[MCOH-EH] Were the Dallas HCW's furloughed ?

Mark Catlin mark.catlin at seiu.org
Wed Oct 15 15:06:26 PDT 2014
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Heard from CDC source that healthcare workers on precautionary isolation in
Texas were not going to be paid for the 21 days by the hospital.  In
California, the Cal/OSHA Aerosol Transmittable Disease (ATD) standard,
which specifically covers Ebola as a droplet spread disease) requires
healthcare employers to pay full pay and benefits during such leave.

Mark

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 Wed, Oct 15, 2014 at 5:03 PM, 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
> private and intended only for the use of the addressee and is covered by
> WAC . Unauthorized use, disclosure, distribution or copying is strictly
> prohibited and may be unlawful.  If you received this communication in
> error, please inform us of the erroneous delivery by return e-mail.  Thank
> you for your cooperation
>
>
>
> -----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
>         mcoh-eh at mylist.net
>
> To subscribe or unsubscribe via the World Wide Web, visit
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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,
> 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.
>
> Dee Hawks System IC Mgr
> Infection Prevention
> IQIPS
> 75410
>  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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> Thank you for your cooperation.
>
>
>
> -----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
>
> https://urldefense.proofpoint.com/v1/url?u=http://mylist.net/listinfo/mcoh-eh&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=8745d20436d581b8eba05c5c4bbd22c44f06e5ab8eefeff7fab0dad15ddbf034
> or, via email, send a message with subject or body 'help' to
>         mcoh-eh-request at mylist.net
>
> You can reach the person managing the list at
>         mcoh-eh-owner at mylist.net
>
> When replying, please edit your Subject line so it is more specific than
> "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
> ---------------------------------------------------
>
> The information in this email, including attachments, may be confidential
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> This email is intended to be reviewed only by the individual or
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> 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
> those of the author and do not necessarily represent those of Watson Clinic.
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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.
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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.
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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%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
> > ---------------------------------------
>
>
>
> ------------------------------
>
> 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):
> 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
> ---------------------------------------
> 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):
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> /or proprietary information in the possession of WellStar Health System,
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> ______________________________________________________________________
> 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.
>
>
>
> ------------------------------
>
> 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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> When replying, please edit your Subject line so it is more specific than
> "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
> ---------------------------------------------------
>
> 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
> 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: 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
> > ---------------------------------------
> >
> -------------- next part --------------
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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
> 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%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
> > ---------------------------------------
>
>
>
> ------------------------------
>
> 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):
> 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
> ---------------------------------------
> 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
> ---------------------------------------
> This email and any files transmitted with it are confidential
> and are intended solely for the use of the individual or
> 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,
> forwarding, printing or copying of the email is strictly
> prohibited.   If you have received this email in error, please
> immediately notify Bristol Hospital at 860-585-3000 and
> delete this message.
> -------------- next part --------------
> An HTML attachment was scrubbed...
> URL: <
> https://urldefense.proofpoint.com/v1/url?u=http://mylist.net/archives/mcoh-eh/attachments/20141015/3ab43feb/attachment.html&k=NZz1SMMNIbmFChmIgSwv1Q%3D%3D%0A&r=k2S%2BsEODLFKnxUdiTFMmVIht4mmcmjaINO11HT3tCZ0%3D%0A&m=DHuukXpvK%2BZGw9oGo8FsUKNLlAbD7M1URi5QIDXSA8Q%3D%0A&s=cec66c1b7571677e0c3356557a6ca45a0cdeb427f748798a9ea3b094b372bad4
> >
>
> ------------------------------
>
> 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):
> 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
> ---------------------------------------
> 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
> the named addressee(s) and contain confidential information. If you are not
> an addressee, or responsible for delivering this email to an addressee, you
> have received this email in error and are notified that reading, copying,
> or disclosing this email is prohibited. If you received this email in
> error, immediately reply to the sender and delete the message completely
> from your computer system.
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