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SAN DIEGO (KGTV) - A global recruitment company tells 10News there is a concern that the healthcare system is going to be over-run by patients.It brings up questions whether San Diego County has enough nurses to staff hospitals and medical centers if the coronavirus pandemic goes on for an extended period."The problem that we're seeing now, post-pandemic and coronavirus, is that those nurses can't flock to any one area to support people because the problem is, they have to support locally where they are," said Jon Griffith with the recruitment company GQR. Griffith explained there were supply and demand issues with nurses before COVID-19. Now travel nurses, who would typically fill the void are needed in every state, and not necessarily available to travel."We're seeing people called out of retirement," he said. "Nurses and physicians alike being requested to come out and support. Essentially what we're trying to do at GQR is to tap into those resources or new grad nurses, retired nurses, wherever we can to give that local support to these hospitals to try and mitigate that risk."Griffith told 10News the hospitals they've spoken with are aware of potential challenges and are gearing up to make sure people have their healthcare needs met."They are heroes alright," Griffith said. "We see this all on social media. They are on the frontlines still giving great patient care and focusing on that continuity of care and that right there is what this is all about. But nurses have that fear of being understaffed and hospitals are really trying to rise to that challenge right now."10News asked healthcare providers across San Diego County how they will maintain staffing levels as nurses get sick or burned out, and if they have enough staff to backfill any vacancies.Here are the responses we got back.Sharp Healthcare:Yes, definitely a consideration given the unknowns around how long the COVID-19 outbreak will last. Because elective and non-emergent procedures are canceled, that frees up personnel who may be needed to backfill in other areas.UC San Diego HealthYes, we have a comprehensive plan for staffing our hospitals and clinics throughout the pandemic. In addition to a workforce of more than 2,900 nurses, we have access to additional nurse travelers and registry nurses to quickly flex up as needed. Our operational command centers monitor all personnel needs and deploy caregivers and resources across our health system in real time. Kaiser PermanenteWe are working with our public health partners to manage all aspects of the health care delivery continuum, and so far, our plans are working even as conditions, needs and priorities change. As we do every flu season, we have contingency plans in place to manage both higher numbers of patients in our facilities and illness among staff. Out of extreme caution as we respond to the challenge of coronavirus, employees who may have been exposed to the virus will remain at home for a 14-day observation period. We are able to manage this in part with fully licensed or certified seasonal contract staff. And because we are a fully integrated health care system, we have the ability to move staff from one facility to another and to adjust work schedules as needs dictate. We appreciate the flexibility and willingness to help among all of our team members.Scripps HealthScripps Health is currently recruiting for registered nurses and other key patient care roles as the impact of COVID-19 continues to play out. We have extended all current agency and traveler contracts through the end of May to ensure we have consistent coverage. Our Employee Assistance Program continues to work with our caregivers to help manage stress and burnout, such as mindfulness-based stress reduction sessions.In a sign of our commitment to the safety of our employees and patients, we have shifted our interview processes to be completely virtual so that applicants are not coming on our campuses. Also, our new employee orientation is now being conducted online so that we can minimize group sizes and practice social distancing where possible for caregivers.Do we have enough nurses currently to back fill the vacancies we expect?We are focused on protecting our workforce so they can safely treat our patients. We continue to recruit high-caliber candidates in the roles we anticipate needing and fast track the rehire process for those wanting to return to Scripps. Our nursing leadership is developing scenarios to better understand what roles may be needed in the future and how we staff up or cross-train clinicians to fill those potential gaps. We are looking at how our clinic and outpatient staff might be utilized in the hospital setting. We have established a labor pool of staffing that will better enable us to meet the needs of increased hospitalizations. We are also actively assessing roles to evaluate where there may be crossover of skills among nursing disciplines, which can effectively broaden our availability of nurses. If we don’t, where will that manpower come from?We have strong partnerships with several traveler and agency firms to assist in urgent placements. We are partnering with the state and the California Hospital Association in loosening restrictions on out-of-state licensed clinicians and student nurses as well. 5325

