A day fighting the coronavirus: US hospital staff share hardest moments on shift

A day fighting the coronavirus: US hospital staff share hardest moments on shift

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The shifts are long and the scenes are heartbreaking inside a Maryland hospital where nurses and doctors have been treating coronavirus patients for weeks, unable to let family inside to visit loved ones on their death beds.

One of the hardest moments of a recent work day for registered nurse Julia Trainor was intubating a patient, and then calling the patient's husband so he could talk to his wife. He was not allowed in the hospital.

"I had to put him on the phone and hold the phone to her ear as he told her that he loved her so much, and then I had to wipe away her tears," says Trainor, who works in a surgical intensive care unit. "I'm used to seeing very sick patients and I'm used to patients dying, but nothing quite like this."

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Kimberly Bowers, 44, a nurse practitioner who is caring for COVID-19 patients in an intensive care unit (ICU), poses for a photograph after a 13-hour shift. "The hardest moment was a young woman who died and her family wasn't able to be here with her," Bowers said. "I think right now, it's just frustrating and scary just not knowing what comes next."
. Maryland, United States. Reuters/Rosem Morton

Kimberly Bowers, 44, a nurse practitioner who is caring for COVID-19 patients in an intensive care unit (ICU), poses for a photograph after a 13-hour shift. "The hardest moment was a young woman who died and her family wasn't able to be here with her," Bowers said. "I think right now, it's just frustrating and scary just not knowing what comes next."

Dr. Kyle Fischer, 35, an emergency medicine doctor who is caring for COVID-19 patients, poses for a photograph after a 12-hour shift. "Since it's a new virus, we don't have any experience with it. For most diseases I am used to seeing it and taking care of it and this, I don't have any starting place. I know what I'm hearing from New York, I've read all of the papers it seems like, but no one knows what the correct answers are, so there's a huge amount of uncertainty and people are really, really sick. So it's hard to second guess whether or not you are doing the right thing when you think you are but you never quite know," said Fischer.
. Maryland, United States. Reuters/Rosem Morton

Dr. Kyle Fischer, 35, an emergency medicine doctor who is caring for COVID-19 patients, poses for a photograph after a 12-hour shift. "Since it's a new virus, we don't have any experience with it. For most diseases I am used to seeing it and taking care of it and this, I don't have any starting place. I know what I'm hearing from New York, I've read all of the papers it seems like, but no one knows what the correct answers are, so there's a huge amount of uncertainty and people are really, really sick. So it's hard to second guess whether or not you are doing the right thing when you think you are but you never quite know," said Fischer.

Kaitlyn Martiniano, 25, a registered nurse who works at a biocontainment unit with COVID-19 patients, poses for a photograph after a 12.5-hour shift. "We have a lot of patients and they are pretty sick right now but we have not yet been hit as hard as New York or Seattle, so I feel like we are very lucky with that so far. Every day you have to just be optimistic." Said Martiniano. "I think the reason that we are not being hit as hard right now is because so many things are closed, and because so many people are staying at home."
. Maryland, United States. Reuters/Rosem Morton

Kaitlyn Martiniano, 25, a registered nurse who works at a biocontainment unit with COVID-19 patients, poses for a photograph after a 12.5-hour shift. "We have a lot of patients and they are pretty sick right now but we have not yet been hit as hard as New York or Seattle, so I feel like we are very lucky with that so far. Every day you have to just be optimistic." Said Martiniano. "I think the reason that we are not being hit as hard right now is because so many things are closed, and because so many people are staying at home."

Jacqueline Hamil, 30, a registered nurse who is caring for COVID-19 patients in an emergency department, poses for a photograph after a 12-hour shift. "The hardest moment of my shift today, I was in charge, and we had a really sick patient that was in a really, really small room and usually, when we have sick crashing patients, we can have a ton of resources and a ton of staff go in and help with the nurse and the doctors that are taking care of that patient. But due to the patient being ruled out for the coronavirus, we could only have five or six people in the room at a time and putting on all the gowns and gloves and masks and face shields to protect us in case the patient does have coronavirus, it takes a while, so the nurse that was in there, ended up being in the room for you know 6, 7 hours with minimal breaks and it was hard being in charge and knowing that she was stuck in the room and really nothing I could do to help her," Hamil said.
. Maryland, United States. Reuters/Rosem Morton

Jacqueline Hamil, 30, a registered nurse who is caring for COVID-19 patients in an emergency department, poses for a photograph after a 12-hour shift. "The hardest moment of my shift today, I was in charge, and we had a really sick patient that was in a really, really small room and usually, when we have sick crashing patients, we can have a ton of resources and a ton of staff go in and help with the nurse and the doctors that are taking care of that patient. But due to the patient being ruled out for the coronavirus, we could only have five or six people in the room at a time and putting on all the gowns and gloves and masks and face shields to protect us in case the patient does have coronavirus, it takes a while, so the nurse that was in there, ended up being in the room for you know 6, 7 hours with minimal breaks and it was hard being in charge and knowing that she was stuck in the room and really nothing I could do to help her," Hamil said.

