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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

ATLANTA —The former Atlanta police officer who shot and killed Rayshard Brooks on June 12 has been released from jail after posting bond, local TV stations WXIA and WGCL report.A judge on Tuesday set a bond of 0,000 for Garrett Rolfe, who faces charges including felony murder in the killing of the 27-year-old Black man.WXIA reports that Rolfe will now have to wear an ankle monitor, surrender his passport, adhere to a curfew, and he can’t possess a firearm.In a statement obtained by WXIA and WGCL, attorneys representing the Brooks family said they’re disappointed that Rolfe was granted bond, but they understand it’s just one step in a long quest for justice.Rolfe fatally shot Brooks in the back when Brooks fired a Taser in his direction while running away after a struggle on. Rolfe is white.Felony murder convictions are punishable by a minimum sentence of life in prison.The shooting happened against the backdrop of demonstrations nationwide over police brutality. 987

AURORA, Colo – A man is giving a family a piece of their hero back after finding World War II dog tags on a job site he was working on.“They’re going into the mail today,” Michael Huber said in his office, surrounding by old photos and knick-knacks packed away in a box.Huber has all the respect in the world for a man he’s never met, but came across his name in the dirt.“Well, I was excavating on my jobsite,” Huber said. “I was getting rid of some trash and debris from years ago, and I pulled out a bucket and there was something shiny sticking out. I saw what it was and it was dog tags.”The name Gail Sheldon was engraved on the tags.“It said he got his shot in 1943,” Huber said. “Amazing. World War II dog tags.”Doing a little research, Huber found out who Sheldon was.“He was a captain and flew B-24 bomber planes,” Huber said. “He had several missions over Berlin, and he flew during D-Day. He was even shot down one time.”Huber was able to get into contact with Sheldon’s family after a couple of months. He found out from the family Sheldon died in 1990.Huber is now sending back the dog tags along with Sheldon’s pilot wings that he found with the tags. He packs up a box filled with old coke bottles and old squirt guns from that time that he found on the job site.“It could possibly be his family’s,” Huber said.Huber, who has also served in the U.S. Army, said he deeply respects Sheldon. Which is why it's important to send this memento back to the family.“Dog tags to me is part of a person’s being,” Huber said. “It’s a symbol of them giving up everything.” 1584

ATLANTA — Georgia’s top elections official on Friday certified election results showing Joe Biden won the presidential election after a hand tally stemming from a mandatory audit affirmed the Democrat’s lead over Republican President Donald Trump.Friday morning, Secretary of State Brad Raffensperger held a press conference to say his office would certify the results following the recount.“Working as an engineer throughout my life, I live by the motto that numbers don’t lie,” Raffensperger said at the state Capitol. “As secretary of state, I believe that the numbers that we have presented today are correct. The numbers reflect the verdict of the people, not a decision by the secretary of state’s office or of courts or of either campaign.”The Georgia hand recount results were 2,475,141 votes for president-elect Joe Biden and 2,462,857 votes for President Trump. Biden's lead is about .25 percent of the vote. Georgia's 16 electoral college votes will go to Biden, given him a projected 306 votes, well above the 270 needed to become president."In certifying the results, the Secretary of State affirmed that all 159 counties have provided to the state the total votes tabulated for each state and federal candidate. Further, the Secretary of State affirms that the statewide consolidated returns for state and federal offices are a true and correct tabulation of the certified returns by this office from each county," the statement from Raffensperger's office earlier in the day Friday reads.Now, Gov. Brian Kemp has until 5 p.m. Saturday to certify the state’s slate of presidential electors.The Trump campaign has until next Tuesday evening, November 24, to request another recount of the results, which would be a re-scan of the ballots that were hand-recounted.Raffensperger also said Friday morning he plans to propose election-law changes aimed at increasing trust in the results, by allowing state officials to intervene in counties that have systemic problems in administering elections, requiring photo ID for absentee voting and enabling more challenges to voters who might not live where they say.State lawmakers would have to make these changes in state law. 2189

As of Monday morning, more than 11 million people in the U.S. are confirmed to have contracted COVID-19 since the start of the pandemic, a database kept by Johns Hopkins University.That means about 1 million Americans have been diagnosed with the virus in the last seven days. The U.S. passed the 10 million case threshold on Nov. 9.COVID-19 has been spreading at a frightening pace within the U.S. in the month of November. For the past 13 days, at least 100,000 Americans have been diagnosed with the virus each day, a stretch that includes seven days that set records in the number of new daily cases.The spike in cases has also led to an increase in hospitalizations across the country. According to the COVID Tracking Project, about 70,000 Americans are currently hospitalized with COVID-19 complications, the most since the pandemic began.Several Midwest states like Iowa and South Dakota have reported that their hospitals are near capacity as they fill up with COVID-19 patients.The U.S. has also seen an uptick in deaths linked to the virus in the past month, though according to the COVID Tracking Project, death rates remain below where they were during case spikes in the spring and summer. Since Oct. 17, deaths per day linked to the virus have nearly doubled from about 700 a day to about 1,300 a day.Since the pandemic began, more than 246,000 people in America have died of complications from COVID-19 — the most of any country around the world. 1469