[MCOH-EH] Were the Dallas HCW's furloughed ?
Deborah Sampson
dsampson at crhc.org
Thu Oct 16 04:58:42 PDT 2014
So it looks like different w/c state laws will apply and also specific
hospital decisions above and beyond state/fed laws. It is/will be so
interesting to see how this all shakes out and how our policies/laws
evolve about HCW rights.
I encourage us to look to the historical perspectives of the influenza
epidemic of 1918 for examples of global and local social, economic, and
medical effects of a wide epidemic. There are lessons to be learned-
perhaps we haven't learned them. But deaths among nurse caregivers in
that epidemic was huge.....
http://www.archives.gov/exhibits/influenza-epidemic/
http://www.flu.gov/pandemic/history/1918/
https://virus.stanford.edu/uda/
Deb
Deborah A. Sampson, PhD, APRN,
FNP-BC, COHN-S, FAANP, NCRME
Concord Hospital
Occupational Health
60 Commercial Street
Concord NH 03301
Tel 603-230-1220
Fax 603-230-1225
>>> Mark Catlin <mark.catlin at seiu.org> 10/15/2014 8:36 PM >>>
Thanks. I've asked CalOSHA and they view it as a requirement under the
ATD standard. The ATD only applies in California
Mark
(202) 436-0856 cell
Sent from my iPhone
On Oct 15, 2014, at 7:52 PM, Angeli Mancuso <a1mancus at sbch.org> wrote:
Mark,
Wow! Thank you for reminding me to review the ATD standard for this.
Some great nuggets so as not to reinvent the wheel completely.
However, I wonder if the interpretation below of “pay full pay and
benefits” is correct. I’m reading the ATD standard (h) (8) (B)
· “Where the PLHCP recommends precautionary removal…the
employer shall maintain until the employee is determined to me
noninfectious, the employee’s earnings, seniority, and all other
employee right and benefits, including the employee’s right to his or
her former job status, as if the employee had not been removed from his
or her job or otherwise medically limited.”
The red text is obviously my addition as I can see where this is
interpreted to mean “paid during leave” but couldn’t you argue that the
ATD standard is really just saying the exposed employee has to come back
to their position at the same rate of pay?
It’s a moot point for us as our facility is planning for a paid leave
due to historic instances when we had to “furlough” someone due to a
varicella exposure with negative titers and no vaccination records.
However, I wouldn’t want to make it sound like this is a mandate.
CHS is having numerous meetings tomorrow shoring up our policies. I’ll
share what I can afterwards.
Regards,
Angeli
Angeli Mancuso, RN, COHN-S/CM
Employee Health & Safety Manager
Cottage Health System
Ph: 805.569.7866/Internal Ext. 57866
Fax: 805.569.8271
a1mancus at sbch.org
www.cottagehealthsystem.org
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Mark
Catlin
Sent: Wednesday, October 15, 2014 3:06 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Were the Dallas HCW's furloughed ?
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
( tel:253-426-6411) | I 127-6411 |
nancyjohnson at fhshealth.org
www.CHIfranciscan.org
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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
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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
( tel: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
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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
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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+hawks.denise
( mailto:mcoh-eh-bounces%2Bhawks.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
( tel:770-793-7227)
Fax-770-793-7952
( tel: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
( mailto:mcoh-eh-bounces%2Bderyl.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
( tel:972-%20540-%204218) (phone)
469 - 713- 8660
( tel:469%20-%20713-%208660) (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
( tel: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
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received this communication in error, please notify the sender at the
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-----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
( tel:%28860%29679-8327) Fx (860)679-1256
( tel:%28860%29679-1256) 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
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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
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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
( tel:%28202%29%20730%20-%207290)
(202) 436 - 0856
( tel:%28202%29%20436%20-%200856) 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
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> If you have received this email in error please notify Watson Clinic
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> ---------------------------------------
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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
---------------------------------------------------
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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
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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
( tel: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
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confidentiality may subject you to federal and state penalties. If you
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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,
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
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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
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> ---------------------------------------
> Send administrative requests to: drjoe at meditrax.com
> ---------------------------------------
------------------------------
Subject: Digest Footer
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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.
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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.
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To become a subscriber, or to change your subscription options (turn
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community.
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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band
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List membership is free, but only subscribers may post to the list.
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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
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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
---------------------------------------------------
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confidential and/or privileged and may contain confidential health
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This email is intended to be reviewed only by the individual or
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Please note that any views or opinions presented in this email are
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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
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Destroy all copies of this message and any attachments.
Please note that any views or opinions presented in this email are
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Confidential health information is protected by state and federal law,
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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
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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,
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The Health Insurance Portability and Accountability Act of 1996 and
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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
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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
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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>
> ---------------------------------------
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DO.
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