Sloppy protocols: second healthcare worker from Dallas hospital tests positive for Ebola

October 2014DALLAS A second health care worker at Texas Health Presbyterian Hospital who provided care for Thomas Eric Duncan has tested positive for Ebola, the Texas Department of State Health Services announced. The unidentified health care worker reported a fever Tuesday and was isolated at the hospital, authorities said. The preliminary Ebola test was run late Tuesday at the state public health laboratory in Austin, and results were received at about midnight, authorities said. The Centers for Disease Control and Prevention has begun confirmation testing. Health officials interviewed the patient, hoping to track down any contacts or potential exposures in the community, the CDC said in a statement. “While this is troubling news for the patient, the patient’s family and colleagues and the greater Dallas community, the CDC and the Texas Department of State Health Services remain confident that wider spread in the community can be prevented with proper public health measures including ongoing contact tracing, health monitoring among those known to have been in contact with the index patient and immediate isolations if symptoms develop,” the CDC said in a statement.
The diagnosis follows days after nurse Nina Pham, 26, who also treated Duncan, was diagnosed with Ebola. Duncan was diagnosed with Ebola Sept. 30 and died Oct. 8. CDC Director Thomas Frieden had previously suggested that Pham may not be the only person who became infected while treating Duncan. “It is possible that other individuals could have been infected,” Frieden said. Ebola has killed more than 4,000 people, mostly in the West African countries of Liberia, Sierra Leone and Guinea, according to recent figures by the World Health Organization. –ABC
Claims made by nurses: On the day that Duncan was admitted to the hospital with possible Ebola symptoms, he was “left for several hours, not in isolation, in an area where other patients were present,” union co-president Deborah Burger said. Up to seven other patients were present in that area, the nurses said, according to the union. A nursing supervisor faced resistance from hospital authorities when the supervisor demanded that Duncan be moved to an isolation unit, the nurses said, according to the union.
Claim: The nurses’ protective gear left their necks exposed: After expressing concerns that their necks were exposed even as they wore protective gear, the nurses were told to wrap their necks with medical tape, the union says. “They were told to use medical tape and had to use four to five pieces of medical tape wound around their neck. The nurses have expressed a lot of concern about how difficult it is to remove the tape from their neck,” Burger said.
Claim: At one point, hazardous waste piled up – “There was no one to pick up hazardous waste as it piled to the ceiling,” Burger said. “They did not have access to proper supplies.”
Claim: Nurses got no ‘hands-on’ training – “There was no mandate for nurses to attend training,” Burger said, though they did receive an email about a hospital seminar on Ebola. “This was treated like hundreds of other seminars that were routinely offered to staff,” she said.
Claim: The nurses ‘feel unsupported’ – So why did the group of nurses — the union wouldn’t say how many — contact the nursing union, which they don’t belong to? According to DeMoro, the nurses were upset after authorities appeared to blame nurse Pham, who has contracted Ebola, for not following protocols. “This nurse was being blamed for not following protocols that did not exist. … The nurses in that hospital were very angry, and they decided to contact us,” DeMoro said. And they’re worried conditions at the hospital “may lead to infection of other nurses and patients,” Burger said. A hospital spokesman did not respond to the specific allegations, but said patient and employee safety is the hospital’s top priority. –WCTI
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31 Responses to Sloppy protocols: second healthcare worker from Dallas hospital tests positive for Ebola

  1. Dennis E. says:

    I do not trust the cdc director.

    Like

  2. drswig says:

    I feel for the nurses! I know the training is available. I went through infection control, personal protective contamination training, and decontamination training 30 years ago in the Air Force. Its intensive, hands on, I remember we got criticized in training for specific protocol violations: how we touched items, what order we removed clothing. Back then you left the mask on until the end, rationale was heavy breathing and movements and disturbing anything on the outside of the garment could be shaken or become airborne by the removal activities. This was an annual requirement of refresher training always “hands on”

    Liked by 1 person

  3. sorenson says:

    Seriously they are blaming the spread on sloppy protocol? Shaking my head !

    Like

  4. niebo says:

    Let’s pretend that just ONE claim by the nurses is true (and that the other four are blatant lies), and this story could read like this:

    “It is possible that other individuals could have been infected. . . ”

    because of

    “. . . protocols that did not exist.”

