The Morning Cast #3: Nurse Appreciation Week | Paula
The Very (Very) Front Line
An X-Ray technician is one of the first people to know whether or not a patient has tested positive for COVID-19. The Koi-Fly team learned about this from Paula, a veteran technician who comes face to face with the virus nearly every day in Central Jersey. Most days, her job takes her immediately to the emergency room.
Ever Changing Policies
Because this is a novel virus, scientists and healthcare workers are still learning how to properly treat and protect against it. Paula details the challenges they faced regarding proper PPE (personal protective equipment) when the outbreak began saying, “The CDC guidelines were different at that point [in the very beginning] as far as precautions… whether it was airborne or droplet. We started out with the surgical mask and then they realized things were becoming dire and more and more difficult, and more and more people were coming in positive.” She continued saying, “We’ve been fortunate that every week I’ve gone in, I’m given any kind of equipment I want, which is great, which not a lot of people can say.”
Bedside Service
The unit Paula works is usually in a separate area of the hospital. Patients would normally come to her to be x-rayed. Now, Paula goes to them.
“We walk around. It’s all portable. Nobody comes to our unit anymore because you don’t want to infect rooms that are needed for healthier people,” she said. With a long list of patients, Paula spends her days x-raying chests for those suspected of COVID-19 saying, “We’ve gotten so good at these X-rays. You take a picture of the lungs, and I’m not a doctor, but I’m like, oh boy, this is definitely a positive one.”
She shared with us an example of what an x-ray looks like from a positive COVID-19 patient, pointing out how their lungs look like there are “cotton balls” in them, describing how to spot the difference between a COVID-19 infected patient and pneumonia infected patient based off of that.
Getting the Job Done
“What makes all of us, as workers, nervous is how the rules change since this all started at the beginning of March,” she said. Paula’s main fears stem from the lack of clarity with protective equipment. The changes in which masks to wear are an example of this uncertainty as she explained, “In week one you said that surgical mask was all I needed. Something’s not right.”
In addition to proper PPE, Paula is required to take her temperature every day before going to work. Anything over 98.6 degrees is a red flag.
Still, Paula continues to bravely fight this disease on the very front line. She has a disinfecting routine at the end of every shift, careful not to infect her family or anyone she comes in contact with. When asked what keeps her going back to work, Paula answered, “For me, personally, it’s what I signed up for. I knew that going in. I guess it takes a certain person.” She continued by saying, “I just want to help. If I’m able and capable of helping someone, why not?”
UPDATE:
In the interview, Paula mentioned that the pediatric emergency room and the non-emergent section of the ER were converted to care for positive adult cases. This was because, at the time, the hospital had too many cases and ran out of room. As of today, the pediatric ER is back to only caring for children and the non-emergent ER is back to just that, assisting non-emergent patients. Great news!
Unfortunately, though, her hospital has seen a slight spike in children benign infected with COVID. Those cases go directly to PICU (pediatric intensive care unit). Overall, Paula feels like we’re heading in the right direction wich is down the curve.