SAN DIEGO COUNTY, Calif. — Registered nurses and caregivers gathered outside Palomar Medical Center Poway Friday morning to protest what they say are unsafe working conditions during the COVID-19 pandemic, a claim which the healthcare system described as "appalling" and "irresponsible."
The disagreement stems from a waiver Palomar Health received from the California Department of Public Health on Wednesday which allows the Poway campus to assign one intensive care nurse to care for up to three patients, depending on patient acuity. Nurses say they are already overworked. In late April, Palomar Health laid off 317 employees, which the union members said exacerbated issues.
"Palomar Health is already not providing enough supportive services and adding more patients in an assignment to nurses or even caregivers at a time like this is unconscionable," said Grace Vicente, a certified nurse assistant at the Poway campus.
Diane Hansen, President & Ceo of Palomar Health spoke with News 8 and addressed the concerns.
“The nurses do have a right to be concerned, we’re all concerned, we’re concerned about the safety of our nurses, the safety of all of our staff, the safety of our physicians as well as the safety of our community,” Hanson said.“I think the particular issue at hand is in regards to a 12-bed unit as our smallest facility in Poway.”
Hansen said that it's an intensive care unit and Palomar Health received a waiver from the California Department of Public Health to allow the placing of intermediate care level patients in that unit.
Palomar Health has two hospitals: 288 beds in Escondido, the waiver focusing on the Poway hospital: 107 beds, 12 beds in the ICU unit.
The current nurse to patient ratio is 2/1; two patients, one nurse. The waiver will allow a 3/1; two mid-level patients and one ICU patient, one nurse.
One of the allegations was that we were mixing - COVID-19 and non-COVID-19 patients and that’s absolutely false,” she said. “What I’m disappointed most about is the vocal few that are continuing to try to paint the picture that we are trying to do anything except being as prepared as possible.”
Hansen says they’re doing everything they can to ensure they’re isolating COVID-19 patients and protecting health care workers with the appropriate PPE, following every safety precaution.
Palomar Health spokesman Derryl Acosta said the claims were sensationalized as the hospital prepares for a possible influx of COVID-19 hospitalizations. COVID-19-related hospitalizations around the county have nearly tripled in San Diego County in the past month -- from 354 on Nov. 10 to 939 reported Thursday.
"To suggest we are prioritizing anything other than patient safety and public health during an ongoing pandemic is appalling," said Acosta in a written statement. "As a healthcare system, it is irresponsible to instill fear in our community. These false allegations by the union are frightening and endanger the health and safety of our community by discouraging people with serious conditions from seeking medical care."
According to Palomar Health, the waiver only applies to one 12-bed unit which has both intensive- and intermediate-care patients located in the same area and has not been implemented but is in preparation for a potential patient surge or reduction in workforce due to sickness.
"The effect of the waiver will always be determined by the level of care the patient requires and reduces ICU patient holds in the emergency department," Acosta said. "Like many other health systems, Palomar Health is appropriately and proactively increasing capacity to care for our community during this ongoing and unprecedented pandemic."
The protesters, members of the California Nurses Association and Caregivers & Healthcare Employees Union, said the move is shortsighted and places patients and health care workers at risk, and negatively impacts nurses' ability to deliver safe care.
"We know safe nurse-to-patient ratios save lives," said Joanne Meza, a California Nurses Association representative and registered nurse who works at the Poway campus intensive care unit. "We know what it's like when we don't have ratios -- we become overworked and patients suffer. We are already exhausted -- a waiver does not help anyone."
Nurses say the hospital's decision to apply for the waiver is premature and Palomar Health administrators who applied for the waiver have not taken sufficient preventive measures to protect patients from short staffing or provided adequate personal protective equipment.
The hospital denies that claim.
"Palomar Health rejects the nurse's union contention of unsafe patient conditions and inadequate PPE," Acosta said. "We regret the union felt compelled to take this level of action during a pandemic after getting upset they weren't notified of the waiver approval sooner."
California Nurses Association represents about 1,400 nurses at Palomar Health Hospitals. The Caregiver and Healthcare Employees Union represents about 1,700 ancillary caregivers.