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Sparrow
LIF Adult
Member since 11/10 6826 total posts
Name:
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Re: Ebola and the news
Posted by MrsDamonSalv7319
Posted by sfp0701
Oh My God. They couldn't have screwed this up more if they tried.
Now a hospital worker that was involved in the Duncan mess got on a carnival cruise ship. Carnival put her in isolation in her room but, the ship is anchored outside of Belize because Belize won't let the ship dock or any of the passengers off.
link to article
And THIS is where my concern comes from. Not that I'll contract Ebola. But that the fear of people who may have come in contact with someone is going to spread and inconvience all of our lives! 1 man gave 2 women Ebola and now 130 ppl on a flight, and however many people are on this cruise ship are having their lives effected by this!
This worker did his/her job (I heard they handled a lab specimen from Duncan), and is now in isolation on a cruise ship and possibly ruined the cruise for everyone... That SUCKS!
Was this person told not to travel? I would hope so! The nurse who flew to Ohio was told not to travel but decided to go to the CDC and get that overridden, right?
These people are all so selfish. I feel like there should be some sort of charges against them. The hospital should have had them staying at a hotel or in the hospital until 21 days after they had contact with Ebola. The healthcare workers should all know better than to go traveling around, especially since it's now been proven that their PPE was ineffective. This all makes me so mad.
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Posted 10/17/14 9:15 AM  |
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Long Island Weddings
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Blazesyth
*yawn*
Member since 5/05 8129 total posts
Name:
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Re: Ebola and the news
Posted by Sparrow
These people are all so selfish. I feel like there should be some sort of charges against them. The hospital should have had them staying at a hotel or in the hospital until 21 days after they had contact with Ebola. The healthcare workers should all know better than to go traveling around, especially since it's now been proven that their PPE was ineffective. This all makes me so mad.
It's probably the wrong thing to say in a 'free' country, but I think anyone that is supposed to be in quarantine should be put into an actual facility with supervision. That way they can't leave to get soup, they can't leave to get on a plane or a cruise ship.
I mean, under normal circumstances if you're on a cruise ship and you get the runs they quarantine you and put a guard outside your room to make sure you can't leave and possibly spread anything. And that's not a life threatening illness.
I don't understand how people that are supposed to be in quarantine could be so selfish and lax that they will do these things.
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| Posted 10/17/14 9:21 AM |
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Sparrow
LIF Adult
Member since 11/10 6826 total posts
Name:
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Re: Ebola and the news
Posted by Blazesyth
Posted by Sparrow
These people are all so selfish. I feel like there should be some sort of charges against them. The hospital should have had them staying at a hotel or in the hospital until 21 days after they had contact with Ebola. The healthcare workers should all know better than to go traveling around, especially since it's now been proven that their PPE was ineffective. This all makes me so mad.
It's probably the wrong thing to say in a 'free' country, but I think anyone that is supposed to be in quarantine should be put into an actual facility with supervision. That way they can't leave to get soup, they can't leave to get on a plane or a cruise ship.
I mean, under normal circumstances if you're on a cruise ship and you get the runs they quarantine you and put a guard outside your room to make sure you can't leave and possibly spread anything. And that's not a life threatening illness.
I don't understand how people that are supposed to be in quarantine could be so selfish and lax that they will do these things.
I hope every passenger who's vacation is now impacted sues this idiot.
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| Posted 10/17/14 9:32 AM |
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Re: Ebola and the news
Posted by Sparrow
Posted by MrsDamonSalv7319
Posted by sfp0701
Oh My God. They couldn't have screwed this up more if they tried.
Now a hospital worker that was involved in the Duncan mess got on a carnival cruise ship. Carnival put her in isolation in her room but, the ship is anchored outside of Belize because Belize won't let the ship dock or any of the passengers off.
link to article
And THIS is where my concern comes from. Not that I'll contract Ebola. But that the fear of people who may have come in contact with someone is going to spread and inconvience all of our lives! 1 man gave 2 women Ebola and now 130 ppl on a flight, and however many people are on this cruise ship are having their lives effected by this!
This worker did his/her job (I heard they handled a lab specimen from Duncan), and is now in isolation on a cruise ship and possibly ruined the cruise for everyone... That SUCKS!
Was this person told not to travel? I would hope so! The nurse who flew to Ohio was told not to travel but decided to go to the CDC and get that overridden, right?
These people are all so selfish. I feel like there should be some sort of charges against them. The hospital should have had them staying at a hotel or in the hospital until 21 days after they had contact with Ebola. The healthcare workers should all know better than to go traveling around, especially since it's now been proven that their PPE was ineffective. This all makes me so mad.
Apparently this person was just under the "self monitor" and boarded the cruise before the CDC changed the rules to "Active Monitor." This person didn't come into actual contact with the patient...but if anyone is to blame, it's 100% the CDC for basically making it up as they go with what should/shouldn't be done!
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| Posted 10/17/14 10:01 AM |
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Sparrow
LIF Adult
Member since 11/10 6826 total posts
Name:
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Re: Ebola and the news
Posted by MrsDamonSalv7319
Posted by Sparrow
Posted by MrsDamonSalv7319
Posted by sfp0701
Oh My God. They couldn't have screwed this up more if they tried.