    Promises, assurances, and lies be damned; the CDC is guilty of gross malpractice.

    Like

  5. Sunflower says:

    I live in only a few hours away from Dallas and have been watching the news very close to see if this would spread to others who were exposed. The next few weeks should be very telling. It has only been one week out since Duncan’s death and already two have been diagnosed. Time to redouble my efforts on getting prepared the best we can. Once this gets a foot hold it will be a matter of weeks before people start to panic. I worry about peoples panic more than the disease itself. The numbers of exposed now compared to how many people that have been potentially exposed are already out of control. Entire planes, airports, weddings, 70 members of staff, other patients in the hospital, you name it, the number of people and everyone they have had contact with from just one infected person. CDC has this under control? Not even in the very least! The numbers could already be at the thousands and are just not showing any symptoms yet. I am not saying it is in the thousands, I am just saying that with the amount of exposure to so many people in a wide area it could be.

    Thanks for keeping us posted Alvin!

    Like

  6. Sealed says:

    If the NIH, WHO, CDC or any other top players had come out and said the majority of american hospitals are not prepared to handle ebola patients, they would have been slammed for inciting fear and panic…even though it IS true. I feel so sad and angry for these infected staff and for the general public. Of course inciting fear is troubling, but we the people are going to have to grow some backbone and learn how to let “fear” teach us a few things. We are going to have to embrace our anxieties and roll with the punches…so that we don’t panic. Fear can be healthy, whereas “panic” increases our chances of extinction.

    Like

    • these hospitals around here cannot even control staph infections,my mother in law died from staph infection that she caught in the hospital after her kidney surgery so I know what I am talking about,all this talk about american hospitals being prepared and able to contain anything is one big lie and a joke!

      Like

  7. Олка says:

    I am starting to suspect CDC in conspirancy. They talk a kot about protective measures, but did not do the most important thing. Airtravel ban is needed.

    Like

  8. DMandAnswers says:

    The U.S. is not doing enough. We need to implement a no inbound policy from ANY infected West Africa country that spans air, sea and crossing into the U.S. from Canada or Mexico. Shipping lanes need to be halted from these countries to the U.S. as that transit will be the next to bring the virus. Why isn’t the press evaluating this? Why don’t we have a US map of suspected and confirmed cases? The public deserves to know as it could mean the difference between life and death. The percentage of deaths was horribly underestimated by the press calling it 50%. Everyone knows it’s closer to 78-80% if not higher now. Why is the press not talking about how the virus can live on in men’s testicles? This smells of lies and hiding the truth.

    Like

    • DMandAnswers says:

      Btw I don’t care about the color of skin for those infected to be clear! I care about my new born, 2 year old and wife. Stop making it race thing and start fixing the problem before it’s too late.

      There are unconfirmed reports now in Alabama!!!

      Like

      • DMandAnswers says:

        Oh year. It will be worse here than Africa. Mark my words. They don’t have rapid transit like subways and such. Watch when some sick person doesn’t think they have it, pukes or sneezes on a subway and that metropolitan area is infected in 2 weeks. This is bs that the cdc and hospitals don’t get this under control. It’s bs as we find out after the fact. Seriously considering leaving the lower 48.

        Like

    • Janice says:

      So sorry for lengthy post but…Ebola will rip the scabs off many “unknowns”…

      America has gleaming, modern high tech hospitals/healthcare systems. Our Medical personnel are highly experienced, trained & educated. We have the best healthcare infrastructure, sanitation,  communication & disaster preparedness systems to handle Ebola.  Americans too are educated & literate.  No rural backwoods cultural superstitions/practices here. Unlike “impoverished” African countries…America is ready for Ebola.

      So why are our healthcare systems struggling to catch up to this very, very small Ebola outbreak?  Something is wrong with this picture.   I can’t connect the dots. But I suspect the bottom line is money (or lack of), profit & commerce.

      How insane not to bar/isolate/quarantine travelers with itineraries that include the affected countries.  A minimum 21 day observation period should be MANDATORY.   Companies, organizations & individuals should pick up the costs for precautionary safety measures. They choose to travel to/from deadly pandemic areas & should bear the financial burden of Ebola-Free proof.  Some of these travelers are Ebola time bombs…
      & they aren’t all Africans!!!

