I took the day off. Yesterday was one of the most stressful since this Virus hit. Why do you ask...well good question:
1. in Orthopedics...I will care for up to 6 patients. Our Ortho floor is now a Covid 19, floor since there is no more elective surgeries for now. So we get 3 covid 19 patients max. we have a buddy system. we cohort everything. if a med is due at 9am, another at 11am......everything is rescheduled to minimize our contract. so either I push everything to 9am or 11am or go in at 10am. the idea is to go in twice during a 12 hour shift. now this didn't happen but it is the goal. after suiting up, my buddy stands at the door in the event I or the patient needs anything that I forgot or a new request....a blanket, pitcher of ice....etc by lunch time we ran out of face shields. they gave us goggles. the problem is because of the face shield, n95 face mask are not necessary. the n95 face mask protects against spreading….like the face shield. so after 12pm, we used goggles with surgical mask. very very little protection if any at all since the surgical mask do not prevent spreading.
2. 1 of my 3 patients is doing well. 52yrs old male. unfortunately, his wife is intubated in ICU and doing poorly. she has asthma in her history. they have 3 young kids. the wife is a nurse that refused intubation initially, but then she had no choice. most of his day was spent crying for his wife and the kids. he states doctors are not telling him anything on his wife. no updates. I spoke with his MD and explained his concerns so hopefully he will get an update by today. he is scheduled to go home to self quarantine to make room for other patients. so if you are Covid 19 positive, but stable...you will go home to self quarantine. Please note, there are some that have returned because of returning fevers.
3. by 10am another Pt on the floor had to be intubated and rushed to an ICU floor. at the end of the shift, another Pt's heart rate ranged 160 - 170's and staying. he dies they pulled the defib to shock him....but please keep in mind, the people that cared for him....the goggles get clogged. it is very difficult to spend more than 10 minutes with the face mask. One critical care RN pricked himself instead of the patient, because he was not able to see clearly thru the goggles.
4. Call from a friend, that another friend had passed. I asked how.....I was told internal bleeding. I probed for more.....the family is under the impression that since she didn't have symptoms of the flu, nor virus, she was sent home without furthing probing. she returns home. the ambulance is called by the family to take her back. she becaome non responsive in the ambulance and later died in the hospital. Internal bleeding.
The virus is a monster. it is taking people out. now let me place my Financial Hat back on. the Dow has erased all the gains since Trump started his presidency. The DOW dropping 3000 pts is or was unheard of. The country is way behind in its response to react. 600 pts diagnosed last week. now the county has 5000, some 1 week later. this number will increase exponentially. more and more ICU beds are needed because in my hsopital, many are getting worse with more coming in.
This shiat is real. I witnessed my first death on March 6. since then 3 more have died, with many remaining very weak. RNs have no mask, no face shields.....I will try to post pictures.