Does anyone know if the Dallas HCW's were furloughed while on a Temp. Monitoring Program?
Thank you
Nancy Johnson RN, BSN, COHN-S
Infection Prevention/Employee Health Manager
CHI Franciscan Health System
 
1717 S J St  MS 01-47
Tacoma WA 98401
|
P 253-426-6411| I 127-6411 |
nancyjohnson@fhshealth.org
www.CHIfranciscan.org

        

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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of mcoh-eh-request@mylist.net
Sent: Wednesday, October 15, 2014 12:34 PM
To: mcoh-eh@mylist.net
Subject: MCOH-EH Digest, Vol 247, Issue 25

Send MCOH-EH mailing list submissions to
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Today's Topics:

   1. Re:  MCOH-EH Digest, Vol 247, Issue 14 (Hawks, Denise J)
   2. Re:  MCOH-EH Digest, Vol 247, Issue 14 (Robinson, Geoffrey)


----------------------------------------------------------------------

Message: 1
Date: Wed, 15 Oct 2014 19:31:46 +0000
From: "Hawks, Denise J" <hawks.denise@marshfieldclinic.org>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14
Message-ID:
        <99155EE5CCAAB14794DE52D9E34838BC038B497C@MCL-EXMB02.mfldclin.org>
Content-Type: text/plain; charset="us-ascii"

Let me know if you did not get it is a teleconference.



From: BHPP Medical Directors and Coordinators [mailto:BHPPGRANTEES@LIST.NIH.GOV] On Behalf Of Kunko, Nicole (OS/ASPR) (CTR)
Sent: Wednesday, October 15, 2014 12:16 PM
To: BHPPGRANTEES@LIST.NIH.GOV
Subject: TOMORROW: Call with Officials from the U.S. Department of Health & Human Services on Ebola Preparedness

Preparing America's Nurses to Safely Care for a Patient with Ebola


What:                         Conference call with nurses across the United States and officials from the U.S. Department of Health and Human Services to discuss protecting the health of nurses while safely caring for a patient with Ebola.  Please share this invitation with members of your organization.

When:                         Thursday, October 16, 1:30 to 2:30 p.m. EDT

How:                           Dial-in: 1-888-395-7964
Passcode: 6429111

Leaders from:             HHS Assistant Secretary for Preparedness and Response
The Health Resources and Services Administration
The Centers for Disease Control and Prevention


Nicole Lurie, MD, MSPH                                                         Mary Wakefield, PhD, RN
Assistant Secretary for Preparedness and Response             Administrator
US Department of Health & Human Services                        Health Resources and Services Administration
US Department of Health & Human Services

***This call is closed to the media***





________________________________________
CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify the sender at the electronic mail address noted above and destroy all copies of this communication and any attachments. Thank you for your cooperation.

Dee Hawks System IC Mgr
Infection Prevention
IQIPS
75410
 CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify the sender at the electronic mail address noted above and destroy all copies of this communication and any attachments. Thank you for your cooperation.



-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+hawks.denise=marshfieldclinic.org@mylist.net] On Behalf Of Long, Deryl
Sent: Wednesday, October 15, 2014 2:31 PM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14

What is the link for this webinar?

Deryl Long, RN, COHN
Director of WellStar Employee Health Services
677 Church Street
Marietta, Georgia  30060
Office -770-793-7227
Fax-770-793-7952
 Deryl.Long@Wellstar.org

The Flu Ends with You! Get Vaccinated!
 It's the right thing to do for our patients, our families, and our community.


-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+deryl.long=wellstar.org@mylist.net] On Behalf Of Kim.Thompson@hcahealthcare.com
Sent: Wednesday, October 15, 2014 3:22 PM
To: mcoh-eh@mylist.net
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14

This is the webinar tomorrow that I am aware of...same one?

Occupational Health Hot Topics: Ebola Update


Kim Thompson RN, BSN
Employee Health Nurse Manager
Medical Center of McKinney
4500 Medical Center Drive - MOB, Suite 105
McKinney, TX     75069

972- 540- 4218 (phone)
469 - 713- 8660 (fax)






-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Hawks, Denise J
Sent: Wednesday, October 15, 2014 2:18 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14

We are an outpatient center with clinics everywhere in the central, north east and west of the state as well as Urgen Care and ASC's.
We have the same concerns with the CDC. I would customize the CDC hospital checklist to your facilities.
We have created a nurse line triage,  Urgent Care situation algorithm, and a center algorithm.
Amb. Surgery care is asking have you had travel and do you have a fever.

