#BIPAP ST Machine

[tradebirddigital]

BiPAP Machine on Rent in Faridabad – Fast Delivery Today from Friends Surgical Division!

Healthcare needs are evolving, and access to essential medical equipment is crucial. If you or a loved one requires respiratory support, a BiPAP machine on rent in Faridabad can be a lifesaver. Friends Surgical Division offers fast delivery and reliable services to ensure you get the best respiratory care without delay.

What is a BiPAP Machine?

A BiPAP (Bilevel Positive Airway Pressure) machine acts as a non-invasive ventilator, assisting individuals with airway issues in breathing more efficiently. It offers two different levels of air pressure: a greater one for breathing in and a lesser one for extraction. This makes it particularly advantageous for patients experiencing issues such as:

Chronic Obstructive Pulmonary Disease (COPD)

Obstructive Sleep Apnea (OSA)

Respiratory failure

Neuromuscular disorders

Other breathing difficulties

BiPAP devices offer controlled air pressure, which allows easier and more comfortable breathing, particularly for those experiencing acute airway distress. This is in contrast to CPAP (continuous positive airway pressure) machines, which deliver constant air pressure.

Why Choose a BiPAP ST Machine?

A BiPAP ST Machine (Spontaneous Timed) is an advanced version of the standard BiPAP device. It includes a backup rate feature that ensures the patient gets the required number of breaths per minute, even if they fail to breathe spontaneously. This is particularly beneficial for individuals with:

Central sleep apnea

Neuromuscular diseases

Severe respiratory conditions requiring ventilatory support

The BiPAP ST machine price varies depending on the brand, features, and additional functionalities. However, renting a BiPAP ST machine is a cost-effective alternative to purchasing, especially for short-term medical needs.

Benefits of Renting a BiPAP Machine

1. Cost-Effective Solution: Buying a BiPAP machine can be expensive, especially for patients who need it for a limited period. Renting offers a more affordable solution while ensuring access to high-quality respiratory care.

2. Latest Models and Advanced Features: Medical technology evolves rapidly, and newer BiPAP models come with enhanced features. Renting allows you to use the latest equipment without making a hefty investment.

3. Maintenance and Support: When you rent a BiPAP machine from Friends Surgical Division, you get complete service support, including setup, maintenance, and troubleshooting, ensuring a hassle-free experience.

4. Fast and Hassle-Free Delivery: Friends Surgical Division offers immediate delivery in Faridabad. You may count on prompt and effective service for both planned and emergency treatments.

5. Flexible Rental Plans: You can choose from daily, weekly, or monthly rental plans, allowing flexibility based on your medical requirements.

How to Rent a BiPAP Machine in Faridabad?

Renting a BiPAP machine on rent in Faridabad from Friends Surgical Division is a straightforward process:

Contact Us – To discuss your needs, give us a call or visit our website.

Choose the Right BiPAP Model – Our experts help you select the most suitable BiPAP or BiPAP ST machine.

Get It Delivered – We provide quick delivery today so you can get started with the equipment right away.

Enjoy Hassle-Free Usage – Our technicians provide setup assistance and instructions for proper use.

Easy Return Process – Once your rental period is over, we handle the pickup, ensuring a smooth experience.

BiPAP Machine Uses and Who Needs It?

A BiPAP machine is a crucial medical device used for individuals with breathing difficulties. Some common BiPAP machine uses include:

Treating obstructive sleep apnea by keeping airways open during sleep.

Providing ventilatory support for COPD patients who struggle with normal breathing.

Assisting patients with neuromuscular disorders such as ALS, muscular dystrophy, or multiple sclerosis.

Helping individuals recovering from surgery or experiencing temporary respiratory distress.

Managing chronic respiratory failure in conditions like pneumonia, asthma, and pulmonary edema.

Why Choose Friends Surgical Division for BiPAP Machine Rental?

1. Trusted Supplier in Faridabad: With years of experience in medical equipment rentals, we are a reliable name in Faridabad for BiPAP and other respiratory support devices.

2. Quality and Hygiene Assurance: All our rental machines are thoroughly sanitized and maintained to meet the highest hygiene standards.

3. Trained Technicians for Setup: We provide expert guidance and on-site setup assistance to ensure seamless operation of your BiPAP machine.

