Hospital exec says employees are walking off the job • Hacker News Board

Re: Hospital exec says employees are walking off the job

#261

Post by gdulli » Thu, Aug 05, 2021, 7:08 PM UTC

MarkLowenstein wrote: post #229

joshgrib wrote: post #206

Earlier quoted context omitted.

Does social distancing somehow increase the risk of getting the Delta? I did some searching and couldn't find anything to back that up, if a certain state was better at social distancing the first time it seems like they probably would be for the next one too

I meant to point out that if a region has kept COVID conflagrations from happening, via social distancing efforts, they will have accumulated less natural immunity, thus they are riper for conflagrations in the future. The way I predict "who's next" in the U.S. is to look at which states are at the bottom in terms of infections per capita. Those are the ripest. The technique has worked very well for me thus far.

Oregon, Washington, and Hawaii all have rising cases starting a month ago. But a month in, deaths haven't gone up. They're in single digits. You don't have to wonder what kind of effect delta will have on those states, you can look at the data.

Arkansas does have rising deaths. Florida does have rising deaths. The distinction between the attitudes (and the results) of those states and the "blue" states you mentioned isn't an invention by CNN. (Though CNN may be happy to profit from reporting on that distinction.)

Re: Hospital exec says employees are walking off the job

#262

Post by varelse » Thu, Aug 05, 2021, 7:11 PM UTC

iammisc wrote: post #252

varelse wrote: post #228

Earlier quoted context omitted.

So you assert viruses cannot evolve to be deadlier but at the same time insist they always evolve to become less deadly. But the only evolutionary imperative is more virus particles. If becoming less deadly is the best path, the virus becomes less deadly. But if increased fatality comes along with making more virus particles, it will get deadlier. But don't take it from me: "But there’s no obvious evolutionary advant…

> >COVID does not seem to be bouncing between animal hosts You make antibodies to all kinds of things. You likely have antibodies to cat viruses that have no chance of infecting you. Again, stop the fear mongering. > they always evolve to become less deadly. As with any 'rule', there are exceptions, but that is the general idea yes. There is little need to worry about future variants.

35% is the fatality rate of MERS, a related CoronaVirus, and you have presented zero evidence to prove it's impossible SARS-CoV-2 mutate up to that rate. You sound like you're trying to cover up peer-reviewed data suggesting we take this into account. You have also presented no evidence that with increased transmissibility we won't see increased fatality. Put up or shut up.

Re: Hospital exec says employees are walking off the job

#263

Post by TheCoelacanth » Thu, Aug 05, 2021, 7:12 PM UTC

MattGaiser wrote: post #15

AlexandrB wrote: post #8

Good for them. Despite the mantras of "support our frontline workers" many of these employees have been treated like shit by their employers[1], their government who refused to take measures to limit the spread, and their patients - some of whom will continue to actively deny COVID even as they die from it. [1] https://www.nwahomepage.com/knwa/mercy-employees-frustrated-...

If a company cares about you, it is shown in money. The People and Culture guy is a snake oil salesman meant to scam you.

Good working conditions are also an aspect of the company caring about you. If a company pays you well, but still abuses you, they don't care about you.

Re: Hospital exec says employees are walking off the job

#264

Post by tonyedgecombe » Thu, Aug 05, 2021, 7:23 PM UTC

TheFreim wrote: post #94

goodells wrote: post #7

I am an EMT and talk to a lot of nurses, PAs, and physicians in various circles. This wave is worse for a few reasons. - Healthcare staff have great animosity towards the unvaccinated patients. They aren't victims here, they did this to themselves. Nobody can muster any more compassion, especially for these people. Patients and people at large, not even just the total-nutjob anti-vaxxers, are tired of restrictions. "…

> Healthcare staff have great animosity towards the unvaccinated patients. They aren't victims here, they did this to themselves. That seems strange to me considering there are TONS of diseases that are completely the victims fault. Diabetes, heart diseases, lung issues, etc can all be caused because someone chose to make unfortunate decisions. Why would you get into a profession where you're in contact with this kin…

Some people get T2 diabetes without being overweight, some lung cancer patients have never smoked. It's not "completely the victims fault".

Re: Hospital exec says employees are walking off the job

#265

Post by tonyedgecombe » Thu, Aug 05, 2021, 7:24 PM UTC

Alupis wrote: post #29

goodells wrote: post #7

I am an EMT and talk to a lot of nurses, PAs, and physicians in various circles. This wave is worse for a few reasons. - Healthcare staff have great animosity towards the unvaccinated patients. They aren't victims here, they did this to themselves. Nobody can muster any more compassion, especially for these people. Patients and people at large, not even just the total-nutjob anti-vaxxers, are tired of restrictions. "…

Vaccination rates are extremely poor among Nurses and other healthcare staff[1], poorer than the general population you seem to imply they despise for lack of vaccination. [1] https://www.forbes.com/sites/judystone/2021/06/28/covid19-va...

