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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

As the school year comes to a close, students will find many ways to thank their teachers.One student in Lackawanna County, Pennsylvania may have found the best way, by helping his teacher win a new car.Students at the Career Technology Center of Lackawanna County were more than happy to head outside to the parking lot on a beautiful day. The short field trip was about to become a lot sweeter for one of the CTC's teachers, who was awarded the title of Burne Honda's Teacher of the Year.Kyle Linko, a welding technology teacher at the school in Scranton, took the title and the grand prize: a brand new Honda Civic. 631

ATLANTA, Ga. – A top official with the Centers for Disease Control and Prevention (CDC) said Wednesday that experts are seeing a “distressing trend” as coronavirus cases surge across the United States, particularly in the Midwest.“Unfortunately, we're seeing a distressing trend here in the United States,” said Dr. Jay Butler, Deputy Director for Infectious Diseases. “Smaller, more intimate gatherings of family, friends and neighbors may be driving transmission as well, especially as they move indoors.”Butler also urged Americans to continue taking the necessary precautions to prevent the spread of the coronavirus, like practicing social distancing, washing your hands and wearing masks.“I recognize we are all getting tired of the impact that COVID-19 has had on our lives, we get tired of wearing masks, but it continues to be as important as it’s ever been and I’d say it’s more important than ever as we move into the fall season.”Butler made the comments during a press briefing with CDC Director Dr. Robert Redfield and Health and Human Services (HHS) Secretary Alex Azar.CDC, HHS give an update on COVID-19 response https://t.co/YxLSMGZgbs— Reuters Science News (@ReutersScience) October 21, 2020 During the briefing, Azar and Redfield discussed Operation Warp Speed, a partnership initiated by the Trump administration to accelerate the testing, supply, development and distribution COVID-19 vaccines, therapeutics and diagnostics.The goal of partnership is to produce and deliver 300 million doses of a safe and effective vaccine with initial doses available by January 2021, according to the HHS website.Azar provided an updated timeline on when we can expect vaccine to be distributed and who will receive the first doses. According to him, a vaccine would be widely available by late March or early April.“We expect that we would have by the end of this year, enough vaccine that is FDA authorized, to be able to vaccinate all of our vulnerable, the most vulnerable individuals,” said Azar. “Then by the end of January, we expect we’ll have enough to vaccinate all seniors as well as our health care workers and first responders. And by the end of March to early April, enough vaccine for all Americans who would want to take a vaccine.”Wednesday’s briefing comes as many states report increases in the number of COVID-19 cases. The U.S. has surpassed 8.3 million cases and more than 221,500 people have died across the nation from the disease, according to an ongoing tally by Johns Hopkins University.Experts are concerned there may be a major spike in cases during the fall and winter months, which will strain the country's health care system, which will also be caring for flu patients.With many people still struggling amid the pandemic, Congress and the Trump administration still have not come to a deal on another COVID-19 relief bill. As for the Senate, Majority Leader Mitch McConnell has signaled his chamber may not support the potential deal. 2983

ASHLAND COUNTY, Ohio - The Ashland County, Ohio Sheriff’s Office is investigating after an 8-year-old boy allegedly shot his sister, who is 4-years-old.According to deputies, it happened on Saturday at their home in Hayesville Village.The little girl was taken to the hospital for multiple gunshot wounds and is currently listed in stable condition.The boy was removed from the home, and their mother is now in custody. She has not been formally charged.It’s unclear if the shooting was intentional or accidental. 531

As some of you may have already found out tonight Lonnie did not make it... he passed away Sunday morning?? but Wanda told me all the love and support he was receiving put a huge smile on his face so I thank every single one of you guys for that!?????? https://t.co/tNvals0FMh— Jamal Hinton (@Jamalhinton12) April 9, 2020 329