LibGuides: Dignity Health Libraries COVID-19 Portal: Covid-19

NEWS: Do your part to end the pandemic!

Get free at-⁠home COVID-⁠19 tests this winter - Order Yours Now!
Every U.S. household is eligible to order 4 free at-home COVID-⁠19 tests.
Stop Screening Asymptomatic Hospital Patients for COVID, Experts Say (US News & World Report 12/22/22) A nationwide group of infection control experts recommends U.S. health care facilities stop testing patients for COVID-19 before hospital admission or scheduled surgeries if they have no virus symptoms. The Society for Healthcare Epidemiology of America (SHEA) statement says facilities should rely instead on enhanced layers of infection prevention.
COVID Vaccine More Effective Than Infection at Preventing Death, Hospitalization (US News & World Report 12/21/22) COVID-19 vaccination is more effective than natural immunity when it comes to keeping you out of the hospital, a major, real-world study has found.
Which prevention measures will help keep viruses at bay this Christmas? Our medical analyst explains (CNN Health 12/19/22) What can families do in advance of holidays gatherings and what measures can they implement during the festivities to keep viruses at bay? When should everyone wear masks? How can people reduce the risk of getting sick on flights and during transit? Who might want to consider postponing travel and holiday celebrations? And what should people do if they do become ill after gatherings?
Biden Administration Resumes Free COVID-19 Test Program for a Limited Time (US News & World Report 12/15/22) The Biden administration on Thursday will resume its free COVID-19 at-home test program for a limited time, allowing households to order up to four tests as a part of its “winter preparedness plan” to combat a potential coronavirus surge in the coming months. But the Biden administration this week said it has repurposed funds from the American Rescue Plan to buy more at-home tests.
With LA County in High Community Level for COVID-19, Public Health Asks Residents to Mask, Get Boosted (LA County Public Health 12/9/22) Press Release: With LA County in High Community Level for COVID-19, Public Health Asks Residents to Mask, Get Boosted - 3,756 New Positive Cases and 17 New Deaths Due to COVID-19 in Los Angeles County With a rise in COVID-19 cases, Los Angeles County moved into the CDC High Community Level this week, prompting Public Health officials to ask all residents to layer in sensible health protections including indoor masking and getting vaccinated and boosted.
Hospitals in the US are the fullest they’ve been throughout the pandemic – but it’s not just Covid (CNN Health 12/9/22) Hospitals are more full than they’ve been throughout the Covid-19 pandemic, according to a CNN analysis of data from the US Department of Health and Human Services. But as respiratory virus season surges across the US, it’s much more than Covid that’s filling beds this year. More than 80% of hospital beds are in use nationwide, jumping 8 percentage points in the past two weeks.
FDA Authorizes Updated COVID-19 Booster Shots for Children as Young as 6 Months (U.S. News & World Report 12/8/22) “More children now have the opportunity to update their protection against COVID-19 with a bivalent COVID-19 vaccine, and we encourage parents and caregivers of those eligible to consider doing so – especially as we head into the holidays and winter months where more time will be spent indoors,” FDA Commissioner Robert Califf said in a statement.
Face masks come back to forefront amid triple threat of Covid-19, flu, RSV (CNN Health 12/8/22) As a triple threat of respiratory illnesses – flu, RSV and Covid-19 – sweeps the nation, health officials urge people to take precautions: get vaccinated, wash hands frequently, & mask up in certain circumstances. “I’m not talking about mandating anything,” Fauci said. “I’m talking about just common sense of saying, ‘You know, I really don’t want to take the risk of myself getting infected and, even moreso, spreading it to someone who’s a vulnerable member of my family.’ “
Jha: Bivalent boosters still effective as 'escape variants' gain traction (Becker's Hospital Review 10/28/22) The White House's COVID-19 response coordinator is optimistic bivalent boosters will offer protection against omicron "escape variants" BQ.1 and BQ.1.1, which now account for nearly 30 percent of U.S. infections.
6 updates on 'escape variants' BQ.1 and BQ.1.1 (Becker's Hospital Review 10/26/22) Omicron subvariants BQ.1 and BQ.1.1 — dubbed "escape variants" for their immune evasiveness — are steadily gaining prevalence in the U.S. and now account for more than 16 percent of all COVID-19 cases confirmed nationwide, CDC data shows. Six latest updates:
14 recent COVID-19-related research findings (Becker's Hospital Review 10/7/22) Here are 14 COVID-19-related studies Becker's has covered since Sept. 12: Ask you Librarian for a copy of a research article.
Covid-19 boosters could prevent about 90,000 US deaths this winter, but only if more people get them, analysis suggests (CNN Health 10/5/22) Covid-19 boosters could prevent about 90,000 US deaths this winter, but only if more people get the shots, a new analysis suggests. The study, published Wednesday by The Commonwealth Fund, said if booster vaccinations continue at their current pace, the nation could see a peak of more than 1,000 Covid-19 deaths per day this winter. On average, there are now more than 400 daily Covid-19 deaths in the US, data shows. About two-thirds of the US population is fully vaccinated with at least their initial series, according to the CDC. But only about a third of the population has received a booster dose.
2 or more bouts of COVID-19 raise death, hospitalization risk, early study finds (Becker's Hospital Review 7/6/22) People who've had COVID-19 two or more times have more than twice the risk of dying and three times the risk of being hospitalized within six months of their last infection, compared to people who've only been infected once, according to a preliminary study from researchers at Washington University in St. Louis.

