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As the coronavirus pandemic surges across the nation and infections and hospitalizations rise, medical administrators are scrambling to find enough nursing help — especially in rural areas and at small hospitals.Nurses are being trained to provide care in fields where they have limited experience. Hospitals are scaling back services to ensure enough staff to handle critically ill patients. And health systems are turning to short-term travel nurses to help fill the gaps.Adding to the strain, experienced nurses are “burned out with this whole (pandemic)” and some are quitting, said Kevin Fitzpatrick, an emergency room nurse at Hurley Medical Center in Flint, Michigan, where several left just in the past month to work in hospice or home care or at outpatient clinics.“And replacing them is not easy,” Fitzpatrick said.As a result, he said, the ER is operating at about five nurses short of its optimal level at any given time, and each one typically cares for four patients as COVID-19 hospitalizations surge anew. Hospital officials did not respond to requests for comment.But the departures are not surprising, according to experts, considering not only the mental toll but the fact that many nurses trained in acute care are over 50 and at increased risk of complications if they contract COVID-19, while younger nurses often have children or other family to worry about.“Who can actually work and who feels safe working are limited by family obligations to protect their own health,” said Karen Donelan, professor of U.S. health policy at Brandeis University’s Heller School for Social Policy and Management. “All of those things have been factors.”Donelan said there is little data so far on how the pandemic, which has killed more than 231,000 people in the country, is affecting nursing overall. But some hospitals had a shortage even before the virus took hold, despite a national rise in the number of nurses over the past decade.With total confirmed coronavirus cases surpassing 9 million in the U.S. and new daily infections rising in 47 states, the need is only increasing.Wausau, Wisconsin-based Aspirus Health Care is offering ,000 signing bonuses for nurses with at least a year of experience and hiring contract nurses through private staffing companies to handle a surge in hospitalizations that prompted the system to almost quadruple the number of beds dedicated to COVID-19 patients.Aspirus, which operates five hospitals in Wisconsin and four in small communities in Michigan’s Upper Peninsula, also is moving nurses around between departments and facilities as hot spots emerge, said Ruth Risley-Gray, senior vice president and chief nursing officer at Aspirus.Outside help still is needed, in part because some nurses have gotten sick from or were exposed to the cornavirus during the current wave, which “came with a vengeance” starting in August, Risley-Gray said. At one point in mid-October, 215 staffers were in isolation after showing symptoms or being exposed to someone who tested positive, and some are just starting to return to work.Aspirus recently was able to hire 18 nurses from outside agencies, and may need more if the surge continues.Because the pandemic is surging just about everywhere in the country, hospitals nationwide are competing for the same pool of nurses, offering pay ranging from ,500 a week to more than ,000, said April Hansen, executive vice president at San Diego-based Aya Healthcare, which recruits and deploys travel nurses.She said demand for their services has more than doubled since early in the pandemic when the greatest need was in hot spots like New York and New Jersey and then moved to southern states. In recent weeks the virus has been spiking across the country, with the new hot spots in places like the rural upper Midwest and southern-border communities such as El Paso, Texas.Now placing nurses where they’re needed is “like a giant game of whack-a-mole,” said Hansen, whose company has about 20,000 openings for contract nurses.In North Dakota, where infection rates are exploding, hospitals may cut back on elective surgeries and seek government aid to hire more nurses if things get worse, North Dakota Hospital Association president Tim Blasl said.In Texas, Gov. Greg Abbott recently announced he was sending 75 nurses and respiratory therapists to El Paso to help handle the city’s surge. Wisconsin Gov. Tony Evers, meanwhile, issued emergency orders making it easier for nurses from elsewhere to practice in his state and for retired nurses to come back.“This has been a challenge, and we’ve been pleading with the community members to protect themselves and others,” by wearing masks and social distancing, said Aspirus’ Risley-Gray, who said the positivity rate among community members tested by Aspirus rose from under 10% in September to 24% last week.To combat the emotional toll and fatigue that comes with caring for COVID-19 patients, including just donning and removing protective equipment all day, Aspirus has been giving nurses microbreaks and quiet places to get away and collect themselves when they feel overwhelmed.Travel nurses say the need at small hospitals tends to be greater than at larger facilities.Robert Gardner, who’s currently assigned to a hospital in a small town about 20 miles west of Atlanta, said he did search and rescue in the Coast Guard during Hurricane Katrina and the pandemic is “a lot worse.”He worked at a large New Jersey hospital when that state was swamped by the virus in the spring, and now worries that flu season could bring further chaos to hospitals. But he’s determined to stick it out, no matter what.“It’s not even a question,” Gardner said. “Nursing is a calling.” 5727