Because it is unknown the actual transmission, we know it is contact and droplet however the body fluids Can also be aerosolized, we will be using N.95 masks and hoods.
I would say, do what it takes to protect your patients and staff. Call your HEICS team, incident command now Rather than later.
CDC website is good, just customize those areas that do not apply.
There is a nurse call with the CDC tomorrow, has everyone received this information?
I will send if not.

Dee Hawks RN MsM CIC
System Infection Prevention & Control Manager Institute for Quality, Innovation & Patient safety Marshfield Clinic Marshfield WI 54449
1-715-387-5410


CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. If you have received this communication in error, please notify the sender at the electronic mail address noted above and destroy all copies of this communication and any attachments. Thank you for your cooperation.


-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Marenick,Cheryl
Sent: Wednesday, October 15, 2014 1:31 PM
To: 'mcoh-eh@mylist.net'
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14

I wish this group would weigh in on the Ebola issue here!
This has caught many facilities off guard and administration, IC, Epidemiology, are scrambling to produce effective policies and procedures for protecting HCW with this outbreak.
The fact that the information going form the CDC is conflicted and still evolving makes me uneasy as to what should be the most effective treatment, protection, and information we can give our employees and patients.
If the group has anything to share, it would be most appreciated.

Cheryl J Marenick RN BSN MPH CN3
UCONN Health
Occupational Medicine/Employee Health Services Farmington, CT 06033-6210 Ph (860)679-8327 Fx (860)679-1256 cmarenick@uchc.edu




-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of mcoh-eh-request@mylist.net
Sent: Tuesday, October 14, 2014 7:31 AM
To: mcoh-eh@mylist.net
Subject: MCOH-EH Digest, Vol 247, Issue 14

Send MCOH-EH mailing list submissions to
        mcoh-eh@mylist.net

To subscribe or unsubscribe via the World Wide Web, visit
        https://urldefense.proofpoint.com/v1/url?u=http://mylist.net/listinfo/mcoh-eh&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=8745d20436d581b8eba05c5c4bbd22c44f06e5ab8eefeff7fab0dad15ddbf034
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When replying, please edit your Subject line so it is more specific than "Re: Contents of MCOH-EH digest..."


Today's Topics:

   1.  Ebola infected HCW (Band, Michael DO)
   2. Re:  Ebola infected HCW (Mark Catlin)
   3. Re:  Ebola infected HCW (Thrasher, Terri)
   4. Re:  Ebola infected HCW (Hudson, T. Warner)
   5. Re:  Ebola infected HCW (Johnson, Cathreen)
   6. Re:  Ebola infected HCW (Swift, Melanie)


----------------------------------------------------------------------

Message: 1
Date: Mon, 13 Oct 2014 17:30:58 -0400
From: "Band, Michael DO" <MBand@watsonclinic.com>
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: [MCOH-EH] Ebola infected HCW
Message-ID: <4ADBC49F2610AB48BDED8CC66577A04103203FE43274@Exchange07>
Content-Type: text/plain; charset="us-ascii"

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
NOTICE OF CONFIDENTIALITY
---------------------------------------------------

The information in this email, including attachments, may be confidential and/or privileged and may contain confidential health information.
This email is intended to be reviewed only by the individual or organization named as addressee.
If you have received this email in error please notify Watson Clinic immediately by return message to the sender or to administrator@watsonclinic.com Destroy all copies of this message and any attachments.
Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of Watson Clinic.
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Message: 2
Date: Mon, 13 Oct 2014 17:52:33 -0400
From: Mark Catlin <mark.catlin@seiu.org>
To: "MCOH/EH" <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
        <CAEErhHAa2MKbbB4BcLTJDshmPXiPKeYqn3Qy0aKocXeiyjdqPg@mail.gmail.com>
Content-Type: text/plain; charset="utf-8"

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
mark.catlin@seiu.org

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
>
> NOTICE OF CONFIDENTIALITY
> ---------------------------------------------------
>
> The information in this email, including attachments, may be
> confidential and/or privileged and may contain confidential health
> information.
> This email is intended to be reviewed only by the individual or
> organization named as addressee.
> If you have received this email in error please notify Watson Clinic
> immediately by return message to the sender or to
> administrator@watsonclinic.com Destroy all copies of this message and
> any attachments.
> Please note that any views or opinions presented in this email are
> solely those of the author and do not necessarily represent those of
> Watson Clinic.
> Confidential health information is protected by state and federal law,
> including, but not limited to:
> The Health Insurance Portability and Accountability Act of 1996 and
> related regulations.
>
> ---------------------------------------
> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh@mylist.net To become a subscriber,
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------------------------------