4. Affordable Pricing and Flexible Rental Plans: We offer competitive pricing and rental packages tailored to suit different medical needs and budgets.

Contact Us Today for BiPAP Machine Rental in Faridabad!

Get in touch with Friends Surgical Division right now if you or a respected one requires a BiPAP machine on rent in Faridabad. We make sure you receive the best care possible with quick shipping, first-rate equipment, and outstanding customer service.

Call Now: +91 9910167171 Visit: https://www.friendssurgical.in/ E-mail ID: friendssurgical09@gmail.com Locations: Shop No. 3A/63, N. I. T., New Industrial Township, Faridabad-121001, Haryana, India Faridabad, Haryana, (India)

[nareea-22]

best quality of BIPAP

Product Specification

TypePortable BiPAP machines

SizeMedium-BrandNAREENA LIFESCIENCES

ModelNLS-LA25B

PortableYesPressure Range (cm H2O)4-20

Application/UsagePersonal

Mask On/Off AlertYesCountry of OriginMade in India

Minimum Order Quantity-1

If you have trouble breathing, a BiPap machine can help push air into your lungs. You wear a mask or nasal plugs that are connected to the ventilator. The machine supplies pressurized air into your airways. It is called “positive pressure ventilation” because the device helps open your lungs with this air pressure.

Hey! Are you looking for BiPAP With St Mode Humidifier Manufacturers in India. Then, reach Nareena lifesciences Private Limited. which is known for producing highly advanced and qualitative devices with modern facilities. We are backed by a team of well-versed professionals under their supervision, the production takes place. Want to know BiPAP Machine price in India? Contact Us, We provide BiPAP Machine Cost for all.

Some of its notable features - It delivers better exhalation and compliance.

Once the mask is put off, it automatically stops.

Enables comfortable therapy.

With a unique sensitivity setting, get an individual therapy algorithm.

The heated humidifier accessory enables comfortable cure.

For more details about the product specification, visit our site gallery.

We are a leading Nareena BiPAP With St Mode Humidifier Suppliers in India. We are efficient to cater the product throughout the country. At Nareena life sciences pvt ltd, you can get our device and learn more about it. If you have any further requirements, get connected to us.

This device helps to control the baby's body temperature and checks the metabolism rate. Our company is a leading Baby warmer manufacturer in India.

Nareena Lifesciences manufactures Surgical & Healthcare devices. Order Now - 7428917004

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Location: India

Comments

[nareenalifesciences]

Nareena BiPAP with AVAPS (LA25B) Manufacturers in Noida

If you have trouble breathing, a BiPap machine can help push air into your lungs. You wear a mask or nasal plugs that are connected to the ventilator. The machine supplies pressurized air into your airways. It is called “positive pressure ventilation” because the device helps open your lungs with this air pressure.

Hey! Are you looking for BiPAP With St Mode Humidifier Manufacturers in India. Then, reach Nareena lifesciences Private Limited. which is known for producing highly advanced and qualitative devices with modern facilities. We are backed by a team of well-versed professionals under their supervision, the production takes place. Want to know BiPAP Machine price in India? Contact Us,

We provide BiPAP Machine Cost for all. Some of its notable features - It delivers better exhalation and compliance. Once the mask is put off, it automatically stops. Enables comfortable therapy. With a unique sensitivity setting, get an individual therapy algorithm. The heated humidifier accessory enables comfortable cure. For more details about the product specification, visit our site gallery. We are a leading Nareena BiPAP With St Mode Humidifier Suppliers in India. We are efficient to cater the product throughout the country. At Nareena life sciences pvt ltd, you can get our device and learn more about it. If you have any further requirements, get connected to us. This device helps to control the baby's body temperature and checks the metabolism rate. Our company is a leading Baby warmer manufacturer in India.

