SACRAMENTO — Gov. Gavin Newsom issued an urgent call for healthcare workers to join the state in caring for an expected surge of COVID-19 patients while announcing an executive order to expand the services medical professionals can perform in their jobs.
Newsom said he believes the state can add 37,000 healthcare workers by asking recently retired providers, those in the process of getting a medical license in the state and students enrolled in medical or nursing schools to apply to the newly created California Health Corps.
“We need you,†Newsom repeatedly said, aiming his comments at healthcare workers. “We’ll help you with your relicensing, we’ll help you with the protocol and processes to get you up and running and get you out the door so that you can support the needs of people in California.
New York Gov. Andrew Cuomo announced a similar effort calling on retired healthcare workers, medical students and mental health workers to sign up to help care for residents, with that initiative drawing 40,000 volunteers last week.
1/82
Socially distanced bikers and walkers, against a backdrop of the Queen Mary, make their way along pedestrian and beach bike path on the first day that Long Beach reopened the path on Monday May 11, 2020. The city of Long Beach eased a few of its public health restrictions, allowing under certain guidelines the reopening of pedestrian and beach bike paths, tennis centers and courts. Beach bathrooms are also reopening, but the parking lots and beaches still remain closed. (Genaro Molina/Los Angeles Times)
2/82
Traffic remains light on the southbound 110 Freeway headed toward downtown Los Angeles on April 28. (Robert Gauthier / Los Angeles Times)
3/82
Dominique Barrett, center, known as “King Vader†to his 2.4 million TikTok followers, prepares to shoot a video on April 30 in Glendora. (Dania Maxwell / Los Angeles Times)
4/82
Cody Purcell of Redondo Beach rides a wave, glowing from the bioluminescence, in Hermosa Beach, CA, after midnight Friday morning, May 8. (Jay L. Clendenin/Los Angeles Times)
5/82
Friends play spikeball, a game perfect for social distancing on an open but restricted San Buenaventura State Beach. (Brian van der Brug / Los Angeles Times)
6/82
The majority of golfers are wearing masks while hitting balls on the driving range at Van Buren Executive Golf Course in Riverside. (Gina Ferazzi / Los Angeles Times)
7/82
Beaches including Harbor Cove Beach were open but beachgoers were not supposed to be sitting on the sand. (Brian van der Brug / Los Angeles Times)
8/82
Tango instructor Yelizaveta Nersesova leads a Zoom tango event from her Los Angeles home April 27 that brought together hundreds of dancers from around the world. (Jason Armond / Los Angeles Times)
9/82
Grocery store workers, joined by United Food and Commercial Workers International Union Local 770 representatives and community members, hold a rally in support of strict social distancing on May 1 at a Ralphs store in Hollywood where 19 employees have tested positive for COVID-19. (Kent Nishimura / Los Angeles Times)
10/82
Mostly masked commuters keep their distance from one another on a Metro bus in downtown Los Angeles on April 29. (Gabriella Angotti-Jones / Los Angeles Times)
11/82
Gregory Kuhl, 69, heads home after a shopping trip in Hollywood on April 28. Big cracks in the street, cars parked in driveways blocking sidewalks and uneven pavement levels make navigating his route difficult. (Dania Maxwell / Los Angeles Times)
12/82
Tenants and their supporters from across Los Angeles gather at city hall to call on L.A. Mayor Eric Garcetti, the L.A. City Council and California Gov. Gavin Newsom to cancel rent and mortgage payments during the COVID-19 crisis. (Luis Sinco / Los Angeles Times)
13/82
Aerial view of over 100 vehicles lined up at the West Valley COVID-19 testing center at Warner Center in Woodland Hills. (Brian van der Brug / Los Angeles Times)
14/82
Senior Mason Wise, left, helps his sister, Mackenzie, a sophomore, clean out her PE locker at El Camino Real Charter High School in Woodland Hills. School officials were allowing no more than five students at a time on campus to take home their belongings. (Brian van der Brug / Los Angeles Times)
15/82
Shuttered storefront businesses in the garment district of Los Angeles. California’s unemployment rate has skyrocketed since the statewide coronavirus shutdown took effect. (Luis Sinco / Los Angeles Times)
16/82
Healthcare workers celebrate as Claudia Martinez is discharged from the ICU after she recovered from COVID-19 at Scripps Mercy Hospital in Chula Vista. (Marcus Yam / Los Angeles Times)