Message: 3
Date: Mon, 13 Oct 2014 22:51:01 +0000
From: "Thrasher, Terri" <Terri.Thrasher@cchmc.org>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
        <6D0F651D183C00439FDA321943976C13311FA20B@MCEXMB1.chmccorp.cchmc.org>
Content-Type: text/plain; charset="us-ascii"

At Cincinnati Children's we are planning double gloving so that one set of gloves is removed at the end of the doffing

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Band, Michael DO
Sent: Monday, October 13, 2014 5:31 PM
To: 'MCOH/EH'
Subject: [MCOH-EH] Ebola infected HCW

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

NOTICE OF CONFIDENTIALITY
---------------------------------------------------

The information in this email, including attachments, may be confidential and/or privileged and may contain confidential health information.
This email is intended to be reviewed only by the individual or organization named as addressee.
If you have received this email in error please notify Watson Clinic immediately by return message to the sender or to administrator@watsonclinic.com<mailto:administrator@watsonclinic.com>
Destroy all copies of this message and any attachments.
Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of Watson Clinic.
Confidential health information is protected by state and federal law, including, but not limited to:
The Health Insurance Portability and Accountability Act of 1996 and related regulations.
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------------------------------

Message: 4
Date: Mon, 13 Oct 2014 22:58:32 +0000
From: "Hudson, T. Warner" <TWHudson@mednet.ucla.edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
        <2134A5387858914BBE80D079ECF6880C3BD476C2@SOPEXMB2.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"

Same at UCLA; monitor for donning, use and doffing; 2:1 nurse: patient ratio; CAPRs (Maxair) in ICU care team, dedicated ebola team, and probably N95 for others in addition to the rest of the full PPE.   I noticed WHO has convened a group of  about a dozen top experts to relook a the science; as I recall Peter Piot is chairing it, and I see CDC is relooking at best approach:  https://urldefense.proofpoint.com/v1/url?u=http://www.cidrap.umn.edu/news-perspective/2014/10/ebola-texas-nurse-triggers-changes-battle-plan&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=42278bba5dd9380185f5731d25b4906fe0efc257b4e813303defbaeca2aae28e.  This is one of those things we need to get right and learn from what's not working as we want.

T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health UCLA Health System and Campus Office 310.825.9146 Fax 310.206.4585 Pager 800.233.7231  ID 27132 E-mail twhudson@mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
Website www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Thrasher, Terri
Sent: Monday, October 13, 2014 3:51 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Ebola infected HCW

At Cincinnati Children's we are planning double gloving so that one set of gloves is removed at the end of the doffing

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Band, Michael DO
Sent: Monday, October 13, 2014 5:31 PM
To: 'MCOH/EH'
Subject: [MCOH-EH] Ebola infected HCW

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

NOTICE OF CONFIDENTIALITY
---------------------------------------------------

The information in this email, including attachments, may be confidential and/or privileged and may contain confidential health information.
This email is intended to be reviewed only by the individual or organization named as addressee.
If you have received this email in error please notify Watson Clinic immediately by return message to the sender or to administrator@watsonclinic.com<mailto:administrator@watsonclinic.com>
Destroy all copies of this message and any attachments.
Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of Watson Clinic.
Confidential health information is protected by state and federal law, including, but not limited to:
The Health Insurance Portability and Accountability Act of 1996 and related regulations.

________________________________

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Message: 5
Date: Mon, 13 Oct 2014 21:52:47 -0700
From: "Johnson, Cathreen" <CaJohnson@coh.org>
To: "MCOH/EH" <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
        <E007BC030513A144987D5A41E3A1DC5555E963CBCB@EXCHMBX2.coh.org>
Content-Type: text/plain; charset="windows-1252"

Hello,

Not sure about protocol with the list.  May I forward these emails to my Infection Prevention team?  Thank you for the discussion.