Nareena Lifesciences manufactures Surgical & Healthcare devices. Mob: 9289116777 mob : 7428099256

[coldbearfire-blog1]

ResMed AirCurve 10 ST Bipap Machine on rent

Sleep apnea can be a challenging condition to manage, but with the ResMed AirCurve 10 ST Bipap Machine, you can finally get the restful sleep you deserve. With its advanced features and cutting-edge technology, this device helps to alleviate symptoms such as snoring, interruptions in breathing, and daytime fatigue. Healthy Jeena Sikho is offers  the ResMed AirCurve 10ST Bipap Machine on rent 

[tentabs]

Buy Online Respro Bipap Machine ST with Humidifier and ResPro Mask AER Series ST25 From Tentabs at Lowest Price In India. Shop For Best ResPro Bipap machine, 100 % Authentic Products, Free Shipping, With 3 Years Warranty, EMI Option Available. We Provide 5 Day Return Policy

Visit : http://bit.ly/2knWHaf

[morpheushealthcare01-blog]

Know the importance of CPAP machine and oxygen concentrator

 What is Continuous Positive Airway Pressure machine and how does it work? Well, the concept is really simple and it is sort of standard treatment for the people affected by Obstructive Sleep Apnea. If we talk about CPAP machine, then it was invented in 1980 and now it became the reliable companion for people affected by OSA.

What is OSA?

This is a serious issue where breathing stops for ten seconds repeatedly during sleep. It results  decreased oxygen in blood and keeps you awaken throughout the night.

Common causes of OSA:

·         Increased weight

·         Obesity

·         Tonsils

·         Dental issues

Is OSA manageable with CPAP machine?

Definitely, it helps improve sleep and you need not to compromise your sleep quality. During sleep, you may experience obstruction to the airflow and this machine is all about eliminating all instances of such obstructions. It delivers continuous mild air pressure to upper airways that is required to keep them open in night. Open airways means no loss of breath, obstruction, abrupt sleep disturbance and choking sensation during sleep. So what do you think?  This is really a great way to experience sound and healthy sleep. If you are an OSA patient, then you will surely wake up fresh the day after using this machine. It sounds wonderful, isn’t it?

Regular use of this machine can break cycle of fatigue and poor sleep, so you can feel more active next day and concentrate on your work. If you want to adopt a healthier lifestyle, then you should know all about these ways.  You can easily find automatic CPAP machine for sale.

Whether you are looking for CPAP machine or sleep apnea mask in Delhi, you can easily find it by just exploring morpheushealthcare.com. You can promote healthy lifestyle by just choosing the right equipment this site provides.

You can also find more important and useful equipments like medical approved a wide range of Oxygen Concentrators. You can find both Philips Respironics oxygen concentrator and EverFlo oxygen concentrator here. You might be wondering how this device work and why you need it.  Well, first of all, you need to learn the importance of oxygen concentrator. This device is useful and offer supplemental oxygen to patients with respiratory disorders. If they have low level of oxygen in their body, then this device can prove beneficial. These cylinders are safe to use and you need not to worry about repeated refilling.

You can find two categories of these cylinders including portable and static. You can get as per your needs. The portable one obviously offers you the benefit of light weight property and you can carry it around outside the home. This battery operated machine can easily be available. If you feel the need of oxygen during physical activity or any such thing, then you can find this portable cylinder ideal for you. Static cylinder is useful for those who need constant oxygen supply at home.

For more info:- Resmed Bipap St Mode

[srivari]

Srivari Healthcare

Bipap Machine - We are a leading Wholesale Trader of bipap machine prisma 25s, prisma 25st (bipap with st), prisma 25s (bipap) machine and prisma 30st ( niv) bipap machine from Chennai, India.

[fernreads]

A nurse writes to hospital executives: ‘All I’ve ever wanted to be was a nurse’

by Lauren Borell, Minnesota Reformer November 4, 2022

I am a nurse at Methodist Hospital in St. Louis Park. I am tired and defeated. After our recent three-day strike, I went to work at 7 a.m., and I wanted to leave as soon as I walked into the hospital. 

We were short staffed — again. I made an “aware,” which is a hospital term we use that means a report of unsafe staffing, hospital conditions, maintenance or security issues. 

My aware went to my unit manager. We had a 30 minute conversation about my feelings and how disappointed I am in my leaders. 

I decided to send an email to CEO Andrea Walsh and Vice President Melissa Fritz. 

I want to make everyone aware that nurses are suffering, and health care is on the brink of collapse.

Below is the email that I sent to the CEO and VP. 

My name is Lauren Borell and I am a 22-year-old registered nurse at Methodist Hospital. All I ever wanted to be was a nurse.

