Inside a local hospital

Swedish Medical Center, First Hill, Seattle, stock photo. 

By Kim Kalliber, Tulalip News

For firemen, police officers, doctors and nurses, every day is a new day, with new dangers. Now add a global pandemic to that. With shortages of equipment and tests, to political uncertainty provoking protests outside of health institutions in some states, one can only imagine the levels of stress, anxiety, fear and frustration these workers are under. 

According to a March 31, 2020 CNN report, hospitals across the nation began seeing COVID patients in early March and many quickly became overwhelmed. Though many people suffering from the virus experience symptoms that can be treated at home, those with more severe symptoms, including shortness of breath or chest pain are encouraged to consult their doctor or to visit an ER. 

We spoke to an RN at Seattle’s Swedish Hospital, who prefers to go only by Mary, about her experience working first-hand in the COVID-19 environment. 

“The COVID patients I have seen have been from anywhere from the age of 28 to age 89. They all have fever and respiratory symptoms. Some have been otherwise healthy and others have had underlying medical problems such as asthma and heart disease,” explained Mary about the patients that have been admitted to the hospital.  

Those wondering if they should visit an ER or not, need to keep a close eye on their symptoms, especially if they persist. 

“You should call your doctor if you have a fever or a cough or if you think you may have been exposed to someone with COVID,” said Mary. “You should call 911 if you have any emergency signs such as trouble breathing, persistent pain or pressure in your chest, new confusion, inability to arouse or any bluish lips or face.” 

  Questions from the general public about local hospitals include whether they are full or still accepting patients. Mary explained that Swedish prepared early on for the virus, and kept rooms available for patients along with rescheduling and canceling surgeries. 

“The hospital campus I work at is not at its capacity. The hospital prepared itself in COVID’s early stages by not doing any elective surgeries or procedures to make room and have staff available for surges of COVID patients. Right now, the hospital has plenty of beds for any new cases of COVID patients.” Mary went to on the say that Swedish is beginning to open up limited surgeries for originally scheduled, non-COVID patients. 

Even though staff are in fact seeing a slowdown of COVID-admitted patients, it is still an extremely stressful environment. 

 “The general feeling I am getting at work is frustration. It is overwhelming when rules and protocols change daily and we never know what to expect. We are still limited on our supplies.” 

In addition to administrative stress, there is the fear of having contact with the outside world and going home to family members. Mary practices constant handwashing and other important steps when leaving a hospital shift.  

“When soap and water is not available I use hand sanitizer,” she said. “Social distancing. I always wear a mask to the store and try not to spend a lot of time shopping in the store. I never wear my scrubs home. I make sure to not bring hospital germs out into the public or home. I take my vitamins, asthma medications, and try to get good sleep.” 

“All employees are screened before they come in to work. We all get our temperature taken and are asked if we have any respiratory symptoms. If we have a fever over 100 degrees, we are sent home and our manager is notified. At my hospital campus, thankfully, COVID cases are slowing down. But we all still have to keep protecting ourselves and families by handwashing and social distancing because we still have some positive COVID cases coming into the hospital.” 

As far as states making plans to re-open businesses, and the quarantine backlash from protestors, Mary says, “The nurses on my unit and I agree that it is a little early for things to be reopening. We don’t think enough time has gone by for the virus to have been on the decline, there are still too many active cases to be loosening the social distancing guidelines. We have to be careful.

The protests are not helping anyone. There are other ways people can voice their opinion without gathering in large groups at this point in time, with the virus still being active as much as it is.”

As a reminder, Tulalip Bay Fire has an ambulance in service, which can transport community members transported directly from their residence to the reservation’s primary medical facility.  For concerned citizens who are beginning to experience COVID-19 related symptoms, please call the Tulalip Health Clinic’s main line at (360) 716-4511 to speak to their medical professionals. 

Tulalip debuts innovative program to combat Coronavirus

By Micheal Rios, Tulalip News

The firefighters at Snohomish County Fire District #15, known as the Tulalip Bay Fire Department, serve an estimated 13,000 people living in an area of 22.5 square miles on the Tulalip Reservation. Their mission is to foster community relations through unwavering service and protection of life and property. 

This team of devoted first responders just received crucial reinforcements to fulfill that mission as part of a 90-day pilot program that secured a second emergency aid car and three additional staff members to help Tulalip Bay Fire combat the dreaded Coronavirus.

