Southern Illinois Healthcare yet again on Wednesday was treating a record number of COVID-19 patients between its Carbondale and Herrin hospitals.
Doctors from SIH who spoke during a briefing Wednesday afternoon said the system had 60 patients fighting COVID-19 between Memorial Hospital of Carbondale and Herrin Hospital.

Moore-Connelley
SIH Chief Medical Officer Dr. Marci Moore-Connelley and Dr. Joshua Miksanek, medical director of emergency department at SIH Herrin Hospital, spoke to the availability of beds, staff to care for patients, and procedures in the emergency departments.
“Beds are always a question and a concern. They are tight,” Moore-Connelley said. “Beds are an issue, but less of an issue than staffing.”
Staff members, including those who are essential caregivers and who keep the hospital clean, have to stay home when they are positive for COVID-19, have COVID-like illnesses, and are quarantined or isolated after exposure to the disease.
The doctors understand COVID fatigue, but said now is not the time for people to be lax in following the recommendations that have been in place since the beginning of the pandemic in March.
“We really need them to understand our resources,” Moore-Connelley said.
Southern Illinois Healthcare has had 497 admissions of 434 individuals due to COVID-19. The hospitals have had 48 deaths due to the virus.
Cases of COVID-19 are spiking across the region, too. In Jackson County, over the past six weeks the number of weekly positive cases increased more than 1,100%, the health department said Wednesday. The number of COVID patients in hospitals locally is now at a record high. One out of every four hospital beds in Illinois is currently occupied by a COVID patient.
“We are not asking you to follow the mitigation measures because the government requests so. We are asking the mitigation measures be followed because right now, at this critical time, your community needs you to do so,” Bart Hagston, Jackson County public health administrator, said in a news release.

Biggs
SIH system director of laboratory services Diana Biggs talked about testing for COVID-19 and how the process has developed at SIH. The system brought up the COVID lab in mid-August.
She said once SIH identified space for the COVID lab, the setup was rapid. Biggs said it took a team effort to get it up and running that included a lot of people across many departments. Having the lab in-house has greatly impacted the time it takes to get results, too.
“With very few exceptions, our turn-around time is less than 24 hours,” Biggs said.
The lab uses a more traditional PCR testing, which is believed to be highly accurate. The lab processes more than 600 tests each day. Tuesday, the lab staff performed more than 900 tests. Biggs said it was a long day.

Cars line up at the COVID-19 testing site at the former Regions Bank location in July in Carbondale.
Rapid testing is available for patients in the hospital. It is reserved for patients in the emergency departments or who have been admitted.
Miksanek said visiting the emergency room is not a shortcut to rapid testing. They are not using rapid testing on patients they expect to not be admitted.

Miksanek
“I think the community is doing a good job of deciding when to come to the emergency room,” Miksanek said.
He added that he doesn’t want anyone to spend a lot of time deciding whether or not they need to be seen in the ER. If someone is short of breath, breathing faster than normal, has chest pain or is confused, they should be evaluated in the ER.
“We don’t want you at home with low levels of oxygen because that has longterm affects,” Miksanek said.
He said patients may be spending a little longer in the emergency departments because it takes longer to perform tests and disinfect the testing areas. However, the emergency departments are used to caring for patients while waiting for bed space in the hospital.
“We are open 24 hours a day, seven days a week. We will take care of you, no matter how sick you are,” Miksanek said.
For more information, visit sih.net.
Here are the 10 categories of new statewide COVID restrictions announced Tuesday
Bars and restaurants

• All bars and restaurants close at 11 p.m. and may reopen no earlier than 6 a.m. the following day
• No indoor service
• All bar and restaurant patrons should be seated at tables outside
• No ordering, seating, or congregating at bar (bar stools should be removed)
• Tables should be 6 feet apart
• No standing or congregating outdoors while waiting for a table or exiting
• No dancing or standing indoors
• No tables exceeding 6 people
• Reservations required for each party
• No seating of multiple parties at one table
• Indoor gaming terminals must suspend operations
• Includes private clubs and country clubs
Health and fitness centers

