[MCOH-EH] Were the Dallas HCW's furloughed ?
KMccracken at mcleodhealth.org
KMccracken at mcleodhealth.org
Wed Oct 15 14:58:13 PDT 2014
The employees involved in the direct care of Mr. Duncan should not have
been traveling during the 21 day monitoring period. How do you monitor the
activities of 76 employees? The tail is wagging the dog.
Sent fr
> On Oct 15, 2014, at 17:17, "Johnson, Nancy (Tacoma)"
<NancyJohnson at fhshealth.org> 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 at fhshealth.org
> www.CHIfranciscan.org
>
>
>
> The information contained in this communication is confidential and
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> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of
mcoh-eh-request at mylist.net
> Sent: Wednesday, October 15, 2014 12:34 PM
> To: mcoh-eh at mylist.net
> Subject: MCOH-EH Digest, Vol 247, Issue 25
>
> Send MCOH-EH mailing list submissions to
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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" <hawks.denise at marshfieldclinic.org>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14
> Message-ID:
> <99155EE5CCAAB14794DE52D9E34838BC038B497C at 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 at LIST.NIH.GOV] On Behalf Of Kunko, Nicole (OS/ASPR)
(CTR)
> Sent: Wednesday, October 15, 2014 12:16 PM
> To: BHPPGRANTEES at 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,
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it or its contents is prohibited. If you have received this communication
in error, please notify the sender at the electronic mail address noted
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Thank you for your cooperation.
>
> Dee Hawks System IC Mgr
> Infection Prevention
> IQIPS
> 75410
> CONFIDENTIALITY NOTICE: This e-mail communication and any attachments
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>
>
> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces
+hawks.denise=marshfieldclinic.org at 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 at 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 at mylist.net]
On Behalf Of Kim.Thompson at hcahealthcare.com
> Sent: Wednesday, October 15, 2014 3:22 PM
> To: mcoh-eh at 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 at 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 at mylist.net] On Behalf Of
Marenick,Cheryl
> Sent: Wednesday, October 15, 2014 1:31 PM
> To: 'mcoh-eh at 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 at uchc.edu
>
>
>
>
> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of
mcoh-eh-request at mylist.net
> Sent: Tuesday, October 14, 2014 7:31 AM
> To: mcoh-eh at mylist.net
> Subject: MCOH-EH Digest, Vol 247, Issue 14
>
> Send MCOH-EH mailing list submissions to
> mcoh-eh at mylist.net
>
> To subscribe or unsubscribe via the World Wide Web, visit
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"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" <MBand at watsonclinic.com>
> To: 'MCOH/EH' <mcoh-eh at mylist.net>
> Subject: [MCOH-EH] Ebola infected HCW
> Message-ID: <4ADBC49F2610AB48BDED8CC66577A04103203FE43274 at 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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> Please note that any views or opinions presented in this email are solely
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> ------------------------------
>
> Message: 2
> Date: Mon, 13 Oct 2014 17:52:33 -0400
> From: Mark Catlin <mark.catlin at seiu.org>
> To: "MCOH/EH" <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
>
<CAEErhHAa2MKbbB4BcLTJDshmPXiPKeYqn3Qy0aKocXeiyjdqPg at mail.gmail.com>
> 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 at seiu.org
>
> On Mon, Oct 13, 2014 at 5:30 PM, Band, Michael DO
<MBand at watsonclinic.com>
> 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 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.
> >
> > ---------------------------------------
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DO.
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> ------------------------------
>
> Message: 3
> Date: Mon, 13 Oct 2014 22:51:01 +0000
> From: "Thrasher, Terri" <Terri.Thrasher at cchmc.org>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
>
<6D0F651D183C00439FDA321943976C13311FA20B at 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 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
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> ------------------------------
>
> Message: 4
> Date: Mon, 13 Oct 2014 22:58:32 +0000
> From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
>
<2134A5387858914BBE80D079ECF6880C3BD476C2 at 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 at mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
> Website
www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>
>
> 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.
