"Ooops", said Gov Cuomo
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Thread: "Ooops", said Gov Cuomo

  1. #1
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    Default "Ooops", said Gov Cuomo

    Hospitals lack staff to run ventilators

    https://montgomeryadvertiser-al.news...id_subscriber&

    https://tinyurl.com/th5wsc3

    While the coronavirus threatens the nation’s health care system, hospitals seek tens of thousands of ventilators to help patients breathe as the disease attacks their lungs.


    Someone needs to operate those breathing machines, and there aren’t enough specially trained personnel, health care experts warned.


    “They’re very complex machines, and you don’t have enough respiratory therapists,” said Thomas Frieden, a former director of the U.S. Centers for Disease Control and Prevention.


    “You’re going to have to train nurses and others to run them,” he said. “This is not a surprise. We’ve known for more than 15 years that this is one of the biggest chokepoints ... in saving lives in a pandemic.”

    - more -



    Eric

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    Senior Member BonMallari's Avatar
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    when I had to recently stay at the UCLA med center I did not bring my CPAP machine so the Dr's ordered one to be brought up. There was only ONE respiratory therapist on duty for each shift, They ended up bringing behemoth of a machine that was wheeled in on a cart and probably the size of a mini fridge. It was made by Respironics-Philips, the same company that makes my machine which is the size of a small loaf of bread. Not only did the therapist not know that a CPAP machine should have the bleeder valve closed, it has a setting based on how much air is needed based on the patients breathing patterns. This therapist basically knew how to plug in the machine and turn it on. I opted to be on oxygen for the evening instead..

    I could only imagine that a ventilator requires even more training by a therapist
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    Quote Originally Posted by Eric Johnson View Post
    Hospitals lack staff to run ventilators

    https://montgomeryadvertiser-al.news...id_subscriber&

    https://tinyurl.com/th5wsc3

    While the coronavirus threatens the nation’s health care system, hospitals seek tens of thousands of ventilators to help patients breathe as the disease attacks their lungs.


    Someone needs to operate those breathing machines, and there aren’t enough specially trained personnel, health care experts warned.


    “They’re very complex machines, and you don’t have enough respiratory therapists,” said Thomas Frieden, a former director of the U.S. Centers for Disease Control and Prevention.


    “You’re going to have to train nurses and others to run them,” he said. “This is not a surprise. We’ve known for more than 15 years that this is one of the biggest chokepoints ... in saving lives in a pandemic.”

    - more -

    Eric, this has been a flash point for my wife every time she hears someone calling for more ventilators. No one mentions that they need qualified people to run them.
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    Senior Member Dave Farrar's Avatar
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    Quote Originally Posted by Golddogs View Post
    Eric, this has been a flash point for my wife every time she hears someone calling for more ventilators. No one mentions that they need qualified people to run them.
    You don't always need a RT for the ventilators. Many nurses can intubate and run the machine. My wife is NICU nurse. At her hospital, the RT intubates and the nurses keep it going.
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    The real point is that very often a problem has an underlying problem that may be even bigger.

    When I was in Air War College, one lesson had a real sticking point. This was in the mid-80's and the F-16 was a really new aircraft. It was revealed to the class that General Dynamics only had the capacity to manufacture 6 aircraft per year! That sounded terrible. If we went to war with the Soviets (remember . . mid-80's) we would likely lose that many aircraft in the first 24 hours. I, a humble Medical Service Corps officer, asked how long it would take to train the replacement pilots for the 6 losses. Dead silence in the room from my flying compatriots.

    Cuomo saw a problem he could make hay with but hadn't looked or discovered the full problem.
    Eric

    WRC HR Lennoxlove's Run with Wolves JH, WCX ("Cheyenne") ... still so fondly remembered
    HRCh Struan's Devil's in De Tails SH, WCX ("Lucy") ... as is her daughter
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    Struan's Master of the Hunt JH, WC ("Charlie") ... also gone
    Struan's Just Plain Perfect ("Jane")
    NSDTR/CH Struan's Driving Us Crazy JH WCI ("Daisy") ... the baby in charge
    Honeyrun's Duchess of Argyll ("Socks")
    Dixie ... the "spare parts" dog

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    Senior Member Golddogs's Avatar
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    Quote Originally Posted by Dave Farrar View Post
    You don't always need a RT for the ventilators. Many nurses can intubate and run the machine. My wife is NICU nurse. At her hospital, the RT intubates and the nurses keep it going.
    Wife is a nurse also and they still need to be trained on them. Maybe 1/4 of them can do that. Still not enough to man 10000 machines. Hope she is able to stay safe.
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    Quote Originally Posted by Golddogs View Post
    Wife is a nurse also and they still need to be trained on them. Maybe 1/4 of them can do that. Still not enough to man 10000 machines. Hope she is able to stay safe.
    Any idea of how long the training takes? And do you know of any duck/pheasant suppliers in south-western MN?

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    Mercedes Formula 1 champions set to build a simpler alternative to the standard medical ventilators based on CPAP technology. Pandemics are the mother of invention.

    https://news.sky.com/story/coronavir...ffort-11965584




    Reports from Italy indicate that approximately 50% of patients given CPAP have avoided the need to be put in an invasive mechanical ventilator - equipment the UK government is working to stock up on.
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    Quote Originally Posted by Dave Farrar View Post
    You don't always need a RT for the ventilators. Many nurses can intubate and run the machine. My wife is NICU nurse. At her hospital, the RT intubates and the nurses keep it going.
    Typically, CCU and ICU Nurses can operate a ventilators. Still will not have enough trained personnel, but not as bad as portrayed by some...Which I think is true for most things on this crisis...

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    Quote Originally Posted by mngundog View Post
    Any idea of how long the training takes? And do you know of any duck/pheasant suppliers in south-western MN?
    They can be trained to monitor in several sessions of orienting.. usually over a period of weeks. This is looking at gauges for flow and such. But I'd something happens an RT needs to be called and that is where the shortage lies. Some suggest ICU and CCU nurses can handle it , and this is true, but they are a very small number of specialized skilled nurses in the hospital campus. The majority of them are not trained for that job and all are still needed to staff other departments.

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