Are we ready for Ebola?
View File(s)
- Author(s)
- Details
-
Leah B. Abecassis, RN, CCRN; Paula Conrad, RN, CCRN, CPN; Joanne Kinlay, RN, CIC
- Sigma Affiliation
- Nu Xi at-Large
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Abecassis, Leah B. by View
Title | Page Views |
---|
Popular Works for Abecassis, Leah B. by Download
Title | Downloads |
---|
View Citations
Citations
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:
Ebola virus disease (EVD) is one of many viral hemorrhagic fevers. It is a horrible, often deadly disease in humans. Bodily fluids from a patient with EVD are highly infectious, and therefore use of special contact and droplet precautions while caring for patients with potential Ebola Virus Disease (EVD) is vital to preventing spread of the virus (CDC, 2014). Our hospital started preparations for these distinct precautions with use of specialized protective personal equipment (PPE) that follows the Centers for Disease Control guidelines. In preparation for a suspected or real case of EVD, there have been PPE trainings done with the Intensive Care Unit staff in the location in the hospital where these patients would be cared for. This training included a one hour practice session with a trainer on donning and doffing, staff being sent home with kits to practice on their own, and then a sign off, done by a trainer, of competence in the skills to don and doff the PPE. The training process was done during work hours and there were rooms dedicated just for use in training purposes for four weeks. The objective of this quality improvement project was to determine whether health care providers (HCPs) felt adequately prepared in PPE use, should a suspected or confirmed case of EVD present to our hospital for care. An online survey of 49 HCPs (41 nurses and 7 physicians) working in the medical intensive care unit was conducted. The years of experience as a nurse or physician ranged, with 16 (49%) HCPs having 5-10 years of experience. The 10 question survey, using the Likert scale, assessed comfort level with PPE training and care of the EVD patient. There were 29 (68%) nurses and 4 (57%) physicians who responded to the survey. That is a 67% response rate to the survey (n=33). Prior to receiving PPE training, 4 (12%) of HCPs indicated they were comfortable with caring for an EVD patient, while 17 (52%) stated they were uncomfortable. Following training, 9 (27%) HCPs were comfortable with caring for an EVD patient, while 8 (24%) were uncomfortable. 21 (65%) HCPs practiced donning and doffing PPE between 3-5 times. 6 (18%) had practiced 6 or more times. 18 (55%) staff members felt that they had adequate practice using the PPE. Understanding the factors that contribute to the willingness of health care providers to provide care during an Ebola outbreak is critical to emergency preparedness. Some studies have shown that keeping staff informed of the emergency plans, stocking PPE, and having the PPE available to HCPs, improves their willingness to work during a pandemic (Devnani, 2012). Another important factor is comfort with the contents of their PPE and how to use it. In order for people to be more comfortable and prepared, there need to be frequent training sessions (Loke, Fung, and Liu, 2013). Feistritzer, Hill, Vanairsdale, and Gentry (2014), stated that the HCP team at Emory in their biocontainment unit has rapid cycle education with competency verification, including the donning and doffing of PPE, to ensure the safety of their staff. In the next iteration of our survey, we should include more questions that lead us to understand the background behind the discomfort that staff have, and how to improve their comfort level. The information from this survey leads our group to conclude that a smaller volunteer team with more hours of practice may be in the best solution to who should care for these patients.
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Type | Poster |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Ebola; Personal Protective Equipment; Infectious Disease |
Name | 43rd Biennial Convention |
Host | Sigma Theta Tau International |
Location | Las Vegas, Nevada, USA |
Date | 2015 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
An exercise in the provision of care for an adult patient under investigation (PUI) for Ebola: A patient care drill
Mast, Justin; Poore, Julie; Stephenson, Evelyn; Harter, Alisha; Fawcett, Debra; Roembke, Claire; Harden, Vicki; Foster, Mary Kay; Gibbs, Shawn; Voris, Amy; McMasters, Melissa (MESH Coalition, 2016-02)In October of 2014 Indianapolis found itself, like many communities, preparing for the unknown realities of providing care to a Patient under Investigation (PUI) for Ebola Virus Disease (EVD). A group of clinical experts ... -
Enhancing firefighter safety post-fire regarding personal protective equipment: A quality improvement study
Oliver, Olympia; Regis, KalahFirefighters are required to wear personal protective equipment (PPE) during and after fire suppression in order to prevent exposure to carcinogenic toxins. When PPE is not worn or properly decontaminated, firefighters are ... -
Educational intervention to enhance staff knowledge and increase awareness regarding risk assessment and personal protective equipment selection to reduce blood and body fluid exposures
Smoot, TeresaIntroduction. Accidental occupational blood borne pathogen exposures pose a great occupational risk for healthcare workers, worldwide. After an occupational exposure, there is a potential risk for transmission of blood ... -
Knowledge and use of personal protective equipment among nurses in teaching hospital wards, Enugu, Nigeria
Ugochukwu, Chika Grace; Onyejinaka, Nkiru PerpetuaThe study ascertained knowledge and use of personal protective equipment (PPE) among nurses in surgical and labour wards of teaching hospital in Enugu, Nigeria. The authors concluded that PPE are crucial to staff protection ... -
The lived experience of working with limited personal protective equipment during the COVID-19 crisis
Iheduru-Anderson, KechiThis study examined the lived experience of nurses working with limited personal protective equipment during the COVID-19 crisis. These findings call on healthcare policymakers, hospital administrators, and nurse managers ...