I wasn't freaking out about Ebola until the Dallas woman

[Double Trouble]

Yes, while he should definitely be isolated, tested, etc, there have been literally dozens of people admitted to hospitals with Ebola like symptoms recently. Only one has tested positive.

How many of those dozens of people were confirmed to have been in the place where patient zero vomited/sneezed/coughed? He was not one of the 48 people being monitored, and he went to some carenow urgent care place exhibiting symptoms (coughing/vomiting/fever). If it turns out he has ebola (and that's obviously still unknown), he will have exposed everyone at that clinic, his family and so forth as well. Not good. Hopefully this guy has some random other bug. If you think there was hysteria before......

 

[Jaskalas]

Texas sheriff's deputy rushed to hospital with symptoms of deadly Ebola complained about lack of safety when he was sent to 'patient zero's' apartment

Oh boy...

That this is a false positive would be a stretch.

 

[Victorian Gray]

Texas sheriff's deputy rushed to hospital with symptoms of deadly Ebola complained about lack of safety when he was sent to 'patient zero's' apartment

Oh boy...

That this is a false positive would be a stretch.

Did you not read this part?

"The CDC told MailOnline today that the person is not one of the 48 contacts being monitored, and there is no indication of any direct contact with the initial patient, Mr Duncan.

None of the 48 individuals with verified or possible contact with the patient has shown symptoms, the CDC said today.

Sgt Monnig's son, Logan Monnig, told CBS that his father had woken up with 'stomach issues' and had gone to the clinic as a precaution.

Logan said family were told by the CDC that their father was not at risk of the virus, as he had only been in the apartment for 30 minutes and had not come in contact with bodily fluids.

'We are not expecting him to' test positive for Ebola, said Logan."

 

[halik]

Hope the Sheriff just got the Chipotle disease.

 

[DrPizza]

Still missing the point completely.
if nurses think that they need to be taught what to do for Ebola, and nobody teaches them what to do, then they will not know what to do when a patient presents.

Out of an entire hospital of nurses, only a small handful need to be completely aware at this point, primarily nurses working the triage portion of an emergency room, plus a few other staff in the hospital. In NY this week, every hospital will have run at least one Ebola drill - what to do if a patient presents as possibly having Ebola.

Further, those nurses who would treat ebola patients likely already have experience with treating patients with other infectious diseases, some of which are a lot more contagious.

 

[DrPizza]

I disagree. First off, reporting to the emergency room will get you seen by a nurse long before a doctor. That nurse needs to understand how to recognize Ebolla symptoms, what questions to ask, what safety procedures to take both personally and in isolating the patient, and how to properly implement the protocol.

Not quite correct. The triage nurse - the first nurse who sees you, takes your vitals, etc., will be on the phone the instant it's suspected there's a chance you've been exposed to Ebola and have symptoms of Ebola. At that point, (well, it didn't happen in Texas, but it should have), you won't be treated at all like a typical patient. There isn't a "well, I'll let the doctor know when he gets to you in 10 minutes."

 

[massmedia]

Not quite correct. The triage nurse - the first nurse who sees you, takes your vitals, etc., will be on the phone the instant it's suspected there's a chance you've been exposed to Ebola and have symptoms of Ebola. At that point, (well, it didn't happen in Texas, but it should have), you won't be treated at all like a typical patient. There isn't a "well, I'll let the doctor know when he gets to you in 10 minutes."

glad to hear that you personally have verified that every front line nurse in every hospital has been appropriately informed as to what to do. the actual nurses whostated that they dont know what to do must have been lying for the heck of it.

THIS is THE point.
good containment protocols only work when the people who need to implement them have a crystal clear understanding of when to implement said protocols and how to implement said protocols. this was not the case when the us govt held the press conference a week or so ago declaring "everything is under control"

whatever happened to critical thinking skills?

 

[fskimospy]

Texas sheriff's deputy rushed to hospital with symptoms of deadly Ebola complained about lack of safety when he was sent to 'patient zero's' apartment

Oh boy...

That this is a false positive would be a stretch.

Stretch confirmed.

People need to realize that ebola's symptoms are super general at first.

This is also a good reason not to take things that tabloids like the daily mail put out at face value.

 

[Londo_Jowo]

Stretch confirmed.

People need to realize that ebola's symptoms are super general at first.

This is also a good reason not to take things that tabloids like the daily mail put out at face value.

Yep, did he have a bug or did he worry so much it caused the stomach issues?

http://www.cnn.com/2014/10/09/health/ebola-crisis/

Dallas sheriff's deputy discharged after Ebola test comes back negative

 

[Hayabusa Rider]

glad to hear that you personally have verified that every front line nurse in every hospital has been appropriately informed as to what to do. the actual nurses whostated that they dont know what to do must have been lying for the heck of it.

THIS is THE point.
good containment protocols only work when the people who need to implement them have a crystal clear understanding of when to implement said protocols and how to implement said protocols. this was not the case when the us govt held the press conference a week or so ago declaring "everything is under control"

whatever happened to critical thinking skills?

