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hover11 wrote:NumerosFB_IMG_1645646739935.jpg
Correlation does not necessarily equal causation.Mmoney607 wrote:hover11 wrote:NumerosFB_IMG_1645646739935.jpg
^ caused by carnival
Country_Bookie wrote:Did we ever make any progress on getting supplies of Paxlovid or the other pill from Merck to treat severe cases of Covid-19? England has removed all Covid-19 restrictions because their doctors have a wide range of treatments available. Monoclonal antibodies is another.
Anyone knows if we started using similar treatments locally?
bamfo_dennis wrote: papers lying tho she is d mental health doctor n u does sign off when she talkin
plus who is she anyway rite
guardian wrote:Doctors agree with COVID-19 Committee Report: Patient care compromised
by
9 hours ago
Wed Feb 23 2022
Kalain Hosein
From the outside looking in, COVID-19 hospitals across T&T have been seen as places of horror.
This widespread perception of sub-standard care has led to critically ill patients waiting too long to seek care.
The result is a self-fulfilling prophecy of COVID-19 patients converging on the nation’s Accident and Emergency departments, sometimes on death’s doorsteps.
Are these assumptions about the parallel healthcare system, specifically care within the nation’s intensive care units (ICUs) and high dependency units (HDUs), based on reality?
This was one of the many questions the Government-appointed committee recently attempted to answer while investigating care within the nation’s parallel healthcare system.
According to the 105-page report laid in Parliament on February 18, there were at least four mentions that the quality of care within the healthcare system was impacted.
In the first instance, the report noted strained human resources during surging cases impacted the quality of care. This shortage was noted amongst nurses, which was the most pervasive and continues today, as well as orderlies, attendings and patient escorts.
Guardian Media spoke with doctors on the frontlines of the COVID-19 battle, some of whom had been stationed within a COVID-19 ICU for nearly two years.
One lamented, “I mean the shortage of nurses has definitely compromised patient care. We always have doctors in the hot zone, so the people who are in the hot zone from 11 pm to 6 am usually wait for the oncoming team to come inside the hot zone and hand over to them.”
A hot zone is an area with actual or potential contamination and has the highest potential for COVID-19 exposure.
Speaking on the condition of anonymity, the doctor explained, “A big part of ICU and HDU care is the nursing. The nurses are very, very short-staffed. Doctors have to pick up the slack where nurses can’t do more. We would have to do it for the patient. But then, that makes it hard for us to do our job as well.”
The committee’s COVID-19 report had similar findings.
“Some reports speak of one nurse to 20 to thirty 30 patients. This sort of staffing ratio would point to a decreased level of care,” the doctor said.
In another section of the report, the committee found, “one nurse in a COVID-19 ICU regularly nursed six patients during surges. This points to a serious decrease in the level of care during surges.”
However, this wasn’t the only problem doctors faced within the nation’s ICUs.
Another doctor complained, “PPE (personal protective equipment) is available, but it is not the best. Sometimes the surgical coats we get have dry-rotted and you have to try on at least three different ones. Sometimes in the morning when you come to work, there are no scrubs available, so you have to wait a couple of hours before going into the hot zone. The overall quality of the PPE is not the best, but PPE is available, which is what the politicians like to say. Everywhere has PPE but most times, we have to end up bringing our own face shields.”
With staffing shortages continuing and there remains a delay in getting PPE, could this lead to another compromise of care?
One COVID-19 ICU doctor responded, “If there’s a delay because there are no scrubs or PPE for them (doctors) to come in, most times, especially if there are really unstable patients who we cannot just leave alone, the doctors who are supposed to finish their shift at 6 am end up leaving the hot zone at 8 am.”
As doctors and nurses continue to fight on the frontlines against COVID-19, within their control, one doctor exhaustedly said, “We go the extra mile to make sure everything is covered.”
Over the next few days, Guardian Media will be bringing you accounts of doctors within the Hot Zones of the COVID-19 ICUs across Trinidad and Tobago’s parallel healthcare system. If you’d like to share your story, on or off the record, you can reach out at kalain.hosein@guardian.co.tt.
What was the incremental healthcare system load associated with COVID infections?MaxPower wrote:The healthcare system was inefficient and corrupted before Covid so i don’t see what the big deal is now.
The problem is not Covid, it’s the people we have employed.
But sure, blame Covid like everything else.
MaxPower wrote:The healthcare system was inefficient and corrupted before Covid so i don’t see what the big deal is now.
The problem is not Covid, it’s the people we have employed.
But sure, blame Covid like everything else.
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