CommonSpirit COVID-19 Resources/Guidance

Thank a SMMC-LB Hero Today!

COVID-19 Guidelines, Publications, & Tools

The Biden-Harris plan to beat COVID-19 (English/Spanish)
Managing Healthcare Operations During COVID-19 (CDC)
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Centers for Disease Control and Prevention, Office of Infectious Diseases (CDC OID)
COVID-19 Treatment Guidelines (NIH)
COVID-19 Guidelines (ECRI Guidelines Trust, Free Log-in)
Society Guideline Links (UpToDate)
COVID Local: A Frontline Guide for Local Decision-Makers (NTI)
Evaluating and Caring for Patients with Post-COVID Conditions: Interim Guidance (CDC)
Evaluation Criteria for COVID-19 Serology Screening
Ivermectin (NIH COVID-19 Treatment Guidelines 2/11/21)

*Go to the C-19 Research Tab for Important COVID-19 Research Articles*

The COVID-19 Vaccine: A Resource Guide: Communication Best Practices and Templates (SR Health) Healthcare organizations set to administer
the COVID-19 vaccine need to be prepared
from a messaging and logistics standpoint
to quickly provide doses as they become
available. This guide contains free
templates and resources that you can use
to help in your communication efforts.
They run the gamut from frequently asked
questions (FAQs) and myth-busting facts
about the vaccine to a pre-appointment
reminder checklist that includes best
practices for automating your patient
communications and keeping patients
informed. All of these can be used in text,
emails, social media, and websites.
Big Questions for Hospitals Get Bigger: Provider executives on the lasting effects of COVID-19 (Becker's Healthcare Advisory Call eBook) Contributor:
Ketul J. Patel, CEO of Tacoma, Wash.-based CHI Franciscan and President of the Pacific Northwest Division of CommonSpirit Health

FAQs on Protecting Yourself from COVID-19 Aerosol Transmission (Expert Knowledge)
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Scientists and engineers with many years of collective research experience related to indoor air quality, aerosol science, aerosol disease transmission, and engineered control systems for aerosols. Our contributors are active researchers investigating aerosol transmission of COVID-19 (see e.g. 1, 2, 3, and 4). Five of us were speakers at the recent Workshop on Airborne Transmission of COVID-19, organized by the US National Academies of Sciences, Engineering, and Medicine (the highest level scientific organization in the US). Three of us are members of a COVID-19 WHO expert group.
COVID-19 Lessons Learned: A Resource for Recovery (Deloitte & Joint Commission Resources 9/18/20)
Handbook on COVID-19 Prevention & Treatment
Healthcare News: Library of Healthcare Management Articles
Hospital Equipment Repair Manuals incl. Ventilators
WHO: Severe Acute Respiratory Infections Treatment Center (WHO)

