[MCOH-EH] Ebola infected HCW

[Gwen Brachman]

This is an evolving situation for all of us.  

 

In our area (northern NJ) anyone coming into Newark airport (we are a NYC
area airport with lots of international travel) from a high risk area will
be screened by the State Health Dept. (I assume they will be checking travel
from the past 3-4 weeks as there are no direct flights from high risk
countries to Newark - all connect somewhere - usually someplace in Europe.
Anyone with symptoms will be taken to University Hospital (our hospital) for
further evaluation and treatment.  Those without symptoms can go home, but
will be monitored daily for 21 days for fever and other symptoms by the
Health Department.

 

My understanding (as of Monday) was that two tents will be set up on an
unused floor of one of our clinical buildings - not the hospital or near the
ER.   These tents are basically decontamination tents - one to evaluate
patients and the second for patients with confirmed ebola that need
treatment.  Each tent has a clean area for donning PPE, patient area and
dirty area (for doffing PPE).  Each tent has its own self-contained
ventilation system.

 

HCWs returning from high risk areas who are asymptomatic will be allowed to
work - with the above monitoring by the health department.  This may change.

 

 

Gwen Brachman MD

 

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Steivang,
Kristen
Sent: Tuesday, October 14, 2014 8:23 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Ebola infected HCW

 

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 | w: <http://www.spartanburgregional.com/>
SpartanburgRegional.com

 

From: MCOH-EH [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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