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Oregon hospitals are understaffed and nearing full capacity, officials say

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Oregon hospitals are understaffed and nearing full capacity, officials say


Whereas COVID-19 hospitalizations in Oregon are lower than half what they had been at their peak final fall, hospitals within the state are struggling to function usually.

Hospital executives and state officers say a mixture of economic struggles, rising hospitalizations due partially to COVID-19 and extreme staffing shortages have led to fewer accessible beds in some areas.

Central and Southern Oregon have been particularly hard-hit, state epidemiologist Dr. Dean Sidelinger advised reporters at a press convention Wednesday, particularly St. Charles Medical Heart in Bend.

However no hospital in Oregon has been spared, he stated.

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Although there could be bodily beds accessible, some hospitals don’t have the workers to make the most of these areas.

“It’s type of a domino impact,” Sidelinger stated.

Oregon well being officers are urging folks in 21 counties with excessive COVID-19 instances — together with the three Portland-area counties — to return to masks carrying to assist with the pressure the hospitals are experiencing.

Lengthy hours, full beds

A March 2019 photograph of emergency division workers at St. Charles Medical Heart in Bend. Practically all inpatient beds on the hospital are occupied this week.

Emily Cureton / OPB

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In Bend, 96% of inpatient grownup beds at St. Charles Medical Heart had been occupied on Tuesday, with six extra sufferers within the emergency room ready to be admitted to the hospital, in response to spokesperson Kayley Mendenhall.

Sufferers in want are usually not being turned away, she stated.

Final week, the hospital’s chief medical officer advised suppliers to brace for “the toughest challenges now we have seen within the final two years.”

“Now greater than ever, we will need to have no affected person in a hospital mattress who doesn’t completely want it,” Chief Medical Officer Doug Merrill stated in a July 15 e mail.

Two St. Charles nurses advised OPB that their working circumstances have worsened in current months, with many suppliers not in a position to take scheduled breaks and dealing so long as 16 hours a day in some instances.

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“The working setting and staffing at St. Charles, … it has gotten worse, horribly worse,” stated Megan Bovi, who’s been a registered nurse on the Bend medical middle for 15 years.

St. Charles Chief Working Officer Iman Simmons stated the staffing scarcity leaves the well being system unable to workers as many beds as it will have the ability to in any other case.

“Our staffing shortages have actually impacted our means to workers all beds always,” she stated.

Simmons stated some workers are lacking their scheduled breaks and that “it’s not OK,” whereas including the components behind worker stress and vacancies are multi-faceted.

“I don’t suppose there’s a good man or a foul man,” Simmons stated. “I feel it’s simply rather more difficult, and it’s onerous and well being care is experiencing a disaster, nearly an existential disaster in terms of caring for their communities.”

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Final Friday, St. Charles activated its incident command system, a standardized strategy to emergency conditions within the hospital. The objective was to stabilize staffing and handle hospital admissions, inside emails present.

The remainder of the state’s hospitals are additionally experiencing points with capability. As of Wednesday, state information present solely 7% of all Oregon hospital beds can be found.

Becky Hultberg, president and CEO of the Oregon Affiliation of Hospitals and Well being Methods, stated hospitals face a state of affairs as unhealthy because the delta and omicron waves of the COVID-19 pandemic in late 2021 and earlier this yr, when sick sufferers flooded hospital rooms throughout the state.

Worsening the problem is the massive variety of sufferers who may very well be transferred to long-term care facilities, however these facilities have little to no room, Hultberg stated. In consequence, some sufferers find yourself staying weeks within the hospital longer than wanted.

Monetary challenges for hospitals

Monetary struggles have additionally performed a task. The primary quarter of 2022 was the worst for Oregon hospitals because the onset of the pandemic, with hospitals reporting a collective $103 million, in response to OAHHS.

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The rising prices of offering well being care mixed with comparatively flat revenues has left many well being methods struggling to remain within the black, Hultberg stated.

“Issues are fairly difficult from a monetary standpoint, and that’s exacerbating this capability problem as properly,” she stated.

St. Charles, for instance, has reported a lack of greater than $40 million this yr to date.