Lisa Mehring, 45, a registered nurse who works in a biocontainment unit with COVID-19 patients, poses for a photograph after a 12.5-hour shift. "Seeing these new moms have babies has been the hardest moment along with having do their pumping for the new moms and them not being able to be with their newborn children, it's hard to think of the family that they are missing," Mehring said.
. Maryland, United States. Reuters/Rosem Morton

Lisa Mehring, 45, a registered nurse who works in a biocontainment unit with COVID-19 patients, poses for a photograph after a 12.5-hour shift. "Seeing these new moms have babies has been the hardest moment along with having do their pumping for the new moms and them not being able to be with their newborn children, it's hard to think of the family that they are missing," Mehring said.

The highly infectious COVID-19 disease caused by the novel coronavirus has infected more than 580,000 people across the United States and killed nearly 24,000.

In Maryland, where residents have been ordered to stay at home since March 30 to stem the spread of the disease, around 9,000 have tested positive for the virus and more than 260 have died.

After finishing what for many was a more than 12-hour shift, some nurses and doctors at one hospital shared with Reuters the hardest moments of their days. The hospital asked that it not be named.

The medical workers agreed that one of the toughest parts of the job - more than the exhausting schedule or adjusting to work in a new unit - was witnessing the toll on patients and families.

. Maryland, United States. Reuters/Rosem Morton
Capadngan, 29, poses for a photograph after a 12-hour shift

Because of the hospital's no-visitor policy, which was implemented to prevent further spread of the virus, the medical staff must care for the patients' physical needs and offer as much emotional support as they can muster in the absence of the patients' families.

"The hardest moment during the shift was just seeing COVID patients die helpless and without their family members beside them," says Ernest Capadngan, a nurse in the hospital's biocontainment unit.

. Maryland, United States. Reuters/Rosem Morton
Wilson, 53, poses for a photograph after a 12-hour shift. "There is a lot of unknowns and with that unknown is a lot of anxiety and stress that we're not used to dealing with," said Wilson.

Communicating with the families has weighed heavily on the hospital staff. Staff cannot bend the no-visit rules, even when a family calls in desperation.

"I had a patient fall out of bed today and I had to call his wife and tell her and she couldn't come see him, even though she pleaded and begged to come see him," says Tracey Wilson, a nurse practitioner.

. Baltimore, United States. Reuters/Rosem Morton
Fare, 25, poses for a photograph after a 13-hour shift. "My team has been really great to me. We've worked really well together and we've really come together in this crisis. We don't really know each other, we all come from different units within the same hospital, so for us to come together and work so well as a team, it's been a journey but I think that's what is giving me hope," said Fare.

"One of the hardest moments was having to see a family member of a COVID patient say goodbye over an iPad," says Tiffany Fare, a nurse in the biocontainment unit. "You can't see your loved one and then they're gone."

. Maryland, United States. Reuters/Rosem Morton
Mack, 46, poses for a photograph after a 12-hour shift. "The Covid-19 spread has affected a lot of livelihood, a lot of people's lives. It has created a crisis, death in general. So I would like to ask not one single person, but all people worldwide, to converge and join the platform that this is something that nobody can fight individually," said Mack.

There are very few opportunities to rest during a shift, although colleagues look out for one another and try to cover for each other when someone needs a break.

Cheryll Mack, a registered nurse in the emergency room, says she tries to get outside for 15 minutes during the day to breathe.

"It has given me relief, just fresh air," Mack says.

. Maryland, United States. Reuters/Rosem Morton
Bell, 41, poses for a photograph after a six-hour shift. "The hardest thing in all of this, has been taking care of fellow healthcare providers. It really hits home and it's really scary when you see someone that could be you coming in and now you're taking care of them. It's also hitting home that once healthcare providers start getting sick, who is going to be taking care of the public," Bell said.

Each shift concludes with a similar decontamination drill. Nurses and doctors must remove their personal protective equipment and shower immediately before coming in contact with their family at home.

"I take a very long, very hot shower. And then I usually sit on the couch and... read a book or watch some mindless reality show in order to destress," says Martine Bell, a nurse practitioner.

. Maryland, United States. Reuters/Rosem Morton
Dr. Bontempo, 50, poses for a photograph after a nine-hour shift. "I'm used to treating sick patients. I treat sick patients all the time. It's very different knowing that the patient you are treating, is actually a risk to you as well. That's the main difference here. No one who works in hospitals is afraid of treating sick people. Just want to keep staff safe and the patients safe at the same time," said Bontempo.

Laura Bontempo, an emergency medicine physician, says she removes her work clothing and gear in a decontamination tent she has set up outside her home, and then wraps herself in a towel and runs inside to shower.

Then she puts the scrubs in the washing machine by themselves to not contaminate any other items.

. Maryland, United States. Reuters/Rosem Morton
Sheehan, 27, poses for a photograph after a 12-hour shift. "I think the hardest moment has been the fear that lives within all of us. There is a lot of unknown right now. We fear what's going to happen tomorrow, how the emergency department will look next week when we come in. We have fears about our own colleagues, whether they will fall ill. We also fear that we could be asymptomatic carriers and bring this virus home to our families and our loved ones. There has been a lot of fear over our supplies and whether we'll run out. And then obviously there is the fear that we will see patients and not be able to do everything we normally can to help save patients' lives," said Sheehan.

Meghan Sheehan, 27, a nurse practitioner, says she drives home each night without turning on the radio and uses the quiet time to reflect on her shift and her patients. When she gets home, she tries hard not to dwell on the day.

"I go home, I shower immediately and try to have dinner with family, and try to not talk about it," she said.

"Nighttime is definitely the hardest because you're constantly thinking about what the next day will bring."