Now a hospital worker that was involved in the Duncan mess got on a carnival cruise ship. Carnival put her in isolation in her room but, the ship is anchored outside of Belize because Belize won't let the ship dock or any of the passengers off.
link to article
And THIS is where my concern comes from. Not that I'll contract Ebola. But that the fear of people who may have come in contact with someone is going to spread and inconvience all of our lives! 1 man gave 2 women Ebola and now 130 ppl on a flight, and however many people are on this cruise ship are having their lives effected by this!
This worker did his/her job (I heard they handled a lab specimen from Duncan), and is now in isolation on a cruise ship and possibly ruined the cruise for everyone... That SUCKS!
Was this person told not to travel? I would hope so! The nurse who flew to Ohio was told not to travel but decided to go to the CDC and get that overridden, right?
These people are all so selfish. I feel like there should be some sort of charges against them. The hospital should have had them staying at a hotel or in the hospital until 21 days after they had contact with Ebola. The healthcare workers should all know better than to go traveling around, especially since it's now been proven that their PPE was ineffective. This all makes me so mad.
Apparently this person was just under the "self monitor" and boarded the cruise before the CDC changed the rules to "Active Monitor." This person didn't come into actual contact with the patient...but if anyone is to blame, it's 100% the CDC for basically making it up as they go with what should/shouldn't be done!
Yes, the CDC and the hospital both majorly screwed up. Still, the person was under "self monitor", so they knew there was a chance they could wind up having it. What were they supposed to do when they "self monitored" while on the cruise and came up with a fever? This person knew damn well they had no business getting on (of all things!) a cruise ship!!! How selfish and stupid can you be?
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| Posted 10/17/14 10:10 AM |
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Re: Ebola and the news
Posted by Sparrow
Posted by MrsDamonSalv7319
Posted by Sparrow
Posted by MrsDamonSalv7319
Posted by sfp0701
Oh My God. They couldn't have screwed this up more if they tried.
Now a hospital worker that was involved in the Duncan mess got on a carnival cruise ship. Carnival put her in isolation in her room but, the ship is anchored outside of Belize because Belize won't let the ship dock or any of the passengers off.
link to article
And THIS is where my concern comes from. Not that I'll contract Ebola. But that the fear of people who may have come in contact with someone is going to spread and inconvience all of our lives! 1 man gave 2 women Ebola and now 130 ppl on a flight, and however many people are on this cruise ship are having their lives effected by this!
This worker did his/her job (I heard they handled a lab specimen from Duncan), and is now in isolation on a cruise ship and possibly ruined the cruise for everyone... That SUCKS!
Was this person told not to travel? I would hope so! The nurse who flew to Ohio was told not to travel but decided to go to the CDC and get that overridden, right?
These people are all so selfish. I feel like there should be some sort of charges against them. The hospital should have had them staying at a hotel or in the hospital until 21 days after they had contact with Ebola. The healthcare workers should all know better than to go traveling around, especially since it's now been proven that their PPE was ineffective. This all makes me so mad.
Apparently this person was just under the "self monitor" and boarded the cruise before the CDC changed the rules to "Active Monitor." This person didn't come into actual contact with the patient...but if anyone is to blame, it's 100% the CDC for basically making it up as they go with what should/shouldn't be done!
Yes, the CDC and the hospital both majorly screwed up. Still, the person was under "self monitor", so they knew there was a chance they could wind up having it. What were they supposed to do when they "self monitored" while on the cruise and came up with a fever? This person knew damn well they had no business getting on (of all things!) a cruise ship!!! How selfish and stupid can you be?
Oh, don't get me wrong, this person SHOULD have used common sense and postponed her cruise!!! But the CdC should be keeping better track of these people.
But she isn't showing any signs and has no fever, so by our own country's standards...she'd be allowed in w/o questions if she flew in from Africa. (assuming she didn't come into actual contact with Duncan himself.)
(I don't think this cruise passenger or any of the other passengers have anything to worry about if she handled Duncan's blood in a vial and wore gloves and didn't spill it all over herself, but I understand the super extra precautions now being taken.)
Message edited 10/17/2014 10:19:19 AM.
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| Posted 10/17/14 10:18 AM |
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Sparrow
LIF Adult
Member since 11/10 6826 total posts
Name:
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Re: Ebola and the news
Posted by MrsDamonSalv7319
Posted by Sparrow
Posted by MrsDamonSalv7319
Posted by Sparrow
Posted by MrsDamonSalv7319
Posted by sfp0701
Oh My God. They couldn't have screwed this up more if they tried.
Now a hospital worker that was involved in the Duncan mess got on a carnival cruise ship. Carnival put her in isolation in her room but, the ship is anchored outside of Belize because Belize won't let the ship dock or any of the passengers off.
link to article
And THIS is where my concern comes from. Not that I'll contract Ebola. But that the fear of people who may have come in contact with someone is going to spread and inconvience all of our lives! 1 man gave 2 women Ebola and now 130 ppl on a flight, and however many people are on this cruise ship are having their lives effected by this!
This worker did his/her job (I heard they handled a lab specimen from Duncan), and is now in isolation on a cruise ship and possibly ruined the cruise for everyone... That SUCKS!
Was this person told not to travel? I would hope so! The nurse who flew to Ohio was told not to travel but decided to go to the CDC and get that overridden, right?
These people are all so selfish. I feel like there should be some sort of charges against them. The hospital should have had them staying at a hotel or in the hospital until 21 days after they had contact with Ebola. The healthcare workers should all know better than to go traveling around, especially since it's now been proven that their PPE was ineffective. This all makes me so mad.
