October 28, 2020
UPDATES FROM INCIDENT COMMAND:
Primary Care and Urgent Care Volumes: Volumes are manageable, but starting to increase in these areas, both
related to Covid symptoms as well as traditional seasonal illness.
Nursing Home updates: We are adding clinical staff to assist with the Nursing Homes and will
soon have 3 full-time Nurse Practitioners rounding daily, plus a Physician
caring for local nursing home residents. The local nursing homes are doing
everything possible to care for their residents and contain the virus
as best they can. MHP is coordinating many of these efforts.
What is MHP doing to protect patients and staff? Since March, MHP has added several negative airflow rooms throughout the
building in both the inpatient and outpatient areas. Our waiting areas
are socially distanced with furniture and dedicated staff members whose
job is to encourage social distancing, routinely clean the high-touch
areas of the building, and direct-room patients to their exam room rather
than having them wait in the waiting area. Also, our supplies, equipment
and medications are all currently sufficient to meet the needs of our
patients and staff. We are
not experiencing any critical shortages of these items.
MHP TESTING STATUS:
Number of NEW positive results: 19 new positive cases since 10/26/2020
- Out of the 19 new positive cases, 4 patients required inpatient care and
15 remained outpatient.
MHP INPATIENT STATUS:
Current number of 3rd floor inpatients: 37 and 7 of those patients are in the Critical Care
Number of available 3rd floor beds: 3
- Currently, we have 11 inpatients that tested positive
Number of inpatients in the 1st floor ACC unit: 6 with 16 beds available and none of these are patients
that have positive or suspected COVID.
MHP EMERGENCY DEPT STATUS:
- Number of ER patients in last 24 hours: 48 (We have averaged 57 ER patients
per day in October).
Number of vents currently in use and number of vents available:
We have 3 ventilators in use and 3 BiPAP in use, and 0 trilogy units are
in use. This leaves us with 14 ventilation units available. The number
of available vents is more than sufficient at this time based on the acuity
of our patients and the number of inpatients. We still have 10 disaster
vents available and 6 home Cpap units (not included in the above totals). Additionally, we have the ability to rent
ventilators if the need arises, and we did that early on during the pandemic
when we felt we needed more units on hand. This is not a concern at this time.
Note: Once a patient tests positive for COVID, the CDC does not recommend retesting
that patient. There are people who do not clear the virus particles and
will continue to test positive even though they are not infectious. The
CDC further states immunocompetent people are no longer infectious 10
days after the onset of symptoms. Also, if a person has symptoms of Covid
who earlier in the year had confirmed Covid, the recommendation to test
would be only if the original infection was more than 90 days ago. If
less than 90 days, a positive could be from the old infection and not
actually contributing to the current symptoms.