The coronavirus is about to make our health care workers’ choices infinitely more complicated.
A large part of the work medical providers do in the hospital is not just figuring out what a patient needs. It’s also figuring out where and how those needs can be met.
This scenario doesn’t happen every day on labor and delivery, but it does happen every day, somewhere in the hospital. We all work to figure out: What care should she be getting? Where in this hospital can that care be met? If a patient just had a baby, then she should probably be on a postpartum floor—so far, so simple.
Even if the actual bed is empty, there is often not enough staff—usually nursing—to provide care, and so that bed cannot really beMost doctors you know who work in a hospital spend enormous amounts of time on this type of question. Can this patient be managed here? If the answer is “no,” perhaps we can manage them here, just with tweaks.
To some extent, patients who need ICU resources can be managed outside of the ICU. The emergency department, for example, frequently “boards” ICU patients, managing them in the emergency room until an ICU bed can be found. Those nurses and doctors there have to do this frequently and have the training to do so safely.
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