      See USAID website to find out who does business/provide services JUST in Liberia alone. Staggering amounts of aid go to American entities/contractors around the globe.  Billions in profits earned by businesses/corporations?  Is this why no banning flights?

      USAID LIBERIAN GRANT CONTRACTS/ CATEGORIES… It takes a bit to find your way around their website, but click on Liberia (or other affected areas).  See lists of the private companies & NGOs receiving funds to “service” Liberia & 2014 totals paid by “American taxpayers”.   Be patient in your search. Your jaw will hit the floor.
      http://www.foreignassistance.gov/web/OU.aspx?FY=2014&OUID=185&AgencyID=0&FromRGA=true&budTab=tab_Bud_Impl

      US CENSUS ON PRIVATE SECTOR FOREIGN TRADE
      https://www.census.gov/foreign-trade/balance/c7650.html

      LIBERIA IMPORTS/EXPORTS BY country %
      http://atlas.media.mit.edu/profile/country/lbr/

      AMERICAN PORTS & LIBERIAN IMPORTS (to 2010). These figures translate into American cascading private sector profits & American jobs:       http://www.worldportsource.com/trade/imports/value/LBR.php

      “My people suffer for lack of knowledge”…or something like that.

      Liked by 1 person

      • Dennis E. says:

        my people are destroyed for a lack of knowledge Hosea 4-6

        So, it is not a sin or lack of faith when you see trouble and prepare.

        Like

  9. Janice says:

    So grateful for this site.   I started an “Ebola” folder on 8/17/14. Scoured websites related to Ebola, aerosol transmissions, sneeze cloud distances/virus volumes/dispersement areas, Hazmat bio-hazard gear & levels of PPE. 

    Not a medical person but worked as a hospital sales rep in the HMO business. Even supervised a team of HMO nurses in an Education Outreach unit.  Very familiar with their level of professionalism, knowledge, compassion & fierce commitment to their profession.

    Worked during a time of hospital mergers, closings  & layoffs (1993-2000).  Hospitals in economic upheaval since then.   Ebola has highlighted major dysfunctions in hospital healthcare systems that started long before “Obamacare”.

    Nurses are the front line. They don’t monitor “trends”…they deliver services.  Any breaches in Ebola response was NOT by nurses.  It was hospital administration/management.  The CDC has no enforcement power to order any level of care/protection.  They can only recommend.   Until hospitals are MANDATED by law to protect it’s employees/public from Ebola it won’t happen.

    My question:   if I as a layperson from the public… closely followed Ebola…what the hell have hospital owners, boards, administrators, doctors, dept. supervisors been reading?     There have been failures all along this Dallas hospital healthcare chain.   I see gross dysfunction, incompetence, ignorance, complacency & bottom-lining?

    Mr. CDC Director:  Which US facilities are prepared….Who is monitoring the level of preparedness…Who is monitoring implementation of corrective measures?  WHO will insure/certify American hospitals are ready?   How could you say America will stop Ebola.  
    The facts on the ground are proving otherwise in this medical crisis.   The public should be afraid.  At EVERY step from misdiagnosis to decontamination, contact quarantine & support services (no food??).   Where is the global, seamless, coordinated, in place protocol for everything Ebola? Our Surgeon General?  Our disaster preparedness?  Where is General Honoree?  

    This is bad.  Dallas is a huge wake up call & they’re still sleep walking.  All this in a major 
    metro area…what about smaller/rural facilities?  America is NOT ready.

    Liked by 1 person

  10. Tatiacha says:

    wow they lead us to believe that they are monitoring these people they they knew were exposed but somehow this woman got on a plane to Cleveland the day before testing positive? We allow people to be put on the no fly list for outrageous reason but we allow those known to be exposed to an ebola patient who died, to board a flight, that is just insane!

    Liked by 1 person

  11. Colleen says:

    Imagine what it be like in one year? I am going to stockpile some non perishables, and water. Beans, rice, canned goods, medical supplies, Clorox bleach, and garbage bags. Will be ready to settle in for several months. Claim Psalms 91 for God’s protection. I have a horrible feeling the Sh.. is already hitting the proverbial fan. God bless everyone! This is getting way too scary!

