Thanks Michael for starting this discussion.  

With the Ebola  transmission to the nurse in Texas over the weekend, this issue requires discussion from groups like this one.

While some of our hospital employers are stepping up and trying to figure out the complex site specific procedures and policies to implement the CDC guidance for Ebola (or better), other hospitals are doing nothing or next to nothing to prepare.  Without these site specific plans, no amount of training of front-line healthcare workers, no amount of care taken by workers or wearing of PPE will be effective.

Many lesson have been learned that could be useful to consider from those in the environmental field over the past 30 years regarding donning, wearing and working in and doffing of contaminated PPE and equipment.  

I look forward to sharing good ideas and solutions and learning lessons from everyone.

Sincerely,


Mark Catlin

Health and Safety Director
SEIU
1800 Massachusetts Ave NW
Washington, DC 20036
(202) 730 - 7290
(202) 436 - 0856 cell

On Mon, Oct 13, 2014 at 5:30 PM, Band, Michael DO <MBand@watsonclinic.com> wrote:

I thought I would start the discussion on this topic.  I am surprised how quiet we are.

 

Something about Ebola does not pass my “sniff test.”  I have always been disturbed that HCWs have been infected from patient care in Africa and now one of our HCWs has become infected.  Are we missing something?

 

I told our committee reviewing Ebola planning I disagreed with the Ebola PPE removal process as recommended by CDC.  They recommend removing gloves first and then removing rest of PPE with bare hand.   Seems like double gloving or donning a new pair of gloves would be better, then last step removing second set of gloves.

 

Is the spread through contact source still apply? Are we missing something?

 

Michael Band DO, MS

Watson Clinic

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