Bold Voices - March 2013 - (Page 10)

AT THE BEDSIDE Superstorm Sandy Hospital Evacuation Decisions Questioned Should New York City hospitals have evacuated their patients before Hurricane Sandy hit? ProPublica, a nonprofit news organization based in New York, explores this issue in its article “In Hurricane’s Wake, Decisions Not to Evacuate Hospitals Raise Questions.” In the article, Nirav R. Shah, New York state health commissioner, points to the substantial risks involved in pre-storm evacuations for vulnerable patients. “It’s extremely agitating,” he says. “We’ve learned that there’s a risk-benefit of moving people versus sheltering in place.” When New Orleans implemented citywide hospital and nursing home evacuations prior to Hurricane Gustav in 2008, many patients were trans- ferred to Baton Rouge, which was harder hit by power outages from the storm, necessitating the retransfer of a number of patients, he adds. Although it is expensive for hospitals and nursing homes to shut their doors proactively, Shah says this factor played no part in the decision. “We never thought about money,” he says. “We thought about patient safety.” Thomas A. Farley, New York City health commissioner, says the decision not to evacuate — “to shelter in place” — was made because the dangers involved in moving patients were viewed as greater than the dangers of staying. However, health officials took other actions to protect patients, Farley adds in the article. They instructed vulner- able nursing homes to move residents to higher floors and to transfer roughly 100 residents who required a mechanical ventilator to help them breathe. The state also ordered nursing homes to increase their staff more than 50 percent higher than usual. N.Y. health commissioner says focus was on patient safety, not money. Outstanding Careers, Award Winning Care Cottonwood campuses to work in: that includes medical insurance, wellness programs, short-term incentive programs, continuing education opportunities, tuition reimbursement and much more! Away from work, employees enjoy the four-season climate; breathtaking scenery; warm, friendly communities; and recreational pleasures that make Northern Arizona a wonderful place to live, work and play. Visit 10 MARCH 2013 to view positions and to apply.

Table of Contents for the Digital Edition of Bold Voices - March 2013

Front/Digital Edition Viewing Guide
Another Angle
Design an NTI Just for You
New Guidelines Set Practice Framework for Tele-ICU NursingPractice
New Methods Increase Speed of Sepsis Diagnosis
High Blood Pressure Can Injure the Brain of Young Adults
Recurrent Hypoglycemia May Not Impair Long-Term Development of Preterm Infants
Superstorm Sandy Hospital Evacuation Decisions Questioned
New STEMI Guidelines Focus on Symptom Recognition, Ease of Use
Early Communication About Resuscitation Improves EOL Quality
Vote Now for AACN Board, Nominating Committee Members
Simple Measures Reduce Pneumonia
Fresh Blood in the ICU
Meeting Veterans’ Healthcare Needs
In Our Journals
Checklists May Reduce Venous Thromboembolism
Certification Capsules
Chapter Leadership Workshop @NTI 2013
Wear Your NTI Pride on May 20
Dare To

Bold Voices - March 2013