Por DAVE SCHWAB | Noticias de la zona alta<\/p>\n
Covid-19 est\u00e1 cambiando la forma en que vivimos y trabajamos, incluidos los trabajadores de la salud como las enfermeras, que contin\u00faan involucrando a los pacientes individualmente en los hospitales y en el campo.<\/p>\n
Reporter Dave Schwab caught up with four of them for a Q&A discussing how the battle is going against the pandemic on the healthcare front lines.<\/p>\n
El impacto es de gran alcance para las enfermeras, desde poco o ning\u00fan impacto hasta mucho, y de repente.<\/p>\n
DS: How is working during the pandemic different than before?<\/strong><\/p>\n \u201cThere are so many differences in the day-to-day, but the glaring ones are the availability of supplies\/PPE, and the level of anxiety and fear that comes with the job,\u201d said Tiffani Zalinski, a critical care nurse in the Post-Anesthesia Care Unit at UCSD Jacobs Medical Center in La Jolla. \u201cWhen Covid-19 broke out (March 14), I realized there was no PPE available on my unit, when our unit was previously stocked full of PPE, including N-95 masks, gowns, gloves, goggles, cleaning supplies, hand sanitizers. On March 14 when I came to work, all the PPE had been confiscated by the administration and locked away. We now had to obtain permission to get these supplies.\u201d<\/p>\n Added Zalinski, \u201cWe go to work every day wondering things like, \u2018How many people here are asymptomatic carriers that haven\u2019t been tested? Am I one of them? Are my coworkers infected? Are we going to get sick? Are our families going to get sick?\u2019\u201d<\/p>\n \u201cFor me personally, not that much is different as I have been doing telephone triage for a while now,\u201d said Mimi Kramer, RN, a triage nurse for Advantage Health Systems, Hospice Division, in San Diego, which handles patients countywide. \u201cWhat is different is when I get a call about a patient who is running a fever or having difficulty breathing, I immediately think they may have Covid-19 and I need to assess what the ramifications of that would be.\u201d<\/p>\n \u201cWell it is a bit scary when you hear news of healthcare workers falling ill and dying from this virus,\u201d said Angelito Tan, an RN in San Diego with the California Nurses Association. \u201cWe have had TB, HIV, Hepatitis, and MRSA (in hospitals), and a lot of healthcare workers have contracted such diseases during their careers. No one seems to question the hazardous conditions we as healthcare workers face every day, simply because it does not cause death in a matter of weeks. Now with coronavirus, everyone is now talking about how hazardous our jobs are.\u201d<\/p>\n \u201cThe pandemic has brought a whole new animal into healthcare,\u201d said Shannon Cotton, a registered nurse in the Covid-19 designated ICU at UCSD-Hillcrest. \u201cCovid 19 does not discriminate: it can infect anyone even if they don\u2019t have any medical history. Patients are coming in, requiring only a small amount of oxygen, then, suddenly, they can\u2019t catch their breath and they need a breathing tube down their throat and a mechanical ventilator. Also not having visitors in the hospital is a kind of eerie. The nurse and doctor are the only connections a patient in the ICU with Covid-19 has to their family.\u201d<\/p>\n DS: Are nurses overworked or overstressed dealing with this crisis?<\/strong><\/p>\n \u201cWe are certainly overstressed,\u201d said Zalinski. \u201cBut those with critical-care skills in San Diego may also feel somewhat overworked. We have been ordered to cross-train to ICU in the event of surges or critical needs. Our PACU staff has all undergone extensive \u201crefresher\u201d courses in ventilators and other aspects of Covid-19 patient care. The assumption is that if they need us, we will rise to the occasion.\u201d<\/p>\n \u201cThis is a very stressful situation to be a healthcare worker during,\u201d Kramer said. \u201cIf a nurse has to see a patient suspected or confirmed to have Covid-19 in person, that is very stressful.\u201d<\/p>\n \u201cNurses have always been overworked, management always looks at trimming staff to boost profits,\u201d said Tan. \u201cNot saying that hospitals aren\u2019t suffering financially during these times, but how often have we had a pandemic like this? Over the last decade hospitals across America have been making hundreds of millions if not billions in revenue yearly. We (nurses) do not benefit from that \u2026 Maybe if these hospitals would stop giving multi-million dollar bonuses to their chief executive officers and instead invest those dollars to hospital equipment\/PPE, maybe we wouldn\u2019t be facing a shortage. It seems management is able to plan and prepare to maintain profits, but cannot do the same to protect the safety of their staffs.\u201d<\/p>\n \u201cIn the ICU, the stress level is palpable,\u201d said Cotton. \u201cDanger and disease is part of my job description, but with this new virus, and no cure, it can be very anxiety-provoking entering the room and knowing, \u2018Hey, I could contract Covid-19.\u2019 We know that over 60 nurses in the U.S. have died from Covid-19, and it\u2019s probably more due to insufficient testing. But I would never change my job or not show up. I love my patients and my community.\u201d<\/p>\n DS: How about a couple of pointers on what folks can do to help make nurse\u2019s jobs a little less difficult during these trying times?<\/strong><\/p>\n \u201cPlease stay home,\u201d implored Zalinski. \u201cBe our ally. Wash your hands. Maintain social distancing. We recognize that it is hard to feel isolated and without our normal outlets. But the more people who choose to ignore these warnings, the more stress and strain it puts on the healthcare system. If too many people get sick at once, more people will die. And what\u2019s even scarier is that if more healthcare workers get sick, who will be there to take care of the laypeople?<\/p>\n \u201cWash your hands,\u201d said Kramer.<\/p>\n \u201cBe responsible, like wearing a mask, covering their faces\/turning away when coughing, washing their hands frequently,\u201d said Tan. \u201cIf they have any fever or any symptoms to get checked out, instead of hiding it and visiting loved ones in the hospital and exposing everybody. Patience. We are all in this together, we must protect the public \u2013 and ourselves \u2013 from this deadly virus.\u201d<\/p>\n \u201cThe support from the community so far has been amazing \u2013 we have been getting donations of food, masks, cards from people saying \u2018thank you,\u2019\u201d Cotton said.<\/p>\n