Apparently this person was just under the "self monitor" and boarded the cruise before the CDC changed the rules to "Active Monitor." This person didn't come into actual contact with the patient...but if anyone is to blame, it's 100% the CDC for basically making it up as they go with what should/shouldn't be done!
Yes, the CDC and the hospital both majorly screwed up. Still, the person was under "self monitor", so they knew there was a chance they could wind up having it. What were they supposed to do when they "self monitored" while on the cruise and came up with a fever? This person knew damn well they had no business getting on (of all things!) a cruise ship!!! How selfish and stupid can you be?
Oh, don't get me wrong, this person SHOULD have used common sense and postponed her cruise!!! But the CdC should be keeping better track of these people.
But she isn't showing any signs and has no fever, so by our own country's standards...she'd be allowed in w/o questions if she flew in from Africa. (assuming she didn't come into actual contact with Duncan himself.)
(I don't think this cruise passenger or any of the other passengers have anything to worry about if she handled Duncan's blood in a vial and wore gloves and didn't spill it all over herself, but I understand the super extra precautions now being taken.)
I agree. I don't think the other people on her cruise are in any danger most likely. What makes me mad is that they're all now inconvenienced because they're not allowed of the ship at their scheduled port due to this one person. I would be livid if I were on that boat.
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| Posted 10/17/14 10:26 AM |
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Re: Ebola and the news
Exactly!!! ^^^
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| Posted 10/17/14 10:33 AM |
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alli3131
Peanut is here!!!!!!
Member since 5/09 18388 total posts
Name:
Allison
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Re: Ebola and the news
Posted by Sparrow
Posted by MrsDamonSalv7319
Posted by sfp0701
Oh My God. They couldn't have screwed this up more if they tried.
Now a hospital worker that was involved in the Duncan mess got on a carnival cruise ship. Carnival put her in isolation in her room but, the ship is anchored outside of Belize because Belize won't let the ship dock or any of the passengers off.
link to article
And THIS is where my concern comes from. Not that I'll contract Ebola. But that the fear of people who may have come in contact with someone is going to spread and inconvience all of our lives! 1 man gave 2 women Ebola and now 130 ppl on a flight, and however many people are on this cruise ship are having their lives effected by this!
This worker did his/her job (I heard they handled a lab specimen from Duncan), and is now in isolation on a cruise ship and possibly ruined the cruise for everyone... That SUCKS!
Was this person told not to travel? I would hope so! The nurse who flew to Ohio was told not to travel but decided to go to the CDC and get that overridden, right?
These people are all so selfish. I feel like there should be some sort of charges against them. The hospital should have had them staying at a hotel or in the hospital until 21 days after they had contact with Ebola. The healthcare workers should all know better than to go traveling around, especially since it's now been proven that their PPE was ineffective. This all makes me so mad.
Neither person was told not to travel. I saw the CDC testifying before a congress committee on the news last night.
The nurse called the CDC and asked and was told it was ok.
The lab tech (I believe) left before Duncan even died. The lab tech is on day 19 and has yet to show symptoms and only has 2 more days.
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| Posted 10/17/14 10:33 AM |
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Pray4Baby2010
<3 Cutest Giants Fan
Member since 10/09 5796 total posts
Name:
MB
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Re: Ebola and the news
The ship did end up docking in Belize and everyone but the worker and traveling companion were allowed to disembark- they are under VOLUNTARY isolation in their cabin
I'm not sure what to think in this particular case because they are saying that the worker "may or may not" have handled specimens. I mean, I wouldnt want to give up my cruise either- like who reimburses the worker for that if she doesnt have travel insurance? But I of course agree that if the worker had contact than it was just plain selfish.
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| Posted 10/17/14 11:41 AM |
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Katareen
5,000 Posts!
Member since 4/10 7180 total posts
Name:
Katherine
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Re: Ebola and the news
Posted by Pray4Baby2010
I mean, I wouldnt want to give up my cruise either- like who reimburses the worker for that if she doesnt have travel insurance? But I of course agree that if the worker had contact than it was just plain selfish.
But that is the very definition of selfish. Lacking consideration for the hundreds of people on the cruise and only thinking about yourself and your personal gains.
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| Posted 10/17/14 11:46 AM |
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Pray4Baby2010
<3 Cutest Giants Fan
Member since 10/09 5796 total posts
Name:
MB
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Re: Ebola and the news
Posted by Katareen
Posted by Pray4Baby2010
I mean, I wouldnt want to give up my cruise either- like who reimburses the worker for that if she doesnt have travel insurance? But I of course agree that if the worker had contact than it was just plain selfish.
But that is the very definition of selfish. Lacking consideration for the hundreds of people on the cruise and only thinking about yourself and your personal gains.
but they havent even said for sure that the worker HAD contact with the specimen. They didnt tell her she couldnt travel. Its really the CDC and hospital's fault here I think
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| Posted 10/17/14 11:47 AM |
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jessnbrian
Only God knows His plan for us
Member since 4/13 7238 total posts
Name:
Jessica
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Ebola and the news
From one of my medical websites :
www.medscape.com
Dallas Nurses Say Infection Control Ignored in Ebola Care
Troy Brown, RN
October 15, 2014
( Updated October 16, 2014 ) Nurses at Texas Health Presbyterian Hospital Dallas claim the hospital administration failed to follow basic infection control principles and provided inadequate training and personal protective equipment for them to use when caring for a patient with Ebola virus, according to a statement the nurses issued on October 14.
