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Ebola (3 Viewers)

I'd say you'd have a lot to read while in quarentine Ghost Guy but you'll be bleeding out your eyeballs so you may not find reading enjoyable...

 
Ghost guy is like the annoying dude in horror movies that the audience wants killed, but somehow survives until the very end

 
I think you guys have me sold.

Nothing to worry about. We're good.

I'l check back on this thread in a few weeks so you guys can tell me how crazy I was for being worried..................hopefully

 
DA RAIDERS said:
Do these nurses have access to the Internet? Maybe its just me, but I would give the ole CDC website a look see if I was caring for someone with mother####ing Ebola. Instead of relying on marge, the floor nurse, from bum#### west Texas for my infectious deasease protocol.. Call me crazy.
Apparently there is no protocol.

A union made troubling allegations Tuesday about the Texas hospital where a nurse contracted Ebola, claiming "guidelines were constantly changing" and "there were no protocols" about how to deal with the deadly virus."

"The protocols that should have been in place in Dallas were not in place, and that those protocols are not in place anywhere in the United States as far as we can tell," National Nurses United Executive Director RoseAnn DeMoro said. "We're deeply alarmed."
http://www.cnn.com/2014/10/14/health/texas-ebola-nurses-union-claims/index.html?hpt=hp_t1

At first, protective gear nurses were wearing while treating Duncan left their necks exposed.

After expressing concerns that their necks were exposed even as they wore protective gear, the nurses were told to wrap their necks with medical tape, the union says.

"They were told to use medical tape and had to use four to five pieces of medical tape wound around their neck. The nurses have expressed a lot of concern about how difficult it is to remove the tape from their neck," Burger said.

At one point during Duncan's care, hazardous waste piled up.

"There was no one to pick up hazardous waste as it piled to the ceiling," Burger said. "They did not have access to proper supplies."
I am not sure why so many media outlets and agencies are claiming that every hospital can handle ebola cases. It is a BSL4 pathogen and there are very few laboratories in the world equipped to even store, contain, and perform research on the virus - and that is in an extremely controlled setting. When the virus is being vomited, bled, sweated, and shat all over with even less safety measures in place I have a hard time believing that these scenarios really fall into the bucket of being "handled" successfully.

 
Couple Cleveland area schools closed.

One because a teacher was on the plane and had been back at the school.

Another, not the sure exact reason, but I believe it was another teacher at a different school that had contact with the teacher who was on the plane.

Just relaying some more info. Or maybe it's more that I am making up. I guess we'll see.

 
It's funny how people downplay #### and it's so impossible to spread yada yada yada

First we had one case with 25 or so people being watched or quarantined. Now we have 3 cases, and a lot more people will be quarantined. I'd be betting that there will be more than 3 by months end.
Who's saying it's impossible to spread? Measles, mumps are far more contagious and kill hundreds of people, infants, every year because wing nuts won't vaccinate. Dont see that as the lead on CNN 24-7
Do measles kill 50-70% of people that get it? No. So stop with the ridiculous comparisons. This isn't a "CNN" thing. It's a UN, CDC, WHO, USA thing. Basically every world leader there is knows that this could kill hundreds of millions if not billions if left unchecked.
what evidence is there for this? Even in Africa it's only killed thousands. Where are you getting hundreds of millions from?
and who really cares about Africa, right?
Peens and Jim11

 
:lmao:

Ghostguy is the new leader in the clubhouse. Do you have a newsletter I can subscribe to?

My favorites are:

"Whether you agree or not, that ebola virus IS spread around the country right now."

"That plane that went back from Cleveland to Dallas needs to be incinerated."
This is only the first round; plenty of golf to be played. We're not sure who's going to make the cut.

 
I am not sure why so many media outlets and agencies are claiming that every hospital can handle ebola cases. It is a BSL4 pathogen and there are very few laboratories in the world equipped to even store, contain, and perform research on the virus - and that is in an extremely controlled setting. When the virus is being vomited, bled, sweated, and shat all over with even less safety measures in place I have a hard time believing that these scenarios really fall into the bucket of being "handled" successfully.
I've seen better containment procedures in one of my zombie novels I got from Permuted Press. Sheesh.

 
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What about all the other planes that people with Ebola have flown on? You are a total mental midget.
Yeah, and we have an ebola outbreak. Go figure.

You also do realize (though you probably dont) that the person has to be symptomatic for the disease to be spread. This lady was symptomatic..........on a plane...........for several hours.............from Clevealnd to Dallas....................less than 24 hours ago......and the disease likely came out her body in several different fashions on that plane, and is laying around in there in several spots.

