2316 East Meyer Boulevard,
Kansas City,
64132
Missouri,
United States
ITEM 1: March 20th. Union stewards met with Directors (CNO designee). Reviewed multiple concerns and one was a request they fit test all RNs for N95s. Nurses were not being fit-tested for N95's. They said they had no intentions and were only doing this for doctors. ITEM 2: On March 21st, the Personal Protective Equipment warehouse was created on the first floor, in 1N. PPE had been removed from areas such as 3N, Medical Care and was only available on the first floor. Nurses were emailed on March 30 about having a PPE warehouse. The Process started on March 30th: Upon receiving patient assignments for the day, the CNC/charge nurse or supervisor will pick up the necessary PPE for each staff member in 1 North. At the end of the shift, the CNC/charge nurse will bag and return the N95 masks, face shields and goggles to 1 North. Level 1 and Level 3 masks should be discarded at the end of each shift. ITEM 3: On March 22/23: A nurse on the 4th Floor, 4 N/C, Cardiac Telemetry Unit, received a Covid infected patient on the night shift of 3/22/20 from the ED. She voiced her concerns to the charge RN that the patient had signs and symptom of Covid-19. There was no PPE to use on their unit. ITEM 4: March 24th, the Research Psychiatric Center, RPC, RN's do not have PPE in their center. It is housed in another building at RMS. The RN's do not have readily available access to PPE. ITEM 5: March 24th, RN's on 4 N/C are lacking the use of N95 masks and instead are using level 3 surgical masks. There have been complaints on how they were to cluster the covid or potential covids together and RNs would be assigned to only covids or non covids. If they had the covids/potential covids, they got 1 mask and 1 gown for the shift. The shifts are 12 hours. ITEM 6: March 28 or March 29th, A nurse in the float pool was floated to 4W, PCU. The nurse was assigned to a potential covid patients. This is a covid cohort unit, one came back positive on this shift. The nurses N95 broke. The nurse tried to get a PAPR and was denied use. Nurse was told to use a surgical 3 and goggles. ITEM 7: March 24, and March 30th, A nurse on 4W, PCU, was caring for potential covids. The doctors kept telling the nurse to be careful, they knew they had covid. The unit manager was asked for an N95. The nurse was told if I give you one, I have to give one to everyone. By Friday, the test showed they were positive covids. March 30th, the director took the PAPR away from the nurse when the nurse had 2 covid aerosolized patients. ITEM 8: There were 4 covid positives on the 4N & 4C so far on the hospitals OSHA 300 log, all on this unit. ITEM 9: Multiple RNs have been out sick with covid like symptoms in March and April on multiple units. Tests don't always come back positive and so they are not logged on the OSHA 300 log. ITEM 10: 4N/C units are sister floating cluster units with 4W PCU and the ICUS, the RNs float if staff is needed. The covid cohort units are 4W PCU and MICU, but possible covid patients are allowed to be anywhere. Location: Research Medical Center (RMC) and the Research Psychiatric Center (RPC)
Source: Osha.gov | Receipt Date: 2020-05-05