The nurses made their statement anonymously through National Nurses United, the largest union and professional association for nurses in the United States, because they say they are afraid of retaliation from the hospital.
Deborah Burger, RN, copresident of National Nurses United, read the statement at a press conference October 15. The nurses say the hospital's actions placed them and other patients at risk after Thomas Eric Duncan was brought to the hospital with suspected Ebola virus infection on September 28. He was later admitted to the hospital and died there on October 8.
Two nurses who cared for Duncan have since been diagnosed with Ebola virus infection, and an additional 75 individuals are being monitored for symptoms.
Other Patients Exposed in Emergency Department
The nurses allege that Duncan was not isolated for several hours after being brought to the hospital by ambulance and was left in an open area in the emergency department (ED) with as many as seven other patients. The nursing supervisor demanded that he be isolated and "faced resistance from other hospital authorities."
They say that patients who had potential exposure to Duncan were kept in strict isolation units for 1 day and then transferred to areas with other patients — even those with low-grade fevers who were potentially contagious.
Duncan's laboratory specimens were sent through the hospital's pneumatic tube system to the laboratory, potentially contaminating the entire pneumatic tube system.
The nurses say they observed hospital personnel going into and out of isolation areas in the ED without proper personal protective equipment. They also say they observed Centers for Disease Control and Prevention (CDC) staff and infectious disease department staff "violate basic principles of infection control, including cross contaminating between patients." They say these staff "went back and forth" between the isolation area and hallways that were not cleaned properly after they and other staff exited into them from the isolation area.
"No Protocols," Little Advance Preparation
The nurses claim that the only advance preparation consisted of a one-time hospital seminar on Ebola virus, but attendance was not mandatory. The nurses also said, via their prepared statement read by Burger, that for a hospital as large as theirs, this seminar would have had to be presented several times to reach all nurses.
They say staff did not know "what the protocols were" and were not able to verify what specific personal protective equipment should be used. The nurses claim "there were no protocols" and that they were instructed to contact the hospital's infectious disease department, which could not provide clear policies either.
The nurses add that after Duncan's diagnosis, the training that did occur did not include having the nurses demonstrate proper donning and doffing of protective equipment.
Inadequate Personal Protective Equipment
Nurses who first cared for Duncan "wore a non-permeable gown front and back, three pairs of gloves, with no taping around wrists, surgical masks with the option of N-95 [masks], and face shields." Some supervisors reportedly told them that N-95 masks were optional. The nurses report that Duncan had "copious amounts of diarrhea and vomiting."
The nurses state that they were later given suits with booties and hoods, which left their necks exposed near their faces and mouths. When they expressed concern about this, they were instructed to wrap medical tape around their necks several times. This tape was not impermeable and had permeable seams. The nurses had to apply and remove the tape by themselves.
They add that nurses were allowed to care for other patients after caring for Duncan, "even though they had not had the proper personal protective equipment while caring for Mr. Duncan."
According to the nurses, hazardous waste piled up to the ceiling because there was no one to pick it up and nurses had no policies for cleaning and bleaching the area.
Although hospital guidelines have changed since Duncan's hospitalization, the nurses say they still have not been given clear instruction regarding which guidelines to follow.
Nurses' Concerns Widespread
The statement from the Dallas nurses was read as part of a national conference call held by National Nurses United to discuss nurses' concerns regarding Ebola patient care and preparedness.
More than 11,500 nurses from around the United States participated in the call. Many said that their institutions are not prepared to care for patients with Ebola virus infection and that they have insufficient training and personal protective equipment to do so safely. Some said the isolation rooms at their facilities are inadequate for use by patients with Ebola virus infection.
Texas Health Presbyterian Hospital Dallas Denies Allegations
Hospital administrators responded to the nurses' allegations in a statement today, saying, "The assertions do not reflect actual facts learned from the medical record and interactions with clinical caregivers. Our hospital followed the [CDC] guidelines and sought additional guidance and clarity."
Duncan was moved immediately to isolation on his arrival at the hospital by ambulance on September 28, and hospital personnel wore appropriate personal protective equipment recommended by CDC at that time, the hospital said in the statement.
Staff used the pneumatic tube system to send Duncan's specimens to the laboratory on September 26, when Duncan visited the emergency department for the first time and was sent home, the hospital noted. "At no time did Mr. Duncan's specimens leak or spill — either from their bag or their carrier — into the tube system."
Administrators said that when Duncan returned to the emergency department on September 28, "his specimens were triple-bagged, placed in a container, and placed into a closed transport container and hand-carried to the lab utilizing the buddy system." They added that while Duncan was hospitalized, all laboratory specimens were "hand-carried and sealed per protocol." Wireless equipment was used to process routine laboratory tests in his room.
"Protective Gear Followed Governing...CDC Guidelines at the Time"
The statement goes on to say that nurses who cared for Duncan used personal protective equipment, as directed by CDC guidelines. "Staff had shoe covers, face shields were required, and an N-95 mask was optional — again, consistent with the CDC guidelines at the time. When the CDC issued updates, as they did with leg covers, we followed their guidelines."
According to the statement, "When the CDC recommended that nurses wear isolation suits, the nurses raised questions and concerns about the fact that the skin on their neck was exposed. The CDC recommended that they pinch and tape the necks of the gown. Because our nurses continued to be concerned, particularly about removing the tape, we ordered hoods."