Thank you,

Cathreen Johnson  FNPc
Employee Health
City of Hope
________________________________________
From: MCOH-EH [mcoh-eh-bounces+cajohnson=coh.org@mylist.net] On Behalf Of Hudson, T. Warner [TWHudson@mednet.ucla.edu]
Sent: Monday, October 13, 2014 3:58 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Ebola infected HCW

Same at UCLA; monitor for donning, use and doffing; 2:1 nurse: patient ratio; CAPRs (Maxair) in ICU care team, dedicated ebola team, and probably N95 for others in addition to the rest of the full PPE.   I noticed WHO has convened a group of  about a dozen top experts to relook a the science; as I recall Peter Piot is chairing it, and I see CDC is relooking at best approach:  https://urldefense.proofpoint.com/v1/url?u=http://www.cidrap.umn.edu/news-perspective/2014/10/ebola-texas-nurse-triggers-changes-battle-plan&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=42278bba5dd9380185f5731d25b4906fe0efc257b4e813303defbaeca2aae28e.  This is one of those things we need to get right and learn from what?s not working as we want.

T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health UCLA Health System and Campus Office 310.825.9146 Fax 310.206.4585 Pager 800.233.7231  ID 27132 E-mail twhudson@mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
Website www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Thrasher, Terri
Sent: Monday, October 13, 2014 3:51 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Ebola infected HCW

At Cincinnati Children?s we are planning double gloving so that one set of gloves is removed at the end of the doffing

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Band, Michael DO
Sent: Monday, October 13, 2014 5:31 PM
To: 'MCOH/EH'
Subject: [MCOH-EH] Ebola infected HCW

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

NOTICE OF CONFIDENTIALITY
---------------------------------------------------

The information in this email, including attachments, may be confidential and/or privileged and may contain confidential health information.
This email is intended to be reviewed only by the individual or organization named as addressee.
If you have received this email in error please notify Watson Clinic immediately by return message to the sender or to administrator@watsonclinic.com<mailto:administrator@watsonclinic.com>
Destroy all copies of this message and any attachments.
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Confidential health information is protected by state and federal law, including, but not limited to:
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________________________________

IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.
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------------------------------

Message: 6
Date: Tue, 14 Oct 2014 11:30:22 +0000
From: "Swift, Melanie" <melanie.swift@Vanderbilt.Edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID: <D903F772-4E2E-49D5-87D3-EFD062BBFC07@Vanderbilt.Edu>
Content-Type: text/plain; charset="Windows-1252"

Yes, unless the person who shared expressly requests not to share. In which case they'd probably not post it!

Melanie Swift, MD
Medical Director, Vanderbilt Occupational Health Clinic occupationalhealth.vanderbilt.edu

Excuse any typos please - Sent from my iPad.

> On Oct 13, 2014, at 11:54 PM, Johnson, Cathreen <CaJohnson@coh.org> wrote:
>
> Hello,
>
> Not sure about protocol with the list.  May I forward these emails to my Infection Prevention team?  Thank you for the discussion.
>
> Thank you,
>
> Cathreen Johnson  FNPc
> Employee Health
> City of Hope
> ________________________________________
> From: MCOH-EH [mcoh-eh-bounces+cajohnson=coh.org@mylist.net] On Behalf
> Of Hudson, T. Warner [TWHudson@mednet.ucla.edu]
> Sent: Monday, October 13, 2014 3:58 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] Ebola infected HCW
>
> Same at UCLA; monitor for donning, use and doffing; 2:1 nurse: patient ratio; CAPRs (Maxair) in ICU care team, dedicated ebola team, and probably N95 for others in addition to the rest of the full PPE.   I noticed WHO has convened a group of  about a dozen top experts to relook a the science; as I recall Peter Piot is chairing it, and I see CDC is relooking at best approach:  https://urldefense.proofpoint.com/v1/url?u=http://www.cidrap.umn.edu/news-perspective/2014/10/ebola-texas-nurse-triggers-changes-battle-plan&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=42278bba5dd9380185f5731d25b4906fe0efc257b4e813303defbaeca2aae28e.  This is one of those things we need to get right and learn from what?s not working as we want.
>
> T. Warner Hudson, MD FACOEM, FAAFP
> Medical Director, Occupational and Employee Health UCLA Health System
> and Campus Office 310.825.9146 Fax 310.206.4585 Pager 800.233.7231  ID
> 27132 E-mail twhudson@mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
> Website www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>
>
> From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of
> Thrasher, Terri
> Sent: Monday, October 13, 2014 3:51 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] Ebola infected HCW
>
> At Cincinnati Children?s we are planning double gloving so that one
> set of gloves is removed at the end of the doffing
>
> From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Band,
> Michael DO
> Sent: Monday, October 13, 2014 5:31 PM
> To: 'MCOH/EH'
> Subject: [MCOH-EH] Ebola infected HCW
>
> 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
>
> NOTICE OF CONFIDENTIALITY
> ---------------------------------------------------
>
> The information in this email, including attachments, may be
> confidential and/or privileged and may contain confidential health information.
> This email is intended to be reviewed only by the individual or organization named as addressee.
> If you have received this email in error please notify Watson Clinic
> immediately by return message to the sender or to
> administrator@watsonclinic.com<mailto:administrator@watsonclinic.com>
> Destroy all copies of this message and any attachments.
> Please note that any views or opinions presented in this email are
> solely those of the author and do not necessarily represent those of Watson Clinic.
> Confidential health information is protected by state and federal law, including, but not limited to:
> The Health Insurance Portability and Accountability Act of 1996 and related regulations.
>
> ________________________________
>
> IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.
> <mg_info.txt>
> ---------------------------------------
> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh@mylist.net
> To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   https://urldefense.proofpoint.com/v1/url?u=http://www.mcoh-eh.net/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=a1b501b0eeb25890ec76d2cfca16d5c68b3cc45ac126dd8fca74de5f5910ca45
> MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
> ---------------------------------------
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> ---------------------------------------
> Send administrative requests to: drjoe@meditrax.com
> ---------------------------------------



