[MCOH-EH] Ebola infected HCW

Gwen Brachman brachmgo at njms.rutgers.edu
Wed Oct 15 06:55:32 PDT 2014


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 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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