SAN DIEGO (CNS) - Three congressional incumbents are defending their seats across San Diego County in the November election, while two other districts are up for grabs, with one representative retiring and another facing prison.In the 49th District, Rep. Mike Levin, D-San Juan Capistrano, will be challenged by Republican Brian Maryott to represent the district straddling San Diego and Orange counties.Levin won the seat in 2018, defeating Republican Diane Harkey in the general election, and taking over for Darrell Issa, who spent nearly two decades representing the area before announcing he would not seek re-election. Issa is now running to represent the 50th Congressional District.Maryott, a certified financial planner and San Juan Capistrano City Councilman, previously ran for the seat in 2018.Both candidates have identified assisting veterans and those affected by the COVID-19 pandemic among their chief priorities.Levin has advocated for strengthening the Affordable Care Act, while Maryott says he wants to end "Obamacare restrictions on specialty healthcare for our seniors" and opposes "nationalizing our world class healthcare system at all costs."Both candidates oppose offshore drilling and have identified the safe storage and removal of nuclear waste from the San Onofre Nuclear Generating Station as a priority. Levin says his first term included the creation of a task force aimed at analyzing the decommissioned plant's issues and the introduction of legislation to expedite the waste removal. Maryott says he will support efforts to create a deep mountain repository for the spent nuclear fuel.Maryott has contended that Levin is too liberal for the district, while Levin insists his voting record "places him ideologically in the middle of the Democratic Caucus."In the 50th District, Issa will face off with Democrat Ammar Campa- Najjar to represent a district plagued by scandal and the resignation of its former representative, Duncan D. Hunter, who pleaded guilty to unlawfully spending campaign funds and is facing nearly a year in prison.Issa brings considerable experience to the table and is seeking a seat in a region that has consistently voted Republican and re-elected Hunter even as he faced indictment. Issa says he supports construction of the border wall and protecting the Second Amendment, and opposes California's Sanctuary State law.Campa-Najjar, an East County native, owns a consulting firm and is a course lecturer at San Diego State University. He also worked on Barack Obama's re-election campaign in 2012, at the United States Hispanic Chamber of Commerce and at the U.S. Department of Labor.Campa-Najjar says he supports border security, as well as initiatives to make it easier for immigrants to enter the country legally. He also supports a healthcare plan allowing patients to choose from providers in the private, public and nonprofit sectors. He says he wants to preserve portions of the Affordable Care Act, though he says "it has serious flaws."Issa has questioned Campa-Najjar's political convictions, saying his opponent has attempted to rebrand himself as a moderate in order to appeal to Republican voters, while Campa-Najjar says he has spent more time on the ground with 50th District residents than Issa, who formerly represented the 49th District.The 50th District covers East and North San Diego County, along with portions of Riverside County.Rep. Juan Vargas, D-San Diego, and Republican challenger Juan Hidalgo Jr. will face off for California's 51st Congressional District seat for the third straight election.Vargas, who has represented the district since 2012, won the last two elections soundly, taking 72.8% of votes in 2016, and 71.2% in 2018.The 51st District includes southern San Diego County -- including National City, Chula Vista and Imperial Beach -- and all of Imperial County.Vargas was born in National City and his political career includes election to the San Diego City Council in 1993, the state Assembly -- representing District 79 -- in 2000, and the state Senate -- representing District 40 -- in 2010.Among his policy priorities are immigration reform, health care, education and boosting economic growth through solar and green power, according to his campaign website.Hidalgo was born in San Diego and raised in National City, according to his campaign. He served in the Marine Corps., with his last assignment as the Sergeant Major for the Joint Task Force of Guantanamo Bay (GTMO), Cuba.Hidalgo's campaign website highlights jobs, education and public safety as his biggest priorities.He cites high unemployment rates in the 51st District compared to the rest of the state and country as a reason for voters to oust Vargas. Additionally, Hidalgo says he will seek better educational opportunities for children in economically disadvantaged areas, while on the public safety side, he'll prioritize border security and support for local law enforcement.Rep. Scott Peters, D-San Diego, who has represented the 52nd District since 2013, will face off against Republican challenger Jim DeBello, who has decades of experience in the tech industry.In Peters' campaign statement, he states that the COVID-19 pandemic, climate change, and social justice are among his chief issues.He advocates for a "long-term federal plan to increase testing, speed vaccine development and ensure vaccines and treatments are available to everyone equally." Peters also says he has pushed for federal investment in clean energy technology and is working with "Congress, Black leaders and the police to fix police practices and hold bad cops accountable."Peters previously served on the San Diego City Council, including as the council's first president. He also served as chairman of the San Diego Unified Port District.DeBello is a San Diego native perhaps best known as co-inventor of a mobile check deposit app used by 80 million customers, according to his campaign. He also served as chairman and CEO of Mitek Systems for 15 years and led Qualcomm's Internet Software business unit.DeBello describes himself as "a successful business leader and not a career politician," saying he has created jobs through his business endeavors, according to his campaign.He also said his mobile check deposit has yielded climate benefits by saving fuel, "eliminating millions of tons of carbon emissions."DeBello states he will work to rebuild the economy through a focus on innovation, and he opposes "job killing regulations that prevent entrepreneurs, creatives and people that need part-time work to earn a living."The 52nd District comprises much of