Sunday, April 5, 2020

Corona Virus Update 4/5

I had a conversation today with Ann-Marie from Manchester and Martha from the VNA. We are scheduled to do a press conference with Senator BlumenthalI this week on how the pandemic is effecting healthcare workers. These are 2 nurses who work in different healthcare systems, one as an ER nurse and one as a VNA nurse. Their experiences with this pandemic are very much different, and yet very much the same.

We continue to have problems with inconsistent and changing policies on PPE, transfers, paid time off, and frontline workers not having a voice in policy formation, as well as a lack of a will of some management to engage in discussion on contract extension and MOUs.

Today makes 30 days since the first confirmed case of Covid-19 in Connecticut. 
5,875 confirmed cases, up 399 from yesterday 
1,142 currently hospitalized, up 109
189 dead, up 24
23,270 tested, up 1,241



Dale sends this report from L&M:

Last reported at L& M 6 positive patients on Resp Unit and 2 r/o Covid, 2 positive in ICU vented 
we have 5 employees with Coronavirus at L&M. 
Our latest challenge is Yale is seeking volunteers to go to work at Greenwich Hospital without coming to the Union to bargain conditions of work and change in conditions of work. The VP HR says its covered in the contract. We have meeting at 10am with Terry to discuss action.
Our 4 Union coalition has formed subcommittee to communicate to local legislators 
we have 5 employees with Coronavirus at L&M. 
PPE is still a challenge with rationing and employees with only 1 mask to use and supplies depleting on disinfecting wipes. To where there is guidance to take 1 wipe and put it in a baggie for reruse. 

Info on an AFT Town Hall:

I am so grateful. We know how important connection is when we are physically distant, so the AFT has decided to hold our big member telephone town halls every Tuesday for the foreseeable future.
These calls give rank-and-file members a chance to hear about the work we’re doing nationally to help fight this pandemic. By having them every week, we will be able to give our members the most recent information we have, including the latest guidelines from the Centers for Disease Control and Prevention. People will also get exclusive updates—like the one Sen. Chuck Schumer gave us last week— and hear directly from me about the AFT’s national efforts to protect our members and our communities and to save the economy. We will also provide tips for helping kids with lessons. Every call will include time for questions.
I’m excited to announce that our telephone town hall next Tuesday will feature Dr. Jerome Adams, the U.S. surgeon general. All of our members are welcome to join; Dr. Adams will be taking questions from our healthcare members about the COVID-19 pandemic.
The telephone town hall will be on Tuesday, April 7, at 7 p.m. EDT. We want to make sure you and your members have a chance to sign up for this call, and for all the other calls. If you would like to register, you can do so by clicking here.
I also want to ask you to share this link with your members. Many AFT members are looking for information and comfort at this time. I want to make sure they see the work we’re doing and know the value of our union.
In unity,
Randi Weingarten

I was on Fox 61 today talking about the challenges our members are facing. 




Saturday, April 4, 2020

Corona Virus Update 4/4

We are 29 days since our first case of Covid-19 in Connecticut.
5,276 confirmed positive, up 362 from yesterday
1033 currently hospitalized, up 124
165 dead, up 33
22,029 tested, up 2014 


I got this report from the field, not from a nurse with a bleeding heart soul, but from a hardened union professional:

“It was really sad speaking to Janelle today.  She was scared for her job when directed to go into  the patient room without the PPE she requested.  She said she had 30 seconds to make a decision to walk out the hospital or obey the directive.  Our members should not have to chose their job over their well-being.  The hospital knows, or at least should know that sending people into patient rooms to treat COVID-19 cases is dangerous and every precaution should be taken.  It is reckless and irresponsible if not criminally negligent to force members into situations like this knowing all that we know about the disease.”

Janelle was told she couldn’t use an N95 while she tended to a Covid positive patient. 2 days later she was home sick with Covid-19, confirmed by test.
I called to check on her, she sounded awful.
She had the N95 in her hand.
She was told to put it back.



Please pray for the Healthcare Worker’s well being and be safe,
John

Friday, April 3, 2020

Corona Virus Update 4/3

 We are 28 days since our first confirmed case of Covid-19 in Connecticut
4914 positive cases, up 1090 since yesterday
131 deaths, up 19
909 currently hospitalized, up 82
20,015 tested, up 1715 (64% of those tested today were positive)
The Governor’s office projection is for a surge in Fairfield County of April 30th, New Haven County May 10, Hartford County and Eastern CT of May 24th. That would be the peak, not the end.  
They estimate that we will need 12,000 Covid beds at the peak and 4,000 vents.
We currently have 7,000 beds. They believe they can find ways to increase bed capacity.