Hospital administrators said that nurses were classified regarding risk/exposure levels according to CDC guidelines. "The CDC classified risk/exposure levels. Nurses who were classified as 'no known exposure' or 'no risk' were allowed to treat other patients per the CDC guidance."
Patients with possible exposure "were always housed or isolated per the CDC guidance," the statement continued.
"Above and Beyond the CDC Recommendations"
Regarding hazardous waste, the hospital said it did everything the CDC recommends and more. "Waste was well-contained in accordance with standards, and it was located in safe and containable locations.
"Admittedly, when we received Tyvek suits, some were too large. We have since received smaller sizes, but it is possible that nurses used tape to cinch the suits for a better fit," according to the statement.
The statement ended by saying the hospital is in the top 1% in the United States regarding employee engagement and partnership. "We support the tireless and selfless dedication of our nurses and physicians, and we hope these facts clarify inaccuracies recently reported in the media."
Medscape Medical News © 2014
Medscape Medical News © WebMD, LLC
Heartwire © WebMD, LLC
WebMD Health News © WebMD, LLC
Reuters Health Information ©
Send comments and news tips to [email protected].
Cite this article: Dallas Nurses Say Infection Control Ignored in Ebola Care. Medscape. Oct 15, 2014.
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| Posted 10/17/14 11:50 AM |
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seaside
LIF Adult
Member since 6/08 3101 total posts
Name:
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Re: Ebola and the news
If patient zero did lie on his forms and if his family helped him come here knowing he was doing that, they should be prosecuted
But the others? This is hard. Did they go grocery shopping? Who else used their carts? Did they pump gas? Did they care for their children who then went to school? It goes on and on.
This person's cruise seems like it would be a drop in the bucket.
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| Posted 10/17/14 11:58 AM |
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alli3131
Peanut is here!!!!!!
Member since 5/09 18388 total posts
Name:
Allison
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Re: Ebola and the news
Posted by jessnbrian
From one of my medical websites :
www.medscape.com
Dallas Nurses Say Infection Control Ignored in Ebola Care
Troy Brown, RN
October 15, 2014
( Updated October 16, 2014 ) Nurses at Texas Health Presbyterian Hospital Dallas claim the hospital administration failed to follow basic infection control principles and provided inadequate training and personal protective equipment for them to use when caring for a patient with Ebola virus, according to a statement the nurses issued on October 14.
The nurses made their statement anonymously through National Nurses United, the largest union and professional association for nurses in the United States, because they say they are afraid of retaliation from the hospital.
Deborah Burger, RN, copresident of National Nurses United, read the statement at a press conference October 15. The nurses say the hospital's actions placed them and other patients at risk after Thomas Eric Duncan was brought to the hospital with suspected Ebola virus infection on September 28. He was later admitted to the hospital and died there on October 8.
Two nurses who cared for Duncan have since been diagnosed with Ebola virus infection, and an additional 75 individuals are being monitored for symptoms.
Other Patients Exposed in Emergency Department
The nurses allege that Duncan was not isolated for several hours after being brought to the hospital by ambulance and was left in an open area in the emergency department (ED) with as many as seven other patients. The nursing supervisor demanded that he be isolated and "faced resistance from other hospital authorities."
They say that patients who had potential exposure to Duncan were kept in strict isolation units for 1 day and then transferred to areas with other patients — even those with low-grade fevers who were potentially contagious.
Duncan's laboratory specimens were sent through the hospital's pneumatic tube system to the laboratory, potentially contaminating the entire pneumatic tube system.
The nurses say they observed hospital personnel going into and out of isolation areas in the ED without proper personal protective equipment. They also say they observed Centers for Disease Control and Prevention (CDC) staff and infectious disease department staff "violate basic principles of infection control, including cross contaminating between patients." They say these staff "went back and forth" between the isolation area and hallways that were not cleaned properly after they and other staff exited into them from the isolation area.
"No Protocols," Little Advance Preparation
The nurses claim that the only advance preparation consisted of a one-time hospital seminar on Ebola virus, but attendance was not mandatory. The nurses also said, via their prepared statement read by Burger, that for a hospital as large as theirs, this seminar would have had to be presented several times to reach all nurses.
They say staff did not know "what the protocols were" and were not able to verify what specific personal protective equipment should be used. The nurses claim "there were no protocols" and that they were instructed to contact the hospital's infectious disease department, which could not provide clear policies either.
The nurses add that after Duncan's diagnosis, the training that did occur did not include having the nurses demonstrate proper donning and doffing of protective equipment.
Inadequate Personal Protective Equipment
Nurses who first cared for Duncan "wore a non-permeable gown front and back, three pairs of gloves, with no taping around wrists, surgical masks with the option of N-95 [masks], and face shields." Some supervisors reportedly told them that N-95 masks were optional. The nurses report that Duncan had "copious amounts of diarrhea and vomiting."
The nurses state that they were later given suits with booties and hoods, which left their necks exposed near their faces and mouths. When they expressed concern about this, they were instructed to wrap medical tape around their necks several times. This tape was not impermeable and had permeable seams. The nurses had to apply and remove the tape by themselves.
They add that nurses were allowed to care for other patients after caring for Duncan, "even though they had not had the proper personal protective equipment while caring for Mr. Duncan."
According to the nurses, hazardous waste piled up to the ceiling because there was no one to pick it up and nurses had no policies for cleaning and bleaching the area.
Although hospital guidelines have changed since Duncan's hospitalization, the nurses say they still have not been given clear instruction regarding which guidelines to follow.