17/82
Carson residents Kaeli Burks, 3, left, and her cousin Bailey Watson, 5, look out the window of their car after their mothers helped them with self-testing at a new drive-up testing site for COVID-19 in Carson. Free COVID-19 testing is available to all city residents thanks to a partnership between the city and US Health Fairs. (Genaro Molina / Los Angeles Times)
18/82
Norm and Tracy Kahn enjoy eating dinner outside on a small cafe table sitting in blue chairs on their side yard during the coronavirus pandemic on April 27 in Riverside. “During this pandemic, eating outside offers us an opportunity to change surrounding and appreciate the calmness of being outdoors among trees, scents from nature and the sounds of birds,†she said. Also adding, “Mixing up where we eat puts variety into our days and takes away the sameness of feeling trapped at home.†(Gina Ferazzi / Los Angeles Times)
19/82
Ronald Reagan UCLA Medical Center nurses carry supplies outside the hospital. (Robert Gauthier / Los Angeles Times)
20/82
Tom Sean Foley pauses on a walk with his kids, Cathelen Claire, “C.C.,†3, and Timothy Joseph, 4, to take a photo in front of the “Love Wall,†mural by artist Curtis Kulig, outside of Smashbox Studios in Culver City. (Jay L. Clendenin / Los Angeles Times)
21/82
Protesters stand along Mission Blvd. in Pacific Beach during A Day of Liberty rally on April 26. The protesters were against the government shutdown due to the coronavirus. (K.C. Alfred / San Diego Union-Tribune)
22/82
People make orders at a food truck along Shoreline Avenue in Long Beach. (Luis Sinco / Los Angeles Times)
23/82
Medical staff, wearing protective gear, work inside a COVID-19 isolation area inside the emergency department at Los Angeles County-USC Medical Center in Los Angeles, where patients with the virus are being treated. (Mel Melcon / Los Angeles Times)
24/82
Neighbors practice social distancing while enjoying the nice weather near The Strand in Hermosa Beach. (Gabriella Angotti-Jones / Los Angeles Times)
25/82
Counter-protesters attend a protest to call on state and local officials to reopen the economy in downtown Los Angeles. (Christina House / Los Angeles Times)
26/82
A group of protesters cheer on cars during a vehicle caravan protest to call on state and local officials to reopen the economy in downtown Los Angeles. (Christina House / Los Angeles Times)
27/82
Cedar Mountain Post Acute Rehabilitation staff member Navi Cavaltera waters a flower pot put up by the community to show their support for the nursing staff of the facility in Yucaipa. Eighteen of 20 coronavirus-related deaths in Yucaipa were residents of the skilled nursing facility. (Irfan Khan / Los Angeles Times)
28/82
A pedestrian wearing a protective mask passes a mural on a store on Melrose Avenue in the Fairfax district of Los Angeles. (Allen J. Schaben / Los Angeles Times)
29/82
Jonte Florence, a freestyle dancer, does a handstand on a mostly empty Hollywood Walk of Fame. Florence said he normally performs for hundreds of tourists along the busy street. (Allen J. Schaben / Los Angeles Times)
30/82
The Tyrannosaurus rex overlooking the intersection of Hollywood Boulevard and Highland Avenue wears a protective mask while practicing social distancing. (Allen J. Schaben / Los Angeles Times)
31/82
Businesses are shuttered and pedestrians are few and far between on Hollywood Boulevard. (Allen J. Schaben / Los Angeles Times)
32/82
Daniel Rogerson wears a vintage military gas mask while riding a bike along the beach path in Santa Monica, which is closed to enforce social distancing because of the coronavirus pandemic. (Luis Sinco / Los Angeles Times)
33/82
A face mask seller in colorful dress appears to be part of a mural behind a bus stop on Soto Street in Los Angeles. (Irfan Khan / Los Angeles Times)
34/82
Life around Cesar E. Chavez Boulevard and Soto Street has slowed down as California officials extended stay-at-home orders into May and residents entered Easter weekend with unprecedented limits on their movements. (Irfan Khan / Los Angeles Times)
35/82
UC Irvine Medical Center health care workers return their gratitude as about 25 Orange County first responder vehicles participate in a drive-by parade of gratitude as they battle COVID-19 at the hospital. (Allen J. Schaben / Los Angeles Times)
36/82
Billy Budd, 55, of Hollywood, walks along Hollywood Boulevard with a protective face covering. Budd is a scenic artist for movies and television who is currently out of work due to the coronavirus outbreak. (Mel Melcon / Los Angeles Times)
37/82
