[MCOH-EH] Ebola infected HCW

[Steivang, Kristen]

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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From: MCOH-EH [mailto:mcoh-eh-bounces+kristen_steivang=ssmhc.com at 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

[cid:image001.png at 01CFD7E5.AFEE0CD0]

853 North Church St, Suite 400 | Spartanburg, SC 29303
o: 864-560-1482 | f: 864-560-6509
e: mgiovannetti at srhs.com<mailto:mgiovannetti at srhs.com> | w: SpartanburgRegional.com<http://www.spartanburgregional.com/>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net]<mailto:[mailto:mcoh-eh-bounces at 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 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

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