Nurse Leslie McKamey has gotten used to the 16-hour shifts, to skipping lunch, to the nightly ritual of throwing all her clothes in the laundry and showering as soon as she walks through the door to avoid potentially infecting her children. Shes even grown accustomed to triaging COVID patients, who often arrive at the emergency room so short of breath they struggle to describe their symptoms.
But despite the trauma and exhaustion of the past eight months, she was shocked when North Dakota Gov. Doug Burgum that health care workers who test positive for the coronavirus but do not display symptoms could still report to work. The order, in line with for mitigating staff shortages, would allow asymptomatic health workers who test positive to work only in COVID units, and treat patients who already have the virus.
But many feel the idea endangers the workers and their colleagues. It comes as faces one of the worst outbreaks of COVID-19 and grapples with health care staff shortages.
Were worried about somebody dying, frankly, because we couldnt get to them in time, said McKamey, an emergency room registered nurse in Bismarck.
According to data from the COVID Tracking Project, North Dakotans tested positive for COVID-19 last week alone. About 1 in 12 North Dakota residents have with the virus; nearly 1 in 1,000 have died. In early November, the North Dakota Department of Health that there were only 12 open ICU beds in the state.
McKamey said Burgums order goes against everything shes been taught as a nurse.
If hospital administrators start forcing COVID-positive staff to go to work, its going to be very scary. Were trained to do no harm, and asking COVID-positive, asymptomatic nurses to return to work is putting patients at risk. Its putting fellow staff members at risk.
Nine months into the pandemic, its clear health care workers already face increased risks. , a joint effort by The Guardian and KHN, is investigating the deaths of 1,375 health care workers who appear to have died of COVID-19 since the start of the pandemic. Nearly a third of those health care workers were nurses.
McKamey described long shifts in an emergency room that has begun taking on patients overnight because other wards of the hospital did not have the capacity to admit them. Nurses pick up extra shifts to cover for colleagues who have gotten sick and take on multiple critical patients at once.
It is a scene playing out in hospitals across the country, as the coronavirus spreads unabated. As of Monday, more than 11 million people in the United States with the virus, with health officials reporting 180,000 new infections in a single day. And the country is bracing for another milestone: It will soon surpass a quarter-million deaths from COVID-19.
Health care workers are overwhelmed and exhausted. According to a recent survey from the National Nurses United, more than 70% of hospital nurses said they were afraid of contracting COVID-19 and 80% feared they might infect a family member. More than half said they struggled to sleep and 62 reported feeling stressed and anxious. Nearly 80% said they were forced to reuse single-use PPE, like N95 respirators.
Inaction at the state and federal levels have left many health care workers feeling abandoned. When Gov. Burgum issued the order that infected but asymptomatic nurses could report to work in COVID units, North Dakota had not implemented any kind of statewide mask mandate, despite expert guidance that such a measure could significantly reduce transmission of the virus.
Tessa Johnson is a registered nurse at a Bismarck nursing home and president of the North Dakota Nurses Association, which issued a statement last week denouncing Burgums order that infected nurses continue to work.
She said the state could have done much more to ensure patients dont become infected in the first place. Weve asked and asked and asked for a mask mandate, and that hasnt happened, she said Thursday.
On Friday night, Burgum did an about-face and issued a mask mandate, ordering individuals to cover their faces when inside businesses, indoor public settings and outdoor public settings where physical distancing may be impossible.
Our doctors and nurses heroically working on the front lines need our help, and they need it now, he said in a .
Still, Johnson said theres a disconnect between what health care workers are experiencing inside North Dakotas health facilities, and how the general population perceives the virus. And that even before Burgums comments, some of her colleagues felt they had to choose between taking all precautions and limited time off. One of my closest friends, also a health care worker, said to me the other day, Theres no way I will ever get tested unless Im very sick, because I dont want to use my paid leave.
McKamey, the ER nurse, said she hasnt had time to process the stress of the past several months. Shes focused on staying healthy, gearing up for what she anticipates will be a difficult winter and keeping her patients alive. We are willing to break our backs and work as hard as we physically can, McKamey said. But then to ask us to come in as a potential infectious source is just stunning.
