40% of Covid cases caught IN hospital

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I know it’s the daily mail but it’s all over

So whilst our lives have been fucked, they realistically needed to improve infection control in hospital.

www.dailymail.co.uk/news/article-9254495/Stopping-Covid-spreading-hospitals-substantial-reduction-wave-deaths.html

@whatisthislifesofullofcare

Maybe the slogan should be changed to: Stay at home Save yourself from the NHS

Yes!

@Trumplosttheelection

Oh ok! Brilliant idea! Let's control the infection! Fab!

Now if you can tell me how we do that when:

You can't tell if people have the bastard thing reliably without a pcr test which takes hours to run
Hospitals have very limited space for people to wait in isolation before going up to a ward
Hospitals have very limited isolation spaces on the wards
The infection can spread with short periods of contact and in the air
Staff can be positive without feeling ill
Any hospital has huge numbers coming in and out especially they try to keep appointments running

Any IPC experts please do volunteer to hit the wards with the teams. They've only been living a nightmare for the last year, they're basically clueless and no doubt you will soon show them how to defeat a highly infectious virus that we have only a limited understanding of even now,

exactly 💯 %

@Trumplosttheelection

Oh ok! Brilliant idea! Let's control the infection! Fab!

Now if you can tell me how we do that when:

You can't tell if people have the bastard thing reliably without a pcr test which takes hours to run
Hospitals have very limited space for people to wait in isolation before going up to a ward
Hospitals have very limited isolation spaces on the wards
The infection can spread with short periods of contact and in the air
Staff can be positive without feeling ill
Any hospital has huge numbers coming in and out especially they try to keep appointments running

Any IPC experts please do volunteer to hit the wards with the teams. They've only been living a nightmare for the last year, they're basically clueless and no doubt you will soon show them how to defeat a highly infectious virus that we have only a limited understanding of even now,

I didn’t say I know the answer

The two people I know who've died from covid in the last month caught it in hospital. I'm not surprised by that statistic.

@RosieLemonade

Maybe they can stop accusing us of filling hospital beds if we go for a slightly longer walk now?

Here is hoping!

A relative was released into a nursing home while still positive for Covid. He tested positive twice yet they still sent him home because he was annoying them (dementia) and they couldn't cope with him.
They didn't bother to tell anyone about the positive result so put care home residents and staff/their families at risk. As the care home didn't know, they sent him to another hospital for his usual care issues, he was also transported by ambulance and sat with very ill patients on his usual ward - all at risk of catching it from him because the nhs didn't bother to notify anyone he still had Covid.

@whatisthislifesofullofcare

Maybe the slogan should be changed to: Stay at home Save yourself from the NHS

@catfeets

A relative was released into a nursing home while still positive for Covid. He tested positive twice yet they still sent him home because he was annoying them (dementia) and they couldn't cope with him. They didn't bother to tell anyone about the positive result so put care home residents and staff/their families at risk. As the care home didn't know, they sent him to another hospital for his usual care issues, he was also transported by ambulance and sat with very ill patients on his usual ward - all at risk of catching it from him because the nhs didn't bother to notify anyone he still had Covid.

That’s dreadful!!!

Large places with lots of people and many of them sick, its hardly surprising is it

My friend's mum went into hospital last week with an unrelated issue. She tested positive yesterday. She has 100% caught it in hospital. The hospital tried to discharge her into the direct care of my ECV friend who has been shielding for basically a year.
And they wonder how the virus is spreading.
I respect the hard work NHS staff do, but based on examples like this I'm afraid they are perpetuating community transmission and thus a vicious cycle.

It makes sense. Where else do you spend significant amounts of time inside breathing the same air as other people who aren't in your household?

I suspect the rise of the Kent strain might make this worse.

Is it the air conditioning, spreading it about?

Well the trust I work is is very hot on infection control (although I think we should wear more than a surgical but what do I know.

Yes covid is caught and spread in hospital no surprise. However, how do you know where it came from? it could be staff, we have to provide care for positive/contact patients then move on to the next with only a surgical mask, apron/gloves and visor. We test patients day 0/3/5 then weekly. A patient may test negative on admission but that won't always be accurate. We cannot ensure patients remain on the wards and unless they leave the ward they are reluctant to wear masks. We have confused patients who wander how do you suggest we stop this? We are lucky if we are running at 50% staff. I have had relatives turn up on the ward and then of course we let visitors In for end of life or if they are that patients carer.

Believe me we are trying to prevent it we test ourselves twice weekly. I don't want covid, it would make my DH seriously unwell. I have a colleague on a ventilator at the moment. We are trying our best believe me it is in our best interest too.

