Dec 21, 2021 8:00 AM

COVID: Kan. patients needing to be transferred stranded for days

Posted Dec 21, 2021 8:00 AM

MISSION, Kan. (AP) — Rural Kansas hospitals are struggling to transfer patients as COVID-19 numbers surge, with some patients left stranded in emergency rooms for a week while they wait for a bed.

Space also was in short supply last winter and again over the summer when the delta variant first hit the state. The situation improved slightly this fall, but now is worsening again, according to Motient, a company contracted by Kansas to help manage transfers.

It isn’t just rural hospitals looking for beds. Overwhelmed hospitals as far away as Minnesota and Michigan have been looking for beds in larger Kansas hospitals. Often there simply isn’t room.

Dr. Richard Watson, founder of Motient, said Friday that the long-distance transfers and long waits for beds are becoming commonplace as the pandemic ends its second year, adding, “It’s already as crazy as it can be.”

“When you are talking about moving people from Minnesota to Kansas City for treatment. It’s like Mayo Clinic in reverse,” he said.

Monday December 20, 2021 KDHE image
Monday December 20, 2021 KDHE image

Kansas averaged 41 new COVID-19 hospitalizations a day for the seven days ending Monday, according to state health department data, as total confirmed and probable cases for the pandemic topped 500,000.

Gov. Laura Kelly said she has no plans to pursue the same aggressive strategy of closing schools and businesses statewide that she did in March 2020, at the start of the pandemic. Top Republicans in the GOP-controlled Legislature ended a state of emergency in June and curbed the power of the Democratic governor and even local officials to impose restrictions.

“We have the tools to stop the spread,” Kelly told The Associated Press Monday. “People really do need to not only get fully vaccinated, they need to get the booster shot.”

Jesse Thomas, also of Motient, said Monday that it takes an average of eight and a half hours from the time a smaller hospital starts looking for a bed in a larger hospital to when an ambulance or air transportation arrives, up from about five hours this summer.

“It used to be rare, and now it’s not rare,” he said of the long waits.

Forty patients were on the board waiting to be transferred on Friday. Some have been languishing in emergency departments while they await transfers for days, sometimes more than a week, Watson said.

Watson said larger hospitals don’t want COVID-19 patients unless they are really sick, adding that some are only accepting COVID-19 transfers if they need to be on a ventilator.

“They know that their beds are at a premium and they have to hold them for the people who need them,” Watson said, adding that COVID-19 patients who just need oxygen wind up stuck. He said the shortage of beds and staff to care for patients also has stranded patients with other health issues, such as heart attacks.

He said staffing shortages in nursing homes also contribute to the bed shortage because it means there is nowhere to send patients who are improving but still need extra care.

“You can’t put somebody in that bed if they can’t clean it out,” he said.

Dr. Jackie Hyland, the chief medical officer at the University of Kansas Health System’s St. Francis campus in Topeka, complained about the problems nursing home shortages were causing on a recent call with Kansas and Missouri hospital officials.

“It causes a backup all the way through to our emergency room and holding emergency room patients there, preventing them from getting admitted to a hospital bed,” Hyland said.

Watson said he has never seen a problem like this on such a broad scale.

“You may have a patient here or there that’s having a difficulty and the hospital may be in a tight spot, but to have the whole system with people just locked in place for days at a level of care they really need to move out of, that’s a different world for us,” he said.

Watson said he anticipated the capacity issues would only grow worse over the holidays.

“People expect there to be a different story,” Watson said. “But you know, here we got it: It’s unvaccinated people. Omicron moves through. Nobody’s paying attention. They all want it to go away for Christmas. It’s not going away.”

A handful of omicron cases have been detected in the state in recent days. The latest two were announced Monday in Wyandotte County in the Kansas City area.

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