    Like

  12. jim says:

    Just think most of the public has access to this information but only a few look at the alternative websites like this one most of them still get their news from the mainstream media what’s gonna happen if everyone read these site because alot of you already sound in a panic. You all knew depopulation was coming but ignored it as if it’s not gonna happen in my lifetime…….. Wake up call cause it is

    Like

  13. stevenj says:

    The Genie is out of the bottle… Ebola WILL spread just as fast, if not faster here in the U.S. than in Africa because we are highly mobile. Plus, no matter what you hear, our healthca. re system is incapable of containing the spread of this disease. If you are still a doubter, check back in 2 or 3 weeks – By then, you will see mandatory quarantines of entire cities, and possibly even states.

    Like

  14. Alexandra says:

    Alright. People with Ebola walk onto planes (with hazmat suits of course), walk out of emergency vehicles. I am really questioning what the plan is here. These people DON’T HAVE EBOLA.
    Anybody with a little knowledge of Ebola knows that you are so sick that you don’t walk anymore.
    Read “The Hot Zone” by Richard Preston to get a little info on Ebola Zaire, Ebola Reston, and how USAMRIID and the CDC worked on Ebola Reston in Virginia some time back.
    (Alvin, please post this one)!

    Like

    • Janice says:

      Ok I got that. But why the full body Hazmat Level A, portable, ventilated, respirator packs/full bubble masks? Why the hermetically sealed oxygen units to transport some patients? Why the Level B Hazmat suits for walking Ebola suspected patients? What is the public to think of these Sci-Fy scenes? No panic, just precautionary safety protocols?

      Like

    • well I don’t know about that,seems like Duncan was walking around a lot and he was sick with the ebola.

      Like

    • Yellow Bird says:

      kind of on that same note… alvin, i am having difficulty finding ANY footage depicting the blood and gore we know of ebola.
      =Something terrible is going on, unquestionably!
      But if it is the extremely gory disease we believe it to be, why the dearth of photo/video depictions? surely ALL footage coming out of these countries can’t be of the sanitized-for-the-general-public type… can it?
      i dont intend to start any controversy with my questions, i totally understand if you opt not to publish this comment because its only my own speculation… but, alvin- i am feeling REALLY concerned? as poorly understood as ebola is, this much is known… so if the gore is not in abundant present evidence- WHY NOT??
      the only photos i have found actually depicting ebola in all its bloody gory, seem to have been attributed to one photo journalist, who seems to have published them in 1995.

      where are the full honest depictions from this outbreak??

      Like

      • Yellow Bird says:

        reading my comment i realize im sounding pretty scattered today. what i am trying to ask is, WHAT IS THIS THING that is destroying so many lives- if its NOT ebola?? again, i know i am speculating wildly… but something critical is missing from the picture- from all the pictures!- and that is a mystery that troubles me as deeply as the disease we’ve all been led to believe is the cause of these mass deaths.

        Like

  15. James says:

    This should be a lesson to those who believe big government is better government. That is simply not true. Our bloated US Gov is ineffective, inept, and not to be trusted to protect us. The CDC has dropped the ball on this problem since day one. And they had months to prepare, knowing what was going on in Africa.

    Like

  16. Olka says:

    CDC owns the patent on Ebola and all variances up to 70% of the variance. This means that because the CDC owns Ebola, they will receive a royalty every time a treatment is provided because of the alteration of their intellectual property rights.
    Read more at http://www.activistpost.com/2014/10/nih-we-may-have-to-vaccinate-whole.html#TvQvvut2uxcqDB4M.99

    Like

  17. Yellow Bird says:

    oh dear, i didnt realize when i changed my email contact it would delete my earlier post. the missing something i am referring to is the blood & gore associated with ebola. i cant find photos or videos from this current epidemic that arent of the “sanitized” type… and that troubles me a lot. had ALL footage coming from these nations been ‘edited for consumer comfort’– or could it be that all these people have died from something other than the horrible disease we have been told it is. wild speculation on my part, alvin- i understand if you opt not to publish- but i am extremely bothered by this creeping concern and cant shake the sense that there is a truth we are not being told.

    Like

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