“[As of April 6] we’ve put a new ambulance in service. It is staffed Monday through Friday, 8:00am to 5:00pm,” explained Chief Ryan Shaughnessy of Tulalip Bay Fire. “The purpose of this unit is to transport Tulalip tribal members residing on the reservation to the Karen I. Fryberg clinic.

“Part of what we’re trying to do is eliminate the need to take people to the Emergency Room,” continued Chief Shaughnessy. “One of our main goals is to be able to transport people here locally, as to avoid an unnecessary trip to an out of area E.R. that is experiencing long wait times. We want to keep you here, close to home, where we can transport you to the local clinic and then get you a ride back home.”

COVID-19 has changed life dramatically for the foreseeable future. However, with this new program now implemented, both tribal and non-tribal community members can benefit in a variety of ways.

For tribal members that live within the Tulalip boundaries, if you are experiencing COVID related symptoms and report them to the Health Clinic, you can now be transported directly from your residence to the reservation’s primary medical facility. This is the first time ever a service of this nature is being provided. No unnecessary travel to an Everett-based hospital, nor historically long wait to be seen at the Emergency Room. By using the Health Clinic’s services to be seen, tested, and treated for COVID-19, costs are only a fraction of what one could expect from an E.R. visit.

The new aid car and team will work directly with Tulalip’s Health Clinic to provide transport for tribal members to and from the clinic for standard care during clinic hours, reducing demand on surrounding health systems. This work is part of a collaborative effort to strengthen social distancing measures and reduce the potential spread of the novel coronavirus.

For non-tribal citizens on the reservation, the new aid car provides must-needed relief and shorter response times during an ongoing coronavirus crisis. The primary emergency medical services (EMS) unit is freed up to quickly respond to life threatening emergencies, while the backup unit can focus on situations that don’t require emergent care. Additionally, the new ambulance can be used to transport any Tulalip-based citizen to a local Emergency Room, if necessary. 

“One of the added benefits of our new program is that when this unit is not being utilized to transport COVID patients from their homes to the clinic or to the emergency room, its available for 911 calls, to assist on structural fires, motor vehicle accidents, and all other call types we respond to,” said Chief Shaughnessy. “The individuals who work this unit are trained firefighters and EMTs. They are experienced and trained to respond to any call type.”

The 90-day program officially launched on April 6th. While it’s additional resources and manpower will undoubtedly bring relief and critical assistance to combat the Coronavirus here on the Tulalip Reservation, its impacts will be even more long-lasting. The new ambulance will be a permanent fixture at Tulalip Bay Fire and provide necessary back-up.

Last year, Tulalip Bay Fire received over 1,300 EMS calls. An estimated 100 of those calls required a backup unit, which meant depending on other agencies lending support and required losing potential life-saving time waiting on that back-up. Now, those type of situations will be mitigated by having a second aid car at the fire house permanently. 

“The COVID-19 pandemic has been an unprecedented challenge for Tulalip,” said Chairwoman Teri Gobin. “We’ve had to adapt quickly to protect our people. We are grateful for our partnership with Tulalip Bay Fire. Together, we are doing what we can to make sure that the entire Tulalip community remains healthy and safe.”

Tulalip Bay Fire provides fire suppression, emergency medical services with transport, water rescue, public education, hazardous material cleanup and a basic level of technical rescue services. For more information, visit tulalipbayfire.org 

For concerned citizens who are beginning to experience COVID-19 related symptoms, please call the Tulalip Health Clinic’s main line at (360) 716-4511 to speak to their medical professionals. 

Emergency Management Coronavirus Update, April 8, 2020

April 8, 2020

Today in Emergency Management, we are working on preparing for a COVID-19 quarantine facility if needed, tracking expenses for reimbursement, and developing a direct relationship with FEMA, rather than filing through the State. 

Many news sites are predicting that we are at the peak of COVID-19 infections. We want to encourage you to continue taking precautions. Our Board of Directors Stay Home, Stay Safe order is still in effect. Do not visit with people who do not live in your household and limit travel to essential tasks only. 

We’re often asked what individuals can do. Limiting exposure is the first step. Our doctors at the Karen I. Fryberg Health Clinic have asked us to encourage people to continue moving and to practice breathing exercises to be more resilient if we catch the virus. Practice these three to five times a day. 