• Operate at no more than 25% capacity
• No indoor group classes
• Face coverings must be worn at all times, including while engaged in individual exercise regardless of person or machine spacing
• Reservations required
• Locker room areas should be closed
Hotels

• Hotel room occupancy should be limited to registered guests only, with the maximum allowance being the number of individuals permissible per existing fire code for each applicable guest room
• Fitness centers should be closed, or operated only on a reservation model with capacity limited to 25% of the maximum occupancy for the room
• Grab and go food allowed
• Event and meeting space closed
Indoor recreation, theaters, cultural institutions

• Gaming and casinos close
• Indoor recreation centers, including theaters, performing arts centers and indoor museums and amusement centers, close
• Live streaming of performances encouraged with social distancing of performers and minimum operational staff
• Outdoor activities allowed at 25% capacity or less
• Outdoor group activities limited to 10 persons or less, participants/guests must wear face coverings at all times
• Reservations required for each guest for outdoor activities
Manufacturing

• Additional COVID training for all employees required even if previous training occurred
• Operators should coordinate with IDPH to implement testing protocols and contact tracing, upon request, consistent with available testing supplies
• All employees must wear face coverings at all times unless eating or drinking. Exemptions only for safety purposes.
• Only manufacturing staff and key personnel allowed in facilities. Non-production employees must work remotely. Non-essential staff and visitors are not permitted. Exemptions only for critical equipment repairs, supply deliveries and safety reasons (“critical visitors”).
• All critical visitors must have an Employee Health and Safety (EHS)-approved risk-assessment done in advance, including travel history, tracking, and temperature check prior to entrance.
• Implement additional workstation realignment when feasible
• Stagger and space shifts, and designate shift entrances and exits (when possible) to minimize interactions of employees across unique shift groupings
• Station sanitation required at beginning and ending of shifts
• Operators must suspend COVID-related incentive pay and promote staying home when sick or showing symptoms
• Implement temporary leave policies to accommodate workers who are sick
• Develop and implement safety protocols for employee travel vans to promote spacing, require face coverings, temperature checks, air circulation, and vehicle sanitization
Meetings, social events and gatherings (including weddings, potlucks, etc.)

• Limit in home gatherings to household members
• Meeting rooms, banquet centers, private party rooms, private clubs and country clubs may not host gatherings
• No party buses
• Funerals are limited to 10 family members of the decedents, not including staff, see IDPH guidance
Organized group recreational activities (sports, indoor sports and activity facilities, etc.)

• Pause all indoor group sporting and recreational activities including youth and adult recreational sports, individual training may remain (with facility reservation)
• Includes park districts and travel leagues
• Outdoor sports and recreation allowed
• Participant groups and practices outdoors limited to 10 persons or less with social distancing
• Face coverings required for all activities at all times
• Locker rooms should be closed
Personal care service

• Operate at lesser of 25 clients or 25% capacity
• Face coverings must be worn at all times by clients and service providers
• Suspend services where a face covering cannot be worn (e.g. facials, beard trims)
• Physical, occupational and massage therapy allowed as deemed necessary by a medical provider, but appointments must be spaced by a minimum of 15 minutes and facilities should take steps to sanitize and circulate clean air through service rooms before and after each service
• Virtual consultations recommended
Retail (including service counters)

• Operate at no more than 25% capacity, including general merchandise stores, "big box" stores that offer groceries and pharmacy, and convenience stores
• Grocery stores and pharmacies may operate at up to 50% capacity
• Encourage delivery or curbside pickup options wherever possible
• When in-store shopping is necessary, promote efficient trips and consistent circulation
Office

• All employees who can work remotely should work remotely
marilyn.halstead@thesouthern.com
618-351-5078