Stuart Reyes and his sister, Stephanie, sell masks for $5 each on the 3000 block of West Century Boulevard in Inglewood. Stuart Reyes said he is selling masks to support his mother. (Irfan Khan / Los Angeles Times)
38/82
A jogger runs on a closed trail past dozens of pieces of caution tape, torn off by hikers and mountain bikers at El Escorpion Canyon Park in West Hills. (Brian van der Brug / Los Angeles Times)
39/82
Alex Herron and nurse Mercy Pineda at a blood drive sponsored by USC athletics and the American Red Cross at USC’s Galen Center. (Genaro Molina / Los Angeles Times)
40/82
Los Angeles City Hall displays blue lights to show support for healthcare workers and first responders. (Gary Coronado / Los Angeles Times)
41/82
After being indoors for several days because of rainy weather and coronavirus stay-at-home orders, Olivia Jacobs, 4, and her mom, Cia Jacobs, enjoy a warm and sunny afternoon making chalk drawings on the sidewalk in front of their home in West Hills. (Brian van der Brug / Los Angeles Times)
42/82
An Oceanview Plaza security guard sports a whimsical mask while on patrol. (Robert Gauthier / Los Angeles Times)
43/82
Jacob De Wilde, left, and Lesli Lytle load a car with food during a food distribution organized to mark Good Friday. (Irfan Khan / Los Angeles Times)
44/82
As a late season storm continues to make its way across the Southland, a young basketball player dribbles along an alley through an Elysian Park neighborhood in Los Angeles. (Kent Nishimura / Los Angeles Times)
45/82
People are silhouetted in a window of an apartment building in Hollywood, where a stay-at-home order remains in effect to help curb the spread of the coronavirus. (Luis Sinco / Los Angeles Times)
46/82
The Wilshire Grand Center display blue lights and a heart to show support for healthcare workers and first responders. (Gary Coronado / Los Angeles Times)
47/82
Women wear masks as they stroll along Highland Avenue in Hollywood. Wearing masks while outdoors is mandatory in the city of Los Angeles. (Luis Sinco / Los Angeles Times)
48/82
Patients are removed from Magnolia Rehabilitation and Nursing Center after 39 tested positive for the coronavirus and nursing staff was not showing up to work. (Gina Ferazzi / Los Angeles Times)
49/82
A specimen is turned in at the new mobile testing site for people with symptoms of the coronavirus at Charles R. Drew University of Medicine and Science in South Los Angeles. (Christina House / Los Angeles Times)
50/82
Hippie Kitchen in Los Angeles hands out food, water and toiletries to homeless people and residents of skid row. Additionally, masks were offered to help reduce the spread of the coronavirus. (Myung J. Chun / Los Angeles Times)
51/82
Nurses pose for a fun photo during a break in drive-through public testing for the coronavirus at Arrowhead Regional Medical Center in Colton. (Irfan Khan / Los Angeles Times)
52/82
A woman shows a notice from her doctor that allows her to obtain a test for coronavirus at a new drive-up testing site in a parking lot at the South Bay Galleria in Redondo Beach. (Genaro Molina / Los Angeles Times)
53/82
A person who wishes to remain anonymous strikes from her car to support McDonald’s employees who are demanding the company cover healthcare costs of any worker or immediate family member who gets sick from COVID-19 in Los Angeles. (Dania Maxwell / Los Angeles Times)
54/82
Cassidy Roosen, with Beach Cities Health District, holds up a sign that says, “We’re All in This Together,†while waiting to direct cars at a drive-through, appointment-only coronavirus testing location at the South Bay Galleria in Redondo Beach. (Jay L. Clendenin / Los Angeles Times)
55/82
Grace Carter, 15, of Riverside, practices a dance routine at home after dance classes and school were canceled. She has to use the Zoom app on her iPhone to practice with her dance group. “It’s hard,†she said. “My bedroom is a smaller space. I miss all my friends at the studio.†(Gina Ferazzi / Los Angeles Times)
56/82
A man works from his home in Long Beach. (Marcus Yam / Los Angeles Times)
57/82
A San Bernardino County healthcare worker takes a sample at a coronavirus drive-through testing site at the county fairgrounds in Victorville. (Irfan Khan / Los Angeles Times)
58/82
A Metro general service employee disinfects a bench in Boyle Heights. (Gary Coronado / Los Angeles Times)
59/82
A runner jogs past the Pottery Barn in Pasadena. Some businesses in the area have boarded up their stores. (Al Seib / Los Angeles Times)
60/82
