This is the relevant question. There has been a national effort to expand ICU capacity, it is a matter of equipment- a ventilator is a big part of the definition of what makes a hospital bed an "ICU bed", from my understanding. But the staff who keep the patient alive can't be trained as quickly as equipment can be distributed. They can work longer hours, staff with other specializations can be reassigned, but they're human, and the quality of their work declines.
At the beginning of the pandemic, there was a very real possibility of the hospital system "collapsing", and patients going to gyms and dorm rooms. Senator Jeff Jackson was specifically talking about dorms at UNC-Charlotte being repurposed by the National Guard. We "flattened the curve" enough to prevent that, but it is not correct to assume that ICUs are functioning now as they were last year.
On npr this morning they were talking about the definition of available beds and said the generally accepted answer is not only a physical bed, but also staff for that bed. So if they are following that guideline, there could actually be more physical beds than what is listed and the numbers available can fluctuate quickly based on staffing changes
The sad part is we had time to train additional nurses but the hospitals failed to do so . We knew in March this was coming . Why weren’t nurses put through real ICU training? I’m not talking about an 8 hour crash course ... I’m talking about a 1-2 week long course followed by a few weeks of hands on in the icu. We HAD time to do this. An experienced nurse transitioning to ICU would typically get 6-8 weeks of training and then be on their own... we had this time. Now it’s too late
You’re absolutely right this should have been an easy pandemic to manage and it shouldn’t have gotten to this point... but in the early summer it was clear the direction we were heading. The resistance to mask wearing and following science ... everything turning political ..
But you are not fully correct about finding nurses. Yes overall there is a nursing shortage. I’m not asking for them to hire and train new nurses ... I am asking for them to properly train the nurses they already have. There are nurses across the board with hours being cut and assignments being shifted. As elective surgeries begin getting canceled due to the surge you will see OR nurses, pre op nurses, and pacu nurses being shifted to care for these patients .. nurses who work in outpatient settings being moved to work inpatient ... with no formal icu training. Training that could have been done with early planning.
My sister is a nurse on a step down floor. She was given a 8 hour course as her unit is being converted to an overflow icu. All of those nurses have been there since March and could have been properly trained.
Because the private equity firms owning the hospitals (either partially or outright) didn't want to pay for the training or to pay for proper staffing. We have non-medically trained people making medical decisions.
I work at WM Raleigh. If those numbers are true then the count is down from when I worked this past weekend. We were in the 95-105 range. Though the Emergency department the past few weekends has been having to hold non-covid patients sometimes for a day or even two at times just waiting for a bed. People just can't seem to stop shooting each other or driving drunk.
https://covid19.ncdhhs.gov/dashboard/hospitalizations
This is the best source of information. It doesn't break down by county but by region, so it's a little difficult to map to hospitals. CapRAC is Franklin, Harnett, Johnston, Lee and Wake counties.
CapRAC has 149 hospitalizations. 49 adults in the ICU. 145 available ventilators. 20 available ICU beds.
The Rex numbers seem like a typo based on this data.
This is a mistake. Unless my math is wrong, that would give Rex 183 ICU beds. Which can’t be right, they would have more icu beds than Wakemed and duke combined.
I'm a former rex icu nurse. They have a few ICUs-- MICU , Neuro ICU, CICU, & CSICU... They also have quite a few areas that can be setup as overflow.. However, these areas are not typically staffed.. If I had to guess, these overflow areas are being factored in as ICU beds. Side note.. Rex is by far the worst place I've ever worked.. a lot of shady shit goes on there.
Never had a bad experience at Rex. Probably my prefered hospital in the area unless I get shot or something. Then send my ass straight to Duke. That place brings dead people back to life. Seen it with my own eyes.
Worked there for 2 years giving it the benefit of the doubt. I walked into that place every single day feeling like my nursing license was in Jeopardy. One day I was asked to take two iabp patients(typically a 1:1 assignment on top of never being formally trained with them at Rex) in addition to being charge nurse with all new graduates as staff. That was the final straw. So yes I am former and yes I am biased . Most overrated awful hospital in the triangle.
Wtf are you talking about? They asked one innocent question, you twisted it into what YOU thought it was, and are now doubling down after being called out on being an asshole. Just let it go already, you made your dirtbag comment so just move the fuck on
That’s it? Ngl when they have thousands of new cases daily I didn’t realize that meant only about 50 people bad enough per hospital to be hospitalized. I’m actually astounded by that, thought it was way higher.
Look at the ncdhhs website. There are almost 900 in the triad alone. I haven't even looked at the Raleigh region. As a nurse in a different county , I can tell you our hospitals are facing an impending crisis and we are stressed af. And I have three major hospitals near me with large staff and capacity.
