Yes and Yes.  At UH (training hospital for NJ Medical School) people are being instructed to double glove.  When doffing, first pair of gloves removed first, then the rest of the PPE removed with the uncontaminated second pair, then remove this pair of gloves.  In addition, all donning and doffing will be observed and assisted by a second person.  (I assume the second person in the dirty/doffing room will be in full PPE until relieved from this position when he/she would be assisted with doffing as well).

Gwen Brachman MD

NJMS

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
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.