------------------------------

Subject: Digest Footer

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End of MCOH-EH Digest, Vol 247, Issue 14
****************************************

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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh@mylist.net
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______________________________________________________________________
The contents of this message may contain private, protected and/or privileged information.  If you received this message in error, you should destroy the e-mail message and any attachments or copies, and you are prohibited from retaining, distributing, disclosing or using any information contained within.  Please contact the sender and advise of the erroneous delivery by return e-mail or telephone.  Thank you for your cooperation.

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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh@mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   https://urldefense.proofpoint.com/v1/url?u=http://www.mcoh-eh.net/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=a1b501b0eeb25890ec76d2cfca16d5c68b3cc45ac126dd8fca74de5f5910ca45
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Send administrative requests to: drjoe@meditrax.com
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---------------------------------------
The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh@mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   https://urldefense.proofpoint.com/v1/url?u=http://www.mcoh-eh.net/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=a1b501b0eeb25890ec76d2cfca16d5c68b3cc45ac126dd8fca74de5f5910ca45
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________________________________
This email and any files transmitted with it may contain confidential and /or proprietary information in the possession of WellStar Health System, Inc. ("WellStar") and is intended only for the individual or entity to whom addressed. This email may contain information that is held to be privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any unauthorized access, dissemination, distribution or copying of any information from this email is strictly prohibited, and may subject you to criminal and/or civil liability. If you have received this email in error, please notify the sender by reply email and then delete this email and its attachments from your computer. - Thank you.

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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
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______________________________________________________________________
The contents of this message may contain private, protected and/or privileged information.  If you received this message in error, you should destroy the e-mail message and any attachments or copies, and you are prohibited from retaining, distributing, disclosing or using any information contained within.  Please contact the sender and advise of the erroneous delivery by return e-mail or telephone.  Thank you for your cooperation.



------------------------------

Message: 2
Date: Wed, 15 Oct 2014 19:34:02 +0000
From: "Robinson, Geoffrey" <GRobinso@bristolhospital.org>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14
Message-ID:
        <E6D8665BC5B13B4282CC3F248D3D48E2F1C918C6@BRH6624M1.BHAD.org>
Content-Type: text/plain; charset="utf-8"

Cheryl,
There is also a good amount of info on the CT Dept of Public Health website.  Our policies are a work in progress.

https://urldefense.proofpoint.com/v1/url?u=http://www.ct.gov/dph/cwp/view.asp?a%3D3115%26Q%3D554408%26PM%3D1&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=26a507a1e41afa1bc681305279dc5d8f1ea6cbda4a86850066860fb63de694df

Geoff Robinson PAC
MedWorks - Bristol Hospital
Bristol CT 06010
(Phone) 860-589-0114
(Fax) 860-589-1936
grobinso@bristolhospital.org<mailto:grobinso@bristolhospital.org>

Connecticut Occupational Medicine Partners
https://urldefense.proofpoint.com/v1/url?u=http://compllc.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=fc469f1858da71a7eabb1ddceaba0fbf94bd59e06c0884dfa3d920a1855f8940



From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Kathy Dayvault
Sent: Wednesday, October 15, 2014 3:20 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14

