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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

Automakers are racing to develop driverless cars, putting increasingly complex technology on the road despite concerns from safety experts and the National Transportation Safety Board about a lack of regulations.Unlike rules for the design of a seatbelt or airbag, the federal guidelines for automated vehicle systems are voluntary. The U.S. Department of Transportation says keeping rules at a minimum will speed up the introduction of life-saving technology, a goal made all the more urgent as traffic deaths climbed again last year to 37,461, with 94 percent of those caused by human error.That lack of mandatory rules for self-driving cars has given automakers and technology companies the green light to police themselves, said Jackie Gillan, president of Advocates for Highway and Auto Safety. The group is calling for the government to issue mandatory safety standards for driverless cars.“Before we introduce this technology we need to have some assurance and accountability by the industry that this technology is not going to kill or injure consumers,” Gillan said.The National Transportation Safety Board makes recommendations after investigating major transportation incidents. The board recently called on DOT to issue new safety rules after its investigation of a May 2016 fatal crash of a Tesla Model S operating on autopilot near Williston, Fla. The Tesla slammed into a tractor-trailer, its cameras and automatic emergency braking system failing to spot the blank side of the truck against the white sky.It was the first known deadly wreck of a car driving with that level of automated sophistication. The NTSB said the driver relied too heavily on the car’s traffic-aware cruise control system and autosteering feature, but also blamed Tesla’s autopilot for allowing the driver to not interact with the car for prolonged periods of time.Investigators found the driver had his hands on the wheel for only 25 seconds during the 37 minutes the car was on autopilot. After the crash, Tesla updated its software that requires drivers touch the wheel every so often when the car is driving itself to ensure a human is paying attention to the road. Now if a driver repeatedly fails to touch the wheel, he or she will “strike out” and cause the car to slow down and stop in its lane with its hazard lights on, disabling autopilot for the remainder of the trip. 2378

AZUSA (CNS) - A homeless man suspected of intentionally starting the Ranch 2 Fire in Azusa surrendered to authorities Sunday, while firefighters endured another day battling the blaze amid scorching temperatures.The fire, which grew to 2,256 acres overnight, was just 7% contained Sunday.The man suspected of intentionally starting the fire, 36-year-old Osmin Palencia, was in custody at the Azusa Police Department jail. Police did not release further information except to say that the investigation was still active, and urged anyone with information about the fire's origin to call 626- 812-3200.On Saturday, police said Palencia was believed to have a connection to the Monrovia area and possibly a woman known as "Madonna Ortiz." They added he is violent and has multiple active arrest warrants.Palencia also had four misdemeanor arrests over the last two years, three by Azusa police and one by sheriff's deputies, according to jail records.Palencia's last known residence is an encampment in the Azusa Canyon Riverbed, police said.A witness who lives in a riverbed near Mountain Cove told NBC4 an argument between two homeless men sparked the fire."There were two gentlemen in the back (of a homeless encampment) fighting and they were arguing over a bike and one guy said he'd burn the other guy out, and things got escalated to where the fire started," evacuee Jimmy Pockets told the station. "Ran over to try to put it out but it just took off so quick."Firefighters said high temperatures, slope, aspect and winds "came into alignment" overnight, causing the fire to became very active at the bottom of Roberts Canyon and move upslope amid dense mixed-chaparral fuels, sending a large pyrocumulus cloud formation into the sky that could be seen throughout much of the Southland.Firefighting aircraft were grounded for the night Saturday due to a drone flying in the fire area that was spotted at 6 p.m. Officials noted that there is a temporary flight restriction in the vicinity, and flying drones there is illegal.All earlier evacuations orders have been lifted, but the following road closures remained in effect:San Gabriel Canyon Road/Highway 39: closed at Northbound Hwy 39 at Sierra Madre Avenue (southbound Highway 39 is closed at East Fork Road)Glendora Mountain Road: closed from Big Dalton to East ForkGlendora Ridge Road: closed from Glendora Mountain Road to Mt. Baldy RoadSanta Anita Canyon Road: closed from Arno Drive to Chantry Flats RoadThe Angeles National Forest changed its Forest Fire Danger Level from very high to extreme, and moved into full fire restrictions including prohibiting campfires in developed sites. Cooking stoves, lanterns and similar devices that use propane, white gas or similar fuels were prohibited.The Ranch 2 Fire was reported about 2:45 p.m. Thursday near North San Gabriel Canyon Road and North Ranch Road, according to the Azusa Police Department and Los Angeles County Fire Department, which called in a second- alarm response.The number of personnel committed to fighting the blaze had reached 286 Sunday. 3076