Nurses' Concerns Widespread
The statement from the Dallas nurses was read as part of a national conference call held by National Nurses United to discuss nurses' concerns regarding Ebola patient care and preparedness.
More than 11,500 nurses from around the United States participated in the call. Many said that their institutions are not prepared to care for patients with Ebola virus infection and that they have insufficient training and personal protective equipment to do so safely. Some said the isolation rooms at their facilities are inadequate for use by patients with Ebola virus infection.
Texas Health Presbyterian Hospital Dallas Denies Allegations
Hospital administrators responded to the nurses' allegations in a statement today, saying, "The assertions do not reflect actual facts learned from the medical record and interactions with clinical caregivers. Our hospital followed the [CDC] guidelines and sought additional guidance and clarity."
Duncan was moved immediately to isolation on his arrival at the hospital by ambulance on September 28, and hospital personnel wore appropriate personal protective equipment recommended by CDC at that time, the hospital said in the statement.
Staff used the pneumatic tube system to send Duncan's specimens to the laboratory on September 26, when Duncan visited the emergency department for the first time and was sent home, the hospital noted. "At no time did Mr. Duncan's specimens leak or spill — either from their bag or their carrier — into the tube system."
Administrators said that when Duncan returned to the emergency department on September 28, "his specimens were triple-bagged, placed in a container, and placed into a closed transport container and hand-carried to the lab utilizing the buddy system." They added that while Duncan was hospitalized, all laboratory specimens were "hand-carried and sealed per protocol." Wireless equipment was used to process routine laboratory tests in his room.
"Protective Gear Followed Governing...CDC Guidelines at the Time"
The statement goes on to say that nurses who cared for Duncan used personal protective equipment, as directed by CDC guidelines. "Staff had shoe covers, face shields were required, and an N-95 mask was optional — again, consistent with the CDC guidelines at the time. When the CDC issued updates, as they did with leg covers, we followed their guidelines."
According to the statement, "When the CDC recommended that nurses wear isolation suits, the nurses raised questions and concerns about the fact that the skin on their neck was exposed. The CDC recommended that they pinch and tape the necks of the gown. Because our nurses continued to be concerned, particularly about removing the tape, we ordered hoods."
Hospital administrators said that nurses were classified regarding risk/exposure levels according to CDC guidelines. "The CDC classified risk/exposure levels. Nurses who were classified as 'no known exposure' or 'no risk' were allowed to treat other patients per the CDC guidance."
Patients with possible exposure "were always housed or isolated per the CDC guidance," the statement continued.
"Above and Beyond the CDC Recommendations"
Regarding hazardous waste, the hospital said it did everything the CDC recommends and more. "Waste was well-contained in accordance with standards, and it was located in safe and containable locations.
"Admittedly, when we received Tyvek suits, some were too large. We have since received smaller sizes, but it is possible that nurses used tape to cinch the suits for a better fit," according to the statement.
The statement ended by saying the hospital is in the top 1% in the United States regarding employee engagement and partnership. "We support the tireless and selfless dedication of our nurses and physicians, and we hope these facts clarify inaccuracies recently reported in the media."
Medscape Medical News © 2014
Medscape Medical News © WebMD, LLC
Heartwire © WebMD, LLC
WebMD Health News © WebMD, LLC
Reuters Health Information ©
Send comments and news tips to [email protected].
Cite this article: Dallas Nurses Say Infection Control Ignored in Ebola Care. Medscape. Oct 15, 2014.
There are such conflicting reports about this.
I saw one nurse on the Today Show yesterday saying all of this and then others have said the opposite.
So who the hell knows and that's why I don't believe 90% of what the media reports.
People have their own agenda when there are huge media events.
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| Posted 10/17/14 12:16 PM |
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jessnbrian
Only God knows His plan for us
Member since 4/13 7238 total posts
Name:
Jessica
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Re: Ebola and the news
Posted by alli3131
Posted by jessnbrian
From one of my medical websites :
www.medscape.com
Dallas Nurses Say Infection Control Ignored in Ebola Care
Troy Brown, RN
October 15, 2014
( Updated October 16, 2014 ) Nurses at Texas Health Presbyterian Hospital Dallas claim the hospital administration failed to follow basic infection control principles and provided inadequate training and personal protective equipment for them to use when caring for a patient with Ebola virus, according to a statement the nurses issued on October 14.
The nurses made their statement anonymously through National Nurses United, the largest union and professional association for nurses in the United States, because they say they are afraid of retaliation from the hospital.
Deborah Burger, RN, copresident of National Nurses United, read the statement at a press conference October 15. The nurses say the hospital's actions placed them and other patients at risk after Thomas Eric Duncan was brought to the hospital with suspected Ebola virus infection on September 28. He was later admitted to the hospital and died there on October 8.
Two nurses who cared for Duncan have since been diagnosed with Ebola virus infection, and an additional 75 individuals are being monitored for symptoms.
Other Patients Exposed in Emergency Department
The nurses allege that Duncan was not isolated for several hours after being brought to the hospital by ambulance and was left in an open area in the emergency department (ED) with as many as seven other patients. The nursing supervisor demanded that he be isolated and "faced resistance from other hospital authorities."
They say that patients who had potential exposure to Duncan were kept in strict isolation units for 1 day and then transferred to areas with other patients — even those with low-grade fevers who were potentially contagious.
Duncan's laboratory specimens were sent through the hospital's pneumatic tube system to the laboratory, potentially contaminating the entire pneumatic tube system.
