another fact wrote:
This is exactly what I’m referring to. You can read all my other threads and posts for data and analysis.
You are in ER management in Nyc. You have poorly managed your ER. I’m a physician. There is no reason for a patient to die in a hallway with proper management. There’s no reason for shallow graves. That’s just ridiculous. Yes, freezer trucks are needed sometimes at hospitals. Especially when the state limits mortician and funeral services. We have constructed dramatic pictures, and it’s disingenuous for any hospital administrators to support these over statements in order to make excuses for their failings. There was no reason for the Central Park temporary hospital. Beds are available. Transfers and EMS just need to be coordinated in an intelligent way as it is almost everywhere else. New York did not run out beds. Also, administration is typivly excited about full hospitals. As you know our hospitals are very commonly tuning at 80-110%. capacity with highly reimbursing procedure patients. But now that it’s low reimbursing high length of stay patients, administration is concerned about these low reimbursing patients in the beds. There is enough PPe and we all know there is. In fact we are using more than usual not less, as we have to wear masks in many more situations now than was required before. You have dramatized a poorly managed situation not an unmanageable one. Your NYc hospital administrations have performed poorly in this otherwise very manageable situation. It’s typical.
In the operating room, and every surgeon on this board will agree, something is always “on national back order”. Supply in hospitals is kept so lean for profit, that clinical workers are regularly left in suboptimal circumstances, it is no surprise that you, an “ER manager”, are suggesting that the problem is too hard. Good managers have done just fine with this very manageable issue.
You’re not totally wrong. All hospitals consistently operate understaffed with lack of ideal levels of supplies. You don’t have to tell me, the folks in positions like mine will yell from the rooftops that we’re unprepared for things like this.
You’re wrong about most of your post though. You may be a physician, but you don’t work in a hospital or you would know that emergency management is not an “ER manager”.
You’re also wrong about the PPE supply. There is a national shortage, specifically of respirators. The problem with respirators is that unlike gowns, gloves, and face shields, one size does not fit all. Each employee wearing a respirator must be fit tested for the specific make, model, and size of respirator that you wear. If for example, your hospital normally carries the 3M 1860, but those can’t be ordered so you get a Halyard brand respirator, everyone has to be fit tested before wearing it. If you can buy tens of thousands of one model, that’s fine, but if you only get a couple thousand of each, it’s difficult to have folks fit tested for what’s available.
You’re also wrong that this is an NYC problem. Other big cities are overwhelmed as well.
I’d also like you to explain how doubling the number of ICU beds but still not having enough is mismanagement. How have “good managers” managed this issue? Did they triple their beds? What are their nursing ratios?