No your definition of the problem is incorrect. Patients that had Covid and had "nothing to do with a particular nursing home" facility were sent to nursing homes to recover and still having Covid. In addition existing patients at a facility who had Covid were sent back. Nursing homes were not equipped (PPE) or prepared to care for them. State guidelines that they came up with during the initial outbreak said "nursing homes cannot refuse to take patients from hospitals solely because they have the coronavirus." Nursing homes were losing staff every day that were either exposed to CV (and had to quarantine) or got CV so their staffing levels were bad and they could not hire new staff. Nursing homes were "not allowed" to refuse patients that were sent to them by order of the governor. Nursing home administrators were livid because they were trying to protect their at risk patients and had no say in what new patients or existing returning patients with Covid they had to take into their home. Some handled it better than others but it no doubt increased the risk significantly for the existing "at-risk" patients. Most had no or inadequate levels of PPE and or the layout of the nursing homes made it difficult to keep Covid patients completely separate from the healthy population. Many homes had to move elderly patients out of their existing rooms to create new spaces for Covid patients. Have you ever cared for an elderly person that is finally used to their new space (it can take months) and then have to move them again? It can be traumatic. My sister runs a home health care agency (25+ years) and works with multiple nursing homes and said they were so upset with this order and their patients were sitting ducks and they had no choice. She told one of her friends to get her mother out of a nursing home because of this policy to protect her because they were taking Covid patients. Just dealing with Covid every day for any HC facility is a challenge but made even harder when new infected patients are being added to the nursing home mix and administrators were not allowed to say no, could not get prepared as they could not aquire more PPE and could not keep their staff healthy putting added pressure on the staff that was there.
Yup ac money stopped and christie didnt wanna give support anymore...monmouth really roared 80s and 90s...is this your only horse is it older?
Many were simply Covid patients unrelated to the nursing home, not requiring a ICU or a vent. Hospitals were trying to keep those beds for more serious patients or were full so the patients had to go somewhere. Its one thing if it was a fully staffed rehab facility with higher level nursing but they were sending patients unrelated to the nursing home to regular nursing homes in the area. Not smart at all. Many homes had no infections until they received the Covid patients and either the staff or the patients being in the building spread the virus (you can never prove it 100%). There is a reason though why so many states did not do this and they were right. Find another facility that is not filled with the most vulnerable patients and NYC had those extra facilities but chose to send the Covid patients to nursing homes instead of the Javitz center or the medical ship.
That is not the point. The point is you protect the most vulnerable and as a country we F'd that up in a huge way IMO when you look at how high the percentage is of nursing home deaths.
First of all CV patients should have only been sent to facilities with skilled nursing care that were prepared for this (with PPE and full time docs on staff etc). If there was a minimum requirement that should have been at least considered but it wasn't as they were sent to all types of homes. Also nursing homes should have been given advanced notice that this was happening so they could prepare. I know the virus was moving quickly but we knew that in other countries the older population was dying the most - we knew that and should have been overprotective of that population but we missed that sans this policy. And homes that could keep patients on a separate floor or wing from the regular population. And the other patients at the homes should have been notified that this was occuring so families could be in the loop. Many nursing homes had no idea this policy was in place and when they tried to fight it they were told by state authorities take the patients or lose your license.
You’re making a lot of assumptions in that post. If they analyzed the data early on, they would have seen the trends. Through the whole epidemic, containment is the first priority to limit spread. Politics took priority over science.
It’s not about me. I didn’t have access to data nor in the position to make those decisions.
You don’t add infected patients to healthy ones at the highest risk in facilities not prepared. That is really it. Sorry you can’t see it and choose to be an apologist for really bad decisions that were made. Washington State had it worse than NY for a time and they didn’t resort to this flawed policy.
I can understand that they wanted to ensure the hospitals had capacity, but in the tri-state area alone, there were make-shift hospitals built or in the process (Javits, SS Comfort, AC Convention Hall, East Stroudsburg University, St. Joe's Philly, etc.) that were barely used if at all. All of those nursing home patients that were positive could have been quarantined or treated there.