As Starbucks prepares to close its stores later this month for mandatory racial-bias training, an incident in suburban Los Angeles is showing why that training is needed.A barista at a Starbucks in La Ca?ada Flintridge is accused of printing a racial slur on a Latino customer's drinks on Tuesday.Priscilla Hernandez told CNN that a co-worker at the restaurant where she works went to the nearby Starbucks and bought drinks. It's a coffee run they make just about every day.The co-worker ordered a white chocolate mocha and an iced caramel macchiato and told the barista his name is Pedro, Hernandez said.But she said that when he brought back the drinks, she noticed that "beaner" was written on her drink instead of Pedro. "Beaner" is a derogatory term for Mexicans in the US."I asked him if he realized what they had put on his cup. He said no. So I was really upset about it, because that isn't OK," she said.Hernandez said she called the store and they told her their employee couldn't understand what Pedro had told them. They also offered a gift card."Out of all the names they could've put on his coffees for 'misunderstanding' him they decide to put 'beaner,'" she said, noting that the Starbucks employees apparently understood Pedro well enough to get his drink orders right.Hernandez followed up with a complaint to Starbucks on Twitter. The company soon responded."Thank you for letting us know, Priscilla. This is not the welcoming experience we aim to provide, and we have reached out to this customer to apologize and make this right," Starbucks said on Twitter.Hernandez said she and Pedro met with the chain's district manager Thursday morning. She said the manager was very apologetic and promised to investigate the incident.Hernandez told CNN that Pedro declined to comment for this story. Starbucks has not responded to multiple requests for additional comment.The coffee chain is planning to close all 8,000 of its company-owned stores on the afternoon of May 29 so it can provide racial-bias training to its 175,000 employees.The training was announced in response to the arrest of two African-American men last month at a Philadelphia Starbucks while waiting for a business meeting. As part of a settlement with the men, Starbucks and the city agreed to support a 0,000 initiative to encourage young entrepreneurs. 2384

Attorney General William Barr said Wednesday that a controversial Trump administration initiative had netted nearly 1,500 arrests with federal agents' assistance in nine U.S. cities.Speaking from Kansas City, Barr claimed that "Operation Legend" has been successful in combatting rising rates of violent crime across the country.Operation Legend — named in memory of 4-year-old LeGend Taliferrom, who was shot to death in Kansas City earlier this year — was launched in the city in early July. Officials with the Kansas City police department say the murder rate in the city has dropped in the month since federal agents arrived.Among those arrested in connection with the program was a suspect charged with LeGend's murder. The boy's mother attended Wednesday's press conference and thanked Barr for his assistance in LeGend's case.Since its launch in Kansas City, Operation Legend has spread to Chicago, Albuquerque, Cleveland, Detroit, Milwaukee, St. Louis, Memphis and Indianapolis.However, the initiative remains controversial with local leaders. In late July, the mayors of 13 large cities penned an open letter to Barr, Acting Homeland Security Sec. Chad Wolfe and other Trump administration officials, saying they did not wish for federal agents to patrol their streets.Earlier this year, the Trump administration sent federal agents to Portland, Oregon, in an attempt to quell months-long protests in the city. The arrival of federal agents caused tensions between protesters and federal agents to rise, resulting in several clashes.Last month, Barr claimed that Operation Legend had resulted in the arrests of 200 violent criminals within two weeks. According to the Kansas City Star, Barr was, in fact, citing arrest figures that dated back to December 2019, and included joint arrests between state officials and the FBI. 1841

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