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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
An Idaho man says his new 8-week-old puppy appears happy and healthy despite being flown across the country to the wrong airport -- landing in Las Vegas and Salt Lake City before finally arriving in his arms Sunday.Owner Josh Schlaich had vented his frustration with Delta Air Lines on Facebook when the white and brindle puppy failed to arrive Saturday as scheduled and he was unable to get any answers by phone.According to Delta, the dog left Richmond, Virginia, and was due to fly into Boise on Saturday evening, connecting in Detroit and Minneapolis. But Delta says there was a mixup somewhere between Richmond and Boise -- and Schlaich actually received the wrong puppy when he arrived at the airport. Delta is investigating to determine where and how the mixup happened.When Schlaich realized that his dog was missing, he started working with Delta officials to track down his puppy.Schlaich's dog ended up spending Saturday night in a kennel in Detroit. Sunday morning, the puppy was flown to Minneapolis -- but then Delta said it "misrouted" the puppy and it ended up in Las Vegas. The puppy was then put on a plane to Salt Lake City, finally making it to Boise on Sunday night.Delta said the puppy was given food and water and let out of its crate periodically throughout the journey.In his Facebook post, Schlaich said he received a call from someone at the Delta terminal in Detroit about his dog's whereabouts, but then he got the runaround."Was then given the number of the boarding facility -- a disconnected line. Was not given a call back number by Detroit person, and the customer service would not give me their direct line. Tried calling Delta Cargo customer service, only to be yelled at by the rep and hung up on. No idea where my dog is, or what conditions he'll be placed under for the next 24 or more hours. Don't know when he will come into Boise tomorrow. No idea who to call. Absolutely ridiculous customer service."After Delta responded, Schlaich posted two updates to say the dog was delivered and safe."Local Delta reps (in Boise) did their best and were very helpful, but corporate and I will be having a thorough conversation tomorrow," he wrote.Schlaich later said Delta was "working hard to make this right."In a statement to CNN, Delta said it apologized for the mix-up and has fully refunded the dog's shipping costs and started a review of its procedures."We know pets are important members of the family," the airline said.It's at least the fourth airline error involving an animal in a week.On March 12, a French bulldog died on a United Airlines flight from Houston to New York after a flight attendant told its owner to put the dog, in its carrier, in an overhead bin. By the time the flight was over, the dog had died.A United spokesman said the passenger told the flight attendant there was a dog in the carrier, but the attendant "did not hear or understand her, and did not knowingly place the dog in the overhead bin."Tuesday, United flew a 10-year-old German shepherd to Japan when it was supposed to land in Kansas. The dog was mistakenly switched with a Great Dane that landed in Kansas instead.Two days later, United diverted a St. Louis-bound flight to Akron, Ohio, when it realized a pet was loaded onto the flight in error.The-CNN-Wire 3297
An alert for any brides-to-be: the wedding dress retailer David's Bridal announced this week it's planning to enter bankruptcy.So will brides with current orders be left out in the cold?David's Bridal CEO Scott Key said in a statement that for now the company's 300 stores will continue to operate and honor all orders and appointments.Jane Billingsley — who helps put together weddings at The Chapel in Nashville — says she can see why the wedding dress retailer may be facing tough financial times as more people buy wedding dresses online, or buy non-traditional styles."This millennial generation is coming up with things and it's like OK, we personalize it," Billingsley said.Billingsley says of the brides she sees, four out of five use David's Bridal in picking out a dress. 839
Applebee's announced Tuesday it will close as many as 80 restaurants nationwide as the chain continues to struggle attracting young diners.The announcement comes after Applebee's parent company, DineEquity, said in August it would close more than 100 restaurants.It's not clear which Applebee's locations would close, but according to Fortune, remaining locations will be judged on a number of criteria. “The expected closures will be based on several criteria, including meeting our brand and image standards as well as operational results,” DineEquity told Fortune in a statement.DineEquity also announced it would close up to 40 IHOP locations, though it plans to open as many as 100 new locations of the breakfast chain throughout the country.DineEquity's stock has soared since the announcement, rising nearly 20 percent on Tuesday.Alex Hider is a writer for the E.W. Scripps National Desk. Follow him on Twitter @alexhider. 982
Are you guilty of photographing your food to post on social media? You may not realize it, but those posts are helping out restaurants.Voodoo Doughnut in Denver, Colorado is one shop that has received free advertisement, thanks to their ‘Instagramable’ doughnut creations.Cat Daddy and Tres Shannon, the owners of the world-famous doughnut shop, say when they started, it was all about luring customers in with their eccentric aesthetic. "Kind of like we've created this colorful, crazy psychedelic place that sort of lends its self to take pictures in front of,” says Shannon.“Everyone is into the esthetic of their Instagram and how your pictures look together, so if the food matches your Instagram, that looks good," says one patron. Having free advertisement on social media platforms helps business, and restaurants need all the help they can get. 60 percent of new restaurants don't make it past the first year, according to an Ohio State University study. That's why other spots are cooking up their own unique creations. Chomp Eatery and Juice Station in Santa Monica have the “Unicorn Melt,” a spin on the grilled cheese sandwich. Black Tap in New York is popular for what it calls their “Crazy Shakes.” You can't help but take a pic of these eye-catching foods. The owners of Voodoo Doughnut believe social media posts has helped their business reach a wider audience. "It definitely helps business. You have so many people talking about the product or the space as you say inside or outside,” Shannon says.But for a lot people, a great picture can't replace great food. 1667