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Nurs Clin North Am ; 54(2): 169-180, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-31027659


The 2014 to 2016 Ebola outbreak response resulted in many lessons learned about biocontainment patient care, leading to enhanced domestic capabilities for highly infectious and hazardous communicable diseases. However, additional opportunities for improvement remain. The article identifies and describes key considerations and challenges for laboratory analysis, clinical management, transportation, and personnel management during the care of patients infected with Ebola or other special pathogens. Dedication to maintaining preparedness enables biocontainment patient care teams to perform at the highest levels of safety and confidence.

Contención de Riesgos Biológicos/normas , Brotes de Enfermedades/prevención & control , Guías como Asunto , Fiebre Hemorrágica Ebola/diagnóstico , Fiebre Hemorrágica Ebola/terapia , Medidas de Seguridad/normas , África Occidental , Humanos , Estados Unidos
Am J Infect Control ; 44(3): 340-2, 2016 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-26559735


In response to the Ebola virus disease outbreak of 2014, specific procedures for personal protective equipment use were developed in the Nebraska Biocontainment Unit for the isolation care of patients with the illness. This brief report describes the 2 different levels used for patient care and presents the rationales for the specialized processes.

Transmisión de Enfermedad Infecciosa/prevención & control , Personal de Salud , Fiebre Hemorrágica Ebola/terapia , Control de Infecciones/métodos , Equipo de Protección Personal , Humanos , Nebraska
Am J Infect Control ; 43(5): 441-6, 2015 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-25952046


The care of patients with Ebola virus disease (EVD) requires the application of critical care medicine principles under conditions of stringent infection control precautions. The care of patients with EVD requires a number of elements in terms of physical layout, personal protective apparel, and other equipment. Provision of care is demanding in terms of depth of staff and training. The key to safely providing such care is a system that brings many valuable skills to the table, and allows communication between these individuals. We present our approach to leadership structure and function--a variation of incident command--in providing care to 3 patients with EVD.

Prestación Integrada de Atención de Salud , Transmisión de Enfermedad Infecciosa/prevención & control , Servicios Médicos de Urgencia/métodos , Fiebre Hemorrágica Ebola/epidemiología , Fiebre Hemorrágica Ebola/prevención & control , Control de Infecciones/métodos , Control de Infecciones/organización & administración , Humanos
Am J Infect Control ; 39(5): 415-420, 2011 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-21255874


BACKGROUND: Given the potential for the transfer of infectious diseases among patients in isolation, health care workers (HCWs), and other patients in the hospital environment, the proper use of personal protective equipment (PPE) is paramount. The literature is limited regarding studies of HCWs' use of PPE in patient care tasks. METHODS: A pilot study was conducted to examine the feasibility of using a simulated health care environment to assess HCWs' technique when implementing standard airborne and contact isolation precautions. The participants (n = 10) were assigned patient care tasks based on their specific professional roles. The encounters were digitally recorded during donning and doffing of PPE, as well as during interactions with the simulated patient. Powdered fluorescent marker was used as a measure of contamination. RESULTS: The pilot data show various inconsistencies in the HCWs' PPE technique. Each of the 10 participants committed at least one breach of standard airborne and contact isolation precautions. CONCLUSION: An expanded research study of HCW behaviors is needed to properly examine these contamination and exposure pathways. Training programs should be developed that emphasize the common errors in HCWs' PPE technique.

Benchmarking , Adhesión a Directriz , Personal de Salud , Equipos de Seguridad/estadística & datos numéricos , Garantía de la Calidad de Atención de Salud/métodos , Desinfección de las Manos , Humanos , Eliminación de Residuos Sanitarios , Proyectos Piloto
Public Health Nurs ; 27(2): 140-7, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20433668


Public health nurses in local health departments may receive the first call regarding a potential case of avian influenza, monkeypox, or viral hemorrhagic fever. One public health approach to containing these dangerous infectious disease outbreaks is the use of specialized isolation units. Early access to a biocontainment patient care unit (BPCU) for isolation during a bioterrorism or public health emergency event along with appropriate use of epidemiological and therapeutic interventions in the community may dramatically impact the size and severity of a disease outbreak (Smith et al., 2006). As emerging infectious agents, pandemics, resistant organisms, and terrorism continue to threaten human life; health care and emergency care providers must be empowered to work with nurses and other professionals in public health to plan for the consequences. This article describes the evolution of Nebraska's BPCU strategy for public health preparedness in the face of a biological threat. Design priorities, unit management, challenges, and lessons learned will be shared to guide others in establishing similar infrastructure.

Bioterrorismo/prevención & control , Descontaminación , Brotes de Enfermedades/prevención & control , Unidades Hospitalarias/organización & administración , Aislamiento de Pacientes/organización & administración , Enfermería en Salud Pública/organización & administración , Aire Acondicionado , Enfermedades Transmisibles Emergentes/prevención & control , Descontaminación/métodos , Planificación en Desastres/organización & administración , Urgencias Médicas , Humanos , Diseño Interior y Mobiliario , Nebraska , Rol de la Enfermera , Grupo de Atención al Paciente , Transferencia de Pacientes , Desarrollo de Programa , Cuarentena/organización & administración , Transporte de Pacientes