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March 31, 2020
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   TOP NEWS


US hospitals brace for another challenge — an unprecedented shortage of nurses Share on FacebookTwitterShare on LinkedinE-mail article
NBC News
As hospitals around the country prepare for a surge of tens of thousands of coronavirus patients expected in the coming weeks, they are trying to fill thousands of "crisis" nursing jobs nationwide, particularly intensive care unit and emergency room positions. Even before the coronavirus outbreak, several states were experiencing nursing shortages, and without a dramatic increase in staffing, hospital administrators and advocates fear the healthcare system will not be able to handle the demand.  READ MORE




    ARTICLES


US could see millions of coronavirus cases and 100,000 or more deaths, Fauci says Share on FacebookTwitterShare on LinkedinE-mail article


  1. The nation's top infectious disease expert, Dr. Anthony Fauci, said Sunday that based on best- and worst-case models, the United States could eventually see between 100,000 to 200,000 deaths.
  2. Coronavirus deaths doubled to more than 2,000 nationwide in two days. The US has the most confirmed cases worldwide, with more than 121,000 as of Saturday morning.
  3. Two weeks... That’s how long it will take for numerous hospitals across the country to run out of beds. Dr. Anthony Fauci and other experts have said the recent uptick in cases has caused severe supply shortages for hospitals around the country.


Forecasting COVID-19 impact on hospital bed-days, ICU-days, ventilator days and deaths by US state in the next 4 months Share on FacebookTwitterShare on LinkedinE-mail article


  1. Assuming social distancing methods stay the same, statistical models predict U.S. excess demand will be 64,175 total beds and 17,309 ICU beds at the peak of COVID-19. Peak ventilator use is predicted to be 19,481 ventilators.
  2. California expects to see a peak surge of Coronaviurs cases and hospital capacity by April 24th.



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Bay Area Could Run Short on Hospital Beds Amid COVID-19 Patient Surge Share on FacebookTwitterShare on LinkedinE-mail article


  1. Projections released last week by the Harvard Global Health Institute show Bay Area hospitals could be hit particularly hard by COVID-19 compared to the rest of the country, even if infection rates remain relatively low and are spread out over a prolonged period.
  2. In a moderate scenario, where infection rates hover around 20% and occur over the next 18 months, the Bay Area would still need an estimated 20% more beds, according to the Harvard projections.
  3. The U.S. has 2.77 hospital beds per 1,000 people. Japan ranks #1 with 13.05 beds per 1,000 people followed by South Korea with 12.27 beds per 1,000 people.


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Governor Newsom Announces California Health Corps, a Major Initiative to Expand Health Care Workforce to Fight COVID-19 Share on FacebookTwitterShare on LinkedinE-mail article


  1. California Governor Newsom signed an Executive Order to expand the health care workforce and staff at least an additional 50,000 hospital beds needed for the COVID-19 surge.
  2. Nurses (NPs, RNs, LVNs, CNAs), medical doctors, respiratory therapists, behavioral health scientists, pharmacists, EMTs, and medical and administrative assistants are all needed.
  3. California Labor Secretary Julie A. Su said, “Outreach to unemployed health care workers and under-employed foreign medical graduates will help build the workforce needed to fight the pandemic — and also create new opportunities and jobs for Californians struggling with unemployment.”



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    ADVICE


How To Talk To Patients About COVID-19 Fears Share on FacebookTwitterShare on LinkedinE-mail article


  1. Match Emotion to Emotion - Matching an emotional fear with an objective explanation can feel uncaring and dismissive. Instead, matching patient emotion with clinical emotion decreases anxiety and helps the patient feel understood and heard.
  2. Identify Their Greatest Worry - Ask your patient, “What about all of this worries you the most?” This will help you give information directed at their biggest fear and alleviate anxiety.
  3. Convey “We Are In This Together” - Common struggle is one of the best human bond builders for teams, families, friends, communities, clinicians, and patients.
  4. Admit to the Unknown… - While Communicating What We Do Know - Providing hope, honesty, and specific actions that patients can take are an important thing to hear from their care team.
Watch this video for examples on how to improve your responses.


10 nurses tell how they prepare for hard patient conversations Share on FacebookTwitterShare on LinkedinE-mail article


  1. Put yourself in their shoes. What if it was your dad getting this news? What questions would you have as a patient or as a daughter?
  2. Mental preparation is key. Taking a few minutes to center yourself, reflect and prepare has been helpful in ensuring you will be fully present for the conversation. Though you gather relevant facts in advance, also question assumptions and create an openness to listen and understand the patient's perspective and experience.
  3. Go at the pace of the patient and family. You owe it to that person not to rush through things. Consider the impact and what they may be thinking. No matter what, it's going to be a blur for them; we need to empathize with their mindset. To that family, this is everything.


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    ADVOCACY


Meet the Surge - Register at California Health Corps Share on FacebookTwitterShare on LinkedinE-mail article
California is preparing for an increase in the number of people who urgently need health care in our communities during the COVID-19 outbreak. To meet this moment, the State Department of Public Health is opening additional health care sites to treat people affected by COVID-19 and to relieve the pressure on our health care system by providing care for non-COVID-19 cases.

Governor Gavin Newsom issued an Executive Order yesterday, temporarily waiving professional licensing and certification requirements, and amends scopes of practice, including: nurses up for renewal, nursing students, inactive or retired healthcare workers, and ratios for nurse practitioners amended to allow the supervising physician to determine the physician to nurse/assistant ratio.

Meet the surge - register at California Health Corps.



