Hospital pharmacists - how is your department affected by the covid pandemic?

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penicillinman

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I was just curious how your department has been affected by covid ? Business as usual? People being assigned to cover remotely? Clinical shifts being pulled to cover from central ? Etc etc. at my place, so far it is business as usual.

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So far the main problem is people calling out to take care of their kids. Yes, we are starting to use clinical people to cover some central shifts. Census actually seems to be down for now, as the ER is doing a pretty good job triaging patients and only admitting those who should be admitted.

We are trying to figure out how to run APPEs. I have a student starting Monday, and it will be a 100% virtual rotation.
 
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Just gonna copy/paste what I wrote elsewhere:

At mine, all of our elective surgeries have been cancelled for the next few weeks. Consequently, the OR pharmacists as well as the clinical pharmacists for the post-op floor have little to no work to do as their floors are practically empty. Now they're trying to find them something to do for the most part in central pharmacy.
 
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Mainly drug shortages, stocking up on sterile PPE, revision of SOP if we run out of PPE, clean room adaptations and testing, etc.
 
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Were prepping workflow to support our ED and ICU pharmacists/techs when a surge happens. Optimizing pyxis and med distribution to limit nurses and techs need to go in and out of containment areas. All staff are considered essential employees so no plans to remote work yet.
 
Yes, major drug shortage and rationing of PE.
 
Right now it's pretty dead. I think people are scared to come to the hospital and get the corona, so they basically only come if they're on death's doorstop.

We are scrambling around for all of the supplies that you would expect to go short: PPE, hand sanitizer, breathing treatments, etc.

We are required to take our own temperature each morning before we come to work (honor system). Meetings and things we would normally do in person are moving to be remote. That's about it.
 
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Sounds like everyone is experiencing what we are; the calm before the storm. It's almost eerie.
 
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any updates? It seems that the powers that be are eyeing another shut down in fall
 
One of the hospital systems near me have shut down their pension plan.
 
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Where did you see that?

There have been plenty of hints and suggestions that a shutdown may be necessary again. I think it was Dr. Fauci who had said that (it was at one of Trump's press briefings that I was half listening to, so it might have been someone else.) Of course, they are going under the assumption that the virus will "go away" during the summer, and then "come back" in the fall, similar to how it's works with the flu. However, COVID is a different virus, and I haven't seen any evidence to support their assumption (indeed COVID is hitting hard in many countries who are now in their summer phase.)
 
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One of the hospital systems near me have shut down their pension plan.

Many companies have put that kind of thing on hold, because there just isn't any money coming in.

While I'm not practicing, my area has not been very hard-hit, and I've heard that the hospitals are almost at holiday-level census because people aren't there unless they really need to be there.
 
We've been fortunate enough to avoid layoffs and are doing better than other local systems, but patient volume remains low and we've been warned that things might get rough soon.
 
Hospitals will get screwed over as well. In fact they will be under more threat than even retail. Bread and butter of hospital is elective surgeries and emergency visits; all of which are down like 50% if I were to guess.

How long can this be sustainable?
 
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Hospitals will get screwed over as well. In fact they will be under more threat than even retail. Bread and butter of hospital is elective surgeries and emergency visits; all of which are down like 50% if I were to guess.

How long can this be sustainable?
we are back to almost 90% of precovid levels.....
 
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Were prepping workflow to support our ED and ICU pharmacists/techs when a surge happens. Optimizing pyxis and med distribution to limit nurses and techs need to go in and out of containment areas. All staff are considered essential employees so no plans to remote work yet.

So, almost 4 months later:
The ED never did get clobbered and our volumes were down > 50%. Were still not at our typical volume, maybe 75% of normal.
Our ICU got slammed and we had to move patient's into overflow areas. Our state's COVID case #'s are past peak and steady for now.
Definitely seeing a spike in mental health and substance abuse cases from shutdowns.
None of my pharmacists were furloughed or asked to take time off. Clinical services were maintained through telework in non-critical care areas.
 
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So, almost 4 months later:
The ED never did get clobbered and our volumes were down > 50%. Were still not at our typical volume, maybe 75% of normal.
Our ICU got slammed and we had to move patient's into overflow areas. Our state's COVID case #'s are past peak and steady for now.
Definitely seeing a spike in mental health and substance abuse cases from shutdowns.
None of my pharmacists were furloughed or asked to take time off. Clinical services were maintained through telework in non-critical care areas.

Our Covid numbers have reached peaked and is still climbing. It was the case a month ago that ICU was overloaded, but not anymore. Now it's just the regular med-surg covid floor that's full.
 
Everything here is pretty much back to normal, with the exception that the hospital finally moved to universal masking. The hospital is in a fairly low (?) prevalence area for Covid...very few Covid patients have actually been admitted to the hospital since the start of the pandemic.

I kind of doubt we have hit our peak.
 
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Our anticipated peak was late May, but it never came, and our ICU's didn't even hit capacity. Now, we are seeing a surge and models anticipate peak in September.

Friend of mine reported their hours were cut to 30 hours/week for a while and I think 20 at one point during May-June. It's back to normal currently.
 