The virus lives outside the body for several days on average. Do the math, if you can.
So the disease is like... planking?

 
What about all the other planes that people with Ebola have flown on? You are a total mental midget.
Yeah, and we have an ebola outbreak. Go figure.

You also do realize (though you probably dont) that the person has to be symptomatic for the disease to be spread. This lady was symptomatic..........on a plane...........for several hours.............from Clevealnd to Dallas....................less than 24 hours ago......and the disease likely came out her body in several different fashions on that plane, and is laying around in there in several spots.

The virus lives outside the body for several days on average. Do the math, if you can.
So the disease is like... planking?
Squirter?

 
When Obama hugged the Dallas nurses, Ebola caught Obama, rendering it completely ineffective. Well played, **** Cheney.

 
Sorry if this was already posted but thought it was kind of important:

CDC director Dr. Tom Frieden said during a national news conference on Wednesday that Dallas nurse Amber Joy Vinson “was in a group of individuals known to have exposure to Ebola, she should not have traveled on a commercial airline.”

But according to multiple news reports, Vinson phoned the CDC before leaving Ohio to report she had an elevated fever of 99.5 degrees and would be flying back to Dallas. Vinson wasn't “told she couldn't fly,” an unidentified CDC source told BC New.
Don't worry.. The CDC has this under control :thumbup:

 
Slow night at the Cleveland hospitals I guess... ;)
It is when everyone is sleepin........................
Hope it stays slow! Over the next three weeks at least...

;)
Me too. Although, if we hear of ONE single case around here in like 2 weeks, gonna have to start that time table yet again.
Two miles from me, as the crow flies, a (Danish) patient has just been placed under observation for Ebola. They should know in about 10 hours if it's for real..

 
Who has said hospitals and the CDC should not be vigilant and prepared?
Well, for one, the hospital WASN'T prepared if a worker was infected.

Not to mention allowing that worked to travel across country after working with somoene with ebola. Does not sound prepared to me.
You can't make this call.

Unless you are gonna pull a straight lie out of your rear and tell us none of your patients have ever got an infection in your facility.

Doesn't mean they weren't prepared, it means something was not done right... which could be anything from improper PPE to an accident with sharps to to a fail in sterile technique. Any of which happen on a daily basis in every facility I've ever been in (a lot). #### happens.

You don't have the information necessary to make your accusations with any credibility.

 
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I heard a nurse from the hospital in Dallas speak out this morning. It sounded like they were winging it. No protocol in place, no access to the appropriate supplies and equipment, and no training. Doesn't sound like they were prepared at all, and I bet most hospitals are/were the same.

 
Flew to ATL last night for work and was supposed to meet a guy coming from Cleveland. Yep, he was going to be on the plane that was quarantined.

 
Who has said hospitals and the CDC should not be vigilant and prepared?
Well, for one, the hospital WASN'T prepared if a worker was infected.

Not to mention allowing that worked to travel across country after working with somoene with ebola. Does not sound prepared to me.
You can't make this call.

Unless you are gonna pull a straight lie out of your rear and tell us none of your patients have ever got an infection in your facility.

Doesn't mean they weren't prepared, it means something was not done right... which could be anything from improper PPE to an accident with sharps to to a fail in sterile technique. Any of which happen on a daily basis in every facility I've ever been in (a lot). #### happens.

You don't have the information necessary to make your accusations with any credibility.
They werent prepared because they werent prepared. Basically all hospitals in the county are going to practice procedures and training right now because NOBODY is prepared for ebola.

 
Who has said hospitals and the CDC should not be vigilant and prepared?
Well, for one, the hospital WASN'T prepared if a worker was infected.

Not to mention allowing that worked to travel across country after working with somoene with ebola. Does not sound prepared to me.
You can't make this call.

Unless you are gonna pull a straight lie out of your rear and tell us none of your patients have ever got an infection in your facility.

Doesn't mean they weren't prepared, it means something was not done right... which could be anything from improper PPE to an accident with sharps to to a fail in sterile technique. Any of which happen on a daily basis in every facility I've ever been in (a lot). #### happens.

You don't have the information necessary to make your accusations with any credibility.
They werent prepared because they werent prepared. Basically all hospitals in the county are going to practice procedures and training right now because NOBODY is prepared for ebola.
Come on man, do you seriously work in a hospital or nah?

I'm leaning nah at this point.