> -------------- next part --------------
> An HTML attachment was scrubbed...
> URL:
<https://urldefense.proofpoint.com/v1/url?u=http://mylist.net/archives/mcoh-eh/attachments/20141013/0b501a6d/attachment-0001.html&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=3eff8804d31e1e611db7361f65c52d0e5d29d2a2a125441babc68021b19e32ba>
>
> ------------------------------
>
> Message: 5
> Date: Mon, 13 Oct 2014 21:52:47 -0700
> From: "Johnson, Cathreen" <CaJohnson at coh.org>
> To: "MCOH/EH" <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
> <E007BC030513A144987D5A41E3A1DC5555E963CBCB at EXCHMBX2.coh.org>
> 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 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:
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 at mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
> Website
www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>
>
> 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.
> -------------- next part --------------
>
> ---------------------------------------------------------------------
> *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)
> ---------------------------------------------------------------------
>
>
> ------------------------------
>
> Message: 6
> Date: Tue, 14 Oct 2014 11:30:22 +0000
> From: "Swift, Melanie" <melanie.swift at Vanderbilt.Edu>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID: <D903F772-4E2E-49D5-87D3-EFD062BBFC07 at Vanderbilt.Edu>
> 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 <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:
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 at mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
> > Website
www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>
> >
> > 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):
https://urldefense.proofpoint.com/v1/url?u=http://www.mcoh-eh.net/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZ
Gw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%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 at 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 at mylist.net
> To become a subscriber, or to change your subscription options (turn off
email while you're on vacation, etc):
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> MediTrax / Occupational Health Systems, Inc. provides financial support
to ensure the list remains a free resource for the occupational health
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> ---------------------------------------
> List archives (public):
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> ---------------------------------------
> Send administrative requests to: drjoe at meditrax.com
> ---------------------------------------
> 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.
>
> ------------------------------
>
> 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 at 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 at meditrax.com
> ---------------------------------------
>
> ______________________________________________________________________
> The contents of this message may contain private, protected and/or
privileged information. If you received this message in error, you should
destroy the e-mail message and any attachments or copies, and you are
prohibited from retaining, distributing, disclosing or using any
information contained within. Please contact the sender and advise of the
erroneous delivery by return e-mail or telephone. Thank you for your
cooperation.
>
> ---------------------------------------
> 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):
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 at 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.
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> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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> ______________________________________________________________________
> The contents of this message may contain private, protected and/or
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>
> ------------------------------
>
> Message: 2
> Date: Wed, 15 Oct 2014 19:34:02 +0000
> From: "Robinson, Geoffrey" <GRobinso at bristolhospital.org>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14
> Message-ID:
> <E6D8665BC5B13B4282CC3F248D3D48E2F1C918C6 at BRH6624M1.BHAD.org>
> 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 at bristolhospital.org<mailto:grobinso at 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 at 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 at 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 at uchc.edu
>
>
>
>
> -----Original Message-----
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of
mcoh-eh-request at mylist.net
> Sent: Tuesday, October 14, 2014 7:31 AM
> To: mcoh-eh at mylist.net
> Subject: MCOH-EH Digest, Vol 247, Issue 14
>
> Send MCOH-EH mailing list submissions to
> mcoh-eh at mylist.net
>
> To subscribe or unsubscribe via the World Wide Web, visit
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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" <MBand at watsonclinic.com>
> To: 'MCOH/EH' <mcoh-eh at mylist.net>
> Subject: [MCOH-EH] Ebola infected HCW
> Message-ID: <4ADBC49F2610AB48BDED8CC66577A04103203FE43274 at 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
> ---------------------------------------------------
>
> 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 Destroy all copies of this message and any
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> Please note that any views or opinions presented in this email are solely
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>
> ------------------------------
>
> Message: 2
> Date: Mon, 13 Oct 2014 17:52:33 -0400
> From: Mark Catlin <mark.catlin at seiu.org>
> To: "MCOH/EH" <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
> <CAEErhHAa2MKbbB4BcLTJDshmPXiPKeYqn3Qy0aKocXeiyjdqPg at mail.gmail.com>
> 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 at seiu.org
>
> On Mon, Oct 13, 2014 at 5:30 PM, Band, Michael DO
<MBand at watsonclinic.com>
> 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 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.
