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Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission
Not content with having murdered the dog, now they have sealed the windows of Teresa's flat with tarps, boarded the entrance with plasterboards and will today proceed to a 2nd disinfection round of the flat.
Updated: Spanish nursing assistant Teresa Romero, currently in a critical but stable condition after being infected with Ebola, is to undergo treatment with the experimental medication ZMab, officials have confirmed.
In some countries the patients family must do the hospital caregiving, including meal preparation.
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"The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation
I've been guessing with this, though to be clear I don't know, that a few doses were purchased by other governments to be held in case of just such an emergency.
All of the existing doses would therefore have been accounted for, unavailable. I don't suspect there were very many in the first place; it doesn't sound like an easy process, growing and purifying from GM tobacco, and they were still just investigating its use, so their grow operation was probably not very large.
I would imagine that getting this medicine to scale well is going to be difficult, if it does prove to be helpful. Wonder what their yield per plant is and what sort of shelf life it winds up with.
In some countries the patients family must do the hospital caregiving, including meal preparation.
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Yes, I think most of us who practice in North America & Europe would be pretty surprised at how things are done in other parts of the world. On the other hand, my personal opinion is we have gone so high tech in the US that we are now scrambling to trying to preserve the best of that personalized care.
(Reuters) - Spanish health workers angry about the government's handling of an Ebola outbreak jeered Prime Minister Mariano Rajoy and pelted his car with surgical gloves on Friday at a Madrid hospital where a nurse lay seriously ill with the virus.http://www.reuters.com/article/2014/...0HZ0U920141010
I don't know why, probably because of the symbolism of the gloves, I read that article and thought of of The Pink Glove Dance for breast cancer awareness. It's tragic that a hospital can go from a pretty fun place & rewarding place to work to one where a staff person might feel at risk. And of course, there's no comparison to what the HCW's in West Africa have had to deal with. They don't have any spare pink gloves to dance with.
I cannot say I find this in any way surprising, and its a pattern that will be repeated in any country where a nocosomial infection occurs.
This is the reason why the highest standards of PPE and training need to be applied for HCWs now, and also for staff of any companies or individuals involved in decontamination or other support services, including lab technicians.
The developed world and WHO really needs to rethink its guidance and precautions quickly, if it wants to keep its healthcare systems operational in an outbreak situation.
I found this screenshot of instructions how to use PPE on my PC, can't remember where I got it, don't know if it's useful:
This is brilliant - can we add it to the thread about the "trash bag method"?
Okay - editing to say - link didn't even copy with my quote! Sooo technically challenged! Can anyone... Add this link to the trash bag thread? I will try - but may not be successful!
Last edited by kiwibird; October 11, 2014, 07:04 AM.
Reason: Incompetence :)
"The only security we have is our ability to adapt."
Spain Ebola patient Teresa Romero in 'better' state and talking
The condition of a Spanish nurse infected with the deadly Ebola virus has improved and she is talking, a medical source said on Saturday.
The nurse, Teresa Romero, ?is quite a bit better than yesterday. Her condition improved in the night. She is conscious and talks from time to time when she is in a good mood,? the source told AFP.
Her condition ?is serious but is improving", the source said.
Doctors in Madrid started treating Romero with the experimental Ebola treatment ZMapp late on Friday, the source added.
Re: Spain: Spanish Nurse Who Treated Ebola Victim in Madrid Tests Positive For Disease - 2nd confirming test confirms nosocomial transmission
As far as I know, there's nothing wrong with using tape with PPE. I'm an ex-nuke, and various kinds of tape are used for these tasks in nuclear plants. The trick to it is to make a little tiny tab at the overlap on the tape when you dress, so that when you come back out you can get the tape back off without a struggle while wearing gloves! With cloth suits we wore masking tape, with waterproof suits electrical tape or duct tape impregnated with plastic. And there are other kinds of tape now too, I'm sure, maybe even waterproof medical tape. Depending on how many layers of gloves we wore, and what the job at hand was, we taped the outside layer or the next to the outside layer of gloves to the sleeve. The tape also keeps floppy cuffs from picking up contamination that you may not notice.
There should be several layers of thin gloves, so that you can take off dirty work gloves, then remove the outside layer of your clothes with gloves on, and this would include the tape. And still have gloves on. Think of coming out of anti-contamination clothing as removing layers, and the gloves are layers too. I always wore one extra set of latex gloves, so that this was the last bit of special clothing that came off.
This is brilliant - can we add it to the thread about the "trash bag method"?
Okay - editing to say - link didn't even copy with my quote! Sooo technically challenged! Can anyone... Add this link to the trash bag thread? I will try - but may not be successful!
Can you use your "snipping tool" to create a picture, then post that picture?
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"The next major advancement in the health of American people will be determined by what the individual is willing to do for himself"-- John Knowles, Former President of the Rockefeller Foundation
As far as I know, there's nothing wrong with using tape with PPE. I'm an ex-nuke, and various kinds of tape are used for these tasks in nuclear plants. The trick to it is to make a little tiny tab at the overlap on the tape when you dress, so that when you come back out you can get the tape back off without a struggle while wearing gloves! With cloth suits we wore masking tape, with waterproof suits electrical tape or duct tape impregnated with plastic. And there are other kinds of tape now too, I'm sure, maybe even waterproof medical tape. Depending on how many layers of gloves we wore, and what the job at hand was, we taped the outside layer or the next to the outside layer of gloves to the sleeve. The tape also keeps floppy cuffs from picking up contamination that you may not notice.
There should be several layers of thin gloves, so that you can take off dirty work gloves, then remove the outside layer of your clothes with gloves on, and this would include the tape. And still have gloves on. Think of coming out of anti-contamination clothing as removing layers, and the gloves are layers too. I always wore one extra set of latex gloves, so that this was the last bit of special clothing that came off.
Welcome, USALady! Your knowledge of safety practices could indeed be very helpful in setting up procedures for hospitals dealing with these kinds of pathogens. It's nice to hear about a workplace where worker safety is put first. There are far too few of these environments, IMO. I saw your other post about having an observer during PPE removal like I believe Samaritan's Purse and MSF are doing in Africa, and I hope that will be standard practice.
I would certainly never blame a tired healthcare worker when something goes wrong in badly managed operation.
"...there’s an obvious contest that’s happening between different sectors of the colonial ruling class in this country. And they would, if they could, lump us into their beef, their struggle." ---- Omali Yeshitela, African People’s Socialist Party
(My posts are not intended as advice or professional assessments of any kind.) Never forget Excalibur.
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I will try - but may not be successful!
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