 
I heard a nurse from the hospital in Dallas speak out this morning. It sounded like they were winging it. No protocol in place, no access to the appropriate supplies and equipment, and no training. Doesn't sound like they were prepared at all, and I bet most hospitals are/were the same.
You are correct. The cleveland clinic has been going through mock drills and vastly ramped up education because they would be very unprepared. Same with university hospitals.

I will pretty safely say, if these two hospital were not ready, very few in the entire county would be

 
Come on man, do you seriously work in a hospital or nah?

I'm leaning nah at this point.
Yeah, and the hospital I work at right now is getting ready in case they have to quarantine someone for this. IE, they were NOT ready as of a couple weeks ago. Not even sure we are yet

 
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I heard a nurse from the hospital in Dallas speak out this morning. It sounded like they were winging it. No protocol in place, no access to the appropriate supplies and equipment, and no training. Doesn't sound like they were prepared at all, and I bet most hospitals are/were the same.
You are correct. The cleveland clinic has been going through mock drills and vastly ramped up education because they would be very unprepared. Same with university hospitals.

I will pretty safely say, if these two hospital were not ready, very few in the entire county would be
This new "Ebola Training" will consist of learning about the virus followed by a review of 101 BBP/PPE training.

Wear PPE, follow sterile technique, be careful, be careful, be careful.

 
I heard a nurse from the hospital in Dallas speak out this morning. It sounded like they were winging it. No protocol in place, no access to the appropriate supplies and equipment, and no training. Doesn't sound like they were prepared at all, and I bet most hospitals are/were the same.
You are correct. The cleveland clinic has been going through mock drills and vastly ramped up education because they would be very unprepared. Same with university hospitals.

I will pretty safely say, if these two hospital were not ready, very few in the entire county would be
This new "Ebola Training" will consist of learning about the virus followed by a review of 101 BBP/PPE training.

Wear PPE, follow sterile technique, be careful, be careful, be careful.
Actually no, they are adding to it due to the risk of acquiring the virus while taking off the protective equipment. I dont know what it is yet cause I dont work in that department, but it has to do with an extra layer and more than one set of gloves or something.

Again, this is just what I HEARD from other nurses I work with who talked to their other friends who are nurses.

 
This might have been covered, but why was the second patient sent to ATL? Are they trying to give other hospitals practice or is the hospital in Texas overloaded with its ONE patient?

 
This nurse claims the Ebola patient was in an area with 7 other patients. Also, they had "waste receptacles" where they put the garments they wore into the room sitting in the hallway outside of the room that people would walk past all day long.

 
I am not sure why so many media outlets and agencies are claiming that every hospital can handle ebola cases. It is a BSL4 pathogen and there are very few laboratories in the world equipped to even store, contain, and perform research on the virus - and that is in an extremely controlled setting. When the virus is being vomited, bled, sweated, and shat all over with even less safety measures in place I have a hard time believing that these scenarios really fall into the bucket of being "handled" successfully.
Yep...

Anyone thinking "No worries! Our super awesome healthcare system has got this, man!" is either completely ignorant of reality, or is kidding themselves.

THANKFULLY the odds of a moderate to large scale outbreak of this are pretty damn slim. But if it occurs, our system will be overwhelmed very very quickly.

 
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This might have been covered, but why was the second patient sent to ATL? Are they trying to give other hospitals practice or is the hospital in Texas overloaded with its ONE patient?
CDC is in Atlanta.

Very few hospitals are equipped to deal with both Ebola patients, and the other 99.999999999% of people who are in the hospital at any given time.

 
This is an inside story from some registered nurses at Texas Health Presbyterian Hospital in Dallas who have familiarity with what occurred at the hospital following the positive Ebola infection of first the late Thomas Eric Duncan and then a registered nurse who cared for him Nina Pham.

The RNs contacted National Nurses United out of frustration with a lack of training and preparation. They are choosing to remain anonymous out of fear of retaliation.

The RNs who have spoken to us from Texas Health Presbyterian are listening in on this call and this is their report based on their experiences and what other nurses are sharing with them. When we have finished with our statement, we will have time for several questions. The nurses will have the opportunity to respond to your questions via email that they will send to us, that we will read to you.

We are not identifying the nurses for their protection, but they work at Texas Health Presbyterian and have knowledge of what occurred at the hospital.

They feel a duty to speak out about the concerns that they say are shared by many in the hospital who are concerned about the protocols that were followed and what they view were confusion and frequently changing policies and protocols that are of concern to them, and to our organization as well.

When Thomas Eric Duncan first came into the hospital, he arrived with an elevated temperature, but was sent home.