  • Diaphragmatic breathing: To feel your diaphragm, put your hand on your belly, and sniff like you’re smelling a flower. The lifting in your stomach happens when your diaphragm contracts. To perform diaphragmatic breathing, attempt to breathe deep into your belly where you felt your belly lift. See if you can breathe in for 5 seconds, and breathe out for 5 seconds.
  • Pursed lip breathing: Take a slow deep breath with your diaphragm as described above, half-open your lips, and slowly breathe out as if you are making a candle flicker. This will strengthen your diaphragm and breathing control, and should make breathing throughout the day easier and smoother. You have healthy breath control if you can do this for 20 seconds!
  • Summed breathing: Take a small breath and pause for 2 seconds, then repeat this until you are unable to inhale any more. You may exhale quickly. This will allow air to get behind any mucus blockages in your lungs, and push it out. This will reduce the risk of pneumonia or lung infections.

In addition to breathing exercises, walking 30-40 minutes, at least three times a week can improve lung health and doctors encourage us to get up and move for five to ten minutes once an hour. As always be safe and if you have any unusual symptoms (chest pain, lightheadedness, confusion, prolonged shortness of breath, or breathlessness while not doing an activity) please contact your doctor. 

Stay safe and healthy and remember wash your hands!

Contact: Ashlynn Danielson, Emergency Preparedness Manager,

adanielson@tulaliptribes-nsn.gov

Once a suggestion, ‘Stay Home, Stay Healthy’ now a full on directive

By Micheal Rios, Tulalip News

On March 23rd, Governor Jay Inslee announced his order for Washingtonians to stay at home. The rationale was simple: by staying home the chances of spreading coronavirus is minimized and, in effect, everyone abiding would be doing their part to ‘lower the curve’. Hours later, the Tulalip Tribes issued an emergency proclamation for all citizens on the Tulalip Reservation to ‘Stay Home, Stay Healthy’.

“We’ve been very clear on the need for everyone to stay home. The less time we spend in public, the more lives we will save,” explained Governor Inslee. “We know [this] announcement affects millions of our livelihoods and means life will look different in Washington. But these necessary restrictions will protect us and our loved ones so that we have a livelihood to come back to.”

Fast forward two-weeks and while most Washingtonians are doing their part, some still don’t grasp the seriousness of this global pandemic. The numbers boggle the mind. As of April 1st, there have been at least 905,000 total confirmed cases in 192 countries, with the most alarming number, the death toll, continuing to rise at an exponential rate. Globally, more than 45,200 deaths are now attributed to COVID-19.

Yet, locally on the reservation it was still a common occurrence to see children, teenagers, and adults casually out and about, partaking in leisurely activities. Gathering at Mission Beach? Yup. Games of pick-up hoops at the outdoor courts? Sure. Energetic youth roaming free on the ball field and neighborhood parks? Of course.

Social disobedience is nothing new. Ask any parent and they’ll attest to the fact that once you tell a child they can’t do something, regardless of what it is, that something becomes the only thing they want to do. That is until the consequences become severe enough that it’s no longer in their best interest to be disobedient.

And no, this type of behavior isn’t only on the reservation. The entire state is witnessing social disobedience from individuals and businesses, alike. 

“Since I announced the ‘Stay Home, Stay Healthy’ order for our state, we have seen social distancing and other compliance from businesses and residents across Washington for the good of the public health,” Governor Inslee recently said. “But thousands of calls are also pouring in to state and local agencies from concerned residents, with reports that some individuals and businesses are not in compliance.

“The actions of those who willfully violate this order may ultimately drag out the COVID-19 crisis even longer.”

Tulalip leadership has responded to this woeful behavior by implementing a new tribal code authorizing the enforcement of stay at home quarantine orders. To further reinforce the ‘stay home, stay healthy’ directive, all reservation parks, outdoor basketball courts, Youth Center skate park and ball field, and Mission Beach public access points have been permanently closed until further notice. 

Once a welcomed sight to all, now these recreational areas are sealed off with bright yellow CAUTION tape. Impossible to miss, the message is loud and clear. Similar to the Tribe’s adult playgrounds – Tulalip Resort, Quil Ceda Casino and Bingo – the outdoor community areas are officially closed for business, pending a must needed flattening of the curve when it comes to COVID-19 cases.

“The safety of our community is of the utmost importance,” said Chairwoman Teri Gobin. “We want people to stay home. [By doing so] it is slowing the curve and lowering the number of deaths. The Board of Directors will continue to adapt and make the best decisions we can for our community and our Tribe.”