Ebola outbreak - general thread #5

[lonetraveler]

Who did nurse 2 meet with regarding the wedding plans? Caterer, floral designer, seamstress, pastor?
I can't believe they didn't meet with anyone.

I haven't heard anything about monitoring her fiance. I feel confident that nurse 2 and fiance were in contact with each other's bodily fluids while together.

 

[Sonya610]

Shimon Prokupecz ‏@ShimonPro 4m4 minutes ago
CNN: U.S. expected to announce the Pentagon will be given the authority to call up reservists to deploy to west Africa to fight #Ebola

OMG. Reservists? To fly into infected areas of West Africa and "help"?

That is messed up beyond all belief.

Is that for real???

 

[EGirl]

1 becomes 2: 2 becomes 4: 4 becomes 8: 8 becomes 16

This is how it happens...

Actually, 2 becomes 4, becomes 16, becomes 256, becomes...

 

[SStarr33]

I'm not quite understanding the timeline of when the nurse was told she could not fly, when she took her temp and when she got on the plane and then when she reported to the hospital. Cornfused here.

 

[MyBelle]

So the White House is continuing to say that a travel ban is off the table.
http://www.whitehousedossier.com/2014/10/15/earnest-travel-ban-table/
I still have yet to find a satisfactory answer to why! A perfect example is what we are finding out about the 2nd nurse. She was supposedly a symptomatic or had a low grade fever,yet look at what has happened to as a result of her traveling. And I believe Thomas Freiman has now said anyone being monitored can not travel,correct? Why is it ok to restrict Americans travels within the country,but let foreigners come in freely?

Freiman said anyone being monitored can not travel by Commercial means. There is no need to shut down travel TO Africa. These two recent cases were from exposure within an American hospital and a nurse who ignored protocol and traveled commercially.

 

[nrdsb4]

Right?

Much like the ebola' protocol' the Presby Dallas nurses were told to follow...it's constantly changing.
Moo

Well, one would HAVE to wonder which staff they were planning on using to take care of additional ebola patients. They have stated that the 75 caregivers are "employed but not working," and we can suspect that those caregivers were among the more specially trained, i.e. critical care. If those nurses and caregivers are taken out of the equation, you are pulling from other floors and units. I really can see those nurses calling off or refusing to do something they feel is out of their scope and dangerous to boot. I just don't buy that they have the staffing to continue the ebola care, such as it was.

We KNOW there will be more HCW become infected. If the protocols were not right to begin with, it would be naive to assume the affected will number only 2.

 

[Hiandmighty]

Actually, 2 becomes 4, becomes 16, becomes 256, becomes...

Ah!!! Thanks!! :smile:

 

[cady]

I'm not quite understanding the timeline of when the nurse was told she could not fly, when she took her temp and when she got on the plane and then when she reported to the hospital. Cornfused here.

I suspect that she was never told that she could not fly. She flew before Nina was reported to be sick. I think Presby got serious about the HC workers travel after Nina was diagnosed. Temp thing has me puzzled, too. She wouldn't want to alarm anyone by taking it on the plane, so my guess is she took her temp before she boarded. I wonder if Monday night was her original scheduled flight, or if she left Cleveland earlier than she had planned......... just wondering. JMO

 

[nrdsb4]

I'm not quite understanding the timeline of when the nurse was told she could not fly, when she took her temp and when she got on the plane and then when she reported to the hospital. Cornfused here.

Well, I'm going to go out on a limb here and say that a critical care nurse should a)not need to be told not to fly as any nurse with a lick of intelligence understands the need to "self-isolate."

i·so·late
verb
ˈīsəˌlāt/
1.
cause (a person or place) to be or remain alone or apart from others.
"a country that is isolated from the rest of the world"
synonyms: separate, set/keep apart, segregate, detach, cut off, shut away, keep in solitude, quarantine, cloister, seclude, sequester

and b)If I had to guess, she's had this trip to plan her wedding on the books for some time. Somehow, she managed to convince herself that she was not in danger or a danger to anyone else. Convinced herself of this even after she began experiencing symptoms.

 

[SweetT]

OMG. Reservists? To fly into infected areas of West Africa and "help"?

That is messed up beyond all belief.

Is that for real???

If they can't keep nurses from getting it they sure can't protect these young kids from getting it either..

 

[MyBelle]

I wonder what training materials the 4 biocontainment units utilized and which protocols THEY follow.