On his return visit to the hospital, he was brought in by ambulance under the suspicion from him and family members that he may have Ebola.

Mr. Duncan was left for several hours, not in isolation, in an area where other patients were present.

No one knew what the protocols were or were able to verify what kind of personal protective equipment should be worn and there was no training.

Subsequently a nurse supervisor arrived and demanded that he be moved to an isolation unit– yet faced resistance from other hospital authorities.

Lab specimens from Mr. Duncan were sent through the hospital tube system without being specially sealed and hand delivered. The result is that the entire tube system by which all lab specimens are sent was potentially contaminated.

There was no advance preparedness on what to do with the patient, there was no protocol, there was no system. The nurses were asked to call the Infectious Disease Department. The Infectious Disease Department did not have clear policies to provide either.

Initial nurses who interacted with Mr. Duncan nurses wore a non-impermeable gown front and back, three pairs of gloves, with no taping around wrists, surgical masks, with the option of N-95s, and face shields. Some supervisors said that even the N-95 masks were not necessary.

The suits they were given still exposed their necks, the part closest to their face and mouth. They had suits with booties and hoods, three pairs of gloves, no tape.

For their necks, nurses had to use medical tape, that is not impermeable and has permeable seams, to wrap around their necks in order to protect themselves, and had to put on the tape and take it off on their own.

Nurses had to interact with Mr. Duncan with whatever protective equipment was available, at a time when he had copious amounts of diarrhea and vomiting which produces a lot of contagious fluids.

Hospital officials allowed nurses who had interacted with Mr. Duncan to then continue normal patient care duties, taking care of other patients, even though they had not had the proper personal protective equipment while caring for Mr. Duncan.

Patients who may have been exposed were one day kept in strict isolation units. On the next day were ordered to be transferred out of strict isolation into areas where there were other patients, even those with low-grade fevers who could potentially be contagious.

Were protocols breached? The nurses say there were no protocols.

Some hospital personnel were coming in and out of those isolation areas in the Emergency Department without having worn the proper protective equipment.

CDC officials who are in the hospital and Infectious Disease personnel have not kept hallways clean; they were going back and forth between the Isolation Pod and back into the hallways that were not properly cleaned, even after CDC, infectious control personnel, and doctors who exited into those hallways after being in the isolation pods.

ADVANCE PREPARATION
Advance preparation that had been done by the hospital primarily consisted of emailing us about one optional lecture/seminar on Ebola. There was no mandate for nurses to attend trainings, or what nurses had to do in the event of the arrival of a patient with Ebola-like symptoms.

This is a very large hospital. To be effective, any classes would have to offered repeatedly, covering all times when nurses work; instead this was treated like the hundreds of other seminars that are routinely offered to staff.

There was no advance hands-on training on the use of personal protective equipment for Ebola. No training on what symptoms to look for. No training on what questions to ask.

Even when some trainings did occur, after Mr. Duncan had tested positive for Ebola, they were limited, and they did not include having every nurse in the training practicing the proper way to don and doff, put on and take off, the appropriate personal protective equipment to assure that they would not be infected or spread an infection to anyone else.

Guidelines have now been changed, but it is not clear what version Nina Pham had available.

The hospital later said that their guidelines had changed and that the nurses needed to adhere to them. What has caused confusion is that the guidelines were constantly changing. It was later asked which guidelines should we follow? The message to the nurses was it’s up to you.

It is not up to the nurses to be setting the policy, nurses say, in the face of such a virulent disease. They needed to be trained optimally and correctly in how to deal with Ebola and the proper PPE doffing, as well as how to dispose of the waste.

In summary, the nurses state there have been no policies in cleaning or bleaching the premises without housekeeping services. There was no one to pick up hazardous waste as it piled to the ceiling. They did not have access to proper supplies and observed the Infectious Disease Department and CDC themselves violate basic principles of infection control, including cross contaminating between patients. In the end, the nurses strongly feel unsupported, unprepared, lied to, and deserted to handle the situation on their own.

We want our facility to be recognized as a leader in responding to this crisis. We also want to recognize the other nurses as heroes who put their lives on the line for their patients every day when they walk in the door.

 
This is an inside story from some registered nurses at Texas Health Presbyterian Hospital in Dallas who have familiarity with what occurred at the hospital following the positive Ebola infection of first the late Thomas Eric Duncan and then a registered nurse who cared for him Nina Pham.

The RNs contacted National Nurses United out of frustration with a lack of training and preparation. They are choosing to remain anonymous out of fear of retaliation.

[trimmed for brevity]
This is scary #### right here...

 
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