WHO has provided a guide for HC workers regarding appropriate PPE when caring for patients suspected of being infevted with Ebola. I am sure Emory Healthcare in Atlanta Ga would also share best practices with you
Kathy Dayvault RN BSN MPH COHN-S/CM
Sent via the Samsung Galaxy Mega?, an AT&T 4G LTE smartphone

-------- Original message --------
From: "Marenick,Cheryl"
Date:10/15/2014 13:30 (GMT-06:00)
To: "'mcoh-eh@mylist.net'"
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14

I wish this group would weigh in on the Ebola issue here!
This has caught many facilities off guard and administration, IC, Epidemiology, are scrambling to produce effective policies and procedures for protecting HCW with this outbreak.
The fact that the information going form the CDC is conflicted and still evolving makes me uneasy as to what should be the most effective treatment, protection, and information we can give our employees and patients.
If the group has anything to share, it would be most appreciated.

Cheryl J Marenick RN BSN MPH CN3
UCONN Health
Occupational Medicine/Employee Health Services
Farmington, CT 06033-6210
Ph (860)679-8327
Fx (860)679-1256
cmarenick@uchc.edu




-----Original Message-----
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Sent: Tuesday, October 14, 2014 7:31 AM
To: mcoh-eh@mylist.net
Subject: MCOH-EH Digest, Vol 247, Issue 14

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Today's Topics:

   1.  Ebola infected HCW (Band, Michael DO)
   2. Re:  Ebola infected HCW (Mark Catlin)
   3. Re:  Ebola infected HCW (Thrasher, Terri)
   4. Re:  Ebola infected HCW (Hudson, T. Warner)
   5. Re:  Ebola infected HCW (Johnson, Cathreen)
   6. Re:  Ebola infected HCW (Swift, Melanie)


----------------------------------------------------------------------

Message: 1
Date: Mon, 13 Oct 2014 17:30:58 -0400
From: "Band, Michael DO" <MBand@watsonclinic.com>
To: 'MCOH/EH' <mcoh-eh@mylist.net>
Subject: [MCOH-EH] Ebola infected HCW
Message-ID: <4ADBC49F2610AB48BDED8CC66577A04103203FE43274@Exchange07>
Content-Type: text/plain; charset="us-ascii"

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
NOTICE OF CONFIDENTIALITY
---------------------------------------------------

The information in this email, including attachments, may be confidential and/or privileged and may contain confidential health information.
This email is intended to be reviewed only by the individual or organization named as addressee.
If you have received this email in error please notify Watson Clinic immediately by return message to the sender or to administrator@watsonclinic.com Destroy all copies of this message and any attachments.
Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of Watson Clinic.
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------------------------------

Message: 2
Date: Mon, 13 Oct 2014 17:52:33 -0400
From: Mark Catlin <mark.catlin@seiu.org>
To: "MCOH/EH" <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
<CAEErhHAa2MKbbB4BcLTJDshmPXiPKeYqn3Qy0aKocXeiyjdqPg@mail.gmail.com>
Content-Type: text/plain; charset="utf-8"

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
mark.catlin@seiu.org

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
>
> NOTICE OF CONFIDENTIALITY
> ---------------------------------------------------
>
> The information in this email, including attachments, may be
> confidential and/or privileged and may contain confidential health
> information.
> This email is intended to be reviewed only by the individual or
> organization named as addressee.
> If you have received this email in error please notify Watson Clinic
> immediately by return message to the sender or to
> administrator@watsonclinic.com Destroy all copies of this message and
> any attachments.
> Please note that any views or opinions presented in this email are
> solely those of the author and do not necessarily represent those of
> Watson Clinic.
> Confidential health information is protected by state and federal law,
> including, but not limited to:
> The Health Insurance Portability and Accountability Act of 1996 and
> related regulations.
>
> ---------------------------------------
> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
> List membership is free, but only subscribers may post to the list.
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> ---------------------------------------
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------------------------------

Message: 3
Date: Mon, 13 Oct 2014 22:51:01 +0000
From: "Thrasher, Terri" <Terri.Thrasher@cchmc.org>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
<6D0F651D183C00439FDA321943976C13311FA20B@MCEXMB1.chmccorp.cchmc.org>
Content-Type: text/plain; charset="us-ascii"

At Cincinnati Children's we are planning double gloving so that one set of gloves is removed at the end of the doffing

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Band, Michael DO
Sent: Monday, October 13, 2014 5:31 PM
To: 'MCOH/EH'
Subject: [MCOH-EH] Ebola infected HCW

