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As hospitals are becoming overwhelmed with COVID-19 patients, North Dakota is permitting coronavirus-positive health care workers to continue assisting patients.The guidance stipulates that the health care workers must remain asymptomatic and take enhanced precautions in order to stay on the job. This comes as travel nurses are stretched thin as dozens of states are reporting record hospitalizations.Given the situation in North Dakota and elsewhere, it is possible more states will have to follow suit and continue using infected staff members in order to provide care. The CDC has spelled out guidance in these situations.The CDC says hospitals must exhaust a number of other guidelines, including adding travel nurses, postponing elective medical procedures, and postpone elective time off, before going into a crisis staffing situation.“If shortages continue despite other mitigation strategies, consider implementing criteria to allow HCP (health care personnel) with suspected or confirmed COVID-19 who are well enough and willing to work but have not met all Return to Work Criteria to work,” the CDC’s guidance states. “If HCP are allowed to work before meeting all criteria, they should be restricted from contact with severely immunocompromised patients (e.g., transplant, hematology-oncology) and facilities should consider prioritizing their duties in the following order:1. If not already done, allow HCP with suspected or confirmed COVID-19 to perform job duties where they do not interact with others (e.g., patients or other HCP), such as in telemedicine services.2. Allow HCP with confirmed COVID-19 to provide direct care only for patients with confirmed COVID-19, preferably in a cohort setting.3. Allow HCP with confirmed COVID-19 to provide direct care for patients with suspected COVID-19.4. As a last resort, allow HCP with confirmed COVID-19 to provide direct care for patients without suspected or confirmed COVID-19.”North Dakota Gov. Doug Burgum spelled out the challenges facing his state.“Our hospitals are under enormous pressure now,” Burgum said. “We can see the future two, three weeks out, and we know that we have severe constraints.”Despite Burgum’s warning, his state is among the ones not to issue an order requiring masks in public places.In update CDC guidance, the agency says that masks can reduce the viral load for the wearer, in addition to prevent the spread of the virus.Steven Weiser, MD, president of Altru Health System in Grand Forks, North Dakota,, wrote in an op-ed about the toll the virus is having on workers. "Your neighbors in healthcare are pleading with you – they are tired, they are covering shifts for their colleagues who cannot work, they are working in new areas and rallying together to ensure that our promise of providing care to our community is upheld," Weiser wrote. "I ask you, on behalf of our team of healthcare workers, to please take the recommendations... very seriously. This is about protecting our at-risk community members and friends. We need your partnership to stop the spread, now. Doing so will save lives." 3105

Anchorage Mayor Ethan Berkowitz has admitted to having an inappropriate relationship with a female reporter, three days after she made online allegations against the married Berkowitz.In a statement, Berkowitz apologized to the people of Anchorage for a “major lapse” in judgment in having what he said was a consensual, inappropriate messaging relationship with TV anchorwoman Maria Athens. The acknowledgment comes at the end of three days that roiled Alaska’s largest city, a span that saw both his denial of accusations Athens made on Facebook and her arrest. It was not immediately clear what the messages involved and how long it lasted. Berkowitz declined an interview with The Associated Press. 710

An Okeechobee, Florida boy on the autism spectrum is facing his fifth charge, and the boy's mother said she plans on fighting them all, while working to get her son back in school soon.The video his mom shot went viral last year.Scripps station WPTV in West Palm Beach is now learning there's more trouble for John Benjamin Haygood, the little boy in the middle of it all.His mother, Luanne Haygood, says the state has filed four additional felony charges against John Benjamin.She says the felonies, all of them for felony battery, came as a bit of a surprise, as the incidents in question took place in 2015.“I don't see the point in putting up four more charges that happened when he was 8 years old,” Haygood said. "There's a reason why we don't arrest 8-year-olds."Last year, she recorded video on her phone as school resource deputies took John Benjamin into custody, charging him with felony battery on a school employee.The now 11-year-old is on the autism spectrum, and his mom says it was an autism-related episode.The state prosecutor, however, said John Benjamin has more than 50 other documented incidents of physically aggressive behavior towards students and teachers.“There's so many 7- to 12-year-old boys with autism that are getting arrested for meltdowns and behavior that can be avoided of the schools know how to react,” Haygood said.Haygood said she is fighting back. “He's regressing educationally, he's regressing emotionally, he's not been around other children,” Haygood said.John Benjamin is set to have his next court date next month.WPTV reached out to the state attorney's office, but no one was available for comment Tuesday. 1715

