Montana's largest hospital recently signed employment contracts with two dozen foreign nurses. Nationwide, a backlog of 5,000 international nurses await approval to enter the U.S.
In areas overwhelmed by COVID cases, hospitals must rely on traveling nurses to operate ICUs. Hospitals pay a premium for that temporary help, while also struggling to keep their staff nurses happy.
Compared to last spring, there's more clinical knowledge about how to treat COVID-19, and bigger stockpiles of protective equipment. But nurses worry about staffing shortages as patient numbers grow.