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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

Attorney General William Barr took aim at his own Justice Department on Wednesday, criticizing prosecutors for behaving as “headhunters” in their pursuit of prominent targets and politically charged cases.The comments at a speech at Hillsdale College in Michigan amount to a striking and unusual rebuke of the thousands of prosecutors who do the daily work of assembling criminal cases across the country.Barr described the prosecutors as part of the “permanent bureaucracy” and said they were in need of supervision from “detached,” politically appointed leaders who are accountable to the president and Congress.“The men and women who have ultimate authority in the Justice Department are thus the ones on whom our elected officials have conferred that responsibility — by presidential appointment and Senate confirmation,” Barr said, according to his prepared remarks. “That blessing by the two political branches of government gives these officials democratic legitimacy that career officials simply do not possess.”As Attorney General, Barr has been aggressive in pursuing certain categories of prosecution himself, including seeking federal charges against those arrested in protests following the death of George Floyd. In fact, later on Wednesday, Barr said wants prosecutors to be aggressive in charging demonstrators who cause violence.So far, more than 300 people have been charged with federal crimes in the protests that erupted following the death of George Floyd.An Associated Press analysis shows that many are accused of serious crimes like hurling Molotov cocktails, burning police cars and seriously injuring law enforcement. Others are not accused of serious crimes, prompting criticism that the effort is a politically motivated effort to stymie demonstrations. 1790

As we shop online more this holiday season, pest control experts are also expecting more calls.That's because those cardboard packages left out in front of homes are basically an invitation for bugs and rats to come inside.“They're looking for shelter, just like we are. They're cold if they're outside, so a lot of times, they have that fall migration, or early winter migration of rodents to our door, seeking heat and shelter,” said Dr. Brittany Campbell, staff entomologist at the National Pest Management Association.Some of those pests include American and German cockroaches, silverfish and even booklice. Unlike body lice, booklice are mostly harmless and more of a nuisance.During this time, it's important that you open up your packages outside. You'll want to do a quick inspection of the exterior of the box.“So, you'll look for gnaw marks, any type of droppings on the boxes, and then before you bring them in, go ahead and open that cardboard box,” said Campbell.Once you open up the box, shake out all the items inside and look for fecal droppings, urine marks, egg casings, and any other type of clues that show there were insects inside.After inspecting the box, it's fine to still use it to wrap your gifts, but make sure to dispose of it as soon as possible after Christmas. Don't let cardboard pile up inside your house.And if you think you have an infestation, get a pest control expert to take care of it. 1435

At 16 years old, Gabe Richards has been working hard to get good grades.He's secured straight As while being a part of the special education program at Marysville High School in Michigan.But, after getting invited to be honored at an academic awards ceremony Monday night, Gabe said he was disappointed to be told at the event that his invite was a mistake."We were really excited and don't get the chance to celebrate achievements all the time," said his mother Stefanie Grassel.Grassel said the faculty did apologize and acknowledge they mistakenly sent an invitation letter.However, as a mother, Grassel said she wants to see the policy changed to become more inclusive."It sends the message that they are less than a general education student, and that's wrong," she added.Richards also told us he feels disappointed after what happened. District superintendent Shawn Whiteman refused to do an interview in response to what happened. Instead, he issued the following statement addressing the matter:"The criteria for students to receive the distinguished “Academic Award” from Marysville High School are a GPA greater than or equal to 3.5 and that they are enrolled in a certain amount of academic-based classes.After speaking with our high school principal, it was evident that a mistake was made when identifying students for this award, due to the fact that a letter was sent home inviting a student to the ceremony who didn’t meet the full criteria.It is clear that the high school made an error in identifying students for this year’s award and we respectfully apologize for any grief this has caused.  Because of this, we will be taking corrective action so that this does not happen again in the future." 1768

Authorities have identified a Facebook post believed to have been made by the gunman who killed 12 people at a bar in California, a law enforcement official said.Ian Long, 28, burst into the Borderline Bar & Grill in Thousand Oaks and opened fire with a Glock .45-caliber handgun as patrons line-danced late Wednesday night.Long is believed to have posted the social media message around the time of the attack, according to the official, who is familiar with the investigation.In it, the writer says: "I hope people call me insane ... (laughing emojis).. wouldn't that just be a big ball of irony? Yeah ... I'm insane, but the only thing you people do after these shootings is 'hopes and prayers'.. or 'keep you in my thoughts'... every time... and wonder why these keep happening. " 796