COVID-19 Webinars, Interviews, & Blogs

Updates to COVID-19 Testing and Treatment for the Current SARS-CoV-2 Variants (CDC COCA 1/24 11am-12pm PT) As SARS-CoV-2 variants evolve, circulating variants have increased transmissibility and ability to evade the immune system, which changes the treatment and prevention options for COVID-19. Clinicians should understand the nuances of current SARS-CoV-2 testing and treatment to prevent hospitalizations and deaths among people at high risk of severe disease. During this COCA Call, subject matter experts will provide an overview of COVID-19 epidemiology and the current variant landscape, address current Centers for Disease Control and Prevention testing guidance and the National Institutes of Health and Infectious Disease Society of America COVID-19 treatment guidelines, and discuss risk assessment and considerations for treatment options.
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Passcode: 106095
Virtual Grand Rounds: COVID-19 Therapeutics - When and How to Treat for COVID-19 (Register CME: CalHHS & CMA 2/14/23 12-1pm PT) As a result of this activity, participants should be able to: Discuss the current epidemiology of COVID-19 in California Summarize the state of COVID variants as applicable Discuss the benefits, risks, side effects and contraindications to COVID-19 therapeutics with patients Recognize the common drug interactions of COVID-19 therapeutics and know where to get treatment recommendations given possible drug-drug interactions Appropriately refer patients who need COVID-19 treatment Utilize current public health guidance to default to COVID-19 treatment in most circumstances To be determined
CDC COCA Calls/Webinars Subject matter experts present key emergency preparedness and response topics, followed by meaningful Q&A with participants. Each COCA Call/Webinar will offer the most up to date information and guidance for clinicians. Continuing Education is available for most calls/webinars.

Updates to COVID the Current SARS-- 19 Testing and Treatment for CoV2 Variants (CDC COCA slides 1/24/23)

2022-2023 Seasonal Influenza Testing and Treatment During the COVID-19 Pandemic (Recording: CDC COCA CME/CE - Nov.15, 1:13) During this COCA Call, the presenter will provide an overview of CDC’s recommendations for healthcare providers about influenza diagnostics and the use of antiviral medications for the 2022-2023 influenza season, including considerations during the ongoing COVID-19 pandemic.
Recommendations for Bivalent COVID-19 Booster Doses in People Ages 12 Years and Older (CSC COCA Recording, Slides, & Transcript 9/13/22) During this COCA Call, presenters will discuss CDC’s new guidance on bivalent COVID-19 booster doses for people ages 12 years and older, including those who are moderately or severely immunocompromised. COVID-19 vaccination provides protection against serious illness and outcomes associated with COVID-19, including emergency department or urgent care visits, hospitalizations, and death. Updated COVID-19 vaccines add an Omicron BA.4/5 spike protein component to the previous monovalent composition. These bivalent booster doses help restore protection that has waned since previous vaccination by targeting more transmissible and immune-evading variants. These boosters also broaden the spectrum of variants that the immune system is ready to respond to.
How to Survive a Pandemic (HBO Motion Picture 2022, 1:49:20) Film covering COVID-19 Vaccine Development and International Vaccination Effort: COVID-19 vaccines were developed in record time. But over a year later, people in the world’s poorest countries are still waiting to receive an initial dose. Watch How to Survive a Pandemic to learn how we got here and the work left to do to vaccinate the world. Journalist and Academy Award-nominated filmmaker David France speaks with experts to discuss vaccine inequities across the world and within countries. Learn how to take action to address the urgent need for vaccine equity for ongoing pandemics and the ones we have yet to face.

Virtual Grand Rounds: Monkeypox and COVID-19 Vaccine Updates: Pediatric Vaccines and New Vaccine Technology (Slides: CalHHS & CMA 8/9/22) As summer wanes and school is about to begin, we now have new opportunities to vaccinate our youngest patients. At the same time, new vaccines made with old vaccine technology are becoming available. In this session, we will hear from California State Epidemiologist Erica Pan, M.D., about the state of COVID-19 in California, including variants, treatments and vaccine epidemiology. We will also hear from one of the country’s most articulate and experienced vaccine expert, Paul Offit, M.D
Virtual Grand Rounds: Updates in COVID-19 and Monkeypox (Slides: Cal HSS & CMA 7/12/22) As the COVID-19 pandemic continues to spread across the state, we are now confronted by a new virus: monkeypox. State epidemiologist Erica Pan, M.D. will share the latest updates about COVID-19 including information about vaccinations, epidemiology and patient care. Infectious disease expert Peter Chin-Hong, M.D., from U.C. San Francisco will discuss the emergence of monkeypox as a global phenomenon, as well as the epidemiology, signs and symptoms of this disease.

