Topic

First Responders

175 petitions

Update posted 1 day ago

Petition to Dräger , Ventilator manufacturers

Remove barriers to fixing ventilators

We are confronting a hard reality: U.S. hospitals do not have enough ventilators to meet the spike in respiratory failure that the novel coronavirus is projected to create. As ventilators are pressed into round-the-clock use, repair and maintenance issues will increase. While some ventilator manufacturers provide the service information that biomedical technicians need, other manufacturers make it hard to access manuals, read error logs or run diagnostic tests. We need to remove those barriers now. Add your name: Manufacturers must release the service information hospitals need to fix and maintain our vitally important ventilators. Hospitals in the United States don’t possess enough ventilators to meet the demand that COVID-19 is expected to create -- a reality that could have dire consequences for patients who will need these devices to breathe. As global demand for ventilators spikes, as manufacturers face heavy backlogs, and as factories are compelled to stop selling internationally, it will be nearly impossible to get enough ventilators into U.S. hospitals in time to meet the onslaught of critical cases. We’ll need to press older models into service that hospitals keep in store for emergency purposes. There are nearly 100,000 older ventilators around the United States -- but some will need repairs and maintenance, and that will require access to service information. Join us in calling on manufacturers to release the vital service information hospitals need to service and maintain all viable ventilators in the United States. Medical device manufacturers and trade associations actively lobby against Right to Repair reforms, which would mandate access to repair information and service software. While some manufacturers provide access to what technicians need, others do not provide full access to service information for their ventilators. On one independent online repository for ventilator service information, the message "Download prohibited by Dräger. Support is not desired" appears next to the deactivated links to service manuals, instructions and technical documentation for Dräger ventilators. Qualified repair technicians need access to manuals and other critical information to keep hospitals’ emergency ventilators up and running. Manufacturers claim that repairs done by independent technicians are not as safe or reliable as those done by the manufacturers’ technicians. The data says otherwise. An extensive 2018 study conducted by the Food and Drug Administration investigating repair and maintenance issues found that independent technicians, hospital technicians and manufacturers all “provide high quality, safe and effective servicing of medical devices.” Qualified hospital and independent technicians must have access to the proper information during this public health crisis. Tell ventilator manufacturers to free up service information, including repair manuals. Thank you, U.S. PIRG  1. Sarah Kliff, Adam Satariano, Jessica Silver-Greenberg and Nicholas Kulish, “There Aren’t Enough Ventilators to Cope With the Coronavirus,” New York Times, March 18, 2020. 2. Jason Koebler, “Hospitals Need to Repair Ventilators. Manufacturers Are Making That Impossible,” Vice, March 18, 2020.  3. Sarah Kliff, Adam Satariano, Jessica Silver-Greenberg and Nicholas Kulish, “There Aren’t Enough Ventilators to Cope With the Coronavirus,” New York Times, March 18, 2020.  4.  Sarah Kliff, Adam Satariano, Jessica Silver-Greenberg and Nicholas Kulish, “There Aren’t Enough Ventilators to Cope With the Coronavirus,” New York Times, March 18, 2020.  5. “United States Resource Availability for COVID-19,” Society of Critical Care Medicine, revised March 19, 2020.  6. “United States Resource Availability for COVID-19,” Society of Critical Care Medicine, revised March 19, 2020.  7. Jonathan Cohn, “How To Get More Ventilators And What To Do If We Can’t,” Huffpost, March 17, 2020.  8. “State Affairs -- 2018,” Advanced Medical Technology Association, accessed March 20, 2020.    9. Jason Koebler, “Hospitals Need to Repair Ventilators. Manufacturers Are Making That Impossible,” Vice, March 18, 2020.  10. “Ventilators Service Manuals,” Frank’s Hospital Workshop, accessed March 20, 2020.   11. Jason Koebler, “Hospitals Need to Repair Ventilators. Manufacturers Are Making That Impossible,” Vice, March 18, 2020.  12. “FDA Report on the Quality, Safety, and Effectiveness of Servicing of Medical Devices,” U.S. Food and Drug Administration, May 2018.

