We have had a better flow of PPE over the last month or so, for sure. I think it is still somewhat tenuous, especially as we ramp up or start to try to ramp up some of our elective and scheduled procedures throughout this system. That will put a drain on some of the PPE.
With regard to PPE in the homes themselves, I can speak from my experience and probably that of some of my colleagues, and say that in some cases they actually did have PPE, but they didn't have the right PPE. They were not using it properly. They were not trained to use it. In some cases, they were using two masks, thinking that would help protect them when all it did was waste a mask. They didn't always have face shields, and they didn't always change their gowns. There was, and remains, a lot of work to be done around education and training. That can't just happen in a one-time shot. Even in a hospital that is very prepared, we set up a PPE headquarters, and we had people working around the clock as what we call “PPE observers”. These are people who would watch you put on and take off—“don and doff”, as we call it—your PPE. That's really important because many of the staff who tested positive were infected from taking off their personal protective equipment improperly and contaminating themselves. I believe that's a factor.