Recommendations for Pfizer-BioNTech and Moderna COVID-19 Vaccine Primary Series in Children 6 Months through 5 Years Old (CDC COCA: Slides 6/22/22, Free CME) While children have a lower risk for severe COVID-19 compared to adults, they can get COVID-19, spread it to others, and become seriously ill. COVID-19 vaccination provides protection to children and adolescents against severe illness and outcomes associated with COVID-19, including emergency department or urgent care visits, hospitalizations, and death. During this COCA Call, presenters will discuss CDC’s new guidance on the pediatric COVID-19 vaccine primary series for children ages 6 months through 4 years old for Pfizer-BioNTech and ages 6 months through 5 years old for Moderna, including children who are moderately or severely immunocompromised.
How to Have Effective Conversations with Parents about COVID-19 Vaccination for Children (CA Vaccinate ALL 58 11/10/21 Slides) Webinar Objectives: Provide attendees with: • The latest updates on pediatric COVID-19 vaccination. • Key messages addressing common concerns among parents about the COVID-19 vaccine. • Communication tools for effective patient conversations. Speaker: Eric Ball, MD, FAAP #ThisIsOurShot, AAP-CA, CIC

Virtual Grand Rounds - Spotlight Vaccines (CMA 11/9/21 slides) - Pediatric Vaccines - Andi L. Shane, M.D., MPH - Vaccines and Boosters - Grace Lee, M.D. - California Epidemiology Report - EricaPan. M.D., MPH

CDC COVID-19 Webinar and Partner Calls Videos
CDC COCA (Clinician Outreach and Communication Activity) Webinar Recordings
ANA: COVID-19 Webinars for Nurses (Free Recorded)
CMA: COVID-19 Webinars
CMA Virtual Grand Rounds: CA COVID-19 Update & The Nocturnists (Recorded 9/14/21 1.5 hrs) During this Virtual Grand Rounds we hear from Dr Erica Pan, California’s State Epidemiologist, about the state of COVID-19 in California, efforts to keep the virus at bay, progress on vaccinations and the hope for keeping schools open this year. We are also honored to hear from Emily Silverman, MD, the creator of The Nocturnists, a medical storytelling live show and podcast where healthcare workers can pause and examine their inner landscapes. The Nocturnists helps us examine the forces that drive burnout and moral distress, and in doing so provides hope that we can find ways to flourish in the face of the extreme stresses of medical practice in general, and practice in the setting of a pandemic in particular.
ECRI: COVID-19 Lab Webcast: Device Guidance Series These recordings of our live-streamed lab webcasts feature ECRI guidance on device-related issues that are arising as a result of the COVID-19 crisis. ECRI experts share insights found during our lab-based product evaluations.
Dignity Health: Airway and Ventilation Management in the era of COVID-19 (1 hr 20 min)
Dignity Health: Leveraging Telepsychiatry in the ED to Reduce Response Time and Cost (Amwell, Dignity Health Speaker, 7/8/20 1 hr) Cleveland Clinic Indian River Hospital, 332-bed hospital in Vero Beach, Fla., introduced & expanded a telepsychiatry program to 24/7 ED care resulting in significant decrease in response times/costs & increase in patient satisfaction. Dignity Health, implemented an acute behavioral healthvirtual care program in its EDs to ensure patients are seen within 60 min & receive actionable recommendations within 90 min & providers can create ED disposition plans within 4 hrs.
Surviving the COVID-19 Infodemic — Can You Trust Dr. Google? (CADTH, 6/23/30 50 min) According to the World Health Organization, the world is fighting the COVID-19 pandemic on two fronts — the disease itself and a related “info emic” that it says is just as dangerous as the virus. An infodemic is an overwhelming flood of information, misinformation, rumours, and outright scams that make it hard to know what to trust. Misinformation such as false preventive measures hurt public health efforts to control the illness and put peoples’ lives in danger. In this webinar, you’ll learn about the work under way to curtail the spread of misinformation. You’ll also get practical tips and tools to help find reliable sources of health information and evaluate its quality.
Mental Health: NIH NIMH Livestream Event Archive NIMH: National Institute of Mental Health
Mental Health: A new pandemic: COVID-19's mental health crisis & the role of virtual care (Becker's Hospital Review - On Demand) During the webinar they will discuss: - An update on the impact of COVID-19 on mental health in general and within at-risk populations - The current state of demand for behavioral health and telehealth’s role in treatment - How health systems and health plans can leverage virtual care for mental health - Considerations for behavioral health treatment needs moving forward - The future of telebehavioral health