> >
> > ---------------------------------------
> > 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):
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 at meditrax.com
> > ---------------------------------------
> >
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>
> ------------------------------
>
> Message: 3
> Date: Mon, 13 Oct 2014 22:51:01 +0000
> From: "Thrasher, Terri" <Terri.Thrasher at cchmc.org>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
> <6D0F651D183C00439FDA321943976C13311FA20B at 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 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.
> -------------- next part --------------
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>
> ------------------------------
>
> Message: 4
> Date: Mon, 13 Oct 2014 22:58:32 +0000
> From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
> <2134A5387858914BBE80D079ECF6880C3BD476C2 at 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 at mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
> Website
www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>
>
> 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
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> -------------- next part --------------
> An HTML attachment was scrubbed...
> URL:
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>
> ------------------------------
>
> Message: 5
> Date: Mon, 13 Oct 2014 21:52:47 -0700
> From: "Johnson, Cathreen" <CaJohnson at coh.org>
> To: "MCOH/EH" <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
> <E007BC030513A144987D5A41E3A1DC5555E963CBCB at EXCHMBX2.coh.org>
> 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 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:
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 at mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
> Website
www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>
>
> 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.
> -------------- next part --------------
>
> ---------------------------------------------------------------------
> *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,
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> Because this e-mail has been sent without encryption, individuals other
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> ---------------------------------------------------------------------
>
>
> ------------------------------
>
> Message: 6
> Date: Tue, 14 Oct 2014 11:30:22 +0000
> From: "Swift, Melanie" <melanie.swift at Vanderbilt.Edu>
> To: MCOH/EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID: <D903F772-4E2E-49D5-87D3-EFD062BBFC07 at Vanderbilt.Edu>
> 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 <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:
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 at mednet.ucla.edu<https://urldefense.proofpoint.com/v1/url?u=http://mailto:twhudson%40mednet.ucla.edu&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=b97393e456f0fb11da2c8ec63589f6589f0d6b5a7a040b81c7773cf47d6f1b6d>
> > Website
www.ohs.uclahealth.org<https://urldefense.proofpoint.com/v1/url?u=http://www.ohs.uclahealth.org/&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=9a926982d06cce88a3e4dde68e25c7749fce18852cb6be180dc0bc72035883e7>
> >
> > 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):
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> > MediTrax / Occupational Health Systems, Inc. provides financial support
to ensure the list remains a free resource for the occupational health
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> > ---------------------------------------
> > Send administrative requests to: drjoe at 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 at mylist.net
> To become a subscriber, or to change your subscription options (turn off
email while you're on vacation, etc):
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> MediTrax / Occupational Health Systems, Inc. provides financial support
to ensure the list remains a free resource for the occupational health
community.
> ---------------------------------------
> List archives (public):
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> ---------------------------------------
> Send administrative requests to: drjoe at meditrax.com
> ---------------------------------------
> 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.
>
> ------------------------------
>
> 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 at mylist.net
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> ---------------------------------------
> Send administrative requests to: drjoe at meditrax.com
> ---------------------------------------
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> 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,
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> ------------------------------
>
> 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 at mylist.net
> To become a subscriber, or to change your subscription options (turn off
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> MediTrax / Occupational Health Systems, Inc. provides financial support
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> ---------------------------------------
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> ---------------------------------------
> Send administrative requests to: drjoe at meditrax.com
> ---------------------------------------
> 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.
>
> ------------------------------
>
> End of MCOH-EH Digest, Vol 247, Issue 25
> ****************************************
>
> This electronic mail and any attached documents are intended solely for
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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 at mylist.net
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