That seems to conflict somewhat with this projection
Becker’s Hospital Review reports that “Peak demand for hospital resources due to COVID-19 is expected by mid-April in the U.S., according to an analysis (here) from the University of Washington's Institute for Health Metrics and Evaluation in Seattle. The study presents estimates of predicted health service utilization and deaths due to COVID-19 for each state in the U.S. if social distancing measures are maintained.” About one-third of the states will hit peak capacity in the next two weeks, others in May. 
 By state the projected date of peak resource demand: April 8, New Jersey; April 9, Louisiana, Michigan, New York, Vermont; April 11, Delaware, Washington; April 15, Alaska, Connecticut, District of Columbia; April 16, Massachusetts; April 17, Alabama, Colorado, Maine, New Hampshire; April 18, Pennsylvania; April 19, Indiana, Ohio, Tennessee; April 20, Illinois, Nevada, Rhode Island; April 21, Mississippi, North Dakota; April 22, Minnesota; April 23, Nebraska, Oklahoma, Utah; April 24, Georgia, New Mexico; April 26, Arkansas, California, Idaho, Montana, North Carolina; April 27, Arizona, Wisconsin; April 28, Kansas, South Carolina; April 29, Maryland; May 1, Iowa; May 3, Florida, Hawaii; May 4, South Dakota, West Virginia, Wyoming; May 5, Oregon; May 6, Texas; May 16, Kentucky; May 20, Virginia; May 21, Missouri.

Either way,
One question I have is how do we increase skilled Healthcare Professional to take care of all those beds?
Especially if we don’t protect them from becoming ill?


A study published by the CDC on Wednesday shows:The evidence of presymptomatic transmission in Singapore, in combination with evidence from other studies (9,10) supports the likelihood that viral shedding can occur in the absence of symptoms and before symptom onset.
Presymptomatic transmission might occur through generation of respiratory droplets or possibly through indirect transmission. Speech and other vocal activities such as singing have been shown to generate air particles, with the rate of emission corresponding to voice loudness

From NPR
Doctors are becoming increasingly concerned about patients with symptoms of COVID-19 who test negative. Dr. Harlan Krumholz, a Yale professor of medicine, says a study from China showed a 30% rate for false negatives -- and it could be higher in the U.S. His advice: “If you’ve likely been exposed to COVID-19 or have symptoms, assume you have the infection even if you test negative

There have been questions about Healthcare Workers responsibilities during a pandemic. This is from the American Nurses Association on the Nurses Code of Ethics during a pandemic.


This is from a personal fried, Donna Phillips, a nurse and a leader from Alaska:
I’m floored and grateful that more than 150,000 people signed this petition to use the Defense Production Act to make ventilators and get personal protective equipment to healthcare providers. We have incredible momentum, and I just wanted to give you a quick update. 
The president has said he’s going to use the Defense Production Act, but has been slow to do so. He keeps going on TV and questioning the need for ventilators and PPE. 
In fact, twice this week Trump accused healthcare workers of stealing PPE. Honestly, I couldn’t believe it when I saw it. I have never been so personally offended by a president. We are putting our lives on the line and begging for help. Nurses and healthcare workers across the country are starting to get sick and some are dying; meanwhile, the president goes on TV and accuses health professionals on the frontlines of being selfish and stealing. 
We’re already at 150,000 signatures. Can you help me and my colleagues get the PPE we need by sharing this petition on social media?  Here's a sample tweet you can copy and paste or click here. 
Healthcare workers are trying to protect themselves and save lives at the same time, while Trump accused them of stealing PPE. More than 150k people told Trump to do his job and make PPE and ventilators though the Defense Production Act. Sign here: https://sign.moveon.org/petitions/healthcare-workers-need-protective-equipment-now
The AFT, my national union, and AFT President Randi Weingarten have been working hard for healthcare workers, educators, and all of our communities. They have put together some great resources both for members and for our community allies. Feel free to check these out as well. www.aft.org/coronavirus
Thank you again for signing and sharing. On behalf of nurses and health professionals around the country, thank you for standing with us.
Thanks
Donna Phillips

Michelle Hayes is a past president of AFT Connecticut AFT Nurses & Health Professionals Backus Nurses and now a Backus LDRP nurse. 
During this difficult time, we’re hearing about the struggles of frontline healthcare. The stress is real and often overwhelming. Here’s a happy nursing moment. Two days ago, I delivered my 1000th baby!  I’ve been waiting for this milestone for some time. The fact that it came during this time makes even more special.


My brother T Reed sent this from Illinois. It’s a song for the brave workers on the front lines of this pandemic. It made me weep.


From Naomi Yates 

Be safe everyone.


