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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 national rates of hospitalizations, deaths and positive cases of the coronavirus spike, CDC data shows Americans of color who contract the virus are more likely to end up in the hospital.The hospitalization rate overall for Hispanic or Latino COVID-19 patients is about 4.2 times higher than white patients. For American Indians, Alaska Natives, and Black patients, they are roughly 4 times more likely to be hospitalized than white patients.Patients between the ages of 18-49 who are Hispanic, Latino, American Indian or Alaska native are 7 times more likely than white patients of the same age to be hospitalized. Black patients between 18-and-49 years old are nearly 5 times more likely than white patients of the same age to be hospitalized.The findings are part of the CDC’s weekly report on the coronavirus pandemic in America.Weekly rates of hospitalizations have been increasing this fall since late September. Overall, the increase has been driven by patients who are older than 50. However, the CDC finds that weekly hospitalization rates among children have been increased for the last two weeks.The nationwide percent of positivity rate for specimens tested for COVID-19 is at 10.5 percent for the week ending November 7. It was 8.4 percent the week before.As of November 17, the U.S. has reported more than 11.2 million cases of the coronavirus since the pandemic started in March. Nearly a million of those cases happened in just the last week or so, as the virus spreads rapidly across the country. There have been almost 248,000 deaths in this country from the coronavirus. 1600

ATLANTA (AP) — Rapper and actor T.I. has settled civil charges with the U.S. Securities and Exchange Commission that he helped promote a fraudulent cryptocurrency. T.I., whose real name is Clifford Harris, agreed to a civil settlement with the SEC that was announced Friday. He's paying a ,000 fine and agreeing not to sell or market similar securities for at least five years. A representative for T.I. did not immediately respond to an email seeking comment on Monday. The charges against Harris were part of a larger enforcement action against others including film producer Ryan Felton, who faces wire fraud and other charges in a 28-count indictment unsealed Wednesday. 685

Australia is ordering automakers to recall more than two million vehicles fitted with potentially deadly airbags.The Australian government said Wednesday that the cars contain airbags made by Takata, the Japanese company at the heart of a scandal that has led to tens of millions of vehicle recalls around the world in recent years.Takata airbags have been linked to at least 23 deaths globally, including one in Australia, according to a statement by the Australian Treasury. A defect can cause the airbags to explode and blast shrapnel into drivers and passengers.Voluntary recalls in Australia have previously been announced by big car brands including BMW, Chevrolet, Honda, Nissan, and Toyota. But the government said those steps haven't been enough to deal with the danger, leaving around 2.3 million vehicles with the defective airbags still on the country's roads."The voluntary recall process has not been effective in some cases, and some manufacturers have not taken satisfactory action to address the serious safety risk which arises after the airbags are more than six years old," said Michael Sukkar, an assistant Australian Treasury minister.The new compulsory recall includes models made by major carmakers such as Ford, Mercedes Benz, Tesla and Volkswagen.The total number of affected cars in Australia is 4 million, or nearly one in five passenger vehicles on the country's roads. All the faulty Takata airbags have to be replaced by the end of 2020, according to the government.Wednesday's announcement followed an investigation by Australia's consumer watchdog, the Treasury said.Takata's faulty airbags have led to massive recalls around the world over the past decade. In the United States, more than 40 million vehicles were affected, and authorities say the recalls could take until 2023 to complete.The scandal led to the slow and painful demise of Takata, which started out as a textile manufacturer more than 80 years ago and later came to specialize in seat belts and other auto safety equipment.The company has pleaded guilty to corporate criminal charges and agreed to pay a billion fine in the U.S. It filed for bankruptcy last year and much of its operations are being taken over by Key Safety Systems, a Chinese-owned company based in Michigan. 2323

As the pandemic continues, homeless shelters are having to change their approach to meet the needs of families.At least one network of shelters is doing that by trying to prevent homelessness.Family Promise is the largest homeless shelter in the country. Last year, it helped 93,000 people.It provides aid to those who need housing by placing them with community partners within the interfaith community.The executive director in Arizona says the problem right now is these communities are shutting down in the pandemic.“The congregations in the last six months, five and half months, have gotten used to not hosting,” said Ted Taylor, Executive Director of Family Promise Arizona. “We have to get them back into the hosting mode because it is what makes our model work. So, the fear that is at congregations still remains. It is real and it is a very difficult start.”Family Promise says the average cost to rescue a family is ,000 and it takes as long as four months. For Family Promise, it costs ,000 and takes 43 days.While their new effort to prevent homelessness gets up and running, Family Promise says looming evictions require more community support than ever.So far, Family Promise has prevented 10 families from homelessness in Arizona. It hopes to reach 40 by the end of the year.Nationwide, the executive director says the effort to prevent homelessness could reduce the number of people needing a place to stay by 25%. 1445