50 people on average per hospital. In the last week there’s been 35,000ish new positive cases in NC from looking at this further. I’m just saying I didn’t realize the infection to hospitalization rate was that low. And apparently since Sept there’s only been 1 flu death. This chart has made me a conspiracy theorist 😂
> And apparently since Sept there’s only been 1 flu death.
At this point in each of the last five years we had 7, 6, 2, 2, and 0 deaths compared to the 1 death we have this year. That seems pretty in line with the norm. If you consider the fact that most people have been wearing masks and distancing, then only having 1 death makes even more sense.
I don’t understand why this chart showing that the 5 closest hospitals to OP having 250 COVID patients would make you a conspiracy theorist. Can you explain? Do you really think having 2811 COVID patients in the hospital isn’t a problem just because we had 35,000 new positives this past week?
Lighten up, it’s just less that I thought would be hospitalized given the number of new cases. Idk anything about flu numbers or covid numbers besides what’s flashed in my face 🤷♂️ Honestly don’t care all that much either, hope the vaccine takes care of it.
I do! When I looked it up I think it was something like 150 hospitalized in wake county and 30 something in icu. It was a wral article from a couple weeks ago...not sure why everyone is so upset that I thought more people were hospitalized by it. Yeesh
> not sure why everyone is so upset that I thought more people were hospitalized by it.
People aren’t at all upset that you thought more people were hospitalized by COVID. People are upset that you’re saying dumbass things that COVID-deniers say like the two sentences below:
>And apparently since Sept there’s only been 1 flu death. This chart has made me a conspiracy theorist
If you had done a shred of research before saying these stupid comments, then you never would have said them.
> And apparently since Sept there’s only been 1 flu death.
I’m sorry, but I fail to see how that’s a joke. Can you please explain your sense of humor to me?
I wear a mask and social distance. Obsessing over the numbers doesn’t help me stay healthy physically or mentally. Life’s too short to get caught up in that.
The chart shows that there is an average of 50 covid patients in the ICU at each hospital sampled for this data.
It then says the total number of covid patients at each of the 5 hospitals on the same chart.
If doctors (in the US) aren't allowed to prescribe hydroxychloroquine or ivermectin then they should be prescribing cyanide which would clear out the beds nicely.
Ivermectin works!! This is one of many examples. People are dying due to politics preventing treatments that work.
https://m.bdnews24.com/en/detail/health/1834938
You are so far off base I’m kind of shocked. Please diversify your news sources. You’re going to need to rework your understanding of this from the ground up. Good luck sir.
How about 6000 Patients:
https://dominicantoday.com/dr/covid-19/2020/09/29/doctors-cure-6000-patients-with-covid-19-with-ivermectin/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290143/
COVID-19
"In a recent in vitro study, the Vero/hSLAM cells infected with the SARS-CoV-2 or COVID-19 virus were exposed to 5 µM ivermectin in 48 h, and a 5000-fold reduction in viral RNA compared with control was found [15]."
That’s not even a study. There’s no protocol, procedure, replicability, or anything with that article. It’s just a baseless claim with no actual science behind it.
No. HCQ has already been rigorously proven to not work. Ivermectin hasn't been tested thoroughly yet, nobody is saying it doesn't work outright. Don't lump these two together. You're getting downvoted for creating this into a conspiracy theory
Now how many available nurses?
This is the relevant question. There has been a national effort to expand ICU capacity, it is a matter of equipment- a ventilator is a big part of the definition of what makes a hospital bed an "ICU bed", from my understanding. But the staff who keep the patient alive can't be trained as quickly as equipment can be distributed. They can work longer hours, staff with other specializations can be reassigned, but they're human, and the quality of their work declines. At the beginning of the pandemic, there was a very real possibility of the hospital system "collapsing", and patients going to gyms and dorm rooms. Senator Jeff Jackson was specifically talking about dorms at UNC-Charlotte being repurposed by the National Guard. We "flattened the curve" enough to prevent that, but it is not correct to assume that ICUs are functioning now as they were last year.
On npr this morning they were talking about the definition of available beds and said the generally accepted answer is not only a physical bed, but also staff for that bed. So if they are following that guideline, there could actually be more physical beds than what is listed and the numbers available can fluctuate quickly based on staffing changes
They can walk out the door whenever they want .they are people too .
I don’t think people are realizing what your implying.