As Chicago continues to grapple with gun violence, one jail is trying something different in an effort to combat the problem.The program is called SAVE, and it’s spearheaded by Sheriff Tom Dart of the Cook County Jail. The program aims to save a community from gun violence by targeting people who might be able to make the biggest difference.“We can continue with the broken model, make them worse than when they came in here, because they’ll be associated with other criminals, and then jettison them to a community where they’ll be a cancer, or we can take a person who has issues, break down what those issues are, address those, and now send them back to a community where now they’re sort of a light in the community,” Sheriff Dart explains. “They went from being the cancer to where they’re the one people are talking about.”During these classes, officials and inmates will start with a game. It helps to ease the tension in a room, where the men, who are in their late teens and early 20’s, are asked to dig deep on tough topics involving their personal lives.The program also aims to help the men manage anger and resolve conflict. It even trains on how to land a job or start a career.SAVE stands for the Sheriff’s Anti-Violence Effort.“The larger population we have here are folks that could actively have their trajectory changed if given different opportunities, different ways to look at life,” Sheriff Dart explains.The SAVE program is unique to Cook County, and it’s totally voluntary. It was created as a way to combat Chicago’s gun epidemic, by tackling the cognitive behavior of the men who, for whatever reason, ended up behind bars.“The reality is if you’re [going to] address these problems, you have to address the players in the system,” says Sheriff Dart. “The players all have individual issues, all have good things and bad things that they have.”For inmate Rico Potts, it’s helping him to realize his long-term goals.“Career wise, I wanna be a psychologist. I wanna talk to kids and help kids, because I feel like my story will kinda help them,” Potts says.He’s seeing firsthand how these instructors’ stories are helping him.The program stuck with former inmate Jelani Hines, who got out of jail but still keeps in touch with the program, saying it helped him land a job.“You have to be willing to commit,” Hines says. “Nobody’s gonna hold your hand.” 2393

As COVID-19 continues to spread throughout the United States, traveling nurses jump from hot spot to hot spot, caring for patients and making sure hospitals are fully staffed. Grover Street is one of those nurses and specializes in trauma and intensive care.“I’ve worked in over 100 hospitals and probably 15 different states,” Street said.Street says just this year alone, he's been in New York, Miami, and California. He hops all over the country, doing four-week assignments for crisis nursing and coronaivurs relief. "Busy" and "intense" barely describe what he's experienced on the front lines.“I like going to the hot zones and really learning about this virus and learning about the different patients and human functionality and the way people think about this whole process because it’s probably never going to happen in my lifetime again,” Street said.While interesting from a scientific standpoint, he admits, it's natural to be afraid of this virus that has taken over our world.“I’ve worked with nurses that their families died, the nurse died,” Street said. “I worked with a physician, he died. This is real and I’ve been on the front lines since it started and its sad that a lot of people aren’t wearing masks and social distancing.”He says he prefers the traveling nurse aspect of his profession. There's more flexibility, and he says, it's better pay. As a former trauma nurse in the military, it's like a deployment. Except this time, he's being sent to a different type of war zone.“New York is starting to pick back up, Florida is starting to pick back up,” Street said. “I’m getting texts and emails everyday, 'Am I ready to go somewhere else as soon as this assignment ends?'”Lauren Pasquale Bartlett is the Senior Vice President of Marketing for Fastaff Travel Nursing, the agency for whom Street works. When asked how her organization fulfills the need, she said, “It's never a matter of how are we going to do it, it's at what scale.”“At this time last year, we had 3,000 nurses on assignment right, now we’ve got 6,000,” Pasquale Bartlett added.Traveling nurses, she says, have been backfilling hospitals for 30 years.“It really came out of the strike business when nurses were unionizing and going on strikes, they needed replacement nurses so the hospital started bringing in travel nurses to replace those striking nurses,” Pasquale Bartlett said.They answer the call when there are hurricanes, fires, intense flu seasons, and the coronavirus. Except, unlike those other short-lived events, there doesn't seem to be an end in sight.“I know everybody (is) tired of what’s going on, ready to get back out there, go shopping, have parties, but we need to control this before you die or before your family member dies and then it’s too late so just stay safe,” Street said.Street says the difference between responses in each state is fascinating. He's looking forward to a bit of rest and relaxation before his next assignment and says his only wish is that everyone does their part, by washing hands, and wearing a mask to help protect medical staff and each other. 3101