Are American hospitals ready for Ebola?

Nurses COVID

Published

I retired from a major trauma hospital in 2009 and even then I knew they weren't going to be able to handle a large epidemic of any kind. Most ICU's only have 1 or 2 negativepressure isolation units.I also don't trust the CDC especially after their most recent mishaps of sending out supposedly deactivated anthrax and "finding" still live samples of smallpox forgotten in a storage room. I also find it disturbing that after the reports coming out now about the 1st US case of ebola I am finding little discussion on other nursing boards about this. We should be scared, we all know how administrators water down things,that's their job.Also patients lie,the CDC doesn't really know how many people this man came in contact with,also I believe he knew he was infected and fled Liberia before he couldn't hide his symptoms anymore.We all knew we were only one air flight from a pandemic ,well the plane has landed and from one reply on this board apparently Houston has a large population of Nigerian immigrants. This man will not be the last one, there are clouds on the horizon.In a lot of hospitals infection control is a joke, put that with understaffing and cost cutting. We need to start communicating with each other. Start looking at your own hospitals infection control policies, are they being followed.Start asking questions that could save your life,look at the numbers of health care workers in Africa that have already died doing their job.This is a health care emergency, you might say don't panic, well if panic involves having hospitals actually doing and enforcing their own infections control policies well then let the PANIC begin.Emergency rooms are going to start being overwhelmed by anybody that has a temp or upset stomach. I guess we will all know in about 21 DAYS.(mark your calendar)

Yes, I honestly believe this. It is a fact that he lied to get out of Liberia and his nephew called the CDC when he was not admitted to a hospital the first time. Do you really believe he didn't know?

It's possible that he didn't realize he had actually contracted Ebola until he became symptomatic. That wouldn't be the first time in my career I've seen this behavior in regard to less lethal processes. Even amongst needlestick injuries or body fluids to the face for example amongst my co workers. Calling the CDC in this case seems to show some attempt at being responsible. Since he sought help and didn't receive adequate treatment, and the patient's condition worsened. At least, the optimist in me prefers to believe that.

I think he did what many people would do, get out and get to a place where you can be treated, don't stay where most patients are dying. I'm sure he was hoping he wouldn't become sick, but just in case he did he wanted to be where he might stand a chance. I'm not saying it's right, it's survival.

Specializes in Inpatient Oncology/Public Health.
I think he did what many people would do, get out and get to a place where you can be treated, don't stay where most patients are dying. I'm sure he was hoping he wouldn't become sick, but just in case he did he wanted to be where he might stand a chance. I'm not saying it's right, it's survival.

The irony with this is that the company developing the med to treat had shipped all to Africa so there was none for him.

Specializes in Critical Care, Education.

Currently in the DFW area. . .

One issue that no one is really talking about is how to handle the medical waste. The companies that currently handle it simply are not equipped to deal with it. I believe that the designated medical waste company in Atl has the capacity to run the waste through a giant autoclave before incinerating it... but this is not available as a routine treatment for medical waste. Just imagine how much could accumulate during the course of care. Where in the world could it be stored until adequate disposal methods were in place? Mind boggling.

They hired a crime scene cleaning company to take care of the Dallas apartment in which the patient was living. Specially trained staff in full PPE are doing a terminal clean- ripping out everything, including the carpet. I hope that the family members will at least be able to keep some items rather than having everything simply destroyed.

Specializes in Inpatient Oncology/Public Health.

http://m.bbc.com/news/world-europe-29514920

Spanish nurse confirmed to have Ebola.

Specializes in Med Surg, ICU, Infection, Home Health, and LTC.

Nurses in Spain would be well educated to use and have appropriate PPE. Now one is sick with a high fever and has tested positive for Ebola. I think nursing and healthcare people should start being paid hazard pay. Between the danger of contracting more and more life altering diseases and increasing violence from patients and/or disgruntled family members medical care staff should be compensated MUCH better for putting their lives and licenses on the line every day they go to work. I love my job, but I am not prepared to die for it, IMHO.

Ebola outbreak: Nurse infected in Spain - BBC News

Spanish nurse confirmed to have Ebola.

If she took all the precautions such as wearing the protective gear how did she get it? It's not like these patients were not diagnosed with Ebola when they were treated-they knew.

Currently in the DFW area. . .

One issue that no one is really talking about is how to handle the medical waste. The companies that currently handle it simply are not equipped to deal with it. I believe that the designated medical waste company in Atl has the capacity to run the waste through a giant autoclave before incinerating it... but this is not available as a routine treatment for medical waste. Just imagine how much could accumulate during the course of care. Where in the world could it be stored until adequate disposal methods were in place? Mind boggling.

They hired a crime scene cleaning company to take care of the Dallas apartment in which the patient was living. Specially trained staff in full PPE are doing a terminal clean- ripping out everything, including the carpet. I hope that the family members will at least be able to keep some items rather than having everything simply destroyed.

I posted an article on that in the Nursing news section but it was basically ignored so yes, it has been introduced into All Nurses. Also, like I said a couple of posts ago-how do they dispose of the bodies of ebola patients.

Specializes in Inpatient Oncology/Public Health.
If she took all the precautions such as wearing the protective gear how did she get it? It's not like these patients were not diagnosed with Ebola when they were treated-they knew.

That's the million dollar question.

Specializes in hospice.
If she took all the precautions such as wearing the protective gear how did she get it? It's not like these patients were not diagnosed with Ebola when they were treated-they knew.

There have been several mentions here on the boards of people having to be retrained because they are removing PPE incorrectly and contaminating themselves. That's all you need.

Spanish nurse's Ebola infection blamed on substandard equipment, and experts say transmission was "avoidable."

Spanish nurse's Ebola infection blamed on substandard equipment | World news | The Guardian

http://www.telegraph.co.uk/news/worldnews/ebola/11145731/First-European-transmission-of-Ebola-avoidable-say-experts.html

Specializes in NICU, PICU, Transport, L&D, Hospice.

I think we will have more cases of Ebola here in the USA. It is a sturdy and virulent bug.

The manufacturers of PPE are stepping up their production.

People will be careless about their PPE and some will get sick.

Having said that, we will be okay. We have better access to basic PPE than most places on the African continent. We have better access to health care, and clean water, and bleach, etc. We have very astute health and public health professionals.

I like living far away from the lower 48 in this regard, though. We don't get many visitors from western Africa.

+ Add a Comment