ONA continues to be actively involved with Ebola Virus Disease (EVD) work at both the state and national level. ONA President Katy Cooper, RN and Dr. Carl Brown, ONA Staff attended a meeting and then press conference with Gov. Kitzhaber as he discussed plans for treatment if a patient is diagnosed with the Ebola Virus. Katy Cooper presented a statement on behalf of ONA during that news conference which can be seen at the link below.
- Click here to see the full Oregon Ebola Preparedness Briefing, Oct. 27, 2014
In addition, ONA released a press statement along with the Oregon Association of Hospitals and Health Systems (OAHHS) and the Oregon Medical Association (OMA) which can be seen here.
ONA members want to know what to do if a patient suspected of EVD comes into their health care organization. This situation should be managed with a “THREE I” mnemonic approach which is Identify, Isolate and Inform.
1. Identify: All outpatient/ambulatory care triage/registration area patients should be assessed for:
- Fever of greater than 38.6 degrees Celsius or 101.5 degrees Fahrenheit, and additional symptoms such as severe headache, muscle pain, vomiting, diarrhea, abdominal pain or unexplained hemorrhage. AND
- Travel to West Africa (Guinea, Liberia, Nigeria, Senegal, Sierra Leone or other countries where EVD transmission has been reported by WHO) within 21 days(3 weeks) of symptom onset or exposure to someone who has been in West Africa in the last 21 days.
2. Isolate: If both criteria (symptoms and travel history) are met, then remain calm. The patient should be moved to a private room with a bathroom, and STANDARD CONTACT and DROPLET precautions should be followed during further assessment.
3. Inform: Contact local hospital leadership and Oregon Public Health officials.
CDC Guidelines for Health Care Providers
Of importance, the Centers for Disease Control and Prevention (CDC) has now updated guidelines for health care providers who are providing care to patients positive for the EVD.
New content includes:
- Guidance on Personal Protective Equipment (PPE)
- Focus on Aerosol Generating Procedures (AGP)
- Avoid AGPs for patients with EVD.
- If performing AGPs, use a combination of measures to reduce exposures from aerosol-generating procedures when performed on Ebola patients.
- Visitors should not be present during aerosol-generating procedures.
- Limiting the number of health care providers present during the procedure to only those essential for patient-care and support.
- Conduct the procedures in a private room and ideally in an Airborne Infection Isolation Room (AIIR) when feasible. Room doors should be kept closed during the procedure except when entering or leaving the room, and entry and exit should be minimized during and shortly after the procedure.
- HCP should wear appropriate PPE(http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html) during aerosol generating procedures.
- Conduct environmental surface cleaning following procedures (see section below on environmental infection control).
- Facilities should develop policies for monitoring and management of potentially exposed health care providers.
Nurses must partner with their respective hospitals and other health care systems to become educated and informed about education and management of patients with Ebola to include the proper donning and doffing of Personal Protective Equipment (PPE). Nurses should speak out if there is not available education and practice in utilization of PPE. ONA will work with our members to provide education and support.
- Click here for a list of current guidance from CDC and OSHA
News and Updates
Oregon Health Authority Out-Patient Guidance Documents
Below are the newest Out-Patient guidance documents from the Oregon Health Authority-Public Health Division and the CDC.
Other Resources and ONA Releases