[MCOH-EH] Medical clearance for Ebola PPE

[Hudson, T. Warner]

We are using 2 hours in full suit with PAPR

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>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Sher, Karen
Sent: Wednesday, October 22, 2014 2:28 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Medical clearance for Ebola PPE

I agree! We are training on donning and doffing, employees are only in the suits 20 minutes and are soaked in sweat. Not sure what to tell them.

Karen Sher RN, CIC
Infection Prevention/Employee Health
Matagorda Regional Medical Center
104 7th Street
Bay City, Texas  77414
979-241-5591 (work)
979-241-5590  (fax)
[Matagorda Logo_Center+Tag_web]

ksher at matagordaregional.org<mailto:ksher at matagordaregional.org>

www.matagordaregional.org<../../Oasis%20Team%20-%20Greeting/www.matagordaregional.org>

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Adamo, Philip
Sent: Wednesday, October 22, 2014 4:18 PM
To: MCOH/EH
Cc: MCOH/EH
Subject: Re: [MCOH-EH] Medical clearance for Ebola PPE

Hi Deb
I am at an Ebola task force meeting and just raised this issue. After listening to one of the physician training the nurses he expressed that many complain about being warm, sweaty and anxious. We must  be careful about applying a federal form on more than a respirator issue. My thoughts are:
1. Pregnant health care workers should not work in that PPE.
2. HCW with chronic skin conditions should not be expected to be in the PPE for extended times.
3. HCW with medical conditions that are at risk for dehydration should not work with that level of PPE
4. General question to ask prior to training is do you want to be evaluated by EHS?

At this time we are making this a volunteer based training.

I welcome others to contribute to this conversation.
Phil Adamo M.D.
UMass Memorial Health Care



Sent from my iPhone

On Oct 22, 2014, at 5:08 PM, "Foley MD, Deborah" <DFoley at NCH.ORG<mailto:DFoley at NCH.ORG>> wrote:
Is anyone developing a medical evaluation tool to help determine an employee's ability to work in the PPE recommended for Ebola patient care? We think that a nurse may be in the gear for up to a 4 hour shift. I am considering the long form respiratory questionnaire as a possibility. What are others thinking?

Thanks,
Deborah Foley MD
Employee Health and Safety
Northwest Community Healthcare
Arlington Heights IL
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