The protocols are the same, the difference is that they have had drills on them for years. Protocols are useless if the staff hasn't been properly trained to follow them. The point Duncan's family made weeks ago was that he should have been transferred to one of the 4 centers. The Hospital insisted it was capable of handling his care. Clearly, the Hospital was wrong.

JMO

DALLAS — The hospital that treated Ebola victim Thomas Eric Duncan had to learn on the fly how to control the deadly virus, adding new layers of protective gear for workers in what became a losing battle to keep the contagion from spreading, a top official with the Centers for Disease Control and Prevention said Tuesday.

“They kept adding more protective equipment as the patient [Duncan] deteriorated. They had masks first, then face shields, then the positive-pressure respirator. They added a second pair of gloves,” said Pierre Rollin, a CDC epidemiologist.

http://www.washingtonpost.com/natio...ff2414-53cf-11e4-892e-602188e70e9c_story.html

 

[matou]

Tons of info on CNN right now. Nurses claiming that Duncan was left in proximity of other patients when he was admitted into hospital. Nurses did not feel prepared or trained to deal with Ebola.

 

[Herding Cats]

Rube here looking frantically for my tin foil hat...last seen buried under a slew of medical and nursing texts...lol.

Am I panicking? Not at all. But I *am* doing some preparedness stuff. Like extra food - canned and grains like rice and barley and beans - and extra stuff needed for a comfy time...extra Meds and critter food as well.

I said before (probably several threads ago) and I'll say it here again: there is no place in the world that doesn't have natural disasters; and we in the northern hemisphere are expecting winter now...so no reason to NOT be prepared for some time without service and not being able (or choose not to) leave one's home.

Besides...if the food that one stocks up on is not used in a timely manner, your local food bank will appreciate the donation (or in the case of critters, the local rescue).

I honestly don't see that as panicking. I see it as prudent and something we should all do...be able to live decently for a time without leaving ones home.

Best
HC

 

[Hiandmighty]

Any news on Nina Pham's boyfriend?

 

[SweetT]

Tons of info on CNN right now. Nurses claiming that Duncan was left in proximity of other patients when he was admitted into hospital. Nurses did not feel prepared or trained to deal with Ebola.

Now those people have a legitimate right to be pissed.

 

[MyBelle]

I suspect that she was never told that she could not fly. She flew before Nina was reported to be sick. I think Presby got serious about the HC workers travel after Nina was diagnosed. Temp thing has me puzzled, too. She wouldn't want to alarm anyone by taking it on the plane, so my guess is she took her temp before she boarded. I wonder if Monday night was her original scheduled flight, or if she left Cleveland earlier than she had planned......... just wondering. JMO

She knew she should not fly COMMERCIALLY after treating Duncan. I'm betting she did not share her travel plans with her employer.

JMO

 

[bettybaby00]

I suspect that she was never told that she could not fly. She flew before Nina was reported to be sick. I think Presby got serious about the HC workers travel after Nina was diagnosed. Temp thing has me puzzled, too. She wouldn't want to alarm anyone by taking it on the plane, so my guess is she took her temp before she boarded. I wonder if Monday night was her original scheduled flight, or if she left Cleveland earlier than she had planned......... just wondering. JMO

The timeline is unclear to me. The flight to Cleveland is one thing if it happened prior to Nina's diagnosis (not saying it was smart, but one can rationalize it), the flight back however.....no, it should have never happened. Her coworker became infected and she had an elevated temperature. if she hadn't been explicitly told to stay put, her training / common sense should have made her realize that boarding a commercial flight was not the best course of action.

MOO, etc.

 

[oh_gal]

OMGosh...they have literally been hashing, and re-hashing this all afternoon. Is this on everyone else's tvs, or just here in Ohio?

 

[MyBelle]

They certainly do. The team treating the Ebola patients in Nebraska are all volunteers.

 

[oh_gal]

The timeline is unclear to me. The flight to Cleveland is one thing if it happened prior to Nina's diagnosis (not saying it was smart, but one can rationalize it), the flight back however.....no, it should have never happened. Her coworker became infected and she had an elevated temperature. if she hadn't been explicitly told to stay put, her training / common sense should have made her realize that boarding a commercial flight was not the best course of action.

MOO, etc.

See, I can't rationalize that. If you have been in contact with someone who had ebola....you should not travel in any capacity, or have any contact with anyone, for 28 days. I know, they say 21, but I like the extra 7 days of padding!