled up supplies for six months in your home you will be tripping over them for the next six months while the stores are still stocking them. 

Best wishes, hugs, and love to all.  Scottie

 

 

10 Comments »

  1. Stay safe and try to stay upbeat, all the best to you and yours. And thank you and your husband for working to heal people.

    Liked by 1 person

    Comment by autistsix — March 25, 2020 @ 12:23

    • Hello autistsix. Thank you. It is scary. I am retired from healthcare but my spouse is still exposed. We are both high risk from the effects of the virus so we are both being really careful. I hope you and yours stay safe also. Hugs

      Liked by 1 person

      Comment by Scottie — March 25, 2020 @ 12:52

  2. Scottie, thank you for sharing this. I hope all the 1,594 other people who follow your blog will read it as well.

    I would “pray” that Ron stay well and safe, but you know how much good that would do. So I’ll just send positive thoughts (which, when done among many people can be quite effective) that he remains resistant to the virus.

    Liked by 1 person

    Comment by Nan — March 25, 2020 @ 12:41

    • Hello Nan. Thank you. I agree positive thoughts can be very helpful. Ron is very worried about bringing it home. I used to meet him at the car and take in his lunch bag while he carried his large bag of work stuff. Now I do not, he brings it in and takes it right to the bedroom, sprays everything with Lysol. Then he takes off his uniform / clothes, sprays them also, and tosses them in the washer. I will run the stuff tomorrow after his last 4 days of 12 hour shifts. He then takes a shower. Only then does he come out and join the family. He brings his lunch bag out and packs it himself. He is not playing games with this. People with garages are taking their clothes off in the garage before entering their homes. They know how deadly and easy to catch this virus is.

      I had to go to the drugstore today to pick up a med. I was shocked a the people not following the 6 feet rule.

      Of course a guy who just got his pills and was hanging around while a lady behind him got hers started going on about the “Chinese” virus. I spoke up, because of course I did, and corrected him, informing him that food could be ethnic but viruses couldn’t because everyone could get them. He came over into my space and glared “Ya but it came from there and we call viruses from where they come from so it is the Chinese virus”. I explained that was found to be inaccurate and discrimary 3 years ago and the World Health Organisation had demanded that way of naming diseases and virus be stopped and changed, that it was accepted by our own CDC, furthermore this virus was named by the world community Covid-19 as proof of what I was saying. I added that the Swine flu was started in the US, so should it be called the Oklahoma flu? He looked rather confused as I doubt he expected to be called out on his bigotry and had no response as he got his information off whatever Christian or far right channel he frequented. The woman grabbed his arm and thanked me saying that made sense. The man looked at her and then back to me and nodded and grudgingly said thank you. I guess he never expected an old cripple with a cane to be so up on things and to be willing to stand up to his casual bigotry in a red county. Hugs

      Liked by 1 person

      Comment by Scottie — March 25, 2020 @ 13:49

      • Got gettum, Scottie!!!👨‍🦳👨‍🦯 🦾❗❗👍

        Liked by 1 person

        Comment by Nan — March 25, 2020 @ 15:21

        • Hello Nan. I can’t help myself. Ron sometimes doesn’t know what to do with me in stores. I talk to everyone and anyone. I am sociable , helpful, but I do not tolerate bigotry or assholery behavior and I call it out. Ron is worried someday someone is going to feel embolden enough to attack me. I remind him I carry a cane. They do make decent weapons if you can use them while standing up on your own.

          However in reading again what I typed I realized I made a mistake. What I told him and what is true is the first cases were in Kansas. Not Oklahoma. So it would have still been the US flu but not Oklahoma. Hugs

          Liked by 1 person

          Comment by Scottie — March 25, 2020 @ 16:23

  3. Best wishes Hugs and Love back Scottie. I hope the two of you stay safe.
    Hugs

    Liked by 1 person

    Comment by davidprosser — March 25, 2020 @ 12:51

    • Thank you David. I explained to Nan in reply to her comment the steps Ron and those that work with him are taking. They are more worried about this virus than any other I have ever seen. Please stay safe also.
      Hugs

      Liked by 1 person

      Comment by Scottie — March 25, 2020 @ 13:53

  4. A superb account, Scottie. First-hand knowledge is the best, particularly when the information is not generally available out there. Most reportage is second-hand at best, and it gets endlessly repeated. Those damned daily updates by Trump are dog whistles that keep his ego fix fed. The worst and most-damaging disinformation imaginable. Thanks for your marvelous blog and personal thanks to Ron from us here. ❤

    Liked by 1 person

    Comment by Bill Ziegler — March 25, 2020 @ 15:58

    • Hello Bill. Thank you. That is a grand comment. Ron gave me a handout the unit he works in passed out but I can not post it as it has the name of the hospital system he works for all through it. It is like they want to take credit for everything known about this virus. I will keep doing my best to provide information as I can and Ron loves caring for people so his PTs get the best care when he is there. However he is in high risk category himself so as long as others are there that are not he is refusing Covid-19 PTs.

      Yes isn’t disgusting what tRump and his admin is putting out about this? It is as you say totally false and it will get people killed. He doesn’t care. All he wants is the stock mark to keep going strong because he doesn’t seem to understand the economy is not the stock market. The stock market is how the rich wealthy people are doing. But I guess those are who he really cares about anyway. I hope he remembers his base support could be hurt by this if they listen to his advise. Hugs

      Liked by 1 person

      Comment by Scottie — March 25, 2020 @ 16:49


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