Raquel Lezama and daughter Monica Ramos collect meals for their family at Manual Arts High School. Lezama was laid off from her $17.76-an-hour job at a Beverly Hills hotel. (Al Seib / Los Angeles Times)
61/82
The Iron City Tavern in San Pedro tries an incentive to lure takeout customers. (Carolyn Cole / Los Angeles Times)
62/82
Healthcare workers gather outside UCLA Ronald Reagan Medical Center to call for further action from the federal government in response to the COVID-19 outbreak. (Robert Gauthier / Los Angeles Times)
63/82
Kristen Edgerle, of Victorville, collects information from a blood donor before drawing blood at The Richard Nixon Presidential Library blood drive during the coronavirus pandemic in Yorba Linda. (Jason Armond / Los Angeles Times)
64/82
Shauna Jin, of Los Angeles, with her dog, Bodhi, practices social distancing with John Kiss, of Los Angeles, at the entrance of Runyon Canyon Park in Los Angeles. (Gary Coronado / Los Angeles Times)
65/82
A lending library had some additional useful items, including a roll of toilet paper and cans of beans and corn, in a Hermosa Beach neighborhood. (Jay L. Clendenin / Los Angeles Times)
66/82
Protesters drive by the Getty House, the home of L.A. Mayor Eric Garcetti, in Hancock Park. Tenant advocates are demanding a total moratorium on evictions during the coronavirus crisis. (Wally Skalij / Los Angeles Times)
67/82
Venice residents Emily Berry and Gavin Kelley take a break at Venice Beach. Berry, a cocktail waitress at Enterprise Fish Co., lost her job due to the coronavirus outbreak. Kelley, a manager at a performing arts school with a focus on music, said that he still has a job and that classes at the school will resume online this coming Monday. (Mel Melcon / Los Angeles Times)
68/82
The JW Marriott at L.A. Live is sharing a message of hope with red lights in 34 windows, creating a 19-story display on the hotel’s north side. (Gary Coronado / Los Angeles Times)
69/82
Juan Diaz Jr., a lifelong Dodgers fan, prays that the season will start by May in front of Dodger Stadium on what would have been opening day. (Mel Melcon / Los Angeles Times)
70/82
Hayley, CEO and founder of Love My Neighbor Foundation, right, dances with Crystal Armster, 51, while she and her colleagues continue to feed the homeless on skid row amid the pandemic. (Genaro Molina / Los Angeles Times)
71/82
A masked passenger on a Metro bus in downtown Los Angeles. (Wally Skalij / Los Angeles Times)
72/82
Dede Oneal waits for a coronavirus test at the Crenshaw Christian Center in South Los Angeles. (Genaro Molina / Los Angeles Times)
73/82
A man in a mask passes a closed restaurant along Spring Street in downtown Los Angeles. (Wally Skalij / Los Angeles Times)
74/82
Artist Corie Mattie paints a mural on the side of a pop-up store as a man takes a picture in West Hollywood. (Wally Skalij / Los Angeles Times)
75/82
Medical assistant Zoila Villalta works with Rosie Boston, 32, of Glendale, who is donating blood for her first time at L.A. Care Health Plan downtown. (Al Seib / Los Angeles Times)
76/82
A couple wait for a bus outside the Petersen Automotive Museum in Los Angeles. (Luis Sinco / Los Angeles Times)
77/82
With all Los Angeles schools closed until further notice, LAUSD buses sit idle in Gardena. (Brian van der Brug / Los Angeles Times)
78/82
A lone traveler makes his way to catch a flight in Tom Bradley International Terminal. (Genaro Molina / Los Angeles Times)
79/82
Denise Young looks on as her daughter, Allison, 9, a fourth-grader at EARThS (Environmental Academy of Research Technology and Earth Sciences) Magnet School in Newbury Park, receives a Chromebook. (Mel Melcon / Los Angeles Times)
80/82
Hollywood Boulevard is devoid of the usual crowds. (Brian van der Brug / Los Angeles Times)
81/82
Michael Ray, 11, plays before a movie at the Paramount Drive-In. (Wally Skalij / Los Angeles Times)
82/82
Isabella Leader, 15, counts how many flags have been left for World War II veteran Lt. Col. Sam Sachs who was celebrating his 105th birthday at the Mom & Dad’s House, an assisted living facility, in Lakewood. Lt. Col. Sachs appealed to the public for birthday cards after the coronavirus pandemic forced the cancellation of a big celebration and wound up receiving thousands, including a letter and photo from President Trump. (Genaro Molina / Los Angeles Times)
Newsom said Monday he is hopeful that “with this effort we will see a surge of individuals†who can help in California.
“The next few weeks are going to be critical,†Newsom said.
Dr. Mark Ghaly, California’s secretary of health and human services, said the state’s modeling suggests California will need 50,000 new hospital beds by mid-May.