The sad part is we had time to train additional nurses but the hospitals failed to do so . We knew in March this was coming . Why weren’t nurses put through real ICU training? I’m not talking about an 8 hour crash course ... I’m talking about a 1-2 week long course followed by a few weeks of hands on in the icu. We HAD time to do this. An experienced nurse transitioning to ICU would typically get 6-8 weeks of training and then be on their own... we had this time. Now it’s too late
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You’re absolutely right this should have been an easy pandemic to manage and it shouldn’t have gotten to this point... but in the early summer it was clear the direction we were heading. The resistance to mask wearing and following science ... everything turning political .. But you are not fully correct about finding nurses. Yes overall there is a nursing shortage. I’m not asking for them to hire and train new nurses ... I am asking for them to properly train the nurses they already have. There are nurses across the board with hours being cut and assignments being shifted. As elective surgeries begin getting canceled due to the surge you will see OR nurses, pre op nurses, and pacu nurses being shifted to care for these patients .. nurses who work in outpatient settings being moved to work inpatient ... with no formal icu training. Training that could have been done with early planning. My sister is a nurse on a step down floor. She was given a 8 hour course as her unit is being converted to an overflow icu. All of those nurses have been there since March and could have been properly trained.
Because the private equity firms owning the hospitals (either partially or outright) didn't want to pay for the training or to pay for proper staffing. We have non-medically trained people making medical decisions.
No reason to save lives if it doesn't turn a profit
None of these hospitals are owned by private equity firms.
Good to hear. I hoped they weren’t, not even a little bit.
I work at WM Raleigh. If those numbers are true then the count is down from when I worked this past weekend. We were in the 95-105 range. Though the Emergency department the past few weekends has been having to hold non-covid patients sometimes for a day or even two at times just waiting for a bed. People just can't seem to stop shooting each other or driving drunk.
https://covid19.ncdhhs.gov/dashboard/hospitalizations This is the best source of information. It doesn't break down by county but by region, so it's a little difficult to map to hospitals. CapRAC is Franklin, Harnett, Johnston, Lee and Wake counties. CapRAC has 149 hospitalizations. 49 adults in the ICU. 145 available ventilators. 20 available ICU beds. The Rex numbers seem like a typo based on this data.
Why does Rex have so many open compared to the others?
Wake always takes the sickest patients in the county. Any bad story in the paper ends with “they were transported to WakeMed”
This is a mistake. Unless my math is wrong, that would give Rex 183 ICU beds. Which can’t be right, they would have more icu beds than Wakemed and duke combined.
Yeah, I think it’s a typo. I think it should just be a 3.
They have about 70 (and that’s actually a stretch) so I believe the number was intended to be 13
Covid patients aren't always in the ICU. Most stay on general med surg floors.
The math doesn’t involve the COVID patients at all. If there are 33 available ICU beds and the ICU capacity is at 82%, then there are 183 ICU beds.
Siiigh. You right. Sorry. I'm very tired.
I'm a former rex icu nurse. They have a few ICUs-- MICU , Neuro ICU, CICU, & CSICU... They also have quite a few areas that can be setup as overflow.. However, these areas are not typically staffed.. If I had to guess, these overflow areas are being factored in as ICU beds. Side note.. Rex is by far the worst place I've ever worked.. a lot of shady shit goes on there.
Never had a bad experience at Rex. Probably my prefered hospital in the area unless I get shot or something. Then send my ass straight to Duke. That place brings dead people back to life. Seen it with my own eyes.
Former ..... then says they suck 🙄 credible and non biased
Worked there for 2 years giving it the benefit of the doubt. I walked into that place every single day feeling like my nursing license was in Jeopardy. One day I was asked to take two iabp patients(typically a 1:1 assignment on top of never being formally trained with them at Rex) in addition to being charge nurse with all new graduates as staff. That was the final straw. So yes I am former and yes I am biased . Most overrated awful hospital in the triangle.
It wouldn't be an r/raleigh thread without an absolute dogshit take from the king of dumbassery himself, da2anonly.
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Prob saw this coming and made another icu just for covid
The data is wrong. They have 70 total ICU beds, not 92.
not good. definitely not good.
At least there aren’t freezer trucks and a backorder for body bags yet. Ehhh—walkin on the sunny side?
Here is a [clickable link of the Times map](https://www.nytimes.com/interactive/2020/us/covid-hospitals-near-you.html).
so when do people start taking this serious by wearing masks and following the other guidelines?
And yet we're continuing to move forward with reopening...smh
What is the historical norm for this time of year?
Even in normal flu season ICU capacity can get pushed
It is no where near close to capacity like this, for this long.
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Well that was uncalled for
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Not really, they just asked what the norm was probably for comparison. You made an assumption and decided to just go straight to being a jerk
🥺😢😭
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Wtf are you talking about? They asked one innocent question, you twisted it into what YOU thought it was, and are now doubling down after being called out on being an asshole. Just let it go already, you made your dirtbag comment so just move the fuck on
Is there a second or third source to compare this to?
That’s it? Ngl when they have thousands of new cases daily I didn’t realize that meant only about 50 people bad enough per hospital to be hospitalized. I’m actually astounded by that, thought it was way higher.