I'm guessing if you have already had the virus then the pressure is off.

Re: Hospital exec says employees are walking off the job

#266

Post by gdulli » Thu, Aug 05, 2021, 7:30 PM UTC

MarkLowenstein wrote: post #210

naturalauction wrote: post #76

Earlier quoted context omitted.

>Also should note, I can't help but feel this focus on Florida, Texas, Arkansas, etc is because they have banned masks and vaccine mandates. If you look at actual hospitalizations and more importantly death rates you see something different. But this is in the past (or cumulative over the whole pandemic), the news article is talking about now. If you look at current numbers, you can see where hospitalizations are now…

You're both correct. What is being missed is that, partly because of less social-distancing, FL and the MO/AR/LA region are getting hit first, so you can point to the problems there this week. The media dishonesty is that they won't come back next week or in two weeks and give attention to the equivalent problems in VA, OR, WA, etc. The passive headline-reader, who throughout 2020 and 2021 has seen sob story after so…

I don't know where you get this idea that delta is going to hit blue states after red states. Blue states are open. I haven't worn a mask since before I started hearing about delta.

Delta is here in my blue state and the neighboring ones, cases here have gone up, but people aren't dying. Because of high vaccination rates it's not news here the way it was last year and we're staying open.

You're inventing this "dishonesty."

Re: Hospital exec says employees are walking off the job

#267

Post by lotsofpulp » Thu, Aug 05, 2021, 7:31 PM UTC

8ytecoder wrote: post #247

lotsofpulp wrote: post #215

Earlier quoted context omitted.

Are the traveling nurses also not working their butt off?

I'm not sure anything in my statement is meant to say they don't work their butt off?

My bad, I read it as traveling nurse price is too high because the latter work their butt off, implying the others do not.

Re: Hospital exec says employees are walking off the job

#268

Post by eckesicle » Thu, Aug 05, 2021, 7:32 PM UTC

mrtranscendence wrote: post #92

DamnYuppie wrote: post #55

Earlier quoted context omitted.

I have worked for places with amazing culture and benefits. I still left and went somewhere else for a 50% pay increase. At the end of the day I look at the extra amount I am saving and what it does to my retirement account. The place I left to was by no means horrible but was not at the same level in terms of culture/vacation. Also I did end up returning to that company after 4 years and was able to get an even bigg…

It's one thing to move from amazing to not bad for 50% more pay. It's another to move from a good work culture to one that abuses your off time, expects you never to take time off, or forces frequent overtime. I just recently moved from a place with very good culture and benefits to a contracting company with much worse benefits. Just going from five weeks vacation to two weeks alone really stings. And my pay only we…

Why don't you go ask for your old job back? Worst case they say no.

Re: Hospital exec says employees are walking off the job

#269

Post by nradov » Thu, Aug 05, 2021, 7:33 PM UTC

thearn4 wrote: post #187

nradov wrote: post #59

Earlier quoted context omitted.

It's a complicated problem. Tired healthcare providers make more errors. But the majority of harmful errors happen in handing over patient care from one provider to another. Shorter shifts mean more care transitions. A patient in the ICU isn't like a truck that you can park and leave alone for 8 hours.

> But the majority of harmful errors happen in handing over patient care from one provider to another I've heard this claim before, but this seems like a communication problem more than anything else. Keeping insane work schedules as a means to address it seems really suspect to me.

Communication is certainly part of the problem. But nothing comes for free. It takes time to properly update the patient chart and brief the relief shift. Plus there are things that can't really be communicated effectively. After monitoring a given patient for a while, an experienced provider will start to pick up subtle cues about their condition. How would you even communicate that?

Re: Hospital exec says employees are walking off the job

#270

Post by iammisc » Thu, Aug 05, 2021, 7:33 PM UTC

varelse wrote: post #262

iammisc wrote: post #252

Earlier quoted context omitted.

> >COVID does not seem to be bouncing between animal hosts You make antibodies to all kinds of things. You likely have antibodies to cat viruses that have no chance of infecting you. Again, stop the fear mongering. > they always evolve to become less deadly. As with any 'rule', there are exceptions, but that is the general idea yes. There is little need to worry about future variants.

35% is the fatality rate of MERS, a related CoronaVirus, and you have presented zero evidence to prove it's impossible SARS-CoV-2 mutate up to that rate. You sound like you're trying to cover up peer-reviewed data suggesting we take this into account. You have also presented no evidence that with increased transmissibility we won't see increased fatality. Put up or shut up.

Viruses don't 'mutate' up to a death rate. They mutate to a low death rate in one host, then sometimes cross, and happen to cause a higher death rate in the new species.

Can Sars cov2 cross to another animal, mutate, and come back to humans with a higher death rate? Certainly, but that's not what we're talking about with these variants.