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21 October 2014 @ 09:36 pm
reawakened feelings of health care in Ebola outbreak.  

i find it important to remind people about the Dallas nurses. what happened to these two people, and the organizations they work in.. it exposes the punches made through the delicate lacework in health care. 

they need protocols put in place, or else it's given opportunity to spread (as feared). they need to understand what they're dealing with and have a reference point, written down, to show them what to DO when dealing with the agent. (not read about it online). it's as if people are assuming the nurses were lazy... when really, they were just doing what they had been told and trained, and eventually advised. 

would you want your nurse to be basing your treatment protocol on what she's read on the internet or what she's seen on the news? 

it sounds like they had NOTHING. probably the bare basics for a hospital, but there's so much more. look at the hot zone footage on the news! if a hazmat suit is needed, well, DO IT. write it down and provide it.
we're talking nurses, doctors, technicians, cleaners... they ALL need this kind of protocol control and knowledge on how to work it.
this is the kind of thing they argue about, discuss vapidly, and have endless meetings, arguments, discussions, teaching sessions over in education. my mum is the education manager of section at Fraser Health, and to have it done properly, it (or ANYTHING) NEEDS to go though this process. a fly in the ointment can cause a HUGE problem if it's not acknowledged or ignored, not documented.
those who are in charge of those nurses are to blame, not the nurses or their unions, or the patients they tried to look after. 
nursing is a dangerous job for this reason. 
 
EVERY job has a set of guidelines on how a situation is to be approached, dealt with, even just to protect those employed. 
Dallas didn't do this. i imagine many other cities, states, provinces, towns haven't, either. 
this is something people at the "top" are supposed to be focusing on. 
 
i can't help but wonder at it, though... even at my local biomedical place, they have visible guidelines warning people who have travelled to the affected countries to present themselves at the desk immediately for proper coverage, and to protect the technicians. they had this paperwork up over a month ago, before Mr. Duncan, and before the Dallas nurses story. 
 
:-( i really hate this "evaluate this situation" game even i am playing. 
i can't help it.
 
it's just a shame that the richer countries fell into hubris, in SPITE of (or BECAUSE of) all they have...and how little they really care about the people they employ. 
it's just laziness. this reflects on the state of modern health care. it's expensive to do it right, and takes commitment. 
now? 
this offends me. :-( it's NOT hard to stop the spread with proper cautions put in place, but they have to be written and provided. 
 
once you get an agent that deserves the fear it inspires and can't be dusted easily away (as it has been in the early part of this year, and from past outbreaks), you HAVE to prepare for a fight. 

some huge changes need to be made. 

http://www.bbc.com/news/world-us-canada-29638724
 
 
 
Dianemissdiane on October 22nd, 2014 01:12 pm (UTC)
It really does make you wonder how much it's spread by semi-casual contact since they were baffled about both nurses in Dallas

Though regardless of what I was "advised" I wouldn't go near family for some time after being anywhere near Ebola. Though being exposed day after day to other infectious diseases and taking the usual precautions, I guess she would've thought she did all that was necessary.