Also patients may be sent to a nursing home positive as long as it is 14 days post first positive as they can test positive for up to 90 days.

This thread is horrible, working in the NHS at the moment is soul destroying and exhausting. Do you k ow what is like caring for a positive patient, of course I will do it, it is my job but it does not mean I am not worried.

I hear you @Rupertpenrysmistress

NHS staff in all areas have at least three times higher chance of catching Covid than the general population,

We need to look at other healthcare systems and make major changes.

We need to vote for a party that will fund our NHS properly. This pandemic shows time and again how all our public funded organisations have been run into the ground.

@LizzieMacQueen lots of hospitals don't have air con I'm afraid. We freeze in winter and boil in summer. My office windows are older than me. Ventilation systems that allow the air to circulate are actually important to reduce spread. I've had my window open for a year, even in sub zero temps but we struggle to do the same with a window two feet from a 90 year old too confused to keep a blanket over himself....

Hardly news is it

Incidentally I have a colleague who just spent ten days at home after a positive test. Negative lateral flow at home two days before. Picked up on surveillance swab after a Ward outbreak. No symptoms, totally well. Had they not worked on a ward with an outbreak previously we and they would never have known. There have been tens of those asymptomatic cases in my hospital alone. It's a nightmare.

We don't have air conditioning. We're just opening the windows to try and keep the air moving. Proper air conditioning would probably help as a PP said it's one of the ways you can reduce covid spread.

@Rupertpenrysmistress

Well the trust I work is is very hot on infection control (although I think we should wear more than a surgical but what do I know.

Yes covid is caught and spread in hospital no surprise. However, how do you know where it came from? it could be staff, we have to provide care for positive/contact patients then move on to the next with only a surgical mask, apron/gloves and visor. We test patients day 0/3/5 then weekly. A patient may test negative on admission but that won't always be accurate. We cannot ensure patients remain on the wards and unless they leave the ward they are reluctant to wear masks. We have confused patients who wander how do you suggest we stop this? We are lucky if we are running at 50% staff. I have had relatives turn up on the ward and then of course we let visitors In for end of life or if they are that patients carer.

Believe me we are trying to prevent it we test ourselves twice weekly. I don't want covid, it would make my DH seriously unwell. I have a colleague on a ventilator at the moment. We are trying our best believe me it is in our best interest too.

Also patients may be sent to a nursing home positive as long as it is 14 days post first positive as they can test positive for up to 90 days.

This thread is horrible, working in the NHS at the moment is soul destroying and exhausting. Do you k ow what is like caring for a positive patient, of course I will do it, it is my job but it does not mean I am not worried.

Thank you so much.
I see what you're writing about as I've been in hospital for weeks. It's not been said in as many words on the ward I'm on (not a covid ward) but people have said enough that I know they're understaffed & stressed.

I've been tested twice since being here although I guess I will be tested again at some point soon.

It's really rough for you working in the NHS.

I thought covid can be spread by airborne microdroplets as well as the bigger respiratory droplets that occur when people cough/sneeze etc ? Which makes it quite tricky to control from an infection control point of view.

www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30514-2/fulltext

This isn't helping my worries about my OH having to go to hospital in 2 weeks for an appointment to check his heart because blood pressure meds won't reduce his blood pressure! We have done so much to try to minimise the risk of our family catching covid and I just feel doomed that he will go and catch it from the hospital... Almost want him to ask if he can delay the appt for another 6 weeks but its taken so long to get through the usual gp checks to get this appt that it's weighing up what is the biggest risk

Our ward is regularly 28 degrees at the moment. We keep reporting this, try to open the windows but the often elderly patients we have don't want the windows open.

Do you know we have to wash our own uniform I hate it. I change at work into and out of my uniform but then have to transfer it into my car, then my family washing machine.

I protect my patients by wearing my PPE but often we don't get the same courtesy back. It is a huge learning curve.

My suggestion is this allow us all to wear FFP3, let us work on the same wards don't keep moving us part way through the shift, ensure where possible patients wear masks. Give NHS staff the vaccine in the recommended 3 week time frame. Also don't rely on staff to check how often and up to date patients covid screens are, we don't have time or staff to scroll through multiple systems. So patients ultimately miss screening. Don't assume negative means negative.

this might help to explain the problem.

I think a lot of people think that if you are more than 2m away there isn't a problem. And unless everyone who comes into hospital has been very stringently self-isolating for 10-14 days before, testing only reduces the likelihood that a patient is admitted to a green ward with covid. You have no way of knowing whether they might be incubating it.

@whatisthislifesofullofcare

Maybe the slogan should be changed to: Stay at home Save yourself from the NHS

Now this is something I'd clap for 😂