 A recent Thursday was the worst day of my nursing career. Let me explain. I have been in the medical field since I was 16. The day I wanted to be a nurse was the first day I ever watched someone die. 

Long story short: I was parasailing with my mom in the middle of the ocean when the captain had a heart attack. I performed CPR on him for over 15 minutes — just me — because no one else knew how to do it. I felt ribs cracked, I had blood and vomit all over me, and I watched this complete stranger take his last breath in my arms. 

I became a certified nursing assistant at a local nursing home, where I cared for moms, dads, grandpas and grandmas. I’d watch their hearts break because their family didn’t come see them. I held their hands as their soul left them because I was the only person there. I cleaned their excrement, fed them, listened to their stories, washed their hair because there was no one else to care for them. All I ever wanted to be was a nurse.

I started taking pre requisites for nursing school in high school. When I got to college I applied for a scholarship, and the scholarship application asked one question: Why do you want to be a nurse? 

I told them the story of watching that stranger die in my arms. The scholarship allowed me to focus on my passion because it helped pay for my tuition. I helped teachers educate students on the  fundamentals of nursing. I joined as many committees as I could to share my passion with other students and peers. All I ever wanted to be was a nurse.

I became a nurse intern at Methodist. I learned what kind of nurse I wanted to be and where I wanted to work as an RN. I did my capstone on a unit for critical care patients in the fall.

All I had was COVID-19 patients. I listened to the BiPap alarms, ran into rooms only to realize the machine was pumping air into a lifeless body. I listened to families sob on the phones because COVID didn’t allow them to say goodbye to their loved one. All I ever wanted to be was a nurse.

I became a full-time RN at Methodist in February. Part time, I also became a home health nurse for a terminally ill 8 year old boy. 

At Methodist, I have been verbally harassed, physically assaulted and mentally abused by patients. But it’s OK, because I am finally a nurse. I’ve taken five to seven patients at a time since being a nurse, which puts patient safety at risk, but it’s okay because I am finally a nurse. I started leaving work defeated after a long day, feeling unsupported from my leaders and sitting in my car in the parking lot, crying, but’s it’s OK because I am finally a nurse.

I had the privilege of loving an 8-year-old during his final months. Seeing him was my escape from the hospital because I never left crying. I wanted to go to work with him. I watched an 8-year-old boy die, and the next day I went back to work at the hospital for my shift. We were short staffed, unsupported, and I was mourning a child. I cried in the bathroom for my lunch break, but it’s okay because I am finally a nurse.

After all the death I have seen since I was 16, after all the hateful words I’ve heard from patients, after all the days short-staffed and struggling to keep my head up, nothing compares to that terrible Thursday. 

Going through a strike is like going through a messy divorce. I didn’t think coming back from a three-day strike was going to be easy, but I didn’t know it was going to make me not want to be a nurse. Walking into the hospital and seeing management say good morning was the biggest slap in the face, and man did it sting. The travel nurses got free lunches. The hospital was paying them more than twice what I make. That hurt. But when I learned they were overstaffed with travel nurses? That crushed me. 

In other words, the three days that we went on strike, patients had more safety than I have ever given them since February. Leaders and hospital administrators were there 24/7 supporting the travel nurses, but for their own employees? We have had no support. Everyone left as soon as we got there — no support, no help, and no confidence. We were understaffed a day after the strike ended. Five patients for the nurses’ assignments. No free lunches, no extra pay for doing the job of two nurses. 

I realized on that day, that this isn’t okay just because I am finally a nurse.

Methodist ripped my passion for nursing away from me on that day. All I’ve ever wanted to be was a nurse. I have no faith in any hospital leaders or administrators. If you have the privilege of reading this email, my name is Lauren Borell RN, I am 22 years old and a nurse at Methodist. I have no idea who my leaders are, and I would love to talk with them because all I’ve ever wanted to be was a nurse and I’m not done fighting for my passion yet.

[hyperlocals]

Quality is our first priority when it comes to either sourcing for Hyper or reselling & renting it to our customers. Apart from brand warranty we also provide Hyper Extended Warranties on our sourced products.

