What HCWs are doing is not
working. I see on TV every clean up person wearing full hazmat
suit. It seems wrong to me that someone cleaning an apartment has a
higher level of PPE than HCW taking care of the patient.
It seems logical the full hazmat
suit with papr would offer more protection along with double gloving.
Anyone using full hazmat suits?
Michael Band DO, MS
From: MCOH-EH
[mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Gwen Brachman
Sent: Wednesday, October 15, 2014 10:38 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Ebola infected HCW
This is an evolving situation
for all of us.
In our area (northern NJ) anyone
coming into Newark airport (we are a NYC area airport with lots of
international travel) from a high risk area will be screened by the State
Health Dept. (I assume they will be checking travel from the past 3-4 weeks as
there are no direct flights from high risk countries to Newark – all
connect somewhere – usually someplace in Europe. Anyone with
symptoms will be taken to University Hospital (our hospital) for further
evaluation and treatment. Those without symptoms can go home, but will be
monitored daily for 21 days for fever and other symptoms by the Health Department.
My understanding (as of Monday)
was that two tents will be set up on an unused floor of one of our clinical
buildings – not the hospital or near the ER. These tents are
basically decontamination tents – one to evaluate patients and the second
for patients with confirmed ebola that need treatment. Each tent has a
clean area for donning PPE, patient area and dirty area (for doffing
PPE). Each tent has its own self-contained ventilation system.
HCWs returning from high risk
areas who are asymptomatic will be allowed to work – with the above
monitoring by the health department. This may change.
Gwen Brachman MD
From: MCOH-EH
[mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Steivang, Kristen
Sent: Tuesday, October 14, 2014 8:23 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Ebola infected HCW
Our local public health
department says no healthcare work for 21 days after last exposure to Ebola
patient and BID temperature monitoring.
Kristen
Kristen L. Steivang, MSN, RN,
ANP-BC, APNP
Nurse Practitoner, Employee
Health Services
St. Mary’s Hospital
700 S. Park St.
Madison, WI 53715
Ph. 608-258-6995
Fax 608-259-3239
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Notice: This email message, including any attachments, is for the sole use of
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From: MCOH-EH [mailto:mcoh-eh-bounces+kristen_steivang=ssmhc.com@mylist.net]
On Behalf Of Giovannetti, Mary
Sent: Tuesday, October 14, 2014 7:16 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Ebola infected HCW
Does anyone have guidance on
your healthcare workers returning to work from mission trips to care for ebola
patients?
Mary C Giovannetti, APRN,
BC-FNP
Nurse Practitioner/Interim Manger | Employee Health
853 North Church St, Suite 400 | Spartanburg, SC 29303
o: 864-560-1482 | f: 864-560-6509
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net]
On Behalf Of Thrasher, Terri
Sent: Monday, October 13, 2014 6:51 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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