The question from the planning standpoint is that we've drawn past most of our stockpile reserves, we really don't have a good supply chain, and we're going into an autumn and winter with a bunch of deferred care from the early spring that we expect higher than normal loads adjusted for seasonality. In any respect, I think it's going to be a "business is good" kind of winter. And that's not planning for the new influenza or some super COVID spreader or an end of immunity.

We're now back in the pre-antibiotic era for all intents and purposes. It's going to be a telling shift in our public behavior. It'll make life a little bit more exciting for the workers who have to face the public. Until we have enough casualties, we'll continue riding the waves until we crash on a distant shore.
 
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My question is - how comfortable are you guys going to McDonald’s right now?

Taco Bell?

Buying a slurpie from the gas station?
 
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The working assumption should be that everywhere you go has had someone with corona pass through.

Especially Walmart

Don't lick your hands or eat your boogers.
 
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I just want a freaking double chee with ketchup/mayo and a slurpee.

Slurpees used to be my thing. I would get one at least once every 3 days and I would alternate colors red/blue/green.

I have not had this since March.

Is anyone here freely eating out at fast food and gas stations? I am in the process of rationalizing my poor decisions and I am seeking for someone to validate my decision. All I need is for you to say, “oh yea I do that all the time and it’s totally safe. The news anchor said so” and I’ll do it.
 
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I just want a freaking double chee with ketchup/mayo and a slurpee.

Slurpees used to be my thing. I would get one at least once every 3 days and I would alternate colors red/blue/green.

I have not had this since March.

Is anyone here freely eating out at fast food and gas stations? I am in the process of rationalizing my poor decisions and I am seeking for someone to validate my decision. All I need is for you to say, “oh yea I do that all the time and it’s totally safe. The news anchor said so” and I’ll do it.
From what I’ve heard, ordering food for takeout is probably safer than actually picking up inside the store and definitely safer than eating there. I think it’s considered low risk. That said, I’m doing neither aside from the takeout pizza I had one time (from a place I know follows safety protocols). At least it’s been good for the budget.
 
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I did it.. I literally could not control myself. I went to Culver’s (burger joint).

On my way there I could literally feel my frontal lobe hypo-functioning. I’m so ashamed.... that was my first indulgence in fast food since March..

I skipped the slurpee though.

Omg - what have I done.....
 
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I don't normally eat fast food so nothing changed there. I don't think that's unsafe, though...

I was dying for some good Italian seafood, like frutti di mare or cioppino, so I got it today from a local restaurant. Only the third meal since March 5th that I did not cook myself... I heard that some hospitals were having food catered for all their personnel since the pandemic started. A couple of my NYC-based friends confirm.
 
I don't normally eat fast food so nothing changed there. I don't think that's unsafe, though...

I was dying for some good Italian seafood, like frutti di mare or cioppino, so I got it today from a local restaurant. Only the third meal since March 5th that I did not cook myself... I heard that some hospitals were having food catered for all their personnel since the pandemic started. A couple of my NYC-based friends confirm.

Yea dude I like tooty fruity too. That’s what I call it when I add bananas to my fruity pebbles.

Well so far I have survived the ordeal - with some minor GI distress of coarse. But I think this is to be expected.
 
Speaking of fruit, dealing with increasingly whacked out fruitcakes is going to be even more of an annoying problem as people's mental health takes a steeper dive (see previous posts on the matter)
 
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I don't normally eat fast food so nothing changed there. I don't think that's unsafe, though...

I was dying for some good Italian seafood, like frutti di mare or cioppino, so I got it today from a local restaurant. Only the third meal since March 5th that I did not cook myself... I heard that some hospitals were having food catered for all their personnel since the pandemic started. A couple of my NYC-based friends confirm.

Our hospital had a lot of 'donations' from restaurants and such. Of course we never saw one bit of it here in the inpatient pharmacy.
 
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Okay! I just wanted to give everyone a quick update about my fast food buying experience.

It has been 5 days since the event where I could not control myself and I chowed down on a burger and fries which was prepared, cooked, and handled by a bunch of pimply faced teenagers. I ordered a double 1/3 lb cheeseburger with ketchup, mayo, and fresh onions (just the way I like it).

At this time, I have experienced no respiratory symptoms and generally feel fine. The only health issue I have to report would be a 6 hour span of GI distress which started about 3 hours post consumption.

Phew! Looks like I dodged the bullet on this one.. Maybe I’ll do it again....
 
A&W tried to market a third-pounder burger in the 80s but it was a flop because Americans thought it was a rip-off compared to McD's quarter-pounder.
 
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Okay! I just wanted to give everyone a quick update about my fast food buying experience.

It has been 5 days since the event where I could not control myself and I chowed down on a burger and fries which was prepared, cooked, and handled by a bunch of pimply faced teenagers. I ordered a double 1/3 lb cheeseburger with ketchup, mayo, and fresh onions (just the way I like it).

At this time, I have experienced no respiratory symptoms and generally feel fine. The only health issue I have to report would be a 6 hour span of GI distress which started about 3 hours post consumption.

Phew! Looks like I dodged the bullet on this one.. Maybe I’ll do it again....
Where'd u get that sandwich from
 
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