[tradebirddigital]

Buy BiPAP Machine for Rent in Noida, New Delhi, Faridabad | Best Price

Friends Surgical Division are Leading Supplier Of BIPAP ST Machine in Faridabad offering Rental in Noida, New Delhi, Gurgaon. A ventilator connected to the machine delivers air at a specified pressure through the mask. People with sleep apnea can greatly benefit from BiPAP machines, which are available for rent. Buy BIPAP ST Machine On Rent in Faridabad at Best Price.

For More Details Contact Us!

[hmelocations]

What Is A BiPAP Machine & How It Work For COPD

BIPAP is a tiny, easily operated device that aids a patient with COPD to breath. While employing a BiPAP machine, a patient takes in pressurized air via a mask to adjust their breathing pattern while they’re asleep or when their symptoms aggravates.

The COPD symptoms often aggravate at night, which can stop the patient from sleeping & increasing their daytime exhaustion. Here in this post, we will take an in-depth look at the effectiveness of Bipap St Machine with treating the symptoms of COPD.

What’s BiPAP?

BiPAP is one kind of positive airway pressure machine, that’s employed to sustain a consistent breathing pattern at night or when symptoms aggravates in patient suffering from COPD.

The devise pressurizes the air to a higher level than the air in the room, so it aids the patient to take oxygen & exhale carbon dioxide. This aids them in breathing more easily, either while sleeping or when experiencing of flare-up of symptoms.

What is the role of BiPAP in treating COPD?

A physician can prescribe bipap machine to be employed in the hospital or at home. They believe that the regular use of bipap not just increases the sleep quality in people with acute COPD, but also improve their quality of life. Also the use of bipap machine may decrease the frequency of hospital admissions among people with chronic obstructive pulmonary disorder.

Bipap machines can also be employed in emergency situations. In COPD symptoms, a bipap devise can take some of the load from a patient’s breathing muscles & heart. Letting them breathe more easily. Also it increases oxygen levels & standardizes carbon dioxide levels.

A study shows that employing bipap machine in the emergency room decreases the requirement for surgical treatments, improves outcomes, and reduces a patient’s hospital visit.

Is there any side effect of bipap?

Though, bipap is considered to be pretty safe, some people have reported the following side effects:

mild bloating of the stomach

dry mouth

eye irritation

sinus pain

Conclusion: Advances, including the BiPAP technology, can boost the quality of life for people with chronic obstructive pulmonary disorder. A person should talk to their health care professional about the best way to treat the symptoms of COPD and about whether a BiPAP machine is the right option for them. The patient must discuss a COPD management plan with their doctor and have regular check-ups for the best possible outcomes.

[stephenmccull]

Rural Hospital Remains Entrenched in Covid ‘War’ Even Amid Vaccine Rollout

Editor’s note: KHN wrote about St. James Parish Hospital in April, when it was experiencing its first surge of covid-19 patients. Ten months later, we checked in to see how the hospital and its staff were faring.

This story also ran on The Guardian. It can be republished for free.

The “heroes work here” sign in front of St. James Parish Hospital has been long gone, along with open intensive care unit beds in the state of Louisiana.

Staffers at the rural hospital spent hours each day in January calling larger hospitals in search of the elusive beds for covid-19 patients. They leveraged personal connections and begged nurses elsewhere to take patients they know are beyond their hospital’s care level.

But as patients have waited to be transferred out of the hospital, which is about 45 minutes outside New Orleans, doctors such as Landon Roussel are forced to make unthinkable choices. As recently as Jan. 29, he had to decide between two patients: Which one should get the sole available BiPAP machine to push oxygen into their lungs?

That’s like a “war situation, which is not a situation that I want to be in — in the United States,” he said.

As the nation’s attention shifts to the vaccine rollout, rural hospitals such as St. James Parish Hospital have struggled to handle their communities’ sick following the holiday surge of covid patients.

“We knew it was coming. We saw it coming,” Mary Ellen Pratt, St. James Parish Hospital’s CEO, said by phone. “It really has to happen to their family for them to really go, ‘OK, wow.’”

And even though the vaccines have arrived and caseloads continue to improve after the holiday surge, only about 30% of staffers have opted to get their shots. Disparities in the broader community persist: In the initial rollout, only 9% of those vaccinated were Black in a parish — the Louisiana equivalent of a county — that is nearly 49% Black.

Staff members are burned out from months of handling never-ending covid crises.

“They had been giving 150%, and they’re just getting really tired,” Pratt said. “It’s just exhausting.”

