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COVID-19 spikes, pushing LA hospitals with 320% of guests

While new COVID-19 hospitalizations have been downgraded recently in Los Angeles County. But many healthcare facilities are still overwhelmed. The intensive care unit at a hospital in South Bay, Memorial Gardena Hospital, is 320 percent, officials said Wednesday.

The 172-bed medical center has been in multiple levels of “internal disaster” since March and the latest coronavirus rise has been shown in alarming ways. But it is becoming increasingly familiar, including a lack of oxygen equipment in the home, which has delayed massive COVID-1

9 ventilation. Patients and bed vacancies

The demand for oxygen inside hospitals is also soaring, hospital spokeswoman Amie Boersma.

“The bulk of the oxygen supply has been reduced from once a month to every three days and has decreased,” Boersma said in an email. “We have to check it every day.”

But the shortage of employees presents the greatest challenge. In regions besieged by COVID-19, “it is still very difficult to find enough nurses in the ICU,” Boersma said, adding that the hospitals are seeking nurses to travel from all over the country. Request nursing resources from the National Guard.

While the hospital waits for special assistance But it is also using a team structure that allows staff from closed departments, such as same-day outpatient surgeries, to reduce the workload and enable ICU nurses to focus on the tasks that matter most.

The hospital also employs advanced nurse practitioners and physician assistants to supplement the 10-bed ICU and emergency department and provide “another hand and eye,” Boerma said, while hiring senior nursing students to serve as “one hand and eye”. Nursing Assistant

Nearly two dozen patients in need of intensive care are being treated on the telemetry floor and in recovery rooms, she said.

And although the ambulances with critical life-saving patients are diverted as most require admission to the ICU, Boersma said requests can only be changed.

“When most hospitals have ALS problems, no one is detracting the issue,” she said.

LA County hospitals reported an average of 750 to 800 new COVID-19 hospitalizations a day, an astounding figure that most have remained flat since Christmas Eve. The count made the ICU so effective that it exceeded its capacity, and the hospital morgue was so full that the National Guard was called to help move the body to the county coroner’s office until the funeral home and The corpse will be able to work through the task at hand.

There are still fears that new hospitalizations may increase again as a result of transmission during the winter holidays. In the event that this occurs, LA County hospitals may need to receive ration-enabled care, a team of diagnostic staff who must decide which patients will receive critical care, respiratory therapist and intervention. Access to a ventilator and which patient will receive palliative care upon death.

Christina Ghaly, director of health services for LA County, said hospital admissions numbers have dropped somewhat in recent days, well below 8,000.

Although not increasing at the rapid rate seen earlier in the soaring, “They have leveled up at really unsustainable rates,” she said during a briefing on Wednesday. Open enough for patient care “

Especially in this case, Ghaly said, because the county has yet to determine the full extent of potential post-holiday exposure, she cautioned it “will have a significant negative impact on our hospitals”.

“For meaningful relief for healthcare providers, we need rapid and dramatic hospitalization for at least one to two months,” she said.

The county continues to report a large number of new infections, an average of more than 15,000 people a day, and officials say part of these tests will consistently be positive, requiring hospital care in two to three. A week later

On Tuesday, the latest day with all the data from the state, 7,906 coronavirus cases were hospitalized in LA County, 1,699 of which were in critically ill.

While both numbers are still relatively good or slightly down, Ghaly stressed that they remain “unprecedented in this outbreak in LA County and everyone should be concerned.” What will happen next? ”If it continues

She added

“If our number of patients continues to be this high and some higher, then that bodes well for the hospital,” said Barbara Ferrer, LA County Health Director.

Ferrer said that if conditions do not improve, it may be possible for the county to take further restrictions, especially when the threat posed by the new coronavirus first detected in the UK and Considered more contagious

“We are considering all the options right now,” she said. “We are very concerned about the large number of ongoing cases and it feels like there is no large window to try and control the power.”

She said the stakes were truly life and death for many – and all Angelenos had to double their efforts to protect themselves.

“Act as if your life or the life of a loved one depends on it,” she said, “because it might.”

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