Hospital ICU beds at capacity......

8,766 Views | 49 Replies | Last: 3 yr ago by 3rd Generation Ag
Marcus Aurelius
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5:56p, 12/10/20
AG
So I came back to work today. There are no open ICU beds (56 total). The covid MICU unit is full (14) and now NICU is all covid (14). SICU and CCU full of non covid pts. Elective procedures continue (for now). There are 10 covids waiting for beds in ER.

In my entire county (11 hospitals) there are 6 covid ICU beds available, and 7 non covid ICU beds available.

Seems as if the scenario we were so intensely trying to prevent in March is occurring now.
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Aggie95
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6:08p, 12/10/20
AG
how much of this is due to having more therapeutics like Remdesivir, Regeneron, etc. that require a few days of hospitalization?
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cc_ag92
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In reply to Marcus Aurelius • 6:08p, 12/10/20
AG
Damn. It's good to hear that you're up and back at work. I hate that you walked into that situation. Again, thanks for all that you're doing.
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Duncan Idaho
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6:08p, 12/10/20
How are your staffing levels looking?

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Marcus Aurelius
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In reply to Duncan Idaho • 6:18p, 12/10/20
AG
OKAY for now. But - the MICU and NICU nurse mgrs quit today. Hospital refusing requested raises. Terrible. Both busting their asses working 16+ hr days. Rumor is many other RNs quitting. Would be a disaster. Hospital is going to open GI recovery for more unit beds. Don't know who will staff those.
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Marcus Aurelius
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In reply to Aggie95 • 6:28p, 12/10/20
AG
Aggie95 said:
how much of this is due to having more therapeutics like Remdesivir, Regeneron, etc. that require a few days of hospitalization?
I would say zero.
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3rd Generation Ag
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6:32p, 12/10/20
AG
If the news is accurate, some areas of the metroplex are getting short on ICU beds also.
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Duncan Idaho
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In reply to Marcus Aurelius • 6:32p, 12/10/20
Do you have access to Regeneron?
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FlyRod
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6:36p, 12/10/20
Sorry to hear this Marcus. Glad you are (knock wood) over the worst of COVID. I'm sorry you and the frontline workers continue to deal with this. It didn't have to be this way. Please hang in there and take care of yourself.
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Marcus Aurelius
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In reply to Duncan Idaho • 6:39p, 12/10/20
AG
Duncan Idaho said:
Do you have access to Regeneron?
right now outpt only yes.
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shalackin
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6:50p, 12/10/20
AG
What day did in your illness did you get cleared to go back?

Did you take the 50,000iu of V-D?
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Marcus Aurelius
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In reply to shalackin • 6:53p, 12/10/20
AG
about 14. tested neg. yes I took vit D and zinc, ASA 81mg.
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Not a Bot
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In reply to Marcus Aurelius • 6:57p, 12/10/20
AG
Marcus Aurelius said:
OKAY for now. But - the MICU and NICU nurse mgrs quit today. Hospital refusing requested raises. Terrible. Both busting their asses working 16+ hr days. Rumor is many other RNs quitting. Would be a disaster. Hospital is going to open GI recovery for more unit beds. Don't know who will staff those.


Sad to hear about this.

Healthcare is a very human-driven business and I think unfortunately a lot of healthcare administrators have been trained in such ways and have such incentive to be completely inhuman at times. Everything is a numbers game. People are numbers. Nurses are a cost center. Hospitals are factories. That's how they're trained and most importantly that's where their incentives are. And it's a damn shame.
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DCAggie13y
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8:04p, 12/10/20
AG
Heard a report today that hospitals are beginning to fill up with people who avoided necessary treatments over the last 6 months. Lots of very sick people who skipped treatments and now require hospitalization.
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Duncan Idaho
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In reply to DCAggie13y • 8:15p, 12/10/20
That has to be it...that and flu cases
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DCAggie13y
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In reply to Duncan Idaho • 9:16p, 12/10/20
AG
Yep. 1 million hospital beds in the US and 100,000 beds are populated by covid positive patients. You don't have to be good at math to realize the vast vast majority of hospitalized people do not have COVID.
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hook60
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In reply to DCAggie13y • 9:31p, 12/10/20
Gumby said:
Yep. 1 million hospital beds in the US and 100,000 beds are populated by covid positive patients. You don't have to be good at math to realize the vast vast majority of hospitalized people do not have COVID.
True, but you have 100,000 incremental patients (doesn't matter what the cause) putting a burden on an infrastructure that can't easily be ramped up.
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I Am A Critic
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In reply to DCAggie13y • 9:33p, 12/10/20
Gumby said:
Yep. 1 million hospital beds in the US and 100,000 beds are populated by covid positive patients. You don't have to be good at math to realize the vast vast majority of hospitalized people do not have COVID.
What %age of ICU beds are taken up by Covid patients?
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DCAggie13y
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In reply to I Am A Critic • 9:41p, 12/10/20
AG
Not sure where to get that data at the national level. In VA, its 15% of total ICU bed capacity and 28% of patients currently in the ICU.
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Not a Bot
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In reply to Duncan Idaho • 9:42p, 12/10/20
AG
Duncan Idaho said:
That has to be it...that and flu cases


Flu is practically nonexistent right now.