Thursday, April 2, 2020

Corona Virus Update 4/2

We are 27 days since our first confirmed case of Covid-19 in Connecticut
3,824 positive cases, up 267 since yesterday
112 deaths, up 27
827 hospitalized, 61
18,399 tested, up 1700

 Backus has not agreed to an extension of the Contract that runs out in May
Backus has refused to negotiate an MOU (agreement) on transfers to other hospitals and other issues. Backus nurses are agreeable to much but not all of the MOU. The Hospital has unilaterally imposed the MOU, in 
violation of the contract and labor law. 

The Hartford Healthcare East Region President had a town hall call tonight. She asked for questions ahead of time to be emailed to her. Jessica, the VP of the local, used the Hustle test app to get many of the members to email tough questions. I didn’t get to listen but I’m told her answers weren’t exactly clarifying. 

The reason I didn’t get to listen was that I was doing an interview with Jenn Bernstein for Fox 61 that will air Sunday morning at 10:00 on The Real Story.
We talked about both the shortage and the rationing of PPE and the difficulty we have had getting straight answers on inventory and supply chain. We talked about the Hospital CEO task force advising the Governor and about what the Governor could do to help. 

There is a Johnson Memorial manager who is trying to tell nurses that they don't have any N95s and then wants to discipline them for trying to refuse going in room of covid-19 patient without proper PPE. Local Leader brought this to administration and were told this is not true and the manager will be dealt with.

We have a member in Windham who was told 2 days ago that they couldn’t use an N95 even though they were working with Covid patients. They informed their Local leaders. That tech is now Covid positive. 

Just in - AFT nat'l is holding another COVID-19 tele-town hall on Mon:
See your Local Leaders for info.
AFT Telephone Town Hall
Join AFT President Randi Weingarten for an AFT local leaders on Wednesday, April 17 at 7 p.m. EST. Register your phone number here, and we’ll automatically give you a call.

Hospitals Must Consider Accommodation Requests in Pandemic
April 2, 2020, 12:33 PM
Doctors and nurses on the front lines of the novel coronavirus with health conditions of their own can request “reasonable accommodations” under the Americans with Disabilities Act, and employers must consider them despite the pandemic, according to the Equal Employment Opportunity Commission.






Message from William Tong, Attorney General of Connecticut,  for your members


Please be safe everyone. You’re doing great work and I imagine it feels like you’re all alone. There are many people who are reaching out and asking what they can do to help.
I tell them stay safe, stay home, and keep telling our stories to everyone they know.
Be well my friends.


Wednesday, April 1, 2020

Corona Virus Update 4/1

We are 26 days since our first confirmed case of Covid-19 in Connecticut. 
3557 confirmed cases, up 429 from yesterday
85 deaths, up 16
766 currently hospitalized, up 158
16,600 tested, up 1000

I am very sorry to report that a 6 week old Connecticut infant has succumbed to Corvid-19.

These are truly sad times. The best we can do as healthcare leaders is to be there for our members, our families and our patients. I wish I had words to make this better.

Let’s start with some reports from the field:

Dear members Local 5119, (VNA of SE CT)
We had previously emailed you the MOU (Memorandum of Understanding, and agreement between the union and management) and what we are bargaining. Our greatest concern is management not denying any workers compensation claims due to Covid 19. We are in homes with a lot of community exposure that we have no control over. We demanded a time line and we will meet again Tuesday. Your executive committee is tough and we will not settle. We are on the front lines with no ammunition and the least they can do is give us the benefits we deserve if or I should say when we come down with the virus. 

We are tired of hearing the President of Yale on commercial after commercial state they are taking care of their Health Care Workers. They aren’t!

Meanwhile all nurses should document all community exposure in the home. This includes” client and wife are practicing social distancing but adult grandson in the home is out daily. Community exposure present”
“ Client has numerous PCGs in the home who also go to other homes. Nephew visited from NYC this weekend and client goes to dialysis. Community exposure in the home”

HHAs.(Home Health Aides) Please send an email to your supervisor briefly stating the community exposure in each home to have it on record. 

Nurses please evaluate need for HHA. Our HHAs have prolonged exposure to the clients. Please discontinue the HHA if it is not necessary. We are fighting a silent enemy. Put yourselves in their shoes. 
Please reach out to any of us with questions or concerns. 

Our talks with the Governor’s office:
We have had initial talks about a uniform statewide guidance on PPE (Personal Protective Equipment) from the office of the Governor. We have shared that this would go a long way in protecting our healthcare workers and elevating a part of their stress. We asked to be a part of developing this guidance. 
(Just today, HHC (Hartford Healthcare) came out with a new policy that seems to be more along the line of what we could agree with. However, there are parts of the policy (about when an N95 is to be used) that seem to contradict with other parts of the policy. We are seeking clarification.) 

