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Nurses warn U.S. not ready for Ebola outbreak

Re: Nurses warn U.S. not ready for Ebola outbreak

Fortunately, it has a longer incubation period. One of the pieces that help contain the virus. Imagine if the incubation were two days - like flu can be - the outbreak would have circled the globe by now.

Question:
Is this the first detected unintentional importation to another continent?

Yes it is the first and ebola has an incubation of 2-21 days.
 
Re: Nurses warn U.S. not ready for Ebola outbreak

While it CAN be as little as 2 days - I have read the average is between 7-10. I will look for the source.
In contrast to influenza, 2-7 days, the average incubation period is closer to the 2.
I should have been more specific.
 
Re: Nurses warn U.S. not ready for Ebola outbreak

Should have listened to the nurses on this one. Sometimes I wonder what exactly it is that managers do in the health care besides shift blame to front line staff.
 
Re: Nurses warn U.S. not ready for Ebola outbreak

Should have listened to the nurses on this one. Sometimes I wonder what exactly it is that managers do in the health care besides shift blame to front line staff.
It's a matter of attitude more than anything else. Administrators can make protocols a matter of pride, or an aggravation that they have to follow even though they'd rather not be bothered. Just a personal example--I was dealing with a patient hospitalized in a long term care center in Richmond, Virginia, after contracting H1N1. He'd been on a ventilator for a couple of months, and also dialysis. He was supposed to be turned every two hours, suctioned regularly, checked for bedsores, all the usual. At this long term care place, I ended up doing the suctioning and turning, because unless I made a loud stink, NO ONE DID IT. Then he had a heart arrhythmia and was sent to St. Mary's in Richmond. I assumed I'd have to handle the routine care there as well. I was astonished to find that they had a team on each shift whose sole responsibility was to go around and turn patients who couldn't move on their own, a pair of friendly smiling people who did an excellent job, asked the patients if they were comfortable in the new position, paid attention to pressure points and feet and elbows, etc, etc. I commented to them that I wasn't used to that calibre of patient care, and they told me how proud they were that their hospital was one of the best in the country. Every health care worker I encountered in that hospital showed the same evidence of pride, right down to the cafeteria workers and billing clerks. It was a real eye-opener for me. Administrators and department heads make the difference between people who want to do a good job, as opposed to people who are just putting in their time. And of course that's true in any industry, but in health care it can make the difference between life and death.
 
Re: Nurses warn U.S. not ready for Ebola outbreak

FluTrackers is 100% in support of our front line health care workers. Without you...well...we would be dead. Thanks so much for your work.
 
Re: Nurses warn U.S. not ready for Ebola outbreak

Someone mentioned online that Nigerian healthcare workers did not become infected caring for the healthcare workers infected by Patrick Sawyer--intimating that perhaps care/PPE etc better in Nigeria and perhaps (like MSF) they could teach US a thing or two about Ebola transmission. This is from a blog post written by a physician in Nigeria who survived her Ebola infection about conditions where she was isolated. It highlights the differences between developed world care and developing world care.

"I was taken to the female ward. I was shocked at the environment. It looked like an abandoned building. I suspected it had not been in use for quite a while. As I walked in, I immediately recognized one of the ward maids from our hospital. She always had a smile for me but not this time. She was ill and she looked it. She had been stooling a lot too. I soon settled into my corner and looked around the room. It smelled of faeces and vomit. It also had a characteristic Ebola smell to which I became accustomed. Dinner was served ? rice and stew. The pepper stung my mouth and tongue. I dropped the spoon. No dinner that night.

Dr. David, the Caucasian man who had met me at the ambulance on my arrival, came in wearing his full protective ?hazmat? suit and goggles. It was fascinating seeing one live. I had only seen them online. He brought bottles of water and ORS, the oral fluid therapy which he dropped by my bedside. He told me that 90 percent of the treatment depended on me. He said I had to drink at least 4.5 litres of ORS daily to replace fluids lost in stooling and vomiting. He said good night and left.The sanitary condition in the ward left much to be desired. The whole Ebola thing had caught everyone by surprise.

Lagos State Ministry of Health was doing its best to contain the situation but competent hands were few. The sheets were not changed for days. The floor was stained with greenish vomitus and excrement. Dr. David (American from Virginia) would come in once or twice a day and help clean up the ward after chatting with us. He was the only doctor who attended to us. There was no one else at that time. The matrons would leave our food outside the door; we had to go get the food ourselves. They hardly entered in the initial days. Everyone was being careful. This was all so new. I could understand, was this not how we ourselves had contracted the disease? Mosquitoes were our roommates until they brought us mosquito nets."

After she recovered, she goes on to say that more doctors in PPE came to the ward.


http://www.bellanaija.com/2014/09/1...-ada-igonoh-survived-ebola-this-is-her-story/
 
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