If COVID-19 begins to spread more rapidly in the U.S., somewhere between 200,000 to 2.9 million people might need to enter an ICU -- and experts worry that the U.S. health care system just isn't equipped to handle that.
. The testing effort was also massive. In a single province, Guangdong, they tested more than 320,000 samples for the virus, Aylward says.“When we look at how dangerous this disease is, I think we have to be careful looking at the China data, because China knows how to keep people alive from COVID, they’re super committed to it, and they’re making a massive investment in it as well. That’s not going to be the case everywhere in the world,” Aylward says.
Schaffner says that during the swine flu pandemic in 2009, Vanderbilt stopped elective admissions, mostly for elective surgeries, and turned those parts of the hospital into wards to care for patients with respiratory illnesses. That staffing won’t be easy to find quickly, especially if hospitals aren’t ready when the first infectious patients arrive.
Adding nontraditional personnel to clinical staff -- for example, researchers, clinicians who have retired, and staff from related health professions, like dentists and EMTs -- before turning to nonclinical hospital personnel. And creating specific training and operating procedures for each category of workers, in advance.“We can’t make a whole bunch more ventilators. We can’t do what China did and put up a ‘hospital’ in 7 days.
The patient ultimately died, which might have happened, anyway, she notes, but it’s possible that an earlier diagnosis would have helped. Two staff members at that hospital were infected. The hospital’s bottom line took a 25% hit in the next year, she says, and it contributed to panic in the United States over the infection.As a result, she says, many hospitals beefed up their protocols for identifying patients with new infections.
As a result, the NNU says, 36 nurses are under self-quarantine at home, along with other 88 health care workers.
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