Every nurse in every hospital doesn't need to know absolutely everything. What is needed this sort of thing.

This addresses the concerns the nurses had and the ones I thought were valid as well as provide a way to test preparedness and remedy any problems in advance.
At least here this bugbear is being put to bed. You might look to see if similar things are being done elsewhere. Dallas seems to a lesson learned.

 

[massmedia]

Every nurse in every hospital doesn't need to know absolutely everything. What is needed this sort of thing.

This addresses the concerns the nurses had and the ones I thought were valid as well as provide a way to test preparedness and remedy any problems in advance.
At least here this bugbear is being put to bed. You might look to see if similar things are being done elsewhere. Dallas seems to a lesson learned.

Of course I agree that every nurse doesn't need to know this stuff.
The the article linked there is great news indeed.

I'd be a bit concerned about the lady wearing just googles and a facemask... goggles get very foggy very quickly when wearing a face (nose & mouth) mask. Also a ebola puking patient could splash nastiness on her exposed neck and hair making cleanup a nightmare. Lady on the left looks ready to rock.

 

[Jaskalas]

Stretch confirmed.

People need to realize that ebola's symptoms are super general at first.

This is also a good reason not to take things that tabloids like the daily mail put out at face value.

If rummaging through Duncan's apartment won't transmit it, then we can all feel a bit better about the prospects of containment.

One week to go until Dallas is in the clear.

 

[BeeBoop]

Why are nurses dressed in hazmat suits? I thought one had to suck on fecal matter in order to contract this disease? Why did the nurse in Spain contract Ebola? Was she licking an Ebola infested asshole?

 

[BeeBoop]

Man escorted off plane for joking he came from Africa while displaying fake Ebola symptoms.
https://www.youtube.com/watch?v=tJGzJeN8ZEE

 

[Pens1566]

If rummaging through Duncan's apartment won't transmit it, then we can all feel a bit better about the prospects of containment.

One week to go until Dallas is in the clear.

They won't consider it "clear" for 21 days after Duncan's death.

 

[bauerbrazil2014]

Possible case of Ebola here in Brazil!

A man from Guinea got a plane with connection in Morroco and arrived here on Sep 19th. Now he has a 3 day fever but still not other symptoms.

Let's hope it is not Ebola...

 

[rudder]

This stuff is crazy. The head of the CDC on day says this is bad, but don't worry since it won't spread. Then a few days later he says this is the worst he has seen since the AIDS outbreak.

 

[werepossum]

Not quite correct. The triage nurse - the first nurse who sees you, takes your vitals, etc., will be on the phone the instant it's suspected there's a chance you've been exposed to Ebola and have symptoms of Ebola. At that point, (well, it didn't happen in Texas, but it should have), you won't be treated at all like a typical patient. There isn't a "well, I'll let the doctor know when he gets to you in 10 minutes."

This was the post to which I responded:

Unfortunately I think you're missing the point. Nurses do not make diagnoses. They don't need specific "Ebola training" because it's irrelevant to our discussion. A patient who presents with symptoms of Ebola should be placed in droplet precaution because those are the indications for droplet precaution, which are already a known entity. There's nothing specific to Ebola about this. They don't need to know to follow that protocol for Ebola, because they don't need to know it's Ebola in order to have appropriately followed protocol. Again, being "Ebola" is irrelevant.

SNIP

His point was that nurses don't need Ebolla training because they "do not make diagnoses" and therefore they "don't need specific "Ebola training" because it's irrelevant to our discussion". My point (which you also seem to be acknowledging) is that nurses DO need that kind of training because they are our first line of defense. Before you see an emergency room doctor, you WILL see an emergency room nurse, period. Same thing with other nurses; not all Ebolla patients will be reporting to the emergency room for suspected Ebolla. Some will be found while being treated or examined for other things. With a serious contagious disease pandemic, everyone in health care has some part to play in a successful protocol. The point that Hayabusa Rider and others have been making is that organizations have been boasting of having implemented Ebolla protocols, but the vast majority of their heath care providers have been told nothing. They don't know the diagnostic signs, they don't know the procedures, they don't know their own parts within the protocol. Even emergency room nurses, which as you have pointed out are the first and primary triage step, often have not been trained to recognize likely Ebolla cases, the proper medical procedures and precautionary measures to take after identifying likely Ebolla cases, the proper notification procedures to take after identifying likely Ebolla cases, the proper follow-up procedures to take to make sure the system is functioning as needed. All these things (and more I've not thought of) are required to make a protocol function.

There is no Ebolla scanner, Ebolla button, Ebolla doctor, or Ebolla isolation suite, so that nurses can scan a patient, hit the Ebolla button, and see the patient escorted to the Ebolla doctor in the Ebolla isolation suite. Nurses and other health care providers have to be trained to their responsibilities and duties.