The nurses say they observed hospital personnel going into and out of isolation areas in the ED without proper personal protective equipment. They also say they observed Centers for Disease Control and Prevention (CDC) staff and infectious disease department staff "violate basic principles of infection control, including cross contaminating between patients." They say these staff "went back and forth" between the isolation area and hallways that were not cleaned properly after they and other staff exited into them from the isolation area.
"No Protocols," Little Advance Preparation
The nurses claim that the only advance preparation consisted of a one-time hospital seminar on Ebola virus, but attendance was not mandatory. The nurses also said, via their prepared statement read by Burger, that for a hospital as large as theirs, this seminar would have had to be presented several times to reach all nurses.
They say staff did not know "what the protocols were" and were not able to verify what specific personal protective equipment should be used. The nurses claim "there were no protocols" and that they were instructed to contact the hospital's infectious disease department, which could not provide clear policies either.
The nurses add that after Duncan's diagnosis, the training that did occur did not include having the nurses demonstrate proper donning and doffing of protective equipment.
Inadequate Personal Protective Equipment
Nurses who first cared for Duncan "wore a non-permeable gown front and back, three pairs of gloves, with no taping around wrists, surgical masks with the option of N-95 [masks], and face shields." Some supervisors reportedly told them that N-95 masks were optional. The nurses report that Duncan had "copious amounts of diarrhea and vomiting."
The nurses state that they were later given suits with booties and hoods, which left their necks exposed near their faces and mouths. When they expressed concern about this, they were instructed to wrap medical tape around their necks several times. This tape was not impermeable and had permeable seams. The nurses had to apply and remove the tape by themselves.
They add that nurses were allowed to care for other patients after caring for Duncan, "even though they had not had the proper personal protective equipment while caring for Mr. Duncan."
According to the nurses, hazardous waste piled up to the ceiling because there was no one to pick it up and nurses had no policies for cleaning and bleaching the area.
Although hospital guidelines have changed since Duncan's hospitalization, the nurses say they still have not been given clear instruction regarding which guidelines to follow.
Nurses' Concerns Widespread
The statement from the Dallas nurses was read as part of a national conference call held by National Nurses United to discuss nurses' concerns regarding Ebola patient care and preparedness.
More than 11,500 nurses from around the United States participated in the call. Many said that their institutions are not prepared to care for patients with Ebola virus infection and that they have insufficient training and personal protective equipment to do so safely. Some said the isolation rooms at their facilities are inadequate for use by patients with Ebola virus infection.
Texas Health Presbyterian Hospital Dallas Denies Allegations
Hospital administrators responded to the nurses' allegations in a statement today, saying, "The assertions do not reflect actual facts learned from the medical record and interactions with clinical caregivers. Our hospital followed the [CDC] guidelines and sought additional guidance and clarity."
Duncan was moved immediately to isolation on his arrival at the hospital by ambulance on September 28, and hospital personnel wore appropriate personal protective equipment recommended by CDC at that time, the hospital said in the statement.
Staff used the pneumatic tube system to send Duncan's specimens to the laboratory on September 26, when Duncan visited the emergency department for the first time and was sent home, the hospital noted. "At no time did Mr. Duncan's specimens leak or spill — either from their bag or their carrier — into the tube system."
Administrators said that when Duncan returned to the emergency department on September 28, "his specimens were triple-bagged, placed in a container, and placed into a closed transport container and hand-carried to the lab utilizing the buddy system." They added that while Duncan was hospitalized, all laboratory specimens were "hand-carried and sealed per protocol." Wireless equipment was used to process routine laboratory tests in his room.
"Protective Gear Followed Governing...CDC Guidelines at the Time"
The statement goes on to say that nurses who cared for Duncan used personal protective equipment, as directed by CDC guidelines. "Staff had shoe covers, face shields were required, and an N-95 mask was optional — again, consistent with the CDC guidelines at the time. When the CDC issued updates, as they did with leg covers, we followed their guidelines."
According to the statement, "When the CDC recommended that nurses wear isolation suits, the nurses raised questions and concerns about the fact that the skin on their neck was exposed. The CDC recommended that they pinch and tape the necks of the gown. Because our nurses continued to be concerned, particularly about removing the tape, we ordered hoods."
Hospital administrators said that nurses were classified regarding risk/exposure levels according to CDC guidelines. "The CDC classified risk/exposure levels. Nurses who were classified as 'no known exposure' or 'no risk' were allowed to treat other patients per the CDC guidance."
Patients with possible exposure "were always housed or isolated per the CDC guidance," the statement continued.
"Above and Beyond the CDC Recommendations"
Regarding hazardous waste, the hospital said it did everything the CDC recommends and more. "Waste was well-contained in accordance with standards, and it was located in safe and containable locations.
"Admittedly, when we received Tyvek suits, some were too large. We have since received smaller sizes, but it is possible that nurses used tape to cinch the suits for a better fit," according to the statement.
The statement ended by saying the hospital is in the top 1% in the United States regarding employee engagement and partnership. "We support the tireless and selfless dedication of our nurses and physicians, and we hope these facts clarify inaccuracies recently reported in the media."
Medscape Medical News © 2014
Medscape Medical News © WebMD, LLC
Heartwire © WebMD, LLC
WebMD Health News © WebMD, LLC
Reuters Health Information ©
Send comments and news tips to [email protected].
Cite this article: Dallas Nurses Say Infection Control Ignored in Ebola Care. Medscape. Oct 15, 2014.
