Mark,I think there's a phone call for health care workers on Monday with CDC. Do you happen to have any details about that? Thanks.
-Michele
-----Original Message-----
From: Mark Catlin
Sent: Oct 16, 2014 8:13 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Were the Dallas HCW's furloughed ?
Thanks Deborah, my experience had been that state wc laws won't apply to precautionary isolation, until and if the disease develops. That was the reason the CA ATD standard included the pay and benefit protection provision.
Mark
SEIU
Sent from my iPhone
On Oct 16, 2014, at 7:58 AM, "Deborah Sampson" wrote:
So it looks like different w/c state laws will apply and also specific hospital decisions above and beyond state/fed laws. It is/will be so interesting to see how this all shakes out and how our policies/laws evolve about HCW rights.
I encourage us to look to the historical perspectives of the influenza epidemic of 1918 for examples of global and local social, economic, and medical effects of a wide epidemic. There are lessons to be learned- perhaps we haven't learned them. But deaths among nurse caregivers in that epidemic was huge.....
http://www.archives.gov/exhibits/influenza-epidemic/
http://www.flu.gov/pandemic/history/1918/
https://virus.stanford.edu/uda/
Deb
Deborah A. Sampson, PhD, APRN,
FNP-BC, COHN-S, FAANP, NCRME
Concord Hospital
Occupational Health
60 Commercial Street
Concord NH 03301
Tel 603-230-1220
Fax 603-230-1225
>>> Mark Catlin 10/15/2014 8:36 PM >>>
Thanks. I've asked CalOSHA and they view it as a requirement under the ATD standard. The ATD only applies in California
Mark
(202) 436-0856 cell
Sent from my iPhone
On Oct 15, 2014, at 7:52 PM, Angeli Mancuso wrote:
Mark,
Wow! Thank you for reminding me to review the ATD standard for this. Some great nuggets so as not to reinvent the wheel completely.
However, I wonder if the interpretation below of “pay full pay and benefits” is correct. I’m reading the ATD standard (h) (8) (B)
· “Where the PLHCP recommends precautionary removal…the employer shall maintain until the employee is determined to me noninfectious, the employee’s earnings, seniority, and all other employee right and benefits, including the employee’s right to his or her former job status, as if the employee had not been removed from his or her job or otherwise medically limited.”
The red text is obviously my addition as I can see where this is interpreted to mean “paid during leave” but couldn’t you argue that the ATD standard is really just saying the exposed employee has to come back to their position at the same rate of pay?
It’s a moot point for us as our facility is planning for a paid leave due to historic instances when we had to “furlough” someone due to a varicella exposure with negative titers and no vaccination records. However, I wouldn’t want to make it sound like this is a mandate.
CHS is having numerous meetings tomorrow shoring up our policies. I’ll share what I can afterwards.
Regards,
Angeli
Angeli Mancuso, RN, COHN-S/CM
Employee Health & Safety Manager
Cottage Health System
Ph: 805.569.7866/Internal Ext. 57866
Fax: 805.569.8271
a1mancus@sbch.org
www.cottagehealthsystem.org
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Mark Catlin
Sent: Wednesday, October 15, 2014 3:06 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Were the Dallas HCW's furloughed ?
Heard from CDC source that healthcare workers on precautionary isolation in Texas were not going to be paid for the 21 days by the hospital. In California, the Cal/OSHA Aerosol Transmittable Disease (ATD) standard, which specifically covers Ebola as a droplet spread disease) requires healthcare employers to pay full pay and benefits during such leave.
Mark
Health and Safety Director
SEIU
1800 Massachusetts Ave NW
Washington, DC 20036
(202) 730 - 7290
(202) 436 - 0856 cell
mark.catlin@seiu.org
On Wed, Oct 15, 2014 at 5:03 PM, Johnson, Nancy (Tacoma) wrote:
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
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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"
To: MCOH/EH
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
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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"
To: 'MCOH/EH'
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
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Message: 2
Date: Mon, 13 Oct 2014 17:52:33 -0400
From: Mark Catlin
To: "MCOH/EH"
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
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
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
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> Please note that any views or opinions presented in this email are
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> 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
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> ---------------------------------------
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Message: 3
Date: Mon, 13 Oct 2014 22:51:01 +0000
From: "Thrasher, Terri"
To: MCOH/EH
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
---------------------------------------------------
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Destroy all copies of this message and any attachments.
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Message: 4
Date: Mon, 13 Oct 2014 22:58:32 +0000
From: "Hudson, T. Warner"
To: MCOH/EH
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
Website www.ohs.uclahealth.org
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
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"
To: "MCOH/EH"
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
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
Website www.ohs.uclahealth.org
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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Message: 6
Date: Tue, 14 Oct 2014 11:30:22 +0000
From: "Swift, Melanie"
To: MCOH/EH
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
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 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
> Website www.ohs.uclahealth.org
>
> 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
> 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: 2
Date: Wed, 15 Oct 2014 19:34:02 +0000
From: "Robinson, Geoffrey"
To: MCOH/EH
Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14
Message-ID:
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
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-----
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
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To subscribe or unsubscribe via the World Wide Web, visit
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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"
To: 'MCOH/EH'
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
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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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The Health Insurance Portability and Accountability Act of 1996 and related regulations.