At least 48 people were shot within a 24-hour span on Sunday in New York, capping off a violent Fourth of July weekend, police said.Among those shot, 10 of them were fatal.Since Friday, there were 63 victims of gun violence, continuing the rising trend this summer.Most of the shootings were on Sunday, though there were a number of incidents on Saturday, including one in which no one was hurt. Police opened fire in Astoria, Queens on Saturday night when they spotted an individual shooting at someone else. A suspect was taken into custody in that incident.Police also witnessed violence first hand outside the 40th precinct in the Bronx Saturday night. A bullet pierced the front window of their marked cruiser.While in Brooklyn, a flaming firecracker was tossed inside a patrol car with an officer sitting inside.In a pair of tweets from Manhattan police commanders, the chiefs called out city leaders, saying the city is under attack, and they are demanding action.Former police commissioner Ray Kelly criticized Mayor Bill de Blasio for limiting anti-crime units as “crime is raging out of control in New York City.”Police are searching for suspects in multiple shootings.According to the NYPD, there were 575 incidents with 705 victims from Jan. 1 through July 4 of 2020. There were 369 incidents with 423 victims in the same time period last year. Sunday, the NYPD Chief of Detectives, Rodney Harrison tweeted, “The NYPD and the community need to work together as a team to help curb the violence.”Contributing reporting by Jennifer Bisram and Magee Hickey.WPIX's Anthony DiLorenzo first reported this story. 1625

At least 29 people were killed during a week of severe weather conditions and devastating flooding in Italy, the country's interior minister said Sunday.Twelve people were confirmed dead on the island of Sicily on Sunday, including nine members of two families, the fire brigade announced on Twitter.The families were dining together when their house was submerged by water from a nearby river that suddenly overflowed.The fire brigade said its divers had found the bodies. Among the victims were two children, 1 and 3 years old.Italy's civil protection agency said it was still looking for a doctor who had been on his way to work at a hospital Saturday night and was missing.High winds and heavy rain have devastated parts of the country over the past week, causing the worst flooding in at least a decade in Venice, damages of more than 1 billion euros (.14 billion) in Veneto and landslides that have cut off villages, authorities said.The situation in Sicily is "dramatic," Prime Minister Giuseppe Conte said Sunday.Conte will call a cabinet meeting to announce a state of emergency in affected regions, he said at a press conference in Palermo, Sicily. 1168

As the debate over arming teachers in schools reverberates across the country, Kansas is doubling down on the idea.A new bill would not only authorize the arming of Kansas school staff, it would hold schools responsible if a shooting were to occur and the teachers and staff present were not allowed to be armed.Here's the exact wording?from House Bill 2789:"In any action against a unified school district arising out of acts or omissions regarding the possession or use of firearms on the premises of such school district, there shall be a rebuttable presumption of negligence on the part of such school district when it is shown by evidence that such school district did not authorize any employee of such school district, other than school security officers, to carry concealed handguns..."The House bill is causing some serious contention in the Kansas state capitol. During a House Insurance Committee hearing on Tuesday, Rep. Blake Carpenter, one of the bill's authors, quoted the movie "American Sniper" and said violence in school was a matter of "when" and not "if.""It's not if our kids will be killed; it is when they will be killed and what we are doing to prevent it," he said,?according to the Kansas City Star.CNN has reached out to Carpenter for comment.The bill has received significant pushback. A group of protesters was present at Tuesday's hearing, and Rep. Brett Parker, a Democratic opponent of the bill, shared a photo of stacks of papers he says are written testimonies against it.Kansas teachers?are technically already allowed by state law to carry guns on public school campuses as long as they have a permit and meet any school-specific requirements. But according to the Kansas City Star the 2013 legislation caused problems with insurance providers for some of the state's school districts, who refused to extend coverage because of the liability of armed staff.As a result, some districts put their own policies in place, overriding the law and disallowing the concealed carry of weapons on school property.The bill currently before the House committee also addresses this by forbidding insurance companies from refusing coverage just because a school district allows teachers and staff to be armed."No insurance company shall charge unfair discriminatory premiums, policy fees or rates for, or refuse to provide, any policy or contract of real or personal property insurance, liability insurance or policy containing liability coverage for any unified school district solely because such school district authorizes employees of such school district to carry concealed handguns on the premises of schools and attendance centers operated by such school district..." the bill states. 2742

ATLANTA — Georgia’s top elections official on Friday certified election results showing Joe Biden won the presidential election after a hand tally stemming from a mandatory audit affirmed the Democrat’s lead over Republican President Donald Trump.Friday morning, Secretary of State Brad Raffensperger held a press conference to say his office would certify the results following the recount.“Working as an engineer throughout my life, I live by the motto that numbers don’t lie,” Raffensperger said at the state Capitol. “As secretary of state, I believe that the numbers that we have presented today are correct. The numbers reflect the verdict of the people, not a decision by the secretary of state’s office or of courts or of either campaign.”The Georgia hand recount results were 2,475,141 votes for president-elect Joe Biden and 2,462,857 votes for President Trump. Biden's lead is about .25 percent of the vote. Georgia's 16 electoral college votes will go to Biden, given him a projected 306 votes, well above the 270 needed to become president."In certifying the results, the Secretary of State affirmed that all 159 counties have provided to the state the total votes tabulated for each state and federal candidate. Further, the Secretary of State affirms that the statewide consolidated returns for state and federal offices are a true and correct tabulation of the certified returns by this office from each county," the statement from Raffensperger's office earlier in the day Friday reads.Now, Gov. Brian Kemp has until 5 p.m. Saturday to certify the state’s slate of presidential electors.The Trump campaign has until next Tuesday evening, November 24, to request another recount of the results, which would be a re-scan of the ballots that were hand-recounted.Raffensperger also said Friday morning he plans to propose election-law changes aimed at increasing trust in the results, by allowing state officials to intervene in counties that have systemic problems in administering elections, requiring photo ID for absentee voting and enabling more challenges to voters who might not live where they say.State lawmakers would have to make these changes in state law. 2189

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