In Could, the well being system laid off greater than 100 staff, whereas eliminating 76 vacant positions. Two executives had been laid off final week as a part of cost-saving measures, hospital officers stated.

What positions stay have been tough to fill, particularly nursing positions. St. Charles has a systemwide emptiness fee of 15%, whereas 21% of registered nurse positions are open. A good bigger hole is the speed for licensed nursing assistants at 38%, in response to Simmons.

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Simmons stated vacancies, folks utilizing trip time and burnout amongst present workers are all contributing to understaffing.

Joel Hernandez, a registered nurse at St. Charles for 16 years and vice chairman of Oregon Nurses Affiliation in Bend, stated morale amongst hospital workers is the worst he has seen in his profession and plenty of are contemplating leaving well being care altogether, in the event that they haven’t already.

“They don’t really feel like they’ve a voice,” Hernandez stated of his colleagues. “I really feel like I’m a quantity… if [management] eliminates me, that’s all I’m to them is a quantity.”

Simmons stated the well being system is bringing in 30 journey nurses — who work shorter contracts for premium pay — to assist fill the hole in staffing.

Oregon will not be the one state the place hospitals are working at or above their limits.

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The Washington State Hospital Affiliation reported many hospitals are at 120% to 130% capability.

Idaho doesn’t publicly present hospital mattress availability, however COVID hospitalization charges have risen in high-risk areas resembling Ada County, as reported within the Idaho Statesman. COVID sufferers there took up 10% of staffed hospital beds as of Monday.

Jamie Diep contributed to this report.



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Oregon

Opticron Oregon 4 PC Oasis 10×42 monocular review

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Opticron Oregon 4 PC Oasis 10×42 monocular review


Founded in the UK in 1970, Opticron is a family-owned business with over 50 years of experience in consumer optics. The Oregon 4 PC Oasis 10×42 is a budget-conscious monocular that promises good optics and attention to detail, giving the user an easy, convenient, yet high-performing piece of equipment.

Key specifications

Magnification: 10×42
Objective lens diameter: 42mm
Field of view (m@ 1000m): 105mm
Close focus: 5.9ft (1.8m)
Eye relief: 18mm
Weight: 11.75 oz (334g)

The 334g weight means the Opticron 10×42 is not the lightest in its class, but this wasn’t an issue during our tests. Bird hides often have shelving at chest height where you can rest your elbows to steady the optic, which dramatically reduces image shake and wobble — although this was never too severe an issue for us in the first place.

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The PC Oasis 10×42 has a roof prism design with BAK- 4 fully-coated optics. This enables the Opticron 4 to work well in low light conditions, with excellent visual clarity.

Design

The Oregon 4 has a tough rubber casing. (Image credit: Matt Morris)
  • Roof prism design
  • BAK-4 fully coated optics
  • Nitrogen-filled waterproof construction

The Oregon 4 is a well-constructed, rubber-cased optic with a top-mounted external focus wheel.

It has BAK-4 coatings, a helpful step up from the BAK-7 prisms often included on units at this price point. Phase-corrected prism coatings with Opticron’s high-light transmission coatings make for excellent clear images. These features give the monocular a very capable, quality feel that makes you want to use it.

There is little need to worry about undue shake or wobble at this magnification. Still, it’s worth noting that there are no fixings for a monopod, so to steady the image, observers may find it necessary to use the shelves in hides as described above or lean against posts or other solid structures.

The neck strap is made of tough nylon with padding on the neck area, which makes it handy for traveling. It’s shorter than we would like, as we found hanging the device over a shoulder and the neck much better for climbing over stiles. This stops the unit from hitting your body while it swings about. There is an included belt hoop on the carry case, though, which may be an option.

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Performance

Opticron Oregon 4 PC Oasis 10X42

The Oregon 4 offers a 10x magnification. (Image credit: Matt Morris)
  • Excellent light-gathering ability
  • Sharp optics thanks to superior glass quality
  • Close focusing down to 5.9 ft (1.8 m)

In use, the Oregon 4 is a very capable and convenient monocular. The external, top-mounted focusing wheel and the comfortable weight made it very pleasant to use at our local bird hide. We found ourselves popping it in our pocket while visiting churches and other areas of interest to investigate gargoyles and other features on buildings when outside. Its low light capability makes using it inside a breeze, too.