coastal and central San Diego.In the 53rd District, two Democrats, Sara Jacobs and San Diego City Council President Georgette Gomez, are vying for the seat vacated by Rep. Susan Davis, D-San Diego, who announced late last year she would not seek re-election after representing the region for two decades.Rather than focusing on overt policy differences, the campaigns have focused more on the candidates' backgrounds.Jacobs is the granddaughter of Qualcomm co-founder Irwin Jacobs, and her wealthy background has been highlighted in Gomez's campaign advertisements.Jacobs is also the founder and chair of San Diego for Every Child, a nonprofit focused on ending child poverty. She worked as a policy adviser on Hillary Clinton's 2016 presidential campaign, and held policy positions at the U.S. State Department and UNICEF, according to her campaign website.She says she will work to address climate change and gun violence, as well as increase access to affordable childcare and reproductive care.Gomez has served on the city council since 2016 -- representing District 9 -- and as council president since 2018. She cites her work on the council as part of the platform she plans to carry into Congress, including action to combat climate change, providing economic relief to families during the pandemic, expanding affordable housing and advocating for criminal justice reforms.The 53rd District stretches from Linda Vista to the South Bay, and also covers portions of Eastern San Diego County, such as El Cajon and La Mesa. 8157

SAN DIEGO (CNS) - Three San Diego County sheriff's deputies were justified in fatally shooting an Alpine man who charged at them with a knife in his hand last fall, according to a report released Wednesday by the District Attorney's Office.Daniel Ayala, 31, was shot 10 times outside his apartment in the 2600 block of Alpine Boulevard last Nov. 12.Sgt. Chris Katra, Cpl. Sean McGillicuddy and Deputy Kevin Nulton responded to that address around 2:50 p.m. following reports that a man was screaming, talking about killing himself and others, and throwing items, according to a letter prepared by District Attorney Summer Stephan and addressed to San Diego County Sheriff Bill Gore.Body camera footage from two of the lawmen was also released by the D.A.'s office.RELATED: Man who was fatally shot by deputies in Alpine identifiedAs the deputies approached the front door of Ayala's unit and knocked, announcing ``Sheriff's Department'' three times, Ayala opened the door, said ``What's up!'' and jabbed a knife twice through his metal screen door, the body-worn camera footage shows.The deputies backed up from the door as Nulton alerted the others by saying ``Knife, knife, knife.''Ayala then opened the screen door and advanced towards the lawmen, who opened fire, striking him mostly in the upper body, according to Stephan's letter.Ayala died at the scene. His 5-year-old son was inside the apartment during the entire encounter, but was physically unharmed, according to the district attorney.Toxicology results showed Ayala had methamphetamine, heroin, cannabis and alcohol in his system.Stephan's letter concludes that the deputies ``were in a confined space when Ayala advanced on them quickly with a knife in his hand.'' The letter also notes Ayala's previously reported statements about killing people.``The deputies had no other option available to them as they Ayala could stab them immediately and seriously injure or kill them,'' the letter reads.Katra has been employed by the San Diego Sheriff's Department for 18 years, McGillicuddy for 12 years and Nulton for 10 years. 2096

SAN DIEGO (CNS) - The wife of an active-duty Marine stationed at Camp Pendleton is due in court Thursday on charges of sexually abusing a 15-year-old foreign exchange student who was living with her family on the base.Nicole Marie Wilson, 22, is accused of engaging in sex acts with the unidentified teen on Sept. 20 against his wishes, according to court documents.A detention hearing is scheduled Thursday morning for Wilson, who pleaded not guilty Tuesday to a single count of sexual abuse of a minor in San Diego federal court.Court documents allege Wilson sat next to the boy on the living room couch and asked him to promise that he wouldn't tell her husband, no matter "whatever happens tonight."After their initial encounter made him uncomfortable, the boy told investigators he went to sleep and awoke to Wilson touching him, then performing oral sex on him. She asked him twice whether she should continue, and one time he said, "No," yet she continued anyway, then later had sexual intercourse with him, according to the criminal complaint.She later "apologized" to him "and acknowledged" that it was not consensual, the documents allege.Wilson allegedly told Naval Criminal Investigative Service investigators she had been drinking on Sept. 20 and "blacked out" while watching television with the boy, but denied anything sexual occurred. But a search of her cell phone revealed WhatsApp messages between herself and the teen that confirmed the sexual encounter, court documents allege.It was not clear how long the teen had been living with the family, nor what country he traveled from as part of the foreign exchange program. 1648

SAN DIEGO (KGTV) -- Supervisor Nathan Fletcher and Assemblywoman Lorena Gonzalez will be under a 14-day quarantine after having close contact with someone who tested positive for coronavirus, Fletcher said Thursday.The pair said they have tested negative for the virus and that they’ve had no symptoms, but that they will follow public health guidance to quarantine for 14 days."We were notified today that we have had close contact with an individual who has tested positive for COVID-19. While we have both tested negative and have no symptoms, we will be following the public health guidance of a 14 day quarantine for those who have been in contact with a positive case," Fletcher said. Read the full statement below: 731