NIH Director's Blog - Lawrence Tabak, D.D.S., Ph.D.
Becker’s Healthcare Podcast COVID-19 Update (1/21/22 0:50) In this episode Scott Becker shares the lasted news and stats on the COVID-19 pandemic.
COVID-19 Conspiracies and Beyond: How Physicians Can Deal With Patients’ Misinformation (CME: JAMA Medical News Audio 32:30 12/30/20) Communication science expert Brian Southwell, PhD, recently launched a training workshop at the Duke University School of Medicine to address a major clinical problem: What should physicians do when patients are misinformed about their health? It’s one of only a few such programs in the nation. Southwell, a scholar with the medical school’s Social Science Research Institute and a senior director at the independent, nonprofit research institute RTI International, chatted with JAMA Medical News Associate Managing Editor Jennifer Abbasi about the viral spread of false health information and malicious disinformation campaigns, why we’re vulnerable to falling for them, and how time-pressed physicians can deal with all the noise.
Air Handling Standards for Increasing the Safety of Indoor Spaces During the COVID-19 Pandemic (JAMA Review 12/7/20, CME Audio 28:16) Closing businesses during the COVID-19 pandemic has had devastating consequences for individuals and the economy in general. Proper air handling combined with the use of masks and physical distancing can greatly improve the safety of indoor spaces. Joseph Allen, DSc, MPH, assistant professor of exposure assessment science at Harvard T.H. Chan School of Public Health, and Andrew Ibrahim, MD, assistant professor of surgery and architecture and urban planning at the University of Michigan, discuss air conditioning standards that can substantially reduce the risk of disease transmission in indoor spaces.
Building Resilience During the COVID-19 Pandemic (NIH Director's Blog - Interview 10/15/20) With more than 215,000 Americans having lost their lives and more than 7.8 million infected since COVID-19 first gripped our nation, the pandemic has taken a profound psychological and emotional toll on us all. Still, behavioral and social science researchers have identified some strategies to help us deal with our fears, and even rise to the challenge of supporting others during this unprecedented time. Recently, I had an opportunity to discuss the science behind mental health responses to disasters with Dr. George Everly Jr., a psychologist and professor at the Johns Hopkins University Bloomberg School of Public Health, Baltimore. A world-renowned expert with more than 40 years experience studying the psychological impacts of disasters, he co-founded the International Critical Incident Stress Foundation, an organization affiliated with the United Nations. Our conversation took place via videoconferencing from our home offices in Maryland. Here’s a condensed transcript of our chat:
Public Health Policies Have Prevented Hundreds of Millions of Coronavirus Infections (NIH Director's Blog 6/23/20) As difficult as the shutdowns have been, new research shows that without these public health measures, things would have been much, much worse. According to a study published recently in Nature [1], the implementation of containment and mitigation strategies across the globe prevented or delayed about 530 million coronavirus infections across six countries—China, South Korea, Iran, Italy, France, and the United States. Take a moment to absorb that number—530 million. Right now, there are 8.8 million cases documented across the globe.
Anthony Fauci, MD, on COVID-19 Vaccines, Schools, and Larry Kramer (JAMA text 6/8/20) In late May, as coronavirus disease 2019 (COVID-19) stay-at-home orders and closures eased, George Floyd’s on-camera death in police custody in Minneapolis sparked antiracist demonstrations across the nation. Some turned violent. With the protests and the pandemic colliding, fears arose that new COVID-19 outbreaks could soon follow.