U.S. PIRG
46,010 supporters
Update posted 2 days ago

Petition to Dr. Mase, Kaiser Permanente Santa Rosa Medical Center, Sutter Santa Rosa Regional Hospital, Santa Rosa Memorial Hospital, Jim Wood, Mike McGuire, Gavin Newsom

Need for Appropriate PPE Provision for Sonoma County Health Workers

In Sonoma County, we have successfully flattened the curve to help our health care systems better prepare to address the COVID-19 pandemic. Kudos to the County leadership and populace for this success! HOWEVER, the risks of the pandemic are still very real for our community, and our health workers (doctors, nurses, CNAs, environmental services, techs, nutritional services, etc) need additional support in advocating for increased availability and usage of appropriate PPE.  Without sufficient PPE, the lives of healthcare workers are at greater risk, and the crisis will be prolonged. To increase the chance to return to 'normal,' we must ensure their safety. The impact of the projected COVID-19 surge in Sonoma Country is expected to be very manageable by our current health care systems. We need to act to make the impact even less! Many of our health care systems are operating under the policies of resource scarcity--with the concern that if we use appropriate PPE, we will run out--an approach that is supported by inadequate CDC guidelines. For example, most prominently, Kaiser SR Hospital is not providing N95 masks for staff taking care of COVID+ patients and Patients Under Investigation (PUIs). More lax PPE policies save the health system money, but increase the risks to health workers, and increases the risk that WE become significant vectors in our community. We need to demand even more conservative PPE policies to provide MORE protection to our staff. Please note that some institutions are doing a better job than others. We need consistency and a set high standard of care.  As health care professionals in Sonoma County, we have reached out to ask that the Public Health Officer, Dr. Mase, release a Public Health Order that requires all healthcare facilities in Sonoma County to follow the Stanford University Protocol or Cal/OSHA recommendations to better protect our frontline healthcare workers. We ask that the Public Health Department hold all healthcare facilities accountable to caring for our community, regardless of the higher-level policies created by their behemoth, multi-state health organizations. We ask that our state and local representatives fight to make sure our health care professionals are protected. And finally, we ask that you, readers, hold each of the above parties accountable to protecting the health professional heroes in Sonoma County, which by extension, enhances the protection of each of you. For healthcare professionals, please sign with your discipline. For general public, please sign and note your healthcare organizations you go to as a patient. Thanks!

HPEACE
1,398 supporters
Update posted 5 days ago

Petition to Florida Governor, Donald J. Trump, Marco Rubio, Rick Scott, Donna E. Shalala, Carlos A. Gimenez, Debbie Mucarsel-Powell

MASS TESTING for Covid before any orders for social distancing are relaxed!

Experts are unanimously and universally recommending MASS TESTING of the population for the COVID 19 virus as a prerequisite to "restarting" the economy or relaxing social distancing orders.  The US is testing at a rate of less than 3.2 per thousand, in eleventh place among industrial nations.  This is unacceptable, as mass testing is the only way to isolate the COVID 19 virus in our communities and slow its spread considerably. Social distancing alone, without testing, is just a momentary pause (at considerable expense both socially and economically); but premature loosening measures will be counterproductive, and will only result in further harm to the population and economy.  The people demand that our local, state and federal leaders commence a massive project (with the help of private industry and capital) for universal testing across the country before any relaxation of standards are considered.  Time is of the essence.   The people are living in a state of permanent anxiety and it doesn't help when we see the lack of coordination across the spectrum to tackle this severe health crisis.  People are dying and suffering unnecessarily while we spend valuable time bickering about the details.  There will be time for that AFTER we defeat this pandemic.  The urgent and most consequential action to be taken right now is MASS TESTING - let's get it done! 

Pablo Casasnovas
437 supporters