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   NEWS FROM AROUND THE INDUSTRY


US nurses report having trouble getting tested for the coronavirus Share on FacebookTwitterShare on LinkedinE-mail article
Business Insider
As the new coronavirus sweeps the globe, nurses have been on the frontlines of battling the pandemic. But some American nurses are worried their hospitals are not doing their part to protect them, particularly when it comes to testing for the novel virus. Business Insider spoke to three nurses in Virginia, Missouri, and Oregon, who alleged their hospitals are making it nearly impossible for health workers to get tested for the coronavirus and putting the lives and those of their patients at risk.  READ MORE

Social distancing may be working, new study hints Share on FacebookTwitterShare on LinkedinE-mail article
WebMD
Social distancing measures such as closing restaurants, bars and other nonessential businesses is slowing the spread of thre coronavirus in the United States, early evidence suggests. Data show that the number of people with fever, an early indication of coronavirus infection, started falling almost immediately after social distancing measures took effect in some areas, USA Today reported.  READ MORE

Help wanted: Retired doctors and nurses don scrubs again in coronavirus fight Share on FacebookTwitterShare on LinkedinE-mail article
Kaiser Health News
With more than 39,000 confirmed cases, New York is now the epicenter in the U.S. of the novel coronavirus outbreak, accounting for almost half of the more than 85,500 cases nationwide as of late evening, March 26. Anticipating a severe shortage of medical personnel to treat the influx of sick patients, Gov. Andrew Cuomo and other officials put out a call for retired doctors, nurses and other medical professionals to dust off their scrubs and return to work. By March 26, 52,000 people had responded. Officials in other states, including California, Colorado and Illinois, have issued similar pleas for retired medical professionals to step forward.  READ MORE

COVID-19 and the grief process Share on FacebookTwitterShare on LinkedinE-mail article
By Keith Carlson
The COVID-19 pandemic is encircling our planet and the entire human family is facing great distress. The deadly impact of the coronavirus can be felt throughout every economy in the world, as well as in villages, rural communities, cities, and suburbs the world over. From shortages of essential supplies to the demise of thousands of small businesses, the ripple effects of this pandemic are beyond imagination. Amidst the social isolation and the wide array of emotions elicited in most every individual, one concept stands out: the grieving process.  READ MORE

FDA issues alert about EpiPens Share on FacebookTwitterShare on LinkedinE-mail article
Healio
The FDA issued an alert about EpiPen 0.3 mg auto-injectors, EpiPen Jr. 0.15 mg auto-injectors and authorized generic versions, stating that these products may have delayed or incorrect injections that could cause injury or death. A spokesperson for Pfizer, manufacturer of EpiPen, told Healio Primary Care that a “very limited number of cases” prompted the alert.  READ MORE

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New therapeutic strategy against diabetes Share on FacebookTwitterShare on LinkedinE-mail article
Universitat Autonoma de Barcelona via EurekAlert!
Maintaining vitamin D receptor levels in pancreatic cells that synthesize and secrete insulin could contribute to protecting against the development of diabetes and counteract pancreatic cell damage caused by the progression of the disease. This is suggested by a study conducted by researchers of the CIBER's area of Diabetes and Associated Metabolic Diseases at the Universitat Autònoma de Barcelona, which points to this receptor as a potential therapeutic target in the prevention and treatment of the disease.  READ MORE

New 'more effective' stem cell transplant method could aid blood cancer patients Share on FacebookTwitterShare on LinkedinE-mail article
University College London via Medical Xpress
Researchers at UCL have developed a new way to make blood stem cells present in the umbilical cord "more transplantable," a finding in mice which could improve the treatment of a wide range of blood diseases in children and adults.  READ MORE

As COVID-19 spreads, the future of medicine is quickly becoming the medicine of today Share on FacebookTwitterShare on LinkedinE-mail article
By Tammy Hinojos
As the world continues its collective efforts at waging war against the rapidly spreading coronavirus, a handful of health tech devices and telemedicine tools are in the spotlight like never before. Many are being fast-tracked and called up to the front lines to treat the coronavirus pandemic. For example, MedWand can listen to your heart and lungs, measure respiratory rates and blood oxygen levels. Originally forecast to receive FDA approval in late summer, the device is now under consideration for emergency use authorization by the FDA.  READ MORE

Weight-loss surgery may cut risk of heart attack, stroke Share on FacebookTwitterShare on LinkedinE-mail article
HealthDay News
Weight-loss surgery is associated with a significantly lower risk of heart attack, stroke, heart failure and death, a new study reveals. The British study included more than 7,400 severely obese people, average age 36, who had not suffered a heart attack or stroke. Half of the participants had weight-loss ("bariatric") surgery and half did not (the "control" group). Over an average follow-up of 11 years, there were 37 fatal or non-fatal heart attacks or strokes in the weight-loss surgery group, and 93 in the control group, a 60 percent difference.  READ MORE

Analysis predicts purified fish oil could prevent thousands of cardiovascular events Share on FacebookTwitterShare on LinkedinE-mail article
University of California - Irvine via ScienceDaily
Researchers from the University of California, Irvine have conducted a statistical analysis that predicts more than 70,000 heart attacks, strokes and other adverse cardiovascular events could be prevented each year in the U.S. through the use of a highly purified fish oil therapy.  READ MORE

Higher daily step count linked with lower all-cause mortality Share on FacebookTwitterShare on LinkedinE-mail article
National Cancer Institute via Medical Xpress
In a new study, higher daily step counts were associated with lower mortality risk from all causes. The research team, which included investigators from the National Cancer Institute and the National Institute on Aging, both parts of the National Institutes of Health, as well as from the Centers for Disease Control and Prevention, also found that the number of steps a person takes each day, but not the intensity of stepping, had a strong association with mortality. The findings were published March 24, 2020, in the Journal of the American Medical Association.  READ MORE



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