Trump let us down on Covid 19, Not Cuomo or Whitmer.

[Penelope]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

 

[martybegan]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

There were all these temporary hospitals going up, that could have accommodated these people. They were designed to hold COVID cases. They largely went unused.

it's amazing how politics make someone defend the indefensible.

I am not saying Cuomo and the others are criminal in this, I am saying they fucked up.

 

[Polishprince]

What does this have to do with Trump? In some states, governors did this, and if their policies contributed to people's deaths, why shouldn't they face 12 angry men to adjudge their guilt? Shouldn't Fredo go to prison, for manslaughter if HIS policies (not Trump's) led to people's death.

 

[Care4all]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

There were all these temporary hospitals going up, that could have accommodated these people. They were designed to hold COVID cases. They largely went unused.

it's amazing how politics make someone defend the indefensible.

I am not saying Cuomo and the others are criminal in this, I am saying they fucked up.

Those hospitals were NOT designated to HOLD Corona virus patients, they were designated to TREAT corona virus patients.

The patients returned to their nursing home, were patients who had been treated for corona virus, and no longer needed hospital care because they were healing and doing much better and no longer needed hospital care.

 

[Oddball]

What does this have to do with Trump? In some states, governors did this, and if their policies contributed to people's deaths, why shouldn't they face 12 angry men to adjudge their guilt? Shouldn't Fredo go to prison, for manslaughter if HIS policies (not Trump's) led to people's death.

 

[BasicHumanUnit]

The OP is more proof........

We are facing a Severe National Mental Health crisis.

Healthy, sane people do not say things like the OP did. That is just contorted, twisted thinking.

 

[Care4all]

40% of all Corona virus deaths come from nursing homes.... no one faired better in nursing homes in other states with spread....months after New York.

Which means COVID spread in nursing homes, is coming from the staff, bringing it in to the homes.

 

[Penelope]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

There were all these temporary hospitals going up, that could have accommodated these people. They were designed to hold COVID cases. They largely went unused.

it's amazing how politics make someone defend the indefensible.

I am not saying Cuomo and the others are criminal in this, I am saying they fucked up.

Those hospitals were NOT designated to HOLD Corona virus patients, they were designated to TREAT corona virus patients.

The patients returned to their nursing home, were patients who had been treated for corona virus, and no longer needed hospital care because they were healing and doing much better and no longer needed hospital care.

Its a political which hunt is all it is.

 

[Penelope]

The OP is more proof........

We are facing a Severe National Mental Health crisis.

Healthy, sane people do not say things like the OP did. That is just contorted, twisted thinking.

Tramp is responsible for the deaths. I'll will say it again and again. Also I'm healthy, he isn't .

 

[Care4all]

Lack of enough testing.... is the root of every problem, with spread.... still, to this day.

 

[Penelope]

What does this have to do with Trump? In some states, governors did this, and if their policies contributed to people's deaths, why shouldn't they face 12 angry men to adjudge their guilt? Shouldn't Fredo go to prison, for manslaughter if HIS policies (not Trump's) led to people's death.

Would of it been better to send them out in the street , or maybe their families would care for them?
You think,

People go to nursing homes for 2 reasons ,
1. they have no family
2. they have a family but do not want to take care of them, or doesn't have the means.

 

[Penelope]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

There were all these temporary hospitals going up, that could have accommodated these people. They were designed to hold COVID cases. They largely went unused.

it's amazing how politics make someone defend the indefensible.

I am not saying Cuomo and the others are criminal in this, I am saying they fucked up.

The 200-bed hospital, put up in less than two weeks at a conference center on the outskirts of town, opened to great fanfare on March 31, but by then pressure on the region's intensive care units was already starting to fall. It has treated only a few dozen patients.Apr 29, 2020

Many field hospitals went largely unused, will be shut down

 

[Care4all]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

There were all these temporary hospitals going up, that could have accommodated these people. They were designed to hold COVID cases. They largely went unused.

it's amazing how politics make someone defend the indefensible.

I am not saying Cuomo and the others are criminal in this, I am saying they fucked up.

