Out of space, hospital moves COVID-19 patients to parking garage
As hospitals across the United States are squeezed for space amid a spike in COVID-19 infections, patients are being treated in chapels, cafeterias, and a Nevada parking garage. Additional medical personnel are also being sought to relieve exhausted workers.
Drivers wait in long lines for COVID-19 testing at Dodger Stadium in Los Angeles, Nov. 17, 2020. The number of people hospitalized with COVID-19 in the U.S. has doubled in the past month and set new records every day this week.
Dean Musgrove/The Orange County Register/AP
Overwhelmed hospitals are converting chapels, cafeterias, waiting rooms, hallways, even a parking garage into patient treatment areas. Staff members are聽desperately calling around to other medical centers in search of open beds. Fatigue and frustration are setting in among front-line workers.
Conditions inside the nation鈥檚 hospitals are deteriorating by the day as the coronavirus rages across the United States at an unrelenting pace and the confirmed聽death toll surpasses 250,000.
鈥淲e are depressed, disheartened and tired to the bone,鈥� said Alison Johnson, director of critical care at Johnson City Medical Center in Tennessee, adding聽that she drives to and from work some days in tears.
The number of people in the hospital with COVID-19 in the U.S. has doubled in the past month and set new records every day this week. As of Tuesday, nearly聽77,000 were hospitalized with the virus.
Newly confirmed infections per day in the U.S. have exploded more than 80% over the past two weeks to the highest levels on record, with the daily count聽running at close to 160,000 on average. Cases are on the rise in all 50 states. Deaths are averaging more than 1,155 per day, the highest in months.
The out-of-control surge is leading governors and mayors across the U.S. to grudgingly issue mask mandates, limit the size of private and public gatherings聽ahead of Thanksgiving, ban indoor restaurant dining, and close or restrict the hours and capacity of gyms, bars, and other businesses.
New York City鈥檚 school system 鈥� the nation鈥檚 largest, with more than 1 million students 鈥� suspended in-person classes Wednesday amid a mounting infection聽rate, a painful setback in a corner of the country that suffered mightily in the spring but had seemingly beaten back the virus months ago.
Texas is rushing thousands of additional medical staff to overworked hospitals as the number of hospitalized COVID-19 patients statewide accelerates toward聽8,000 for the first time since a deadly summer outbreak.
In the worsening rural Panhandle, roughly half of the admitted patients in Lubbock鈥檚 two main hospitals had COVID-19, and a dozen people with the virus聽were waiting in the emergency room for beds to open up Tuesday night, said Dr. Ron Cook, the Lubbock County health authority.
鈥淲e鈥檙e in trouble,鈥� Dr. Cook said.
In the Texas border city of El Paso, overwhelmed morgues have begun paying jail inmates $2 an hour to help transport the bodies of virus victims. The crush聽of patients is forcing the city to send its non-COVID-19 cases to hospitals elsewhere in the state.
More than 5,400 extra medical personnel have been deployed around Texas by the state alone, said Lara Anton, a spokeswoman for the Texas Department of聽State Health Services. And that doesn鈥檛 include the help surging into Texas from the military and volunteer organizations.
鈥淭here are only so many medical personnel to go around,鈥� said Dr. Mark McClellan, a former head of the Food and Drug Administration.
Ballad Health system, which is located in the Appalachian mountains and includes the Tennessee hospital where Alison Johnson works, has warned that it聽and its workers are stretched so thin that without a change in course, its hospitals might have to turn patients away. Ballad reported having just 16 available聽ICU beds Wednesday and about 250 team members in isolation or quarantine. It is trying to recruit hundreds more nurses.
In Idaho, doctors warned that hospitals have almost reached the point where they need to ration care, unable to treat everyone because there aren鈥檛 enough聽beds or staffers to go around.
鈥淣ever in my career did I think we would even contemplate the idea of rationing care in the United States of America,鈥� said Dr. Jim Souza, chief medical聽officer for St. Luke鈥檚 Health System.
In Reno, Nevada, Renown Regional Medical Center began moving some coronavirus patients into its parking garage.
Video of the converted garage before it opened to patients showed rows and rows of beds separated by moveable white screens set up on one level of the聽stark, cavernous garage, each section designated by letters and each bed space marked by a number on the ground. The garage unit currently houses 27 patients聽but at peak capacity will have enough beds to accommodate more than 1,400, said Dr. Paul Sierzenski, Renown鈥檚 chief medical officer for acute care.
In Kansas, hospitals are converting spaces such as chapels and cafeterias for use by COVID-19 patients, said Cindy Samuelson, spokeswoman for the Kansas聽Hospital Association.
Stormont Vail Health in Topeka, Kansas, devoted an entire hospital floor to COVID-19 patients as their numbers swelled, hitting 90 on Wednesday. The hospital聽also converted two surgery waiting rooms for use by non-infected patients, spokesman Matt Lara said.
Kansas health chief Dr. Lee Norman said a system that he likened to air traffic control for coronavirus patients is being put in place so nurses from rural聽hospitals can make a single call to find a larger hospital that can take their sickest patients.
In some cases, nurses and doctors in Kansas have been spending up to eight hours looking for a large hospital with an opening in cities as far away as聽Denver, Omaha or Kansas City.
鈥淭he problem with this is, by the time you transfer these patients out they already are very ill at that point,鈥� said Kansas nurse practitioner Perry Desbien.
At the same time, patience is wearing thin over the lack of mask wearing that is contributing to the problem in rural areas.
鈥淚t kind of feels like we鈥檙e just, you know, yelling into the abyss,鈥� said Cheyanne Seematter, a registered nurse at Stormont Vail. 鈥淲e keep telling everybody聽to stay home, wear a mask, that it is actually bad here.鈥�
Maryland health officials similarly set up a centralized clearinghouse with information on available ICU beds so that hospitals need only make a single聽phone call. State authorities also issued an emergency order prohibiting most hospital visitors until further notice.
This story was reported by The Associated Press.聽
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