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For continued practice and maintenance of competent skills necessary to care for the patient with Ebola virus disease or in need of bio-containment, onging drills are the way to go. For initial preparation, a minimum of 5 drills are required. Quarterly drills are scheduled for team members. Drills are life-like and conducted in a simulated setting using case scenarios.

In my professional opinion, both the ADN and BSN prepare the nursing student to take te NCLEX exam. Preparation for entry into practice is another aspect. BSN students are much more prepared in the sciences, assessment skill, and evidence-based practice. However, there remains a place for the associate degree. My concern is that if we remove this typeof a program, we marginalize those that can not afford expensive tuitions and perhaps, cannot meet the time demands of a traditional BSN program. Community Colleges do a great job of accomodating adults that have other life committments through evening and weekend hours, etc. I realize that traditional BSN program offer some on-line learning which is also helpful. Perhaps associate degree programs can be mandated to offer a BSN track . Some colleges are doing this, and it seems to work well. For example, if an associate degree program aligns with a BSN program, the student can begin to take courses towards theire BSN during (or towards the end) of the associate degree program. See the following website for helpful informaton: American Association of Colleges of Nursing website: http//www.aacn.nche.edu/media- relations/fact-sheets/impact-of-education

Nurse educators have an important role in preparing health care providers to safely care for the patient with Ebola Virus Disease, containg the disease and prevent spread. Simulation training is an important strategy that we use to help nurse transfer new knowlege and skills to the clinical setting. Nurses practice donning and doffing personal protective equipment, and in a simulated setting practice skills, while wearing PPE in the bio-contained room. Additionally, nurses participate in a minimum of 5 drills before caring for the EVD patient, the quarterly for ongoing competency. Responses welcomed.

A good preceptor is priceless. The role of the preceptor is important in helping to develop the new nurse who is in the process of adjusting to a new job, a new work environment, and a new culture. Many hospitals still have high 1st year turnover rates for new nurses. It is expensive to orient new nurses, only to have them leave before the 1st year ends. A well prepared and caring preceptor can make all the difference in whether the new nurse stays or leaves. Precepting is an important role for which the nurse needs to be properly prepared. In my learning environment, we offer a Preceptor Workshop that prepares the experienced nurse to facilitate the orientation and development of the entry level nurse or the nurse that is experienced but newly employed at the hospital. Covered topics include assessing learner needs, making assignments that help the nurse meet clinical objectives, teaching methods, and evaluation methods. Preceptors have a designed experience precepting a new nurse under the direction of an educaton specialist. The program has been very successful. Investing in a new nurse is investing in the profession and the patients we care for.

Nurse residency programs are a popular way to attract entry level nurse into the profession within hospital settings. In my hospital we offer residency programs for BSN prepared nurses in critical care and emergency nursing. The program is 1 year long and consists of a structured orientation program and specialty classes, such as the critical care course. Each nurse resident is assigned to a nurse fellow that serves as a preceptor for the nurse. Utilizing orientation maps, clinical experiences are designed to help the resident meet specific clinical objectives. We get excellent feedback from the residents, fellows, and nursing administration about the program and the fact that the residents are able to transfer knowledge and skills from the learning environment to the clinical setting. this program has helped to reduce 1st year turnover rates for entry level nurses.

I am thinking that I am not surprised that the hospital tries to isolate from Ebola virus cases, as they may not be prepared to care for these patients and contain the spread of the disease, thus ensuring further exposure and spread of the disease. It is very sad that victims need to lie to access treatment, not realizing that they further spread the disease. In the USA, we cannot refuse to treat patients. we have developed strategic plans, which include education and drills, to be prepared to accept patients that require bio-containment.

My heart goes out to those in Liberia and other countries directly affected by the Ebola Virus outbreak. These countries, which are heavily impacted by globalization, remain marginalized, lacking much needed funding and opportunities for education. This disaster is directly related to lack of education, lack of health care and health care providers, and lack of supplies, all of which are needed to prevent and in this case, eradicate the disease. Looking back in history, many past outbreaks of diseases had the same root causes. Until the human race experiences equality for all, I fear we will continue to face disasters or near disaster.

Individual healthcare organizations needs to develop a strategic plan that includes the education and training of health care providers designated to care for a patient is suspected or confirme Evola Virus Disease. The plan needs to include simulation training, which affords the learner opportunities to practice with in a setting that mimics "real life" and with PPE. Once validated in skills such as donning and doffing PPE, laboratory skills, etc, there need to be frequent drills to maintain competency. In my learning environment, we drill 5 times and then quarterly to maintain skill sets as patients are infrequent. The goal of the plan is to support the health care provider to transfer knowledge and skills from the learning environment to the clinical setting. Reponses from those having first hand experience in training or care, or anyone, would be most welcomed.

My name is Denise. Iam a doctoral student, completing an Ed.D. with a focus in adult education. Iam a Master's prepared nurse that is prepared as an RN and Clinical NurseSpecialist, with a sub-specialty in education. I am employed as a Director forClinical Education at a large medical center. I have oversight for OrientationPrograms and Continuing Education Programs. We are designated by the state tocare for patients with Ebola Virus or Lassa Fever. Since October, 2014, we havebeen offering Ebola Training Programs for team members that provide the care I would be interestedto know if anyone is involved in this type of education/training for healthcareproviders? I am very happy to participate in this blog and meet educators frommy countries and other countries across the world. Globalization certainly hasan effect on education, both positive and negative