[MCOH-EH] MCOH-EH Digest, Vol 247, Issue 35

Kathleen Luton kluton at gmail.com
Thu Oct 16 10:39:42 PDT 2014


Have not been able to connect to the call.  Any help would be appreciated.

Kathleen Luton RN, MSN, CRNP, COHN-S
Clinical Director
Mobile Medical Care, Inc.
9309 Old Georgetown Road
Bethesda, MD  20814
301-835-0835
301-281-7073 - cell

On Thu, Oct 16, 2014 at 8:56 AM, <mcoh-eh-request at mylist.net> wrote:

> Send MCOH-EH mailing list submissions to
>         mcoh-eh at mylist.net
>
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>
>
> Today's Topics:
>
>    1. Re:  MCOH-EH Digest, Vol 247, Issue 14 (Marenick,Cheryl)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Thu, 16 Oct 2014 12:56:33 +0000
> From: "Marenick,Cheryl" <cmarenick at uchc.edu>
> To: 'MCOH/EH' <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14
> Message-ID: <12f7120085cf4ebe8d4d38f4c56f5b6c at NSO-ITEXC-MB25.uchc.net>
> Content-Type: text/plain; charset="utf-8"
>
> Thanks!
>
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Robinson,
> Geoffrey
> Sent: Wednesday, October 15, 2014 3:34 PM
> To: MCOH/EH
> Subject: Re: [MCOH-EH] MCOH-EH Digest, Vol 247, Issue 14
>
> Cheryl,
> There is also a good amount of info on the CT Dept of Public Health
> website.  Our policies are a work in progress.
>
> http://www.ct.gov/dph/cwp/view.asp?a=3115&Q=554408&PM=1
>
> 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
> http://compllc.org/
>
>
>
> 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<mailto: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<mailto:mcoh-eh-request at mylist.net>
> Sent: Tuesday, October 14, 2014 7:31 AM
> To: mcoh-eh at mylist.net<mailto: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<mailto:mcoh-eh at mylist.net>
>
> To subscribe or unsubscribe via the World Wide Web, visit
> http://mylist.net/listinfo/mcoh-eh
> or, via email, send a message with subject or body 'help' to
> mcoh-eh-request at mylist.net<mailto:mcoh-eh-request at mylist.net>
>
> You can reach the person managing the list at
> mcoh-eh-owner at mylist.net<mailto: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<mailto:
> MBand at watsonclinic.com>>
> To: 'MCOH/EH' <mcoh-eh at mylist.net<mailto: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
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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,
> including, but not limited to:
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> ------------------------------
>
> Message: 2
> Date: Mon, 13 Oct 2014 17:52:33 -0400
> From: Mark Catlin <mark.catlin at seiu.org<mailto:mark.catlin at seiu.org>>
> To: "MCOH/EH" <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
> <CAEErhHAa2MKbbB4BcLTJDshmPXiPKeYqn3Qy0aKocXeiyjdqPg at mail.gmail.com
> <mailto: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<mailto:mark.catlin at seiu.org>
>
> On Mon, Oct 13, 2014 at 5:30 PM, Band, Michael DO <MBand at watsonclinic.com
> <mailto: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<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.
> >
> > ---------------------------------------
> > 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<mailto:mcoh-eh at mylist.net>
> To become a subscriber,
> > or to change your subscription options (turn off
> > email while you're on vacation, etc):   http://www.mcoh-eh.net
> > MediTrax / Occupational Health Systems, Inc. provides financial
> > support to ensure the list remains a free resource for the
> > occupational health community.
> > ---------------------------------------
> > List archives (public): http://mylist.net/archives/mcoh-eh/
> > ---------------------------------------
> > Send administrative requests to: drjoe at meditrax.com<mailto:
> 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<mailto:
> Terri.Thrasher at cchmc.org>>
> To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
> <6D0F651D183C00439FDA321943976C13311FA20B at MCEXMB1.chmccorp.cchmc.org
> <mailto:
> 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
> <mailto:administrator at watsonclinic.com%
> 3cmailto: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 --------------
> An HTML attachment was scrubbed...
> URL: <
> http://mylist.net/archives/mcoh-eh/attachments/20141013/82ddd742/attachment-0001.html
> >
>
> ------------------------------
>
> Message: 4
> Date: Mon, 13 Oct 2014 22:58:32 +0000
> From: "Hudson, T. Warner" <TWHudson at mednet.ucla.edu<mailto:
> TWHudson at mednet.ucla.edu>>
> To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
> <2134A5387858914BBE80D079ECF6880C3BD476C2 at SOPEXMB2.ad.medctr.ucla.edu
> <mailto:
> 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:
> http://www.cidrap.umn.edu/news-perspective/2014/10/ebola-texas-nurse-triggers-changes-battle-plan.
> 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<mailto:twhudson at mednet.ucla.edu<mailto:
> twhudson at mednet.ucla.edu%3cmailto:twhudson at mednet.ucla.edu>>
> Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org<
> http://www.ohs.uclahealth.org%3chttp:/www.ohs.uclahealth.org>>
>
> 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
> <mailto:administrator at watsonclinic.com%
> 3cmailto: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: <
> http://mylist.net/archives/mcoh-eh/attachments/20141013/0b501a6d/attachment-0001.html
> >
>
> ------------------------------
>
> Message: 5
> Date: Mon, 13 Oct 2014 21:52:47 -0700
> From: "Johnson, Cathreen" <CaJohnson at coh.org<mailto:CaJohnson at coh.org>>
> To: "MCOH/EH" <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID:
> <E007BC030513A144987D5A41E3A1DC5555E963CBCB at EXCHMBX2.coh.org<mailto:
> 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:
> http://www.cidrap.umn.edu/news-perspective/2014/10/ebola-texas-nurse-triggers-changes-battle-plan.
> 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<mailto:twhudson at mednet.ucla.edu<mailto:
> twhudson at mednet.ucla.edu%3cmailto:twhudson at mednet.ucla.edu>>
> Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org<
> http://www.ohs.uclahealth.org%3chttp:/www.ohs.uclahealth.org>>
>
> 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
> <mailto:administrator at watsonclinic.com%
> 3cmailto: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:
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> 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<mailto:
> melanie.swift at Vanderbilt.Edu>>
> To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
> Subject: Re: [MCOH-EH] Ebola infected HCW
> Message-ID: <D903F772-4E2E-49D5-87D3-EFD062BBFC07 at Vanderbilt.Edu<mailto:
> 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
> <mailto: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:
> http://www.cidrap.umn.edu/news-perspective/2014/10/ebola-texas-nurse-triggers-changes-battle-plan.
> 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<mailto:twhudson at mednet.ucla.edu
> <mailto:twhudson at mednet.ucla.edu%3cmailto:twhudson at mednet.ucla.edu>>
> > Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org<
> http://www.ohs.uclahealth.org%3chttp:/www.ohs.uclahealth.org>>
> >
> > 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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> > administrator at watsonclinic.com<mailto:administrator at watsonclinic.com
> <mailto:administrator at watsonclinic.com%
> 3cmailto:administrator at watsonclinic.com>>
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> ------------------------------
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> Subject: Digest Footer
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> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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> End of MCOH-EH Digest, Vol 247, Issue 14
> ****************************************
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> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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> Subject: Digest Footer
>
> ---------------------------------------
> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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> ------------------------------
>
> End of MCOH-EH Digest, Vol 247, Issue 35
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