‘Sometimes, Your Best Isn’t Enough’

In mid-January, the closest intensive care bed the staff could find was some 600 miles away in Brownsville, Texas — so far that a plane would have been necessary to transport a patient. After three days, a closer bed was found at a Veterans Affairs hospital about 45 miles away.

Staffers have tried Mississippi and Alabama with mixed luck. One patient they tried to transfer four hours away couldn’t go because the ambulance didn’t have enough oxygen to make it that far. A hospital in Florida even called them looking for ICU beds at St. James Parish Hospital, which has never had any.

More than half of U.S. counties are like St. James Parish and have no intensive care beds, full or empty. Rural hospitals in those communities are designed for step-down care: They often serve as a stopping point to stabilize people before they can be sent to larger hospitals with more specialized staff and equipment.

Across the country, rural residents’ mortality rate from covid has been consistently higher than that of urban residents since August, according to the Rural Policy Research Institute Center for Rural Health Policy Analysis. That has occurred even though covid incidence has been lower among rural populations than urban ones since the middle of December, said Fred Ullrich, who runs the health policy department at the University of Iowa’s College of Public Health and co-authored the study.

But, he said, rural populations are typically older, sicker and poorer than urban populations. And the nation has lost at least 179 rural hospitals over the past 17 years.

“This crisis is just magnifying existing access issues in a rural context,” said Alan Morgan, the head of the National Rural Health Association. “If you don’t have a local hospital, that impacts the diagnosis, the initial treatment, the complex treatment. It has multiple impacts, all leading to what we’re seeing: higher mortality.”

And at the hospitals that remain, such as St. James Parish Hospital, the stress level is palpable, because the level of care needed for such sick patients is higher than what staffers normally handle, said Karley Babin, the hospital’s acute nurse manager.

“It’s just an uncomfortable spot,” she said. “You know you’re doing everything you can and that patient just needs more.”

That’s led to many sleepless nights for Pratt.

“Sometimes your best isn’t enough if you don’t have the right resources,” she said.

‘We Know All These People’

Radiology technologist Brooke Michel lives seven minutes from the hospital, where she works with her husband and five other relatives. Her grandfather, grandmother and aunt were hospitalized there in December with covid.

Her family brought folding chairs to sit outside her 83-year-old grandfather’s hospital window each day, keeping vigil through the glass on Christmas Eve. He died Jan. 3 while family members stood outside, taking turns looking in and praying.

“It gave us a sense of closure,” Michel said. “We were all together. We were with him. We would never have gotten that at a bigger hospital.”

Seeing multiple family members hospitalized at the same time is tough on the staff, said Scott Dantonio, the hospital’s pharmacy director. “We know all these people,” he said.

Dozens of hospital staffers also have battled covid, and three have been hospitalized. A nurse’s aide died last summer after contracting it. One staffer, who was particularly close to that aide, now has a hard time treating covid patients, said Rhonda Zeringue, chief nursing officer.

“It’s a reminder: ‘You took my person,’” she said.

‘It’s Just Exhausting’

St. James Parish Hospital has been running short-staffed, because they haven’t been able to hire more nurses or pay traveling nurses — they’re just too expensive. Amid the pandemic, traveling nurses can command more than double what the staff nurses make.

So Babin’s kids ask often why she works all the time.

Community praise has died down, she said. People aren’t thanking them in grocery stores anymore. One upside? Pratt is happy to have finally lost the “covid 19” — the weight she put on from the community bringing food to the hospital back in the spring.

Pratt and Zeringue have offered staff members counseling, massage sessions, coffee and doughnuts. But it’s not enough.

Zeringue said the stress has gone through the staff in waves: First they were scared to death of being the front line in the spring. Now she sees burnout and sheer exhaustion.

The vaccines were supposed to offer hope. But when Pratt heard they would be distributed through CVS and Walgreens, she knew immediately the logistics of getting the ultra-cold Pfizer vaccine from its cooler into residents’ arms would fall to them. She said the community has no chain pharmacies nearby and the local health department is overloaded.

“We get an email at, like, 4:30 on Friday which says, ‘We’re going to send you another 350 vaccines on Wednesday and you have to respond in the next 10 minutes,’” Pratt said. “There’s not enough planning or time to do it.”