Monitor these Key COVID-19 Resources

National COVID-19 Preparedness Plan (The White House 3/22)

CDC: COVID-19 & Boosters
CDC: COVID-19 Vaccination & Professional Resources
CDC: COVID-19 Vaccine FAQs for Healthcare Professionals
NIH: COVID-19 Research
NIH NIEHS: COVID-19 Response Training Tool
U.S. Government - COVID-19
WHO: Coronavirus Disease (COVID-19) Pandemic
AHA: American Heart Association
AHA: American Hospital Association
The Joint Commission
ECRI COVID-19 Resource Center
FEMA: Coronavirus Rumor Control
Los Angeles Health Alert Network (LAHAN)

Capturing Viral Shedding in Action, NIH NIAID

Coronavirus Shedding Portrait by Beth Fisher

Clinical Care

Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Approved or Authorized in the United States (CDC 5/20/22)
CDC updates mask guidance for N95s in hospitals (Becker's Hospital Review 4/25/22)
Interim Clinical Guidance for Management of Patients with Confirmed Coronavirus Disease (COVID-19) (CDC)
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Updates as of February 12, 2021:
- New information on potential for under-detection of occult hypoxemia by pulse oximetry, especially among persons with dark skin
- New information on dermatologic manifestations associated with COVID-19
- New information on prolonged shedding of replication-competent SARS-CoV-2 in severely immunocompromised persons
- New information on reports of reinfection with variant viruses
Interim Guidelines for Collecting, Handling, and Testing Clinical COVID-19 Specimens (CDC)
Testing for COVID-19 (CDC)
Managing Healthcare Operations During COVID-19 (CDC)
Underlying Medical Conditions Associated with Higher Risk for Severe COVID-19: Information for Healthcare Providers (CDC, Revised 2/15/22)
Science Brief: Evidence Used to Update the List of Underlying Medical Conditions Associated with Higher Risk for Severe COVID-19 (Pending) (CDC 2/15/22)
Systematic Review Process: CDC-led Investigations of Underlying Medical Conditions (CDC, Revised 2/15/22)
Healthcare Workers: Information on COVID-19 (CDC)
Health Advisory: Reports of Severe Illness Associated with Use of Products Containing Ivermectin to Prevent or Treat COVID-19 (CDC 8/26/21)

CDC Personal Protective Equipment Sequence

Published Research

BMJ: Coronavirus (covid-19) Hub
Cochrane Library: Coronavirus (COVID-19): infection control and prevention measures
Cochrane Library: Coronavirus (COVID-19): evidence relevant to critical care
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This Special Collection includes Cochrane Reviews on the following topics:

• Fluid and vasopressor therapy
• Respiratory support and mechanical ventilation
• Weaning mechanical ventilation
• Managing hypoxaemia
• Pharmacological treatment
• Managing delirium
• Nutrition in intensive care
• Diagnosis
Cochrane Library: Coronavirus (COVID-19): effective options for quitting smoking during the pandemic
DynaMed: COVID-19 (Novel Coronavirus)
EBSCO: COVID-19 Information Portal
ECRI: COVID-19 Resource Center
Elsevier: Novel Coronavirus Information Center
Ethics of Resource Allocation – Medical Librarian Compiled
JAMA: Coronavirus Disease 2019 (COVID-19)
Lancet: COVID-19 Resource Center
NEJM: Coronavirus (Covid-19)
Sanford Guide - COVID-19, SARS CoV-2
UW Medicine: COVID-19 Resource Site
UpToDate: Coronavirus disease 2019 (COVID-19): Epidemiology, virology, and prevention
Wolters Kluwer: COVID-19 Resources & Tools
Wolters Kluwer: 5MinuteConsult - Coronavirus Disease 2019 (COVID-19)

Post Vaccine Considerations for Healthcare Personnel (CDC 12/13/20) Infection prevention and control
considerations for healthcare personnel with systemic signs and symptoms following COVID-19 vaccination

Training - CME/CE

COVID-19 Crucial Conversations Campaign (CA Vaccinate ALL 58) - Provider Training

California COVID-19 Vaccination Program: Provider Operations Manual (Vaccinate All 58)

Coronavirus Statistics

Developed and Maintained by Judy Kraemer, MLIS, MBA, Medical Librarian with assistance by Esmeralda Herrejon, Library Intern at St. Mary Medical Center, Long Beach, CA