The Oregon 4’s rubber casing is well applied and feels pleasingly secure in the hand, giving an impression of solidity and quality. It could withstand a few knocks and drops and still be in one piece at the end of the day, making it suitable for use as a family monocular or to hand over to children, who might need to be more careful!

As mentioned, we found the shoulder strap relatively short when traveling with it, and a too-short cord attaches the larger of the two lens covers and can ride up and obscure the vision. It’s easy to push back out of the way, but it kept happening, which had become quite annoying by the end of our time with the device.

Functionality

Opticron Oregon 4 PC Oasis 10X42

The belt bag is included. (Image credit: Matt Morris)
  • Nonslip rubber armor
  • Objective lens cap attachment cord is too short
  • Heavier than some other monoculars in its class

The Opticron Oregon 4 PC Oasis 10×42 is perfect for putting in your pocket and going for a hike and some serious hide-based birdwatching. It is helpful for many pursuits where a monocular may be a handy addition to a rucksack or pocket, such as watching sports or sitting in a back garden watching a busy bird table.

The close focus of 5.9 ft (1.8m) was helpful when we set ourselves up in the garden. We used it to focus on a bird table only a few feet from us, enabling us to get great results from the visitors to the table as they were feeding.

The lens and prism coatings also helped extend our viewing into twilight when other monoculars may have struggled.

The Opticron Oregon 4 comes with an adequate-quality strap-mounted chest bag/pouch. The unit is built so well that this bag is purely for carrying — it offers no natural protection from being dropped or the weather.

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Should you buy the Opticron Oregon 4 PC Oasis 10×42?

Opticron Oregon 4 PC Oasis 10X42

A sturdy shoulder strap is included. (Image credit: Matt Morris)

It performed very well in all the situations in which we used the Oregon 4. If you are looking for a reasonably priced monocular yet still delivers, this could be the one for you. It has sharp optics, is good at low light, and has rugged construction, enabling it to cope with most situations. It’s straightforward to use, and the external focus wheel quickly captures those elusive subjects, even with sturdy gloves on. It’s worth trying out.

If the Opticron Oregon 4 PC Oasis isn’t for you

If the Oregon 4 is too heavy or the objective lens covers and neck strap is likely to be an issue, consider one of its rivals.

The Opticron Explorer WA ED-R 10×42 is lighter than the Oregon 4 PC Oasis 10×42 at 320g but is a little more expensive.

The Bushnell Legend Ultra 10×42 is almost twice the price of the Oregon 4 but has a tripod attachment and hydrophobic coatings.

How we tested the Opticron Oregon 4 PC Oasis 10X42

Opticron Oregon 4 PC Oasis 10X42

An adjustable eyepiece means there is no problem when wearing eyeglasses. (Image credit: Matt Morris)

When starting our test of the Opticron 4, we visited our local bird reserve, where we found it to be an excellent performer. The top-mounted focusing wheel was an absolute pleasure, with a smooth, one-handed operation, enabling you to quickly focus on birds in flight.

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We also tested the Opticron 4 in a cathedral, where its low-light capabilities came to the fore. While in the cathedral, we also noted the convenience of the monocular design, which lends itself to discreet use.

We also took the Opticron to our vegetable plot, where we felt OK hanging the unit from a post while we worked on the beds. Having it to hand like this made it possible to grab it quickly when spotting things of interest, but we could only do this because the Opticron 4 felt like it could handle a little rain and wind without cause for concern. It’s built to very high standards and could easily withstand a few knocks without too much of an issue.



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Explore Oregon Podcast: Best outdoor adventures of 2024 part I

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Explore Oregon Podcast: Best outdoor adventures of 2024 part I


In this episode of the Explore Oregon Podcast, host Zach Urness highlights the best adventures the Statesman Journal outdoors staff wrote about in 2024.

