yes, have had several clients tell me that in the last month. increased training? or possibly add to the rolls with those going into the field (nursing schools who may have suspended classes for summer?) in order to space out hours... time on/time off to allow testing pre-hours and sleep on site? then a week off..Carroll81 wrote: ↑Fri May 08, 2020 9:31 pmIt is getting in through the healthcare workers. They work, they go home, they are exposed outside the facility and they bring it back in with them. Short of isolating the workers, you can't keep it out. Taking temperatures and testing every 2 weeks reduce the incidence, but will not keep it out.wgdsr wrote: ↑Fri May 08, 2020 3:13 pmif what you're saying (and by what you didn't say) is true, i assume there have been no outbreaks there? maybe it means they're doing all that they can.ggait wrote: ↑Fri May 08, 2020 1:58 pmWG -- do you know anyone in an elder care facility? The ones I know have been in crazy DefCon 1 lockdown for quite some time and that isn't going away any time soon.not old people. in nursing homes and long term care facilities only. it would seem there's a fairly straightforward way to reduce deaths in a major way, and that's to start treating nursing homes like they are the fort knox of covid.
So I'm not sure what more you could really be doing on this front, honestly. Lock all the workers inside the facility 24/7? Move people out of these facilities? But they still need to be somewhere and still need workers to provide them high touch care?
What is your straightforward solution?
it hasn't gotten into every facility. some might be lucky, but the ones that have had better "luck" by now probably have had by and large better protocols. that would leave unlucky facilities and probably some large percentage that have holes in their procedures.
what are those holes and those procedures? they won't be asking me, but it probably would be instructive to start with a survey and where things may have been failing.
no visitors.
tests for anyone with direct contact with patients every 2 weeks. same with anyone that has had close contact with anyone confirmed at any level.
hopefully procedures are already in place most places, but even a law (or industry standard) mandating workers taking a body temp test before entering workplace.
many other things are certainly being done but might not be universal (i.e one nursing home isolates patients and any workers who have contact with them. others might have those workes using ppe but working with others in the facility).
don't have workers do 1 job throughout the whole facility, but rather have a tight rotation and multi task with other workers those jobs that can be doubled up.
there's plenty of other ideas that me or anyone could throw at it, including money, housing... but it doesn't make sense to hear any details from me, i have no idea how it's getting in. most or all ideas i have probably s*ck. i just know it doesn't jump fences or walk through doors on its own.... the straightforward solution lies in how it got into the facilities in the first place. and what could've been done to avoid it. and once it's in, to corral it.
A large majority of the workers in these facilities are not highly trained health are workers. They are not trained in PPE and they do not understand it's importance. Very often they work in more than one facility.
The facilities are getting better at managing it - isolation, restricting staff, etc. But it is still really hard.
don't know the answer.
here's florida's site.
https://floridahealthcovid19.gov/
has link to long term care numbers. many outbreaks, also a lot of facilities with no numbers. seem to be many more facilities that have at least one staff member and no patients. hopefully one reason is good protocols at those.
