Cross County Medical Staffing

Monday, December 27, 2021 4:28:26 AM

Cross County Medical Staffing

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Cross Country Staffing's 2013 Vision

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On a case-by-case basis, interested staff members can cross train on patient care services. The majority of incoming patients are placed in isolation until their status is clear, Kieley said. Kieley said an increase in COVID testing resources in the community has resulted in a greater number of patients checking into the hospital knowing they have been exposed to the virus or who already have a positive test. Staff maintain strict infection prevention protocols to protect those patients, and transfer them out to med-surg as quickly as possible, she said. A typical path to intensive care for a COVID patient starts with their arrival at the emergency entrance after being sick for a week, likely not eating, drinking or moving around much, Alford said.

After a day or a week — depending on the patient — of receiving oxygen and other preliminary therapies, the treatment becomes insufficient and oxygen levels fall, sending the patient into intensive care. The first stage of oxygen supply comes through a bilevel positive airway pressure machine, with a mask over the face creating a seal as oxygen pushes through at a constant rate of liters per minute.

Low oxygen worsens existing lung injury, she said. If the first stage of intervention fails, a breathing tube is inserted and unconscious life begins on the ventilator. Sustenance comes through an oral tube to the stomach. At RRMC, 7, gallons of water per day is sprayed on the oxygen tank to mitigate ice buildup due to high usage, according to Asante communications specialist Lauren Van Sickle. Changes are in the works to increase evaporator size and eliminate the need to use water for this purpose, Van Sickle said. Based on her observations, the average time for a patient on a ventilator is about two weeks.

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