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Ebola Preparation Will Bankrupt My Hospital

Re: Ebola Preparation Will Bankrupt My Hospital

CDC Isolation Precautions guidelines that they issued in 2007 as part of the Pandemic Preparedness Act; here is the relevant segment for Ebola:

The most recent recommendations at the time of publication of this document were posted on the CDC website on 5/19/05 314. Inconsistencies among the various recommendations have raised questions about the appropriate precautions to use in U.S. hospitals. In less developed countries, outbreaks of HFVs have been controlled with basic hygiene, barrier precautions, safe injection practices, and safe burial practices 299, 306. The preponderance of evidence on HFV transmission indicates that Standard, Contact and Droplet Precautions with eye protection are effective in protecting
healthcare personnel and visitors who may attend an infected patient. Single gloves are adequate for routine patient care; double-gloving is advised during invasive procedures (e.g., surgery) that pose an increased risk for blood exposure. Routine eye protection (i.e. goggles or face shield) is particularly important. Fluid-resistant gowns should be worn for all patient contact. Airborne Precautions are not required for routine patient care; however, use of AIIRs is prudent when procedures that could generate infectious aerosols are performed (e.g., endotracheal intubation, bronchoscopy, suctioning, autopsy procedures involving oscillating saws). N95 or higher level respirators may provide added protection for individuals in a room during aerosol-generating procedures (Table 3, Appendix A).​

They don't recommend BSL-4 level PPEs. It would be good to know if N95 masks were in use during those more invasive procedures, though. And I do wonder if the advice will change after all of this.
 
Re: Ebola Preparation Will Bankrupt My Hospital

When it comes to the financial cost of dealing with this horrific disease all I can think of is how quickly the US Congress managed to come up with 700 Billion dollars in a matter of days to save a bunch bankstas who had knowingly engaged in extremely risky financial behavior for years. They had worked hard to strip away as much government oversight and regulation as possible, addictively gambling with other peoples money.

When they could no longer pay the vig and were facing ruin they cried that they were Too Big to Fail and that the very people they had conned should now bail them out.

I think that global public health is too big to fail and that the world wide consequences of letting it would be far more devastating than the financial meltdown.
 
Re: Ebola Preparation Will Bankrupt My Hospital

They need to think system, parts that comprise a clothing system, not just items. You can't have your neck sticking out. There need to be guidelines about when to use what system, because there are probably several levels of systems they need. Aka one for first responders, one for hospital rooms under x conditions, one for hospital rooms under y conditions, etc. Doctors will have to work that out based on what they know can or cannot happen.

The system also ALWAYS needs to be paired with a dress-out routine and a disrobing routine down a passageway to prevent contamination. This is important and it's not happening. SMH SMH SMH

This old ex-nuke is frustrated. I'm sorry, this is simple and they're not doing it. The CDC, I mean. It's their job, just like nuclear clothing is the NRC's job.
Dr. Frieden should have a hotline to other industries doing this successfully: nuclear, asbestos remediation, etc. They know where materials and standards are that can be adapted to this situation. No sense in re-inventing the wheel.
 
Re: Ebola Preparation Will Bankrupt My Hospital

USALady said:
They need to think system, parts that comprise a clothing system, not just items. You can't have your neck sticking out. There need to be guidelines about when to use what system, because there are probably several levels of systems they need. Aka one for first responders, one for hospital rooms under x conditions, one for hospital rooms under y conditions, etc. Doctors will have to work that out based on what they know can or cannot happen.

The system also ALWAYS needs to be paired with a dress-out routine and a disrobing routine down a passageway to prevent contamination. This is important and it's not happening. SMH SMH SMH

This old ex-nuke is frustrated. I'm sorry, this is simple and they're not doing it. The CDC, I mean. It's their job, just like nuclear clothing is the NRC's job.
Dr. Frieden should have a hotline to other industries doing this successfully: nuclear, asbestos remediation, etc. They know where materials and standards are that can be adapted to this situation. No sense in re-inventing the wheel.
Click to expand...

USAlady.. .As an ex-nuke still with PrevMed in USN we are reaching out to the nuke community to help with training in the operational environment. These are some nitpicky things that will help drive home the importance of following procedures while still using your head to prevent the spread of contamination/infection.
kaf
 
Re: Ebola Preparation Will Bankrupt My Hospital

Excellent, kaf.

Someone working has to have the capacity to protect themselves, the systems have to be there to support that capacity, and then they need to Use Their Heads within that system to handle the concrete situations they meet.
 
Re: Ebola Preparation Will Bankrupt My Hospital

Aphelion27 said:
USAlady.. .As an ex-nuke still with PrevMed in USN we are reaching out to the nuke community to help with training in the operational environment. These are some nitpicky things that will help drive home the importance of following procedures while still using your head to prevent the spread of contamination/infection.
kaf
Click to expand...

Great - solutions, rather than finger pointing and denial. Go Navy!

.
 
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