[MCOH-EH] Ebola infected HCW

[Swift, Melanie]

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 at 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 at mylist.net] On Behalf Of Hudson, T. Warner [TWHudson at 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:  http://www.cidrap.umn.edu/news-perspective/2014/10/ebola-texas-nurse-triggers-changes-battle-plan.  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 at mednet.ucla.edu<mailto:twhudson at mednet.ucla.edu>
> Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>
> 
> From: MCOH-EH [mailto:mcoh-eh-bounces at 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 at 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 at watsonclinic.com<mailto:administrator at 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 at 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 at meditrax.com
> ---------------------------------------