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Coronavirus (COVID-19): We Want to Hear from You

Disasters Article   (16,173 Views | 130 Replies | 254 Words)

tnbutterfly - Mary is a BSN, RN and specializes in Peds, Med-Surg, Disaster Nsg, Parish Nsg.

14 Followers; 130 Articles; 200,129 Profile Views; 5,543 Posts

What reports have you had about the Wuhan Coronavirus in your area?

The Coronavirus/COVID-19 has made its appearance in the United States. Would you like to help us cover the news as it unfolds?

Coronavirus (COVID-19): We Want to Hear from You
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The Coronavirus/COVID-19 has been all over the news since its appearance in Wuhan, China in December.  Eleven cities in China have been locked down and travel restrictions imposed on tens of millions of people in an attempt to contain the spread of the deadly virus with reports of more than 900 confirmed cases of infection and more than 2 dozen reported deaths.  Infections have been confirmed in South Korea, Japan, Nepal, Thailand, Singapore, Vietnam, and now this deadly virus has now made its appearance in the United States. Two confirmed cases have been identified - one in Washington on January 21 and another in Chicago today.  Health officials have reported 63 people from 22 states are under observation for the virus.

We want to keep you up-to-date on the latest news.  We need your help. Are you in an area where the Coronavirus/COVID-19 has been identified or where people are under observation for possible infection? We want to hear your story.

What precautions/screening/guidelines have been implemented in your place of work, airports, schools, etc?

Please complete the form below and let us know if you are willing to share your story.  

Would you like to write an article to help us keep up with the unfolding Coronavirus / COVID-19 story - historical evolution, what is it, mode of transmission, signs and symptoms, precautions, screening, diagnosis, etc. If so, send me a Private/Personal Message

Wuhan Coronavirus Form

As the Community Director, I'm here to help make your time here enjoyable. Please contact me if I can help you. I'd love to hear from you.

14 Followers; 130 Articles; 200,129 Profile Views; 5,543 Posts

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Good that you're doing this!

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scribblz has 13 years experience as a BSN, CNA, LPN and specializes in Med Surg, Tele, Geriatrics, home infusion.

63 Posts; 1,665 Profile Views

Our Infectious Disease Dept. has the ED screening all people with respiratory illness for recent travel to China. People who meet that criteria are placed on airborne precautions until we can verify that they don't have the virus.

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mmc51264 has 8 years experience as a ADN, BSN, MSN, RN and specializes in orthopedic; Informatics, diabetes.

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One of the lucky ones!!! We have one case where I am-not confirmed yet. We had a protocol I place before the 1st one identified in US. 

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OliveOyl91 is a CNA, RN and specializes in Orthopedics, Trauma.

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I work in Washington state. We are also screening individuals for respiratory illnesses and recent travel activity. I happened to be taking a class with our infection control nurse earlier in the week and she went onto a coronavirus tangent saying that until we learn more about the virus and how it’s spread, we will be to placing any potential coronavirus patient into airborne isolation much like how we did during our measles outbreak. I haven’t worked the floor since (I’m back tomorrow night), but I’m sure more education has been sent to our emails. 

Addendum:

Our hospital has also discontinued using N95 masks and anyone working with airborne patients is required to use a PAPR. 

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tnbutterfly - Mary is a BSN, RN and specializes in Peds, Med-Surg, Disaster Nsg, Parish Nsg.

14 Followers; 130 Articles; 5,543 Posts; 200,129 Profile Views

On 1/25/2020 at 1:11 PM, OliveOyl91 said:

I work in Washington state. We are also screening individuals for respiratory illnesses and recent travel activity. I happened to be taking a class with our infection control nurse earlier in the week and she went onto a coronavirus tangent saying that until we learn more about the virus and how it’s spread, we will be to placing any potential coronavirus patient into airborne isolation much like how we did during our measles outbreak. I haven’t worked the floor since (I’m back tomorrow night), but I’m sure more education has been sent to our emails. 

Addendum:

Our hospital has also discontinued using N95 masks and anyone working with airborne patients is required to use a PAPR. 

Thanks for the info.  Please post your updates here as you receive additional guidelines.

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1,200 Posts; 8,054 Profile Views

Just found out there may be a local case here.  This will be interesting as they have told pregnant workers to stay home.  It’s not my particular hospital, but the one actually in my neighborhood.  It’s all hush hush at the moment.  I’m waiting to see if it gets confirmed.

