2.50
Hdl Handle:
http://hdl.handle.net/10755/602514
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Are We Ready for Ebola?
Author(s):
Abecassis, Leah B.; Conrad, Paula; Kinlay, Joanne; Conrad, Paula; Kinlay, Joanne
Lead Author STTI Affiliation:
Nu Xi-at-Large
Author Details:
Leah B. Abecassis, RN, CCRN, leah.abecassis@childrens.harvard.edu; Paula Conrad, RN, CCRN, CPN; Joanne Kinlay, RN, CIC
Abstract:
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.
Keywords:
Ebola; Personal protective equipment; Infectious Disease
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15CL2.1
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleAre We Ready for Ebola?en
dc.contributor.authorAbecassis, Leah B.en
dc.contributor.authorConrad, Paulaen
dc.contributor.authorKinlay, Joanneen
dc.contributor.authorConrad, Paulaen
dc.contributor.authorKinlay, Joanneen
dc.contributor.departmentNu Xi-at-Largeen
dc.author.detailsLeah B. Abecassis, RN, CCRN, leah.abecassis@childrens.harvard.edu; Paula Conrad, RN, CCRN, CPN; Joanne Kinlay, RN, CICen
dc.identifier.urihttp://hdl.handle.net/10755/602514en
dc.description.abstractSession 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.en
dc.subjectEbolaen
dc.subjectPersonal protective equipmenten
dc.subjectInfectious Diseaseen
dc.date.available2016-03-21T16:30:41Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:30:41Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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