We hear a lot about isolation and precautions with
contagious disease, with Ebola in the news.
And many wonder what happen in Texas, why did
it happen.
They had a doctor and a nurse shipped from Africa to
United States. If you saw
the news when that happen,
you saw how they treated those two people. They came
in almost a bubble wrap. In the plane, on the gurney as
they were taken to the hospital where they were treated.
And so were the workers.
Both survived.
So what happen in Texas?
The answer .. everything...
everything wrong. First
the Dr. and nurse were already
diagnosed with Ebola. So everyone was alerted as they
arrived in the United States.
Also the hospital they arrived
in, was CDC associated.
CDC = Center for Disease Control.
The CDC has years of experience with treating very
contagious diseases. They
have the isolation routine
down pat, they have the extreme isolation.
Texas on the other hand, first messed up with the
not following thru with the man, who stated he was
just from Africa.
I am sure that person has paid dearly for the mess up.
Next, what was their procedure? I am sure they did
do at least Universal Code of isolation. But that is not
enough. All of which they have since found out.
Had this happen say 3 weeks later, they might have
been on board.. but then again.. who knows.
See when I worked in the nursing home.. we knew the
Universal Code. We practice it over and over. But it is
no where enough for Ebola.
To start off, when I first went to work in 1986, we didn't
even use gloves. Because we washed our hand constantly.
We washed our hands when we went into the room, and
we washed them before we left the room. We had a cleanser
that we also used that killed germs. Much like the wipes
they sell now days.
But then along came AIDS.
Then we went for classes.
Constant updates classes.
It depend on what was needed.
Some times it was just a mask.
BUT ALWAYS GLOVES.
Then with AIDS we were trained to use gloves, mask,
a paper cover for our bodies(gown) that was tied in the back.
And sometimes even paper shoe covers. Some of it
depended on the patient (resident, in our case). If we
were protecting them from what ever we may be carrying
in, on our shoes, our clothing, and etc. Other times it
was to protect us, from what ever they had, so we did
not take it to other residents, co-workers or our families,
or ourselves.
Then along came MRSA..
which had no defense as it was
mostly from an over use of penicillin. Also others. But it
was arm and dangerous with nothing to kill it. And higly
contagious.
Also it isn't just the gowning up, and gloves and mask and
booties... it was the taking it off. And you took it all off
at the door. With another aide who had a bag there waiting.
You put your booties in the bag you have. Then reversing the
gown, so not to touch the outside of that gown. Balling it
up and into the bag. Next the mask... and last the gloves.
You tied the bag up, and then put it into the red bag that
the other aide has waiting.. them holding it with gloves on.
Then it was taken to a restricted area. Hazard waste area.
Now with Ebola.. you have to do something very similar. But
more so. They have someone help you put on the gown,
booties, mask and gloves. The mask is more than just one for
your face. It has a full over your head, down shoulder length
cover.
The person helping you,
tapes the wrist area where the gown sleeve meets
the glove. The booties are
higher and they are taped to the pants that
goes along with the
gown. Some have booties in the pants,
much like
the ones that toddlers pjs
are. NO SKIN SHOWS... And then you
walk into the room that has
the person in it. Everything in there
is
considered hazard waste. All
are put in a red bag. And removed each
shift by the last one out of
that room. The removal is like what I
stated
up above. With a helper. All
double bagged. Second bag is red.. with
the hazard waste icon on
it. There is someone there making sure
you
do it exact. Some hospitals
have an external middle room between
the room and where every one
exits.
Had Texas had that in place,
it would have helped a lot and the two
nurses would not be where
they are now.
While I would love to tell
you, that they work every time....
I can't tell you that. With
the scare like it is now.. you probably
have a 99.9% chance it is
done right.
But in time.. people get
careless. Some don't follow the code
exactly. And
that causes problems. Which
is probably the best guess they are the 2%.
but if they are caught..
they can be fired.
As long as we have this on
the front burner, in HIGH ALERT, you have
the 99.9% working for
you. The hospitals are on top of this.
They don't
want their reputation ruin.
But in the meantime.. with
cold season here, which by the way.. has
kill far more people per
year, than all of the victims of Ebola over the
years. So when you are at the grocery store.. use
the wipes they
provide.. if they are out,
complain. Wash your hands, wash your
hands.. did you understand
what I said.. WASH YOUR HANDS.
Wipe any phone you share
with anyone.. family or not... wipe the
door knobs if you can..
carry the little bottle of anti fungus with
you or the wipes.. wipe your
hands after touching anything that
is in contact with your
office personal. There are people who
will come to work sick or
not... don't want to lose the money.
And if you think that is
crazy? Well we use to put up a sign on
the door of the nursing home
each year... "if you have the symptoms
of a cold or flu, please
visit at another time." Yet when
we workers
called in because of the
same.. we were questioned.. are you sure
you are sick.. surely you
can take some cold meds and come in.
Or if you were at work, you
were told, surely you can finish your
shift. Because we were always short staff during cold
season.
And I am guilty as charged..
as long as I was walking, I was
working. We even had a nurse tell a worker on the
phone..
well, if you are well enough
to get to the phone and call in...you
are well enough to come to
work.. and she did.
So be careful out there.
Ebola is not around every corner yet. And
it won't be, if everyone
follows the UC, and if you take good
care of yourself... and WASH
YOUR HANDS.