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

NOTICE OF CONFIDENTIALITY
---------------------------------------------------

The information in this email, including attachments, may be confidential and/or privileged and may contain confidential health information.
This email is intended to be reviewed only by the individual or organization named as addressee.
If you have received this email in error please notify Watson Clinic immediately by return message to the sender or to administrator@watsonclinic.com<mailto:administrator@watsonclinic.com>
Destroy all copies of this message and any attachments.
Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of Watson Clinic.
Confidential health information is protected by state and federal law, including, but not limited to:
The Health Insurance Portability and Accountability Act of 1996 and related regulations.
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------------------------------

Message: 4
Date: Mon, 13 Oct 2014 22:58:32 +0000
From: "Hudson, T. Warner" <TWHudson@mednet.ucla.edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
<2134A5387858914BBE80D079ECF6880C3BD476C2@SOPEXMB2.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"

Same at UCLA; monitor for donning, use and doffing; 2:1 nurse: patient ratio; CAPRs (Maxair) in ICU care team, dedicated ebola team, and probably N95 for others in addition to the rest of the full PPE.   I noticed WHO has convened a group of  about a dozen top experts to relook a the science; as I recall Peter Piot is chairing it, and I see CDC is relooking at best approach:  https://urldefense.proofpoint.com/v1/url?u=http://www.cidrap.umn.edu/news-perspective/2014/10/ebola-texas-nurse-triggers-changes-battle-plan&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=42278bba5dd9380185f5731d25b4906fe0efc257b4e813303defbaeca2aae28e.  This is one of those things we need to get right and learn from what's not working as we want.

T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health UCLA Health System and Campus Office 310.825.9146 Fax 310.206.4585 Pager 800.233.7231  ID 27132 E-mail twhudson@mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
Website www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Thrasher, Terri
Sent: Monday, October 13, 2014 3:51 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Ebola infected HCW

At Cincinnati Children's we are planning double gloving so that one set of gloves is removed at the end of the doffing

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Band, Michael DO
Sent: Monday, October 13, 2014 5:31 PM
To: 'MCOH/EH'
Subject: [MCOH-EH] Ebola infected HCW

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

NOTICE OF CONFIDENTIALITY
---------------------------------------------------

The information in this email, including attachments, may be confidential and/or privileged and may contain confidential health information.
This email is intended to be reviewed only by the individual or organization named as addressee.
If you have received this email in error please notify Watson Clinic immediately by return message to the sender or to administrator@watsonclinic.com<mailto:administrator@watsonclinic.com>
Destroy all copies of this message and any attachments.
Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of Watson Clinic.
Confidential health information is protected by state and federal law, including, but not limited to:
The Health Insurance Portability and Accountability Act of 1996 and related regulations.

________________________________

IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.
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------------------------------

Message: 5
Date: Mon, 13 Oct 2014 21:52:47 -0700
From: "Johnson, Cathreen" <CaJohnson@coh.org>
To: "MCOH/EH" <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
<E007BC030513A144987D5A41E3A1DC5555E963CBCB@EXCHMBX2.coh.org>
Content-Type: text/plain; charset="windows-1252"

Hello,

Not sure about protocol with the list.  May I forward these emails to my Infection Prevention team?  Thank you for the discussion.

Thank you,

Cathreen Johnson  FNPc
Employee Health
City of Hope
________________________________________
From: MCOH-EH [mcoh-eh-bounces+cajohnson=coh.org@mylist.net] On Behalf Of Hudson, T. Warner [TWHudson@mednet.ucla.edu]
Sent: Monday, October 13, 2014 3:58 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Ebola infected HCW

Same at UCLA; monitor for donning, use and doffing; 2:1 nurse: patient ratio; CAPRs (Maxair) in ICU care team, dedicated ebola team, and probably N95 for others in addition to the rest of the full PPE.   I noticed WHO has convened a group of  about a dozen top experts to relook a the science; as I recall Peter Piot is chairing it, and I see CDC is relooking at best approach:  https://urldefense.proofpoint.com/v1/url?u=http://www.cidrap.umn.edu/news-perspective/2014/10/ebola-texas-nurse-triggers-changes-battle-plan&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=42278bba5dd9380185f5731d25b4906fe0efc257b4e813303defbaeca2aae28e.  This is one of those things we need to get right and learn from what?s not working as we want.

