Monday, May 04, 2020

When it comes to testing nursing homes should come first.

It only makes sense to test those most vulnerable first. This article in ProPublica points to the idea that if nursing home residents were tested those that test positive can be moved to the hospital for treatment until they are no longer positive for the virus.

May 1, 2020
By Max Blau

On Tuesday afternoon in a small town (click here) in southwest Georgia, Army National Guard 2nd Lt. George Peagler stepped into a white hazmat suit, pulled up his bright green gloves and adjusted his N95 mask.

Georgia Gov. Brian Kemp’s decision to gradually reopen the state for business was beginning to show results. More cars were on the road than the week before. Locals lined up at the drive-thru at the only McDonald’s in Dawson, a predominantly black town in one of the poorest corners of the state.

Peagler headed into Dawson Health and Rehabilitation Center, a small nursing home where 14 of the 60 or so residents had died from COVID-19 over the past month. He and his fellow soldiers conducted their mission with efficiency, quickly testing the home’s surviving residents for the coronavirus. A military medic stuck a swab into each resident’s nose, then dropped it into a vial held by another guard member, who then handed it down an assembly line of soldiers until it was placed in an ice-filled cooler.

“If you were to see us, you would think we’ve been doing this longer than we have,” said Peagler, a native of suburban Atlanta, who, like many members of the Guard, had no formal medical experience before the pandemic. “That’s because we’ve had to pick up on it so quickly.”...

...States such as Maryland and Massachusetts have taken steps to mitigate that risk by mandating tests for all workers at long-term care facilities. Georgia does not have such a requirement. It is up to each facility to request tests for its workers....

There is no such thing as being overly cautious, especially with the long term facilities, their residents and staff.

...After visiting the Dawson home on March 27, Capt. Matthew Rushing called his superior officer, Brig. Gen. Randall Simmons, with some troubling news, according to interviews and emails obtained by Georgia Health News and ProPublica.

Nineteen patients had been tested for COVID-19 in the 74-bed facility. The first patient test had just returned positive. Rushing feared it wouldn’t be the last....