But who learned from it? No one? People in nursing homes in ALL States, are still the number one demographic category of deaths.... nursing home deaths top the chart.... even in all the states after New york, who didnt ship back Covid residents recovering from their hospital stay back in to their nursing home.

THAT MEANS the spread in nursing homes is coming from elsewhere...likely their staff or maybe visitors if the home is allowing them?

 

[martybegan]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

There were all these temporary hospitals going up, that could have accommodated these people. They were designed to hold COVID cases. They largely went unused.

it's amazing how politics make someone defend the indefensible.

I am not saying Cuomo and the others are criminal in this, I am saying they fucked up.

Those hospitals were NOT designated to HOLD Corona virus patients, they were designated to TREAT corona virus patients.

The patients returned to their nursing home, were patients who had been treated for corona virus, and no longer needed hospital care because they were healing and doing much better and no longer needed hospital care.

They were empty. They could have been used, and they could have been modified easily for separation, as they were open facilities in large spaces. They were far better choices than long term care homes not designed or equipped for isolation protocols. This was at the start of all this, when testing was slow and often not correct.

They were returned unknowing of their level of contagion, and were returned under a law designed for normal times, to prevent nursing homes from getting rid of high cost patients.

 

[martybegan]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

There were all these temporary hospitals going up, that could have accommodated these people. They were designed to hold COVID cases. They largely went unused.

it's amazing how politics make someone defend the indefensible.

I am not saying Cuomo and the others are criminal in this, I am saying they fucked up.

Those hospitals were NOT designated to HOLD Corona virus patients, they were designated to TREAT corona virus patients.

The patients returned to their nursing home, were patients who had been treated for corona virus, and no longer needed hospital care because they were healing and doing much better and no longer needed hospital care.

Its a political which hunt is all it is.

LOL, and you trying to blame Trump for it isn't?

What did Trump do to force Cuomo not to change the law in question to fit the situation?

 

[martybegan]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

There were all these temporary hospitals going up, that could have accommodated these people. They were designed to hold COVID cases. They largely went unused.

it's amazing how politics make someone defend the indefensible.

I am not saying Cuomo and the others are criminal in this, I am saying they fucked up.

The 200-bed hospital, put up in less than two weeks at a conference center on the outskirts of town, opened to great fanfare on March 31, but by then pressure on the region's intensive care units was already starting to fall. It has treated only a few dozen patients.Apr 29, 2020
Many field hospitals went largely unused, will be shut down

Where did you get the quote?

 

[westwall]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

Lies are all you have.

 

[martybegan]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

There were all these temporary hospitals going up, that could have accommodated these people. They were designed to hold COVID cases. They largely went unused.

it's amazing how politics make someone defend the indefensible.

I am not saying Cuomo and the others are criminal in this, I am saying they fucked up.

But who learned from it? No one? People in nursing homes in ALL States, are still the number one demographic category of deaths.... nursing home deaths top the chart.... even in all the states after New york, who didnt ship back Covid residents recovering from their hospital stay back in to their nursing home.

THAT MEANS the spread in nursing homes is coming from elsewhere...likely their staff or maybe visitors if the home is allowing them?

The nursing homes were being shut down at that point. My great aunt died during this, and no one was allowed to see her in person.

Yet recovering patients regardless of the ability to test for this were sent back under the standing law meant to prevent patient dumping by homes, and not designed at all for pandemic conditions was still enforced.

Yet Cuomo is held up as the shining standard of how to handle COVID.

The other question is what is the actual number of deaths of nursing home residents. What about the whole "if they didn't die IN the nursing home, we aren't counting them as such" issue?

 

[Care4all]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

There were all these temporary hospitals going up, that could have accommodated these people. They were designed to hold COVID cases. They largely went unused.

it's amazing how politics make someone defend the indefensible.

I am not saying Cuomo and the others are criminal in this, I am saying they fucked up.

Those hospitals were NOT designated to HOLD Corona virus patients, they were designated to TREAT corona virus patients.

The patients returned to their nursing home, were patients who had been treated for corona virus, and no longer needed hospital care because they were healing and doing much better and no longer needed hospital care.

They were empty. They could have been used, and they could have been modified easily for separation, as they were open facilities in large spaces. They were far better choices than long term care homes not designed or equipped for isolation protocols. This was at the start of all this, when testing was slow and often not correct.