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Sbhayes09 has 1 years experience as a ADN, RN and specializes in Ambulatory Care.

103 Posts; 2,179 Profile Views

There was a suspected case in Raleigh NC but they just confirmed it wasn't the coronavirus. 

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Walti has 52 years experience as a LPN, LVN, RN, EMT-I and specializes in ICU/ER mostley ER 25 years.

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This is a very concerning outbreak. China is placing entire cities on lock-down. I don't think it is possible to contain it. At best the rate of contagion might be slowed but it is likely to go worldwide fairly quickly.

I doubt that we re getting a very complete picture of the problem. What pictures we I've seen show this is beyond gowns, gloves and masks. workers are shown in full on hazmat suits. This will stretch resource available resources to the breaking point and I fear it will break. I would be very interested in incubation period, duration and mortality rate.

Quarantining suspected cases should not be done by cohorting as we will be exposing non infected but suspicious to infected but  not confirmed pts. 

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SummitRN has 8 years experience as a BSN, RN and specializes in ICU + Infection Prevention.

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Epic rolled out traveler screening to all Epic clients 5 days ago. I'm nor sure for Cerner or Meditech.

Please make sure you have read the latest CDC HAN on nCoV2019https://emergency.cdc.gov/han/han00426.asp

CDC Update page on nCoV 2019 for HCPshttps://www.cdc.gov/coronavirus/2019-nCoV/guidance-hcp.html

Clinical Presentation of 2019-nCoV: https://www.thelancet.com/action/showPdf?pii=S0140-6736(20)30183-5

nCoV 2019 recommended isolation is AIRBORNE + CONTACT. Out of an abundance of precaution and preparedness, I think now is a good time to suggest your facility:

1. Tabletop exercise a suspected nCoV patient arrive. Procedures down pat? Problems to overcome?

2. Practice converting normal rooms to AIIR with constructed barrier anterooms and HEPA filters. How long did it take from request to completion? How many rooms can you convert in your ED or MICU? 

3. Have staff practice donning and doffing contact+airborne both with PAPRs and N95s (because I guarantee your PAPR only facility has a N95 stock backup). https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf

4. PAPR-only facilities should examine the N95 fit-testing plan if N95s are needed. This should be part of your EP plan.

5. Increase reserve PPE inventory levels by one month.

Edited by SummitRN

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NurseSpeedy has 18 years experience as a ADN, LPN, RN.

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On 1/25/2020 at 12:12 AM, scribblz said:

Our Infectious Disease Dept. has the ED screening all people with respiratory illness for recent travel to China. People who meet that criteria are placed on airborne precautions until we can verify that they don't have the virus.

I have to wonder if any airplane travel would pose an increased risk. We all know the planes go all around the world and are probably less clean than a day care center. Trays never wiped down, etc.

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EngineerPaul specializes in Science, engineering, chemistry, biology student.

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In answer to your question, airplane travel is an increased risk. I say that based on the fact that it is said to be airborne transmission, and an airplane is a confined space where many are in close proximity to each other much more so than what is found in most offices or homes. 

As such travel by trains, buses, taxi are all much greater risk than your own vehicle with a new cabin filter. However there are reports of taxi drivers cleaning the inside of vehicles in China between passengers. This may not be enough, as none have said for certain. Also there are many locations inside vehicles that are nearly impossible to access and clean based on personal experience.

As my first thoughts reading how China is handling this, they appear to be not completely sure of all the transmission paths based on the fact that some bodies have been incinerated, as we know this is the only guaranteed way of killing all agents. In addition the mandatory quarantines, and cleaning protocols that have been mentioned. 

Perhaps cleaning trays with bleach, but that is not effective against everything. It is better than doing nothing. 

All that I have found is:

Abstract

As reported by the World Health Organization, a novel coronavirus (2019-nCoV) was identified as the causative virus of Wuhan pneumonia of unknown etiology by Chinese authorities on 7 January, 2020. In this study, we developed a Bats-Hosts-Reservoir-People transmission network model for simulating the potential transmission from the infection source (probable be bats) to the human infection. Since the Bats-Hosts-Reservoir network was hard to explore clearly and public concerns were focusing on the transmission from a seafood market (reservoir) to people, we simplified the model as Reservoir-People transmission network model. The basic reproduction number (R0) was calculated from the RP model to assess the transmissibility of the 2019-nCoV.

Not one article listing anything that is completely clear when it comes to transmission paths, other than we are not sure.

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