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Fyi- there's no camping at lyons ferry state park, or at Palouse falls. There's a KOA just across the Snake from the state park though!

But city council will never have authority to do anything. They shouldn't have even sent the "disappointment" letter at all. Has nothing to do with them. Heartbreaking to have happened but headline is stupid.

Hit it when there is flooding. Truly magnificent!

https://www.kiro7.com/news/local/video-snoqualmie-falls-roaring-after-atmospheric-river/8d7d6263-418f-4d90-b772-30f9f6e44c4f/

I was going to say there and then camp at lyons ferry state park

I have a friend who is about to quit at a local Seattle hospital. He barely makes enough. It’s absolutely sad the amount of training he had to do and schooling just to be severely underpaid.

Should check out Palouse Falls as well on the other side of the Mountains.

The other side of the falls holds the Snoqualmie Falls Forest Theater, which does not tend to be busy outside a handful of days a year during events (and has camping!) but requires membership.

Lovely to visit the falls without the crowds and hike around :)

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That drive made me fall in love with Washington and we moved here within 6 months after that. Don’t regret it for 1 second, the beauty here is unreal

Weekends can be crazy there

Yeah, I wouldn't get your hopes up on that! 😂

That’s the million dollar question.

I mean, I’d happily volunteer to teach an overpaid administrator how to insert a foley cath, hang IV meds, calm down a pt in the middle of a mental health crisis, etc. if they think it’s such an easy job. Hell, I’d PAY to teach them how to care for a pt with a leaky rectal tube.

And this is my concern as well. If a hospital can't afford with regular staff and/or travelers then what will it do?

Yeah, it probably def depends on the individual hospital or system. I am also suspect. The ED I used to work at brought in a ton of travelers during COVID, supposed to be temporary to “get us through” but now, according to my friends who are still there, they’re still hiring majority travelers. An inpatient floor I was recently at at Prov had maybe 50% travelers for day shift and nights was 90% travelers. Though supposedly they are trying to get rid of travelers, which should be interesting considering they’re hemorrhaging core staff right now. Not sure who will be left to care for patients.

I find that very suspect, but admittedly I don't know. Also, each hospital may be different in terms of where they stand with a budget. As far as travelers being more than just temporary I would also doubt that from what I have been told. Again, this could be a hospital by hospital basis.

So, I asked an acquaintance of mine who worked as a hospital admin why they keep getting travelers instead of paying core staff more and their response was that after considering all the benefits they have to pay for their core staff, travelers are actually cheaper (short term). I don’t know how true this is or if I was getting smoke blown up my @ss, but that was what I was told. Issue is, travelers aren’t really temporary anymore, they seem like they’re here to stay unless they can actually keep core staff, which they won’t be able to unless they pay them more.

Also “have fun parking on a busy day” because that isn’t labeled either.

Theme of Twin Peaks

It’s gorgeous.

Not long ago St. Michaels on Kitsap had their ED charge nurse call in the local EMTs to help staff their department they were so overwhelmed. It’s a mess out there.

One issue is Prov Everett is a level 2 trauma center and there aren’t a ton around (two other closest are Bellingham and Tacoma and they’re also pretty swamped). Only level 1 trauma center is Harborview which is the only one in WA ID AK and MT so it’s swamped. Lesser injuries could be seen at other hospitals but almost every hospital is swamped. Why are they swamped? Higher acuity patients (not reallyfixable unless we completely revamp our primary care system and make it more accessible so it can be more focused on preventative healthcare) and short staffing. Everywhere is short staffed because nurses are being underpaid, treated poorly and leaving bedside. Quickest fix would be to pay nurses more and enact safe staffing laws so they feel more supported. Longer term fix is to expand nursing school spots but that would require more educators, paying them more, and making sure there are enough nurses in the hospital to train the students. It’s honestly a mess and I don’t have good solutions. My hope is that we will eventually completely revamp our for profit healthcare system and go towards universal healthcare.

Since Providence is clearly overwhelmed, how can the region divert some of this patient load to other hospitals?

I know location and insurance are important factors in choosing where to go for ER care, but it doesn't make sense if Providence is consistently overwhelmed for such large numbers of patients to keep going there.

Too much water to freeze over, but it does grow a pretty gnarly wall of icicles behind and around it when it gets cold enough.