T. Warner Hudson, MD FACOEM, FAAFP
Medical Director, Occupational and Employee Health UCLA Health System and Campus Office 310.825.9146 Fax 310.206.4585 Pager 800.233.7231  ID 27132 E-mail twhudson@mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
Website www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Thrasher, Terri
Sent: Monday, October 13, 2014 3:51 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Ebola infected HCW

At Cincinnati Children?s we are planning double gloving so that one set of gloves is removed at the end of the doffing

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Band, Michael DO
Sent: Monday, October 13, 2014 5:31 PM
To: 'MCOH/EH'
Subject: [MCOH-EH] Ebola infected HCW

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

NOTICE OF CONFIDENTIALITY
---------------------------------------------------

The information in this email, including attachments, may be confidential and/or privileged and may contain confidential health information.
This email is intended to be reviewed only by the individual or organization named as addressee.
If you have received this email in error please notify Watson Clinic immediately by return message to the sender or to administrator@watsonclinic.com<mailto:administrator@watsonclinic.com>
Destroy all copies of this message and any attachments.
Please note that any views or opinions presented in this email are solely those of the author and do not necessarily represent those of Watson Clinic.
Confidential health information is protected by state and federal law, including, but not limited to:
The Health Insurance Portability and Accountability Act of 1996 and related regulations.

________________________________

IMPORTANT WARNING: This email (and any attachments) is only intended for the use of the person or entity to which it is addressed, and may contain information that is privileged and confidential. You, the recipient, are obligated to maintain it in a safe, secure and confidential manner. Unauthorized redisclosure or failure to maintain confidentiality may subject you to federal and state penalties. If you are not the intended recipient, please immediately notify us by return email, and delete this message from your computer.
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------------------------------

Message: 6
Date: Tue, 14 Oct 2014 11:30:22 +0000
From: "Swift, Melanie" <melanie.swift@Vanderbilt.Edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID: <D903F772-4E2E-49D5-87D3-EFD062BBFC07@Vanderbilt.Edu>
Content-Type: text/plain; charset="Windows-1252"

Yes, unless the person who shared expressly requests not to share. In which case they'd probably not post it!

Melanie Swift, MD
Medical Director, Vanderbilt Occupational Health Clinic occupationalhealth.vanderbilt.edu

Excuse any typos please - Sent from my iPad.

> On Oct 13, 2014, at 11:54 PM, Johnson, Cathreen <CaJohnson@coh.org> wrote:
>
> Hello,
>
> Not sure about protocol with the list.  May I forward these emails to my Infection Prevention team?  Thank you for the discussion.
>
> Thank you,
>
> Cathreen Johnson  FNPc
> Employee Health
> City of Hope
> ________________________________________
> From: MCOH-EH [mcoh-eh-bounces+cajohnson=coh.org@mylist.net] On Behalf
> Of Hudson, T. Warner [TWHudson@mednet.ucla.edu]
> Sent: Monday, October 13, 2014 3:58 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] Ebola infected HCW
>
> Same at UCLA; monitor for donning, use and doffing; 2:1 nurse: patient ratio; CAPRs (Maxair) in ICU care team, dedicated ebola team, and probably N95 for others in addition to the rest of the full PPE.   I noticed WHO has convened a group of  about a dozen top experts to relook a the science; as I recall Peter Piot is chairing it, and I see CDC is relooking at best approach:  https://urldefense.proofpoint.com/v1/url?u=http://www.cidrap.umn.edu/news-perspective/2014/10/ebola-texas-nurse-triggers-changes-battle-plan&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=42278bba5dd9380185f5731d25b4906fe0efc257b4e813303defbaeca2aae28e.  This is one of those things we need to get right and learn from what?s not working as we want.
>
> T. Warner Hudson, MD FACOEM, FAAFP
> Medical Director, Occupational and Employee Health UCLA Health System
> and Campus Office 310.825.9146 Fax 310.206.4585 Pager 800.233.7231  ID
> 27132 E-mail twhudson@mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
> Website www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>
>
> From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of
> Thrasher, Terri
> Sent: Monday, October 13, 2014 3:51 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] Ebola infected HCW
>
> At Cincinnati Children?s we are planning double gloving so that one
> set of gloves is removed at the end of the doffing
>
> From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Band,
> Michael DO
> Sent: Monday, October 13, 2014 5:31 PM
> To: 'MCOH/EH'
> Subject: [MCOH-EH] Ebola infected HCW
>
> 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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Subject: Digest Footer

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End of MCOH-EH Digest, Vol 247, Issue 14
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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
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Subject: Digest Footer

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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh@mylist.net
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End of MCOH-EH Digest, Vol 247, Issue 25
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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh@mylist.net
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