What we are filling up with are for the most part chronically ill people who tend to flood the system when the weather changes. The problem with Covid is that it is stacking on top of our typical peak census.
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DCAggie13y
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In reply to Not a Bot • 9:51p, 12/10/20
AG
The interview i heard was a hospital director in Kentucky. She said covid wing was empty but rest of the hospital was at max capacity with chronically ill people who had skipped treatments. Specifically mentioned patients with diabetes, heart and kidney disease.
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beatlesphan
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10:20p, 12/10/20
AG
I'm in Arizona. Our ICU beds are completely full and have opened up PACU's and what not to put more patients there. ICU patients are about 80% COVID. Total ICU census is about 4x what it usually is in December
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
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cone
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10:26p, 12/10/20
AG
have they canceled elective procedures yet?

that's when you know **** has hit the fan
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DCAggie13y
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In reply to beatlesphan • 10:30p, 12/10/20
AG
beatlesphan said:
I'm in Arizona. Our ICU beds are completely full and have opened up PACU's and what not to put more patients there. ICU patients are about 80% COVID. Total ICU census is about 4x what it usually is in December


Hope it drops as rapidly as it did during the summer peak in AZ.

https://covidtracking.com/data/charts/hospitalized-per-million-by-state
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beatlesphan
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In reply to DCAggie13y • 10:48p, 12/10/20
AG
Same here. We're supposed to get dose #1 of vaccine next week.

Elective cases ongoing. At this point I don't think care has been compromised for patients, it's only making it busier for us. So for now I have the attitude of oh well, I'll take on whatever comes our way.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
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Big Al 1992
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In reply to Marcus Aurelius • 9:19a, 12/11/20
AG
Marcus Aurelius said:
about 14. tested neg. yes I took vit D and zinc, ASA 81mg.


Glad you're back at work and recovered! Now that you have antibodies are you doing anything different? Not worrying about exposure so much?
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Marcus Aurelius
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In reply to Big Al 1992 • 9:50a, 12/11/20
AG
Ha. Yeah - going into covid rooms maskless. Hugging and kissing patients.

No. Full PPE and precuations.
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Capitol Ag
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In reply to Marcus Aurelius • 10:12a, 12/11/20
AG
Marcus Aurelius said:
Ha. Yeah - going into covid rooms maskless. Hugging and kissing patients.

No. Full PPE and precuations.
Don't forget the lick doorknobs too!


Seriously, glad you are better Doc. These vaccines can't get here soon enough.
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ec2004
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In reply to Not a Bot • 2:50p, 12/11/20
AG
Cactus Jack said:

Sad to hear about this.

Healthcare is a very human-driven business and I think unfortunately a lot of healthcare administrators have been trained in such ways and have such incentive to be completely inhuman at times. Everything is a numbers game. People are numbers. Nurses are a cost center. Hospitals are factories. That's how they're trained and most importantly that's where their incentives are. And it's a damn shame.

I know this isn't the point of the thread, but it's amazing to me how people just assume someone who has a job of running a hospital only sees others as "numbers". I've worked as a consultant with plenty of hospitals and never once heard such an opinion coming out of the mouth of an administrator.

This just doesn't seem like a helpful comment.

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DadHammer
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In reply to Marcus Aurelius • 5:19p, 12/11/20
AG
Marcus Aurelius said:
Ha. Yeah - going into covid rooms maskless. Hugging and kissing patients.

No. Full PPE and precuations.

Your like Mr. Burns now. Nothing can harm you!
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AggieMPH2005
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4:22p, 12/12/20
I agree. A lot of good Ags are in health care administration.
I am one of them. I am not always able to give my employees everything they want or deserve. That doesn't mean I see them only as numbers and am willing to sacrifice them for a bonus.
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HotardAg07
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In reply to nortex97 • 5:19p, 12/15/20
AG
nortex97 said:
I thought Houston ICU's were supposed to be over-run in week two of July. Did that somehow not happen?
Houston reached the higher end of Phase 2 capacity but never entered Phase 3 capacity:
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plain_o_llama
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In reply to HotardAg07 • 7:19p, 12/15/20
This is a plot of the TMC data for the number of Covid patients in ICU since things started.


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HotardAg07
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In reply to plain_o_llama • 9:15p, 12/15/20
AG
That's pretty clear then. Add 350 to the current levels, and you're at Phase 2, just below Phase 3.
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plain_o_llama
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In reply to HotardAg07 • 9:48a, 12/16/20
HotardAg07 said:
That's pretty clear then. Add 350 to the current levels, and you're at Phase 2, just below Phase 3.
Yes. The totals plot helped me understand how the different phases fill up in relation to the number of Covid patients. It also gives a simple comparison to the summer.
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