Executive Fargo: COVID put hospitals in a difficult situation

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Griffin said the Fargo system has hired 150 travel or contract nurses from other areas and has offered increased wages, sign-on bonuses and other unspecified perks to attract more workers. He said it’s the most dire staffing situation the system has faced in an area that has long had a nursing shortage and has already seen one COVID-19 surge. Many workers have quit from burnout, fatigue and watching patients die, he said. Sherri Miller, executive director of the North Dakota Nurses Association, agrees there is a staffing crises in the state, one due in part because nurses have been easy targets for reduced hours and other cutbacks. She said it will take incentives, higher pay, flexible staffing models and a change in hospital culture to improve the situation.

“We really are in crisis,” said Dr. Doug Griffin, Sanford Health vice president and medical officer in Fargo. The state Department of Health reported Tuesday that 514 of the 2,712 active cases in the state are in Cass County, which includes the Fargo and Moorhead, Minnesota, metropolitan area of nearly 250,000 people. Hospitals across the region are filling up with both COVID-19 and non-COVID-19 patients, Griffin said, and Fargo Sanford is about two to three weeks from reaching its peak hospitalization capacity. Miller also lamented the rejection of legislation in the last session meant to create a centralized effort across the state for staffing and recruiting nurses.

“We can see the burnout that is going on,” Miller said. “Even today, one of our board members expressed to us that she is exhausted and dealing with a lot of COVID in her county. I could see this on the faces of others as well.” Besides nurses, Fargo Sanford is also short-staffed in other areas like patient services, respiratory therapy and even “people who draw blood,” Griffin said. The hospital is delaying some surgeries, including knee replacements, hernia operations and even some heart procedures that are not considered urgent, Griffin said.

“It’s really all about staffing. That’s the issue,” Griffin said. “It’s day-by-day.” It’s also about low vaccination rates, he said. In 22 hospitals across the Sanford system, 123 of the 141 COVID-19 patients are unvaccinated. Forty-four of the 48 people in intensive care units are unvaccinated and 28 of the 30 people on ventilators have not had shots. “The vaccines are a personal responsibility to help our communities and our country get through this pandemic,” said Griffin, who added that while he respects other opinions, he is “frustrated” by the vaccination turnout.

Sioux Falls, South Dakota-based Sanford bills itself as one of the largest rural health care systems in the country. It has major medical centers in Sioux Falls, Fargo, Bismarck, North Dakota, and Bemidji, Minnesota. While most of the coronavirus patients in the Fargo system are from the metro area, Griffin said it has received inquiries from patients in “many, many places.”

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