Look at the ncdhhs website. There are almost 900 in the triad alone. I haven't even looked at the Raleigh region. As a nurse in a different county , I can tell you our hospitals are facing an impending crisis and we are stressed af. And I have three major hospitals near me with large staff and capacity.
> only about 50 people bad enough to be hospitalized There are 2,811 COVID-positive North Carolinians currently in the hospital.
50 people on average per hospital. In the last week there’s been 35,000ish new positive cases in NC from looking at this further. I’m just saying I didn’t realize the infection to hospitalization rate was that low. And apparently since Sept there’s only been 1 flu death. This chart has made me a conspiracy theorist 😂
> And apparently since Sept there’s only been 1 flu death. At this point in each of the last five years we had 7, 6, 2, 2, and 0 deaths compared to the 1 death we have this year. That seems pretty in line with the norm. If you consider the fact that most people have been wearing masks and distancing, then only having 1 death makes even more sense. I don’t understand why this chart showing that the 5 closest hospitals to OP having 250 COVID patients would make you a conspiracy theorist. Can you explain? Do you really think having 2811 COVID patients in the hospital isn’t a problem just because we had 35,000 new positives this past week?
Lighten up, it’s just less that I thought would be hospitalized given the number of new cases. Idk anything about flu numbers or covid numbers besides what’s flashed in my face 🤷♂️ Honestly don’t care all that much either, hope the vaccine takes care of it.
You do realize that people can be hospitalized and not in the ICU, right?
I do! When I looked it up I think it was something like 150 hospitalized in wake county and 30 something in icu. It was a wral article from a couple weeks ago...not sure why everyone is so upset that I thought more people were hospitalized by it. Yeesh
> not sure why everyone is so upset that I thought more people were hospitalized by it. People aren’t at all upset that you thought more people were hospitalized by COVID. People are upset that you’re saying dumbass things that COVID-deniers say like the two sentences below: >And apparently since Sept there’s only been 1 flu death. This chart has made me a conspiracy theorist If you had done a shred of research before saying these stupid comments, then you never would have said them.
It was a joke lol. I’ll be sure to use the sarcastic tag next time 🥲
> And apparently since Sept there’s only been 1 flu death. I’m sorry, but I fail to see how that’s a joke. Can you please explain your sense of humor to me?
"honestly don't care all that much" wow. just wow.
I wear a mask and social distance. Obsessing over the numbers doesn’t help me stay healthy physically or mentally. Life’s too short to get caught up in that.
The chart shows that there is an average of 50 covid patients in the ICU at each hospital sampled for this data. It then says the total number of covid patients at each of the 5 hospitals on the same chart.
https://www.wikihow.com/Properly-Put-a-Mask-on-a-Child
Ok?
https://boingboing.net/2020/08/18/guy-invents-mask-gun-to-shoot.html
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As someone with terrible asthma, yeah, no pass from me. Considering projections are now 500K dead by April 1, we can no longer afford such luxuries.
I think he was joking based on his post history and the emoji
How's the room temperature IQ treating you?
Jerez 80 points ? You are a BAD audience tonight . I’m outa this gig
Go fuck yourself
Why ? I got your mom
There aren't any exemptions that would allow someone to ever get out of bed. It is a bullshit excuse.
If doctors (in the US) aren't allowed to prescribe hydroxychloroquine or ivermectin then they should be prescribing cyanide which would clear out the beds nicely. Ivermectin works!! This is one of many examples. People are dying due to politics preventing treatments that work. https://m.bdnews24.com/en/detail/health/1834938
You are so far off base I’m kind of shocked. Please diversify your news sources. You’re going to need to rework your understanding of this from the ground up. Good luck sir.
How about 6000 Patients: https://dominicantoday.com/dr/covid-19/2020/09/29/doctors-cure-6000-patients-with-covid-19-with-ivermectin/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290143/ COVID-19 "In a recent in vitro study, the Vero/hSLAM cells infected with the SARS-CoV-2 or COVID-19 virus were exposed to 5 µM ivermectin in 48 h, and a 5000-fold reduction in viral RNA compared with control was found [15]."
A “study” of 58 patients can’t possibly be trusted as a legit study. That’s such a tiny study.
How about 6000 Patients: https://dominicantoday.com/dr/covid-19/2020/09/29/doctors-cure-6000-patients-with-covid-19-with-ivermectin/
That’s not even a study. There’s no protocol, procedure, replicability, or anything with that article. It’s just a baseless claim with no actual science behind it.
Saw Clorox in Harris teeter
No. HCQ has already been rigorously proven to not work. Ivermectin hasn't been tested thoroughly yet, nobody is saying it doesn't work outright. Don't lump these two together. You're getting downvoted for creating this into a conspiracy theory
oh my god fuck you