Staff members, who are juggling monoclonal antibody infusions and elective surgeries to deal with the backlog from the spring on top of the surge, must also call members of the community to let them know they have the vaccine available. And then the problems begin.

“People don’t answer the phone or they’re not available,” Dantonio said. “Or they can’t come at that time or they scheduled somewhere else.”

Most of the people coming in following the hospital’s advertising online and on Facebook have been white. So Pratt called on the people she had relied on during the rollout of the Affordable Care Act: Black preachers and well-respected Black local leaders such as Democratic state Rep. Kendricks Brass. After word from the pulpit spread and Brass’ team staffed a phone line, the vaccine distribution the next week jumped to 30% Black residents from the prior week’s 9%.

Even some among the St. James Parish Hospital staff have been reluctant. Many have told Zeringue they’re worried about their fertility. Others just don’t want to be first. So the hospital’s line of defense has many holes.

And the covid patients keep coming.

“This is a nightmare,” said Kassie Roussel, the hospital’s marketing director. “It’s crazy because it’s at the same time we marketed the beginning of the end.”

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

USE OUR CONTENT

This story can be republished for free (details).

Rural Hospital Remains Entrenched in Covid ‘War’ Even Amid Vaccine Rollout published first on https://smartdrinkingweb.weebly.com/

[gordonwilliamsweb]

Rural Hospital Remains Entrenched in Covid ‘War’ Even Amid Vaccine Rollout

Editor’s note: KHN wrote about St. James Parish Hospital in April, when it was experiencing its first surge of covid-19 patients. Ten months later, we checked in to see how the hospital and its staff were faring.

This story also ran on The Guardian. It can be republished for free.

The “heroes work here” sign in front of St. James Parish Hospital has been long gone, along with open intensive care unit beds in the state of Louisiana.

Staffers at the rural hospital spent hours each day in January calling larger hospitals in search of the elusive beds for covid-19 patients. They leveraged personal connections and begged nurses elsewhere to take patients they know are beyond their hospital’s care level.

But as patients have waited to be transferred out of the hospital, which is about 45 minutes outside New Orleans, doctors such as Landon Roussel are forced to make unthinkable choices. As recently as Jan. 29, he had to decide between two patients: Which one should get the sole available BiPAP machine to push oxygen into their lungs?

That’s like a “war situation, which is not a situation that I want to be in — in the United States,” he said.

As the nation’s attention shifts to the vaccine rollout, rural hospitals such as St. James Parish Hospital have struggled to handle their communities’ sick following the holiday surge of covid patients.

“We knew it was coming. We saw it coming,” Mary Ellen Pratt, St. James Parish Hospital’s CEO, said by phone. “It really has to happen to their family for them to really go, ‘OK, wow.’”

And even though the vaccines have arrived and caseloads continue to improve after the holiday surge, only about 30% of staffers have opted to get their shots. Disparities in the broader community persist: In the initial rollout, only 9% of those vaccinated were Black in a parish — the Louisiana equivalent of a county — that is nearly 49% Black.

Staff members are burned out from months of handling never-ending covid crises.

“They had been giving 150%, and they’re just getting really tired,” Pratt said. “It’s just exhausting.”

‘Sometimes, Your Best Isn’t Enough’

In mid-January, the closest intensive care bed the staff could find was some 600 miles away in Brownsville, Texas — so far that a plane would have been necessary to transport a patient. After three days, a closer bed was found at a Veterans Affairs hospital about 45 miles away.

Staffers have tried Mississippi and Alabama with mixed luck. One patient they tried to transfer four hours away couldn’t go because the ambulance didn’t have enough oxygen to make it that far. A hospital in Florida even called them looking for ICU beds at St. James Parish Hospital, which has never had any.

More than half of U.S. counties are like St. James Parish and have no intensive care beds, full or empty. Rural hospitals in those communities are designed for step-down care: They often serve as a stopping point to stabilize people before they can be sent to larger hospitals with more specialized staff and equipment.

Across the country, rural residents’ mortality rate from covid has been consistently higher than that of urban residents since August, according to the Rural Policy Research Institute Center for Rural Health Policy Analysis. That has occurred even though covid incidence has been lower among rural populations than urban ones since the middle of December, said Fred Ullrich, who runs the health policy department at the University of Iowa’s College of Public Health and co-authored the study.

