[DataDrivenMD]

As an anesthesiologist and hacker, I love the enthusiasm here. I’m less concerned about the hospital use-case. It would be helpful to crowdsource solutions to address the need for ventilators after patients leave the ICU. Based on current practice patterns, some patients will undergo tracheostomy tube placement, and then need to be discharged to respiratory rehab facilities. We will need to increase capacity in this setting, and I’m not seeing or hearing anyone address this area. If we don’t solve this problem, we will find ourselves with a backlog of patients who could be discharged from the ICU, but with nowhere to go.

[rectang]

Anecdotally:

My mother is a retired RN with an "inactive" license in Washington state. She does elder care as a side gig for individual clients.

She recently had to turn someone down because the patient was intubated; it's not legal for her to care for such a patient. If anything went wrong she could be both at risk of a lawsuit and in trouble with the state for practicing medicine without a license.

(She's also in her seventies herself, putting her in the high-risk category, but that's a different issue.)

I'm at a loss as to how our legal and licensing institutions can be adapted to allow for a quick increase in the number of personnel who can care for intubated patients.

[wool_gather]

Is it not a "simple" matter of the state waiving license requirements like this? I thought I had heard of this being done already.

I.e., either the governor or the legislature says "it's no longer impermissible for RNs with inactive licenses to care for intubated patients". Or even "all inactive licenses shall be considered active on request of the licensee, until DD/MM/YYYY". Fiat, done.

[DataDrivenMD]

You raise a related issue, which is critical to address as well. That is, we need people to help manage patients before, during, and after their hospital stay. I’m less concerned about the licensing issues because public health emergency declarations make it possible for state officials to clear the way for someone like your mom.

Where you, and fellow hackers can help, is by offering tech solutions that solve the issue of coordinating/figuring out where your mom’s skills could be most helpful. We will also need to collect information, such as when your mom is available to help. Could be a good time to revisit the concept of an Uber-like platform for healthcare delivery, assuming that it can be up an running in a few days. Hack-a-thon, anyone?