Health workers in North Dakota have been forced to limit their work hours, in a bid to curb the spread of the coronavirus.

The state has seen a surge in patients coming into its hospitals since the start of the pandemic, with many needing to be rushed to the emergency room.

The pandemic has prompted the state to impose a rationing scheme for health workers, which has forced health workers to work shorter shifts to try and stem the spread.

The system has also led to a rise in cases, as doctors are forced to turn to other services such as nurses and pharmacists.

However, health workers in the state say they are still faced with a crisis in terms of supply.

“We are still in the middle of a shortage, which we’ve been dealing with for years,” said Dr John Pfeifer, an infectious disease specialist at the University of North Dakota Medical Center.

“There’s a lot of people who have not been able to get into health care due to the pandemics and so we’ve seen a rise from about 100,000 to about 1.5 million patients.”

While Pfeif said the health system has been able in recent weeks to address the crisis, he fears that shortages could worsen.

“I would hope that this would be resolved,” he said.

“But right now we’re just kind of seeing it as an ongoing problem.”

Pfeifer said the system’s current supply of supplies is not enough for the medical workforce to provide adequate care.

“It’s not enough to ensure that people who are ill get treatment,” he told Al Jazeera.

“The people who actually need care have been left out.

They’re not getting their care.”

Meanwhile, the state’s Department of Health and Human Services has said it will expand the use of an emergency room nurse in response to the coronavalavirus crisis.

In a statement on its website, the agency said the nurse will be able to deliver more urgent and life-saving care to people with acute respiratory distress and those with severe acute respiratory illness (SAD).

“This nurse will provide urgent care to patients in urgent need, including those in hospitals with very high levels of coronaviruses,” the agency wrote.

The nurse will also work closely with other health workers on the ground to provide information on how to stay safe and avoid the spread, it added.

Al Jazeera’s James Burt, reporting from North Dakota, said there are many other health care issues that have not yet been dealt with.

He said the pandemaker has also been hitting the rural population hard, with shortages in many areas of the state.

“For example, in Fargo there’s only one clinic for emergency room care, and the other two have closed,” he explained.

“People are going to be in the emergency rooms because they don’t have access to the care they need.”