Central Coast hospital officials and state legislators alike are concerned about nursing shortages amid the current surge in COVID-19 cases.
Assemblymember Jordan Cunningham (R-San Luis Obispo) and a group of fellow California state legislators signed a letter to Health and Human Services Agency Secretary Mark Ghaly asking the state to let up on its nurse-to-patient ratio requirements as hospitals face record-breaking numbers of hospitalized COVID-19 patients.
“Over the past several weeks, as hospitalizations rise as a result of the Delta variant’s spread, hospitals throughout the state have consistently faced a staffing shortage,” the legislators wrote. “For example, at Sierra Vista Regional Medical Center in the city of San Luis Obispo, there are 53 staff vacancies—half of which are nursing vacancies. This shortage threatens to impede our hospital systems’ ability to effectively treat patients in need of care.”
According to the letter, California is the only state to set a required nurse-to-patient ratio. During the last big winter surge, the state temporarily waived the requirement for hospitals that were paying overtime to nurses, allowing hospitals to accept more patients. But during the current surge, waivers are no longer allowed unless a hospital completes “an onerous, costly, and timely process,” the letter states.
“If there’s no waiver, what do you do as a hospital administrator?” Cunningham told the Sun. “That is not a good position to put hospitals in. They have to operate out of compliance, or they have to say to somebody’s grandmother who has COVID, ‘We’re sorry, we can’t find enough nurses, we’re not going to be able to intake you.’”
The legislators asked the state to reinstate its prior policy granting staffing waivers where there’s demonstrated need.
Local hospital officials said nursing shortages are an issue that precede the current surge, and it’s only been worsened.
“Everyone’s experiencing shortages,” Sue Andersen, president and CEO of Marian Regional Medical Center, said at a Sept. 2 press conference held at the hospital. “Our staff is not immune from also catching COVID out in the community. … We have a lot of people that are working a lot of extra hours and extra shifts to take care of our community.”
Andersen said the hospital is making every effort to meet the state required nursing ratios.
With the statewide mandate that medical workers have at least one COVID-19 vaccine shot by Sept. 30, another question is whether some staff members might choose not to comply with the mandate and, as a result, be unable to work. So far, Andersen said this hasn’t been an issue, though the mandate doesn’t go into effect for another few weeks.
“We’re working with our staff to get vaccinated or if they have an exemption request to get that filed,” she said. “We will be testing our staff twice a week, in addition, [for] those that are unvaccinated. The majority of our staff, by far, are vaccinated.”
Andersen said the hospital’s staff are currently just over 90 percent vaccinated. When asked how many staff members the hospital expects to have to let go over the vaccine mandate, Andersen said, “We hope none.”
Lompoc Valley Medical Center (LVMC) Senior Nursing Director Karen Kelly said there’s always been a nursing shortage at her hospital.
“But right now, our census is high, and our COVID patients are starting to increase, so we’re requiring even more nurses,” Kelly said. “We try to get travel nurses, but they’re super expensive right now and in high demand.”
The hospital has increased its use of traveling nurses by at least 50 percent since COVID started, LVMC Chief Nursing Officer Yvette Cope said. Even so, meeting state-required nurse-patient ratios has been “a shift-to-shift struggle.”
“We have been able to maintain our nurse-patient ratios,” Cope said. “We’re having to pull from leadership to get into patient care.”
From Cope’s perspective, easing up on the state-required ratio doesn’t get at the root of the issue.
“What I would like to see is more of a focus on … these travel [nurse] agencies, and why the high costs?” Cope said. “If we were able to secure travelers at a decent cost, that would work. I’m a believer in nurse-patient ratios because it is better patient quality of care. I think we just need more nurses.”
This article appears in Sep 9-16, 2021.