A10 NEWS Blue Mountain Eagle Wednesday, August 3, 2022 ‘Crisis’ at St. Charles Health By SUZANNE ROIG The Bulletin BEND — Nurses and med- ical professionals are con- cerned that St. Charles Health System is “inept and chaotic,” following the discovery it filed and pulled a statement to state health officials that it was experiencing a staffing crisis. The health system notified the Oregon Health Authority on July 15 that it had an emer- gency due to its current staff- ing shortage, according to doc- uments provided by the health authority. The emergency dec- laration, called “crisis stan- dard of care,” has not been used by any Oregon hospital during the pandemic, accord- ing to state health officials. Hospitals can issue crisis standards of care when criti- cal care resources are severely limited, the number of patients presenting for critical care exceeds capacity, and there is no option to transfer patients to another facility, according to state health guidelines. Officials at St. Charles were told their emergency didn’t meet those state guidelines, but if staffing models were being altered and it was delay- ing nonurgent care, the public needed to be notified, accord- ing to emails from the hospital to state health officials. The health system, at no time, ever turned away patients or operated under this crisis standard of care, said Lisa Goodman, St. Charles Health System spokeswoman. “The emails between St. Ryan Brennecke/Bulletin file An entrance to St. Charles Bend, seen in September 2020. Charles executives and the Oregon Health Authority about the staffing crisis at all four St Charles facilities reads exactly as we would expect: inept and chaotic,” said Scott Palmer, Oregon Nurses Asso- ciation director of communi- cations. “Our hospital systems are overtaxed, overburdened. They’re really struggling.” At an emergency staff- ing meeting on Wednesday, nurses told the health system that declaring a staffing emer- gency puts more work on the staff at a time when morale is at its lowest, said Joel Hernan- dez, a St. Charles Bend regis- tered nurse and Oregon Nurses Association vice president. He also feared patient safety could be at risk. “We have a feeling that no one knows what they’re doing,” Hernandez said. “As someone who has worked in health care for 15 years, I’ve never seen morale this low.” Schedules are changed, workloads are higher than the accepted standard of care, particularly for nurses work- ing the night shift, and often nurses are unable to take their lunch breaks without doubling the workload of another nurse, Hernandez said. The crisis notification comes on the heels of lay- offs for two key executives — Dr. Jeff Absalon and Rod Marchiando. Their positions will be eliminated Aug. 1. On July 12, the hospital system announced CEO Joe Sluka was stepping down and also reported $40 million in oper- ational losses. And in May, the health system laid off 105 nonmedi- cal workers and eliminated 76 vacant positions to staunch the growing financial losses. “St. Charles has a staff- ing problem,” said Palmer, of the nurses association. “From our perspective, there’s some deeply suspicious behavior going on. It’s absolutely con- cerning. There’s no doubt that every single nurse and health care worker is frustrated and angry and overworked. In the future, the hospital plans to notify the public if it needs to limit care or amend staffing requirements, Good- man said. “We did prepare a public notice that would have alerted the public to the fact that our ability to provide health care services was limited as the result of our need to alter our nurse staffing plans,” Good- man said in an email. “We had intended to post that language to our website and at our hos- pital entrances.” The staffing challenges at the health system are not new, Goodman said. The system is so stressed, that chief nurse executives are being pressed into front-line caregiving, she said. Currently the health sys- tem has a 21% vacancy rate for inpatient nurses and a 28% vacancy rate for certified nurs- ing assistants, Goodman said. Hospitals statewide have been struggling with issues, but the pandemic made it worse, according to state health officials. Some of the issues include: Patients delay- ing care because of COVID- 19, a shortage of long-term care beds making it diffi- cult for hospitals to discharge patients in a timely fashion, and 28 months of a pandemic. “It is widely known that St. Charles Health System is struggling mightily right now with many serious issues,” said former board member Knute Buehler, who was also a state representative for Bend. “To maintain community con- fidence it is crucial for them to be transparent with regards to the specific challenges no matter if legally required or not.” Oregon meat inspection plan OK’d Henderson, of ODA, told cattlemen at the event that he fully anticipates going back before the Legislature in the future to secure more funding for the program long-term. To meet the new state standards, proces- sors will have to meet requirements “at least equal to those imposed under the Federal Meat Inspection Act,” according to USDA. Some experts say that if a processor is going to shoulder the effort and expense to meet federal standards anyway — including installing fully washable walls, temperature controls and wastewater disposal systems — why wouldn’t it just become a USDA-in- spected plant that can sell meat nationally rather than a state-inspected plant that can only sell within Oregon? If a place is going to go through the trou- ble of coming under inspection, most of them will just go USDA-inspected, or they already are USDA-inspected, said Rebecca Thistlethwaite, director of Oregon State Uni- versity’s Niche Meat Processor Assistance Network. Thistlethwaite said she doesn’t expect many processors to utilize the state program. Many officials, however, remain optimistic. “This USDA approval will open up more processing options for our state’s hard-work- ing agricultural producers,” said Sen. Ron Wyden, D-Ore. TH GU 1 R GU 15 % & OFF A + 1 Subject to credit approval. 