But, he said, rural populations are typically older, sicker and poorer than urban populations. And the nation has lost at least 179 rural hospitals over the past 17 years.

“This crisis is just magnifying existing access issues in a rural context,” said Alan Morgan, the head of the National Rural Health Association. “If you don’t have a local hospital, that impacts the diagnosis, the initial treatment, the complex treatment. It has multiple impacts, all leading to what we’re seeing: higher mortality.”

And at the hospitals that remain, such as St. James Parish Hospital, the stress level is palpable, because the level of care needed for such sick patients is higher than what staffers normally handle, said Karley Babin, the hospital’s acute nurse manager.

“It’s just an uncomfortable spot,” she said. “You know you’re doing everything you can and that patient just needs more.”

That’s led to many sleepless nights for Pratt.

“Sometimes your best isn’t enough if you don’t have the right resources,” she said.

‘We Know All These People’

Radiology technologist Brooke Michel lives seven minutes from the hospital, where she works with her husband and five other relatives. Her grandfather, grandmother and aunt were hospitalized there in December with covid.

Her family brought folding chairs to sit outside her 83-year-old grandfather’s hospital window each day, keeping vigil through the glass on Christmas Eve. He died Jan. 3 while family members stood outside, taking turns looking in and praying.

“It gave us a sense of closure,” Michel said. “We were all together. We were with him. We would never have gotten that at a bigger hospital.”

Seeing multiple family members hospitalized at the same time is tough on the staff, said Scott Dantonio, the hospital’s pharmacy director. “We know all these people,” he said.

Dozens of hospital staffers also have battled covid, and three have been hospitalized. A nurse’s aide died last summer after contracting it. One staffer, who was particularly close to that aide, now has a hard time treating covid patients, said Rhonda Zeringue, chief nursing officer.

“It’s a reminder: ‘You took my person,’” she said.

‘It’s Just Exhausting’

St. James Parish Hospital has been running short-staffed, because they haven’t been able to hire more nurses or pay traveling nurses — they’re just too expensive. Amid the pandemic, traveling nurses can command more than double what the staff nurses make.

So Babin’s kids ask often why she works all the time.

Community praise has died down, she said. People aren’t thanking them in grocery stores anymore. One upside? Pratt is happy to have finally lost the “covid 19” — the weight she put on from the community bringing food to the hospital back in the spring.

Pratt and Zeringue have offered staff members counseling, massage sessions, coffee and doughnuts. But it’s not enough.

Zeringue said the stress has gone through the staff in waves: First they were scared to death of being the front line in the spring. Now she sees burnout and sheer exhaustion.

The vaccines were supposed to offer hope. But when Pratt heard they would be distributed through CVS and Walgreens, she knew immediately the logistics of getting the ultra-cold Pfizer vaccine from its cooler into residents’ arms would fall to them. She said the community has no chain pharmacies nearby and the local health department is overloaded.

“We get an email at, like, 4:30 on Friday which says, ‘We’re going to send you another 350 vaccines on Wednesday and you have to respond in the next 10 minutes,’” Pratt said. “There’s not enough planning or time to do it.”

Staff members, who are juggling monoclonal antibody infusions and elective surgeries to deal with the backlog from the spring on top of the surge, must also call members of the community to let them know they have the vaccine available. And then the problems begin.

“People don’t answer the phone or they’re not available,” Dantonio said. “Or they can’t come at that time or they scheduled somewhere else.”

Most of the people coming in following the hospital’s advertising online and on Facebook have been white. So Pratt called on the people she had relied on during the rollout of the Affordable Care Act: Black preachers and well-respected Black local leaders such as Democratic state Rep. Kendricks Brass. After word from the pulpit spread and Brass’ team staffed a phone line, the vaccine distribution the next week jumped to 30% Black residents from the prior week’s 9%.

Even some among the St. James Parish Hospital staff have been reluctant. Many have told Zeringue they’re worried about their fertility. Others just don’t want to be first. So the hospital’s line of defense has many holes.

And the covid patients keep coming.

“This is a nightmare,” said Kassie Roussel, the hospital’s marketing director. “It’s crazy because it’s at the same time we marketed the beginning of the end.”

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

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