On housing, Executive Order 7P requires the development of non-congregate temporary housing for health care workers who are at reasonable risk of having been exposed to COVID-19 and cannot return to their usual residence because of the risk of infecting other household members. The commissioner has issued an order pursuant to the authority granted in that order and written to FEMA (Federal Emergency Management Agency) to request federal assistance. You have probably seen the news reports about dorms being prepared for this purpose, and the Governor’s office says hospitals have lined up hotel space

On the issue I raised last night about the use of N95 at Yale. The Yale statement states that “healthcare workers can safely switch to the universal-size 1870 N95 respirators for the care of COVID-19 patients. A repeat fit test is not required as long as care does not include participation in an aerosol-generating procedure such as intubation, bronchoscopy, upper endoscopy, or sputum induction.”

I am not familiar with a universal-size N95 so I asked Steve Schrag from ConnectiCOSH, for his opinion. He tells me that there are universal-sized N95 but whether they fit a worker appropriately would be hit or miss and would not protect against airborne pathogens.. He also said that OSHA regulations would require workers be fit tested again whenever the style of a respirator was changed. 
We are prepared to file an OSHA (Occupational Safety and Health Administration) complaint on this.


Hartford Healthcare East Region will have a town hall call. 30 minutes for an update and Q&A. Looks like you have to submit your questions ahead of time by email.

Colleagues, 
I would like to urge you to call in to an important Virtual Town Hall which will be held, Thursday, April 2, at 6 PM.
 To participate in this meeting on an outside line, please call:
860.972.6338 Access code: 8898331#
 To participate in this call on an East Region line, please call: 88126338 Access code: 8898331#
Please note: This town hall is audio only. 
This call will last approximately 30 minutes. Topics covered will include:
Containment: Limiting the spread of the COVID-19 virus
Protection: Action plan to ensure employee and patient safety
Surge Capacity: Including supplies, space, equipment and staff 
We will be presenting important information on these topics and more. The presentation will be followed by a Q & A session.
 Please submit your questions or concerns regarding COVID-19 preparedness and safety to Handley3@hhchealth.org by 4 pm Thursday, April 2. 
 An audio link to this Town Hall will be sent to all employees after the session to ensure everyone has access to the information. For those who cannot attend the live call, we encourage you to listen and submit any outstanding questions or concerns.
 I can't thank you all enough for your tireless work and courage during this unprecedented time. Your collective dedication and professionalism are a true inspiration.
Donna Handley
President, East Region

On the other hand, AFT has town halls where you can actually call into and ask questions. 
From AFT:
Just an FYI it looks like we will be having a teletown hall this coming Tuesday at 7pm eastern.  As it stands now it looks like the Surgeon General will be joining us on the call.  
Call in details will be coming later. 



Today, HHC came out with a new policy that seems to be more along the line of what we could agree with. (And where most other healthcare systems are) However, there are parts of the policy (about when an N95 is to be used) that seem to contradict with other parts of the policy. We are seeking clarification because this chart seems to say use N95 for anyone with symptoms or tested positive, but later in the policy it says otherwise. Healthcare workers do not need this kind of confusion right now, they need clarity.



This message from State Rep  Mike D'Agostino

Dear Neighbor.
I thought you would appreciate some good and inspiring news in these difficult times. Hamden High School student Conner Larocque is filling his time outside the classroom by helping first responders in their efforts to slow the spread of the coronavirus. Conner - in his junior year - began using his own 3D printer to make face masks and quickly got a sense of the demand for this type of personal protective equipment (PPE). That's when he asked for permission to use the high school's 3D printer as well.

Conner's goal is to make at least 100 face shields so every first responder in Hamden has protection from the coronavirus.

Conner's efforts caught the attention of Hamden Fire Chief Gary Merwede who said, "Face shield protection is essential for high risk medical interventions in the field. This project protects not only our first responders, but also the public at large."

We are pleased to have been able to have provided funding that expanded Hamden High School’s Science and Engineering programs – although we never imagined it would be used for these purposes, we all can be inspired by how Conner is playing a key role in fighting the pandemic at the grass roots level.

As always, please feel free to contact me with any questions, comments or concerns at Michael.DAgostino@cga.ct.gov or 800-842-8267.

Sincerely,
Mike D'Agostino

I had a long call with Senator Cathy Osten today who is doing everything she can to help us. I thank her for all her work.

AFT has a new program. A Trauma Benefit with psychological counseling. It is a member only benefit. See your department representative or Local Leadership for more information.



That’s what I have for tonight folks. Please do you best to stay healthy. Thank you for all you do everyday at the bedside and in your leadership roles. Also, a big thank you to all the members of the community who are doing everything they can with donations, etc. Please be safe yourselves and please continue to be a voice for those on the frontline. You are greatly appreciated.
You truly are the best,

John