Novel coronavirus

[2BS Nurse, BSN]

Are your facilities discussing the novel coronavirus yet? Are you getting any guidelines now that we know it's transmitted person to person?

[beekee]

Any has now been identified in the US.

[chare]

11 minutes ago, beekee said:

Any has now been identified in the US.

Yes, a case has been confirmed in Washington state.

https://www.nytimes.com/2020/01/21/health/cdc-coronavirus.html?campaign_id=60&instance_id=0&segment_id=20511&user_id=5ac8387bbc7c3ac1d67cdaa18a91ecad&regi_id=104150041

3 hours ago, 2BS Nurse said:

Are your facilities discussing the novel coronavirus yet? ...

Not yet, but we probably should soon.

3 hours ago, 2BS Nurse said:

... Are you getting any guidelines now that we know it's transmitted person to person?

The CDC has published interim guidelines.

https://www.cdc.gov/coronavirus/2019-nCoV/clinical-criteria.html

[BostonFNP, APRN]

Our facility just emailed enacting the the CDC guidelines.

[2BS Nurse, BSN]

I saw those guidelines, but they were put in place before we knew about human to human transmission. Also, before we knew about US infection.

[meanmaryjean, DNP, RN]

During the height of the SARS outbreak (VERY similar coronavirus) I was grading papers on a disease outbreak. Of course, EVERYONE chose SARS because it was in the news, recent sources and all that.

This is so scary as the world becomes a smaller place daily and international travel increases. China, to its credit, caught both of these fairly early AND have been transparent about what they know about it.

[chare]

1 hour ago, 2BS Nurse said:

I saw those guidelines, but they were put in place before we knew about human to human transmission. Also, before we knew about US infection.

In addition to standard, contact, and airborne precautions, ideally in a negative pressure room, and use of eye protection, what do you think should be done?

[2BS Nurse, BSN]

I just want them to keep us informed of any updates. Many of us don't work in an inpatient setting. We receive information later than the hospitals.

[2BS Nurse, BSN]

A checklist from 2002 (SARS). It's probably too early to implement something like this:

https://www.cdc.gov/sars/guidance/c-healthcare/app2.pdf

The Washington patient we read about yesterday first presented to a clinic, not the ER.

I love the quote from this article:

"Familiarity, if it doesn't breed contempt, it sometimes breeds nonchalance."

https://www.modernhealthcare.com/providers/hospitals-advised-prepare-dealing-wuhan-coronavirus

Our clinic is no where near as prepared as Vanderbilt. We are hearing crickets.

[MunoRN, RN]

11 hours ago, 2BS Nurse said:

A checklist from 2002 (SARS). It's probably too early to implement something like this:

https://www.cdc.gov/sars/guidance/c-healthcare/app2.pdf

The Washington patient we read about yesterday first presented to a clinic, not the ER.

I love the quote from this article:

"Familiarity, if it doesn't breed contempt, it sometimes breeds nonchalance."

https://www.modernhealthcare.com/providers/hospitals-advised-prepare-dealing-wuhan-coronavirus

Our clinic is no where near as prepared as Vanderbilt. We are hearing crickets.

The coronavirus is not new, and while the severity of symptoms it causes varies widely (from the common cold to SARS), how it transmits to others and how to prevent transmission doesn't vary. The appropriate steps to prevent transmission should already be in use in clinics since it's the same steps that should be in place to prevent transmission of the flu.

[CommunityRNBSN, BSN, RN]

I work in an FQHC with a big immigrant population. Our CMO sent an email yesterday and it said, We need to watch out for this! Ask your patients if they’ve recently been to China! And then that was basically all. No real guidance for screening (he listed the symptoms but of course they are common symptoms) and none for isolation or treatment.

[2BS Nurse, BSN]

Yes, we are seeing multiple influenza cases daily. Among vaccinated too. The symptoms are identical as far as we know. The MDs dont always swab. Some of them just treat.