They were returned unknowing of their level of contagion, and were returned under a law designed for normal times, to prevent nursing homes from getting rid of high cost patients.

Long term nursing homes who could not follow the CDC Guidelines for the return of recovering covid residents, were not suppose to take them back....and notify their State Health department of their situation.

The CDC guidelines were to have a separate isolation ward for them, have a separate entrance for them, with an isolated staff, that did not work in the general population for regular nursing home patients.

 

[ImAlwaysRight]

March 13, 2020

When should nursing homes consider transferring a resident with suspected or confirmed infection with COVID-19 to a hospital? Nursing homes with residents suspected of having COVID-19 infection should contact their local health department. Residents infected with COVID-19 may vary in severity from lack of symptoms to mild or severe symptoms or fatality. Initially, symptoms may be mild and not require transfer to a hospital as long as the facility can follow the infection prevention and control practices recommended by CDC. Facilities without an airborne infection isolation room (AIIR) are not required to transfer the resident assuming: 1) the resident does not require a higher level of care and 2) the facility can adhere to the rest of the infection prevention and control practices recommended for caring for a resident with COVID-19. Please check the following link regularly for critical updates, such as updates to guidance for using PPE: https://www.cdc.gov/coronavirus/2019-ncov/infection-control/controlrecommendations.html. The resident may develop more severe symptoms and require transfer to a hospital for a higher level of care. Prior to transfer, emergency medical services and the receiving facility should be alerted to the resident’s diagnosis, and precautions to be taken including placing a facemask on the resident during transfer. If the resident does not require hospitalization they can be discharged to home (in consultation with state or local public health authorities) if deemed medically and socially appropriate. Pending transfer or discharge, place a facemask on the resident and isolate him/her in a room with the door closed.

When should a nursing home accept a resident who was diagnosed with COVID-19 from a hospital? A nursing home can accept a resident diagnosed with COVID-19 and still under TransmissionBased Precautions for COVID-19 as long as the facility can follow CDC guidance for Transmission-Based Precautions. If a nursing home cannot, it must wait until these precautions are discontinued. CDC has released Interim Guidance for Discontinuing Transmission-Based Precautions or In-Home Isolation for Persons with Laboratory-confirmed COVID-19. Information on the duration of infectivity is limited, and the interim guidance has been
developed with available information from similar coronaviruses. CDC states that decisions to discontinue Transmission-based Precautions in hospitals will be made on a case-by-case basis in consultation with clinicians, infection prevention and control specialists, and public health officials. Discontinuation will be based on multiple factors (see current CDC guidance for further details).

Note: Nursing homes should admit any individuals that they would normally admit to their facility, including individuals from hospitals where a case of COVID-19 was/is present. Also, if possible, dedicate a unit/wing exclusively for any residents coming or returning from the hospital. This can serve as a step-down unit where they remain for 14 days with no symptoms (instead of integrating as usual on short-term rehab floor, or returning to long-stay original room).

https://www.cms.gov/files/document/3-13-2020-nursing-home-guidance-covid-19.pdf

LTC (Long Term Care) facility management must take many factors into consideration before deciding to accept an admission, particularly one with a new and poorly understood transmissible disease such as C-19. It goes without saying that our most vulnerable population reside in LTC facilities and the ability to protect existing patients health and safety is always a top priority. It's Important to understand that "CDC Guidelines" are just that, guidelines and the ultimate decision to accept or decline an admission is made by facility staff and is based on many individual factors. Even facilities that have an AIR (Airborne Isolation room) usually only have one and no guarantee that the room has it's own ventilation system that prevents airborne pathogens traveling through the ventilation system to other areas of the facility. The truth is this, LTC facilities rightfully declined to admit C-19 admissions in an effort to protect the health and safety of their current patients and staff. Gov. Cuomo wrongfully ordered LTC facilities to accept C-19 patients under penalty of license revocation. There were alternative HC facilities in place for C-19 patients that went largely unused. Cuomo's order resulted in the unnecessary death of thousands of our most vulnerable population so just how exactly is this President Trump's fault?