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Health care workers and administrators share the common view that TT's public health is under severe strain owing to the impact the latest wave of covid19 cases is having on the system. The TT Registered Nurses Association TTRNA claim regional health authorities are in crisis mode, but administrators assure they have put things in place to balance providing care to all patients.
Letitia Cox, second vice president of the TTRNA, claims hospitals are short-staffed and have been closing clinics as a result. As a result they are trying to do telemedicine as much as they can. Most of these are the unvaccinated and it has affected services such as elective surgeries, clinics and wards care.
For months, health officials have been asking people to get vaccinated, and to adhere to the public health guidelines since, even when the number of beds in the parallel system are increased, they were filling up quickly, especially in the intensive care unit ICU.
Cox said the hospitals were already short-staffed before this third covid19 wave and two things are making it worse — the increased number of patients infected with the virus, and the increase in the number of medical personnel leaving the country to work abroad. As a result, there are more patients than staff in the covid19 tents at the hospitals, some as much as 60 patients to one staff member. The recruiters have been very efficient in poaching the nurses of TT.
Because so many people, especially the unvaccinated, are contracting covid19, nurses have had to work almost non-stop. It is very difficult for them to get vacation, time off, or casual leave and they are tired. Due to the stress and little rest, some are getting sick.
Some are depressed, not only because of the strenuous working conditions and constantly having to deal with the severe state of covid19 patients, but because 75 per cent of nurses are on temporary contracts and have no job security, Cox said.
A patient leaves a ward while others wait for attention at the Sangre Grande Hospital. All of this is also affecting the wards with ward-staff being pulled into the covid19 areas because of the increased cases.
She said head nurses at the Sangre Grande Hospital were asked to do a roster to send staff members from each ward to the covid19 areas. Now they are being told because the hospital is so severely short-staffed, everybody will have to take a turn in the covid area, even those with comorbidities or are immunocompromised.
Initially, a letter from a medical doctor explaining their situation was sufficient, now they are being asked to get one from a special medical officer.
A nurse, right, enters one of the tents set up to screen people for covid19 at the Sangre Grande Hospital. She added that, even before this wave, a number of nurses contracted covid19, many times from asymptomatic patients who they interacted with before their PCR test results returned. He said the RHA was attempting to continue with most services but there were no elective surgeries at this time, only urgent and emergency surgeries.
In place of noncommunicable diseases NCD clinics, doctors are using telemedicine and have engaged over , people over the last fiscal year. They have also made the pharmaceuticals of NCD patients available at their nearest health centres so they do not have to go to the hospitals.
In a press release on Wednesday, the NCRHA said in light of increased intake in emergency departments and the surge in the number of covid19 cases, it systematically implemented necessary measures to expand and boost its capacity to deliver the best possible patient care.
Some of the strategies employed were to mandatory, general and specific and tiered training of various levels of staff including doctors, nurses and ancillary staff, hiring of dedicated officers for work in covid19 facilities, bolstering of the locum pools of officers for replacement of staff on leave, and a compensation system for when the staff works in excess of their contractual time; and the rotation of staff, especially in high traffic areas, to avoid burnout.
These processes are not undertaken without the direct supervision and involvement of highly qualified senior team medical personnel. It added that there was no shortage of PPE, gloves, pulse oximeters, SPO2 monitors, or oxygen tanks and there were daily or weekly stocks checks to ensure stocks are routinely replenished.
Oxygen tanks are routinely replenished daily at four- to five-hour intervals to ensure that there is no shortage of supply. In fact, in response to the surge in covid19 cases, the Authority has further initiated an additional 25 per cent ramp up on oxygen tanks to meet the increasing demands. Our current supply is our per cent utilisation. This team also has standing orders to gauge whether or not patients are accessing necessary levels of oxygen — whether to be reduced or increased.
He said people need to be conscious and observe the health protocols — washing hands, social distancing, wearing masks — avoid gatherings and stay away from work if they have flu-like symptoms in order to slow down the spread of the virus. He stressed that the RHA cannot stop conventional services because of covid19 but they would have to be curtailed.
As such, the ERHA still conducts elective surgeries based on the severity of the case, and some clinics were still operating but with a reduced number of people to allow for social distancing. Shane Superville.
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A&E Landscape and Irrigation is a family owned company in Bend, Oregon. We provide residential landscaping and irrigation services in the Central Oregon area.
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Health care workers and administrators share the common view that TT's public health is under severe strain owing to the impact the latest wave of covid19 cases is having on the system. The TT Registered Nurses Association TTRNA claim regional health authorities are in crisis mode, but administrators assure they have put things in place to balance providing care to all patients. Letitia Cox, second vice president of the TTRNA, claims hospitals are short-staffed and have been closing clinics as a result. As a result they are trying to do telemedicine as much as they can.RELATED VIDEO: Meet a Lawn Care Technician
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