“We project that we will need that towards the second half of the month of May,†Ghaly said. “So we are very busy trying to build towards that.â€
Newsom declined to say how many people his administration believes are infected with the virus based on the state’s existing models.
“It’s a dynamic model and it’s radically different, I can assure you, than it was just four or five days ago,†Newsom said. “And if we had a model that I could more confidently say, based on all of these conditions and everything being static, then we would provide it to you, but I can assure you we are running those models in real time.â€
The urgent need for healthcare workers comes as the death toll from the coronavirus in California rose to 142 and the number of confirmed cases surged to more than 6,800. Experts say the number of confirmed cases is expected to rise in the coming weeks, the result of the highly contagious nature of the virus as well as expanded testing efforts.
Between Friday and Monday, the number of California patients hospitalized with COVID-19 in intensive-care beds nearly tripled to 597 from 200. The number of hospitalizations has nearly doubled, from 746 to 1,432. On Sunday, the Navy hospital ship Mercy, which is docked at the Port of Los Angeles, began receiving patients who do not have COVID-19 in an effort to reduce the strain on hospitals treating those who do have the disease.
Newsom’s executive order allows the state Department of Consumer Affairs to waive licensing requirements and change the scope of practice of healthcare professions through June 30. The department is ordered to work with each licensing board to determine what those changes will look like. The few details available as to what scope of practice changes will be made left many unsure of the effect.
“Other states have issued more specific executive orders regarding extension of license expirations and expanded scope of practice for clinical staff,†said Joanne Spetz, an associate director of research at Healthforce Center at UC San Francisco, which produces supply and demand forecasts on registered nurses in the state. “Until we have more details on which specific requirements are waived by the state agencies, it’s hard to say how much of an impact the executive order will have.â€
California was facing shortages of healthcare workers even before the pandemic, with the California Future Health Workforce Commission urging the state to invest in doctor training programs and grant nurse practitioners more autonomy.
The commission, created by healthcare, education and business leaders and co-chaired by UC President Janet Napolitano, wrote in a report last year that the state needs to invest $3 billion over the next decade to increase the number of nurses, doctors and in-home caregivers to meet the needs of the state’s aging baby boomer population. In addition, more than one-third of the state’s doctors and nurse practitioners are reaching retirement age.
Among the recommendations from the commission was allowing nurse practitioners to work independently of doctors. California is one of 28 states that require nurse practitioners to work under a doctor’s oversight, with previous legislative efforts to ease those restrictions failing amid concerns from the powerful doctor’s lobby, the California Medical Assn.
Newsom acknowledged the complicated history behind the scope of practice changes, particularly with nurse practitioners, and said the administration would provide “temporary flex in that space.â€
The governor’s executive order also calls for the California Emergency Medical Services Authority to ease restrictions on paramedics in the state. Dr. Sandra R. Hernández, a physician and president of the California Health Care Foundation, said those changes could allow paramedics to use their respiratory training outside of an ambulance.
Hernández said that while the details of the executive order are still unclear, the changes to expand the scope of practice of medical professions can increase the state’s ability to care for the sick.
“It’s a very important step to allow health workers to do what they are training to do,†Hernández said. “Full scope is absolutely the right thing to do.â€
Newsom said the state hopes to tap nursing school students to help with the crisis, but details about that process were unclear. Nursing students were encouraged to apply to the California Health Corps to begin working in hospitals, but one of the most pressing questions for those students has yet to be answered.
Nursing schools across the state have pleaded for weeks with Newsom and the Board of Registered Nursing to change licensing requirements so that an estimated 10,000 nursing students could graduate in the coming months. California requires nursing students to spend most of their clinical education in hospitals providing supervised care for patients, but the coronavirus outbreak has caused hospitals to restrict access to prevent the spread of COVID-19. That meant thousands of nurses across the state were no longer able to complete hospital rotations required to graduate.
While the schools asked for graduation leniency, other states have already begun awarding temporary emergency licenses to nurses.
The Idaho Board of Nursing announced an apprentice program this month to move nursing students into hospitals and a temporary emergency license for students who are nearing graduation. The Texas Board of Nursing also relaxed its rules on how many hours nursing students must work in hospital training rotations.
On Monday, California nursing schools said they were left wondering what changes will ultimately be made to help their students.
“We applaud Governor Newsom’s efforts to add to the healthcare workforce and absolutely agree that time is of the essence in taking action against COVID-19,†said Dr. Robyn Nelson, the dean of nursing at West Coast University, in a statement. “This urgency is why we are left disappointed that there is still no clear pathway forward for the thousands of nursing students who can no longer move forward with their education.â€
Times staff writer Taryn Luna contributed to this report.