There are such conflicting reports about this.
I saw one nurse on the Today Show yesterday saying all of this and then others have said the opposite.
So who the hell knows and that's why I don't believe 90% of what the media reports.
People have their own agenda when there are huge media events.
Exactly... this is a medical journal, so it's not "media" per se. They've been very cautious about what they DO report, a lot of this non-sense about "possible people being tested" doesn't even make it to their radar.
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| Posted 10/17/14 12:21 PM |
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Goobster
:)
Member since 5/07 27557 total posts
Name:
:)
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Re: Ebola and the news
What I want to know is how did Belize know this person was on the ship?
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| Posted 10/17/14 1:39 PM |
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Pray4Baby2010
<3 Cutest Giants Fan
Member since 10/09 5796 total posts
Name:
MB
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Re: Ebola and the news
Posted by Goobster
What I want to know is how did Belize know this person was on the ship?
one article that I read said that the US notified belize because they wanted to get the worker and partner sent back to the US by plane immediately. Belize didnt want the two people in their airport or anywhere in the country and they sent the coast guard out to stop the boat initially from porting.
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| Posted 10/17/14 1:41 PM |
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alli3131
Peanut is here!!!!!!
Member since 5/09 18388 total posts
Name:
Allison
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Re: Ebola and the news
Posted by Pray4Baby2010
Posted by Goobster
What I want to know is how did Belize know this person was on the ship?
one article that I read said that the US notified belize because they wanted to get the worker and partner sent back to the US by plane immediately. Belize didnt want the two people in their airport or anywhere in the country and they sent the coast guard out to stop the boat initially from porting.
Yes this, The ship contacted the Belize govt because they wanted to evacuate the passenger via Belize City airport. THe govt said no. THe ship was actually never denied rights to the port just delayed.
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| Posted 10/17/14 2:36 PM |
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FTM427
LIF Adult
Member since 1/12 1261 total posts
Name:
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Re: Ebola and the news
Posted by Katareen
Posted by Pray4Baby2010
I mean, I wouldnt want to give up my cruise either- like who reimburses the worker for that if she doesnt have travel insurance? But I of course agree that if the worker had contact than it was just plain selfish.
I'm pretty sure she could have contacted the cruise line and explained and they HAPPILY would have put her on a cruise 3 weeks from now. Cruise companies have had a rough few years and Im sure Carnival does not want the "publicity" they are now receiving. The woman could have easily proved to the cruise line with a Drs note and note from the friggin CDC themselves!
Message edited 10/17/2014 3:43:50 PM.
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| Posted 10/17/14 3:42 PM |
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Jugglemom
LIF Adolescent
Member since 3/12 809 total posts
Name:
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Re: Ebola and the news
So the latest is that the nurse who flew may have been exhibiting symptoms since her first flight from Dallas to Cleveland (during which time she would have been contagious). CDC is now looking at all passengers from both flights and frontier is looking at other passengers because the plane she took to Cleveland was not disinfected and was boarded with another flight immediately after.
Such a clusterf***! Seriously this is like watching 6th graders handle the Ebola issue.
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| Posted 10/17/14 4:37 PM |
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2BadSoSad
LIF Adult
Member since 8/12 6791 total posts
Name:
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Re: Ebola and the news
Posted by Jugglemom
So the latest is that the nurse who flew may have been exhibiting symptoms since her first flight from Dallas to Cleveland (during which time she would have been contagious). CDC is now looking at all passengers from both flights and frontier is looking at other passengers because the plane she took to Cleveland was not disinfected and was boarded with another flight immediately after.
Such a clusterf***! Seriously this is like watching 6th graders handle the Ebola issue.
Seriously, WHAT WOULD POSSESS HER TO GET ON A PLANE? How self absorbed do you have to be?
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| Posted 10/17/14 6:23 PM |
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Lillies
Grateful for my babies!
Member since 2/12 4571 total posts
Name:
<3
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Re: Ebola and the news
And not all Ebola patients show obvious symptoms like throwing up and diarrhea. The woman missionary who first caught it with the male Dr told Andersen Cooper she never threw up when she had it in Africa before she was brought here but still had full blown Ebola. Symptoms can vary :/
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| Posted 10/17/14 6:52 PM |
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Lillies
Grateful for my babies!
Member since 2/12 4571 total posts
Name:
<3
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Re: Ebola and the news
Posted by 2BadSoSad
Posted by Jugglemom
So the latest is that the nurse who flew may have been exhibiting symptoms since her first flight from Dallas to Cleveland (during which time she would have been contagious). CDC is now looking at all passengers from both flights and frontier is looking at other passengers because the plane she took to Cleveland was not disinfected and was boarded with another flight immediately after.
Such a clusterf***! Seriously this is like watching 6th graders handle the Ebola issue.
Seriously, WHAT WOULD POSSESS HER TO GET ON A PLANE? How self absorbed do you have to be?
Agreed!!! Same with Nancy Schniderman who is a MD!! All because they are medical professionals doesn't mean they are good people. Ridiculous :/
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| Posted 10/17/14 6:53 PM |
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Sash
Peace
Member since 6/08 10312 total posts
Name:
fka LIW Smara
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Re: Ebola and the news
I swear what's really scaring me are people's selfishness and stupidity. There is no cure for that epidemic.
Message edited 10/17/2014 6:58:22 PM.
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| Posted 10/17/14 6:57 PM |
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