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Message: 2
Date: Mon, 13 Oct 2014 17:52:33 -0400
From: Mark Catlin
To: "MCOH/EH"
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
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
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,
> 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.
> ---------------------------------------
> List archives (public): https://urldefense.proofpoint.com/v1/url?u=http://mylist.net/archives/mcoh-eh/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=18663dd6cb847301fd78cf5be3ea4b2c1f7e0dee45a837a907415cf58400c090
> ---------------------------------------
> Send administrative requests to: drjoe@meditrax.com
> ---------------------------------------
>
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Message: 3
Date: Mon, 13 Oct 2014 22:51:01 +0000
From: "Thrasher, Terri"
To: MCOH/EH
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
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:
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Message: 4
Date: Mon, 13 Oct 2014 22:58:32 +0000
From: "Hudson, T. Warner"
To: MCOH/EH
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
Website www.ohs.uclahealth.org
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
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"
To: "MCOH/EH"
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
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
Website www.ohs.uclahealth.org
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
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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*SECURITY/CONFIDENTIALITY WARNING:
This message and any attachments are intended solely for the individual or entity to which they are addressed. This communication may contain information that is privileged, confidential, or exempt from disclosure under applicable law (e.g., personal health information, research data, financial information).
Because this e-mail has been sent without encryption, individuals other than the intended recipient may be able to view the information, forward it to others or tamper with the information without the knowledge or consent of the sender. If you are not the intended recipient, or the employee or person responsible for delivering the message to the intended recipient, any dissemination, distribution or copying of the communication is strictly prohibited. If you received the communication in error, please notify the sender immediately by replying to this message and deleting the message and any accompanying files from your system. If, due to the security risks, you do not wish to receive further communications via e-mail, please reply to this message and inform the sender that you do not wish to receive further e-mail from the sender. (fpc5p)
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------------------------------
Message: 6
Date: Tue, 14 Oct 2014 11:30:22 +0000
From: "Swift, Melanie"
To: MCOH/EH
Subject: Re: [MCOH-EH] Ebola infected HCW
Message-ID:
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 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
> Website www.ohs.uclahealth.org
>
> 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
> 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.
>
> ---------------------------------------
> 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.
> ---------------------------------------
> List archives (public): https://urldefense.proofpoint.com/v1/url?u=http://mylist.net/archives/mcoh-eh/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=18663dd6cb847301fd78cf5be3ea4b2c1f7e0dee45a837a907415cf58400c090
> ---------------------------------------
> Send administrative requests to: drjoe@meditrax.com
> ---------------------------------------
------------------------------
Subject: Digest Footer
---------------------------------------
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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------------------------------
End of MCOH-EH Digest, Vol 247, Issue 14
****************************************
---------------------------------------
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.
---------------------------------------
List archives (public): https://urldefense.proofpoint.com/v1/url?u=http://mylist.net/archives/mcoh-eh/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=18663dd6cb847301fd78cf5be3ea4b2c1f7e0dee45a837a907415cf58400c090
---------------------------------------
Send administrative requests to: drjoe@meditrax.com
---------------------------------------
This email and any files transmitted with it are confidential
and are intended solely for the use of the individual or
entity to which they are addressed. If you are not the
intended recipient or the person responsible for delivering
the email to the intended recipient, be advised that you have
received the email in error and that any use, dissemination,
forwarding, printing or copying of the email is strictly
prohibited. If you have received this email in error, please
immediately notify Bristol Hospital at 860-585-3000 and
delete this message.
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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
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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List archives (public): https://urldefense.proofpoint.com/v1/url?u=http://mylist.net/archives/mcoh-eh/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=18663dd6cb847301fd78cf5be3ea4b2c1f7e0dee45a837a907415cf58400c090
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Send administrative requests to: drjoe@meditrax.com
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When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying, so the topic of your reply is immediately clear to other list members.
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End of MCOH-EH Digest, Vol 247, Issue 25
****************************************
This electronic mail and any attached documents are intended solely for the named addressee(s) and contain confidential information. If you are not an addressee, or responsible for delivering this email to an addressee, you have received this email in error and are notified that reading, copying, or disclosing this email is prohibited. If you received this email in error, immediately reply to the sender and delete the message completely from your computer system.
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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): http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe@meditrax.com
---------------------------------------
CHS Disclaimer: This electronic mail message is intended exclusively for the individual or entity to which it is addressed. This message, together with any attachment, may contain confidential and privileged information. Any views, opinions or conclusions expressed in this message are those of the individual sender and do not necessarily reflect the views of Cottage Health System, its subsidiaries or affiliates. This document may also contain information covered under the Health Insurance Portability and Accountability Act (HIPAA, PL 104-191) and implementing regulations and must be protected in accordance with those provisions. Re-disclosure without patient consent or as otherwise permitted by law is prohibited. Any unauthorized review, retransmission, use, printing, copying, retention, disclosure, distribution or the taking of any action in reliance upon this information by persons or entities other than the intended recipient is strictly prohibited and may be unlawful. If you have received this message in error, please immediately advise the sender by reply email message to the sender and delete all copies of this message from your system without copying.
---------------------------------------
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): http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe@meditrax.com
---------------------------------------
---------------------------------------
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): http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
---------------------------------------
List archives (public): http://mylist.net/archives/mcoh-eh/
---------------------------------------
Send administrative requests to: drjoe@meditrax.com
---------------------------------------