In this episode, Urness talks about the troubled but beloved Umpqua Hot Springs during its “quiet season” and exploring snow shelters in the winter backcountry near Gold Lake Sno Park. Other adventures highlighted include summer skiing on Mount Hood — even during an extreme heat wave — along with mountain biking a historic road and how to visit one of Oregon’s most beautiful but semi-secret waterfalls.

Look for part II of 2024’s best stories in a new episode around the New Year.

Never miss an episode: Listen to each episode at statesmanjournal.com/outdoors/explore  Find us on Spotify, Apple Podcasts, Google Podcasts, SoundCloud or Amazon Music and subscribe on your platform of choice to get future episodes.

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Find every episode: Find all 158 episodes of the Explore Oregon Podcast online

Zach Urness has been an outdoors reporter in Oregon for 16 years and is host of the Explore Oregon Podcast. He can be reached at zurness@StatesmanJournal.com or (503) 399-6801. Find him on X at @ZachsORoutdoors.



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Sanctuary state Oregon rolls out program to help illegal migrants thwart ICE: ‘Do not open the door’

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Sanctuary state Oregon rolls out program to help illegal migrants thwart ICE: ‘Do not open the door’


The lefty attorney general of Oregon has rolled out a new program to help illegal migrants in the sanctuary state thwart ICE ahead of President-elect Donald Trump’s promised mass deportations.

Ellen Rosenblum’s recent new guide, titled the “Sanctuary Promise Community Toolkit,” offers advice to illegal immigrants on what to say and do if ICE or other immigration authorities show up.

For the question, “How do I prepare myself and my family for encounters with ICE?” the answer includes legal guidance from the American Civil Liberties Union: “do not open the door, ask to see a warrant signed by a judge, tell them you do not consent to them being at your home and tell them please leave.”

Incoming border czar Tom Homan speaks to Texas law enforcement deployed to the southern border. The Washington Post via Getty Images

In answer to the question, “Is there a place I can call to report ICE or other federal immigration authorities active right now in my community?” the Oregon Department of Justice lists contact information for local nonprofits that work to warn migrants about federal operations.

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There are also multiple sections on how to report anyone who is suspected of violating Oregon’s sanctuary law and working with federal immigration authorities.

One section advises locals that they can sue any state or local agency that they suspect of violating sanctuary law.

However, the “Sanctuary Promise” guide admits that state laws can only do so much: “The outcome of a state investigation or a private civil suit does not change a deportation order, or any other decision/action by the federal courts or federal immigration authority to prosecute or remove a person from the United States.”

“Every person has the right to live, work, play, and learn safely in Oregon, period,” said Rosenblum in a statement. Icon Sportswire via Getty Images

“Every person has the right to live, work, play, and learn safely in Oregon, period,” said Rosenblum when her office released the anti-ICE info.

“I asked my Civil Rights Unit here at the Oregon DOJ to do whatever we could to provide the people, businesses, and local governments of our state with easy-to-read materials to help them know their rights and educate others, and I’m so pleased with what they’ve put together,” she added.

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A woman holds a sign that reads “ICE stop hunting people” against Immigration and Customs Enforcement raids. Getty Images

The Beaver State’s top cop said she recommends illegal migrants begin talking with family members to better “understand what protections Oregon’s sanctuary laws provide and what they do not provide, and make a plan for what to do if immigration officials come to your home or place of business.”

“Knowing your rights in advance is essential!” added Rosenblum.

Oregon became the nation’s first sanctuary state in 1987. And in recent years, the state has taken steps to enhance its crackdown on those who violate its sanctuary laws, including with the passage of the Sanctuary Promise Act in 2021 which opened a hotline for residents to report violators.

Trump’s border czar Tom Homan recently The Post that the once and future president may increase the pressure on sanctuary leaders’ efforts to thwart ICE as it works to lock up and deport illegal migrant criminals.

“I’m hoping the president files a lawsuit against them and withholds federal funding,” said Homan.

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However, if that doesn’t work, “then we’ll wait til they get out of jail, then we’ll go out into the neighborhoods and get them,” said Homan.

He added: “If they’re not willing to do it then get out of the way — we’re coming.”



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