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Ron Wyden and Jeff Merkley announced Fri- day, July 29, they secured $1.7 million for Morrow County to address drink- ing water contamination in Boardman. The money comes from the fiscal year 2023 Senate appropriations bill. Merkley, as chair of the Senate Inte- rior Appropriations subcom- mittee, along with Wyden, identified the funding for this critical community-initiated project that will help resi- dents of Morrow and Uma- tilla counties have greater access to clean drinking water. Morrow County in a state- ment reported the funds will pay for the testing of wells and to study longer-term solutions and options for rural residents who rely on individual wells for their drinking water. “This federal funding will help Morrow County move beyond the short-term nitrate emergency and help us work towards longer term solutions,” Morrow County Commissioner Melissa Lind- say said in a press release. “The senators’ support during the nitrate emergency has been so valuable. This new source of significant funding will allow Morrow County to develop a standardized data and testing program to monitor rural wells and also study long term solutions to clean drinking water for rural residents.” She also said she appre- ciated the collaboration with the Umatilla County Board of Commissioners. She and Umatilla County Commis- sioner Dan Dorran worked with staff from both counties to make the request for fed- eral dollars. Morrow County Commis- sion Chair Jim Doherty in the press release called the fund- ing “welcomed support.” Doherty and staff have spent many hours the past few months directly involved in the emergency efforts to test water in households and provide them with clean drinking water. 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CALL TODAY - For $100 Gift Card Promo Code: DISH100 7-Year Extended Warranty* $0 MONEY DOWN + LOW MONTHLY PAYMENT OPTIONS REQUEST A FREE QUOTE! issuing a $1.3 million fine against the Port of Morrow in Boardman for years of vio- lating its wastewater per- mit and allowing hundreds of tons of excess nitrogen onto area farmlands above the already contaminated basin. The DEQ on June 17 increased that fine to $2.1 million. “Since the emergency declaration, we are finally receiving attention and resources from state agen- cies,” according to Doherty. “The Lower Umatilla Basin Groundwater Management Area has been in place for almost 40 years and not until the declaration have we had support from the Oregon Health Authority and the Oregon Department of Envi- ronmental Quality.” Morrow and Umatilla County have participated in the LUBGWMA volunteer committee since 1990 when the state declared the area due to high levels of nitrates. The LUBGWMA committee is in the process of imple- menting the Second Action Plan to reduce nitrate con- tamination from a number of sources, septic systems, fer- tilizer, land application of wastewater, washout from the Umatilla Army Depot and feedlots, according to the press release. Funding for the LUBGWMA has been almost nonexistent, primarily in the form of a part-time employee to test a small sample of wells. In addition to the LUB- GWMA committee, Uma- tilla and Morrow counties, together with help from stakeholders, were able to secure direct legislative funding to more scientif- ically study the source of nitrate contamination, the press release stated. Known as the LUBGWMA Sub- committee, the bi-county effort soon will have an Ore- gon State University scien- tist working on a study of historical data. Doherty also credited Lindsay for advocating for the research and her involve- ment in the subcommittee efforts. “We are getting closer to where we need to be to address the short-term and long-term groundwater problems,” he stated. “Our immediate priority is pub- lic health and ensuring rural residents have clean, safe, potable water. We remain vigilant however, in our commitment to study the sources of pollution and to seek long term remedies. We sincerely appreciate the sup- port of Sen. Wyden and Sen. Merkley and their staff.” East Oregonian BACKED BY A YEAR-ROUND Smart security. Professionally installed. 2 WASHINGTON — The U.S. Depart- ment of Agriculture on Thursday, July 28, approved a regulatory plan that allows Oregon to revive its state meat inspection program. The goal is to expand opportunities for small-scale processors who can’t sell com- mercially because the meat they process is not federally inspected. Oregon has just 13 USDA-inspected facilities statewide; the new program will allow the state to also do inspections, though state-inspected meat can only be sold within Oregon. USDA’s Food Safety and Inspection Ser- vice has finalized a cooperative agreement with Oregon Department of Agriculture, giv- ing ODA authority to inspect meat produced for shipment within the state. Lauren Henderson, ODA’s deputy direc- tor, has been talking for decades about re-es- tablishing the state inspection program to increase Oregon’s slaughter and processing capacity. ODA’s previous state inspection program ended in 1971 due to budget cuts. When the pandemic hit and produc- ers struggled to move meat due to a short- age of inspection services, officials started talking more seriously about re-instituting state inspections. In 2020, Oregon legislators passed a bill approving the state meat inspection pro- gram, and later approved $2 million in grants to help processors get started. Thursday’s approval from USDA was the final puzzle piece needed. “I am so proud of our state, our partners and the many ODA staff that helped make Oregon’s State Meat Inspection Program a reality,” ODA director Alexis Taylor said in a statement. USDA’s deputy undersecretary Sandra Eskin said she anticipates the program will strengthen the food system and help prevent supply chain bottlenecks. “This program is especially helpful to small meat and poultry processors in build- ing their local and state marketplaces,” said Eskin. Oregon is now among 28 states with meat inspection programs. Though Thursday’s move was applauded by many, some meat experts are skeptical the program is all it is chalked up to be. At the Oregon Cattlemen’s Association convention last November, some ranch- ers and meat processors expressed concern that the program may not be the best use of taxpayer dollars. 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