ADVERTISEMENT

Ebola Outbreak Reminds Hospitalists How To Prepare for Infectious Disease

The Hospitalist. 2014 December;2014(12):

Calm, Cool, Collected

Proper infection control procedures—hand hygiene, injection safety, appropriate cleanup, and careful waste handling—are a third line of defense in preventing the spread of infectious disease, Tumpey says.

Dr. Lenchus says that, particularly in light of diseases like Ebola, hospitalists should present concerned patients with valid information in a “calm, cool, and collected manner” that “helps allay the fear, misconception, and hysteria from generalizations, emotional responses, and anecdotal hearsay.”

These conversations present hospitalists with an opportunity to highlight the protocols, procedures, and patient safety programs in place at their institutions. They also provide a forum to discuss common cold and influenza viruses, which spread more easily than Ebola.

Of course, in the face of new rules for admissions, packed EDs, mounting metrics, and sometimes nonintuitive electronic health records, staying abreast of the latest information and catching every patient with symptoms that may or may not be related to an infectious disease may be easier said than done.

The CDC is redoubling its outreach efforts, Tumpey says, and will offer webinars and trainings for health providers.

“Our hope is that increased awareness can improve triage, early recognition, and appropriate infection control and could help for other things like MRSA, the endemic threats we face every day in U.S. healthcare facilities, even emerging diseases like MERS and carbapenem-resistant Enterobacteriaceae,” says Tumpey. “Awareness of proper infection control could help with many disease threats.”

Kelly April Tyrrell is a freelance writer in Madison, Wis.

Preparing for Ebola

Dr. Lenchus says hospitalist programs should be involved in disaster or emergency management briefings on Ebola at their institutions.

He advises the following:

  1. Stay current on lists of countries where Ebola virus disease has been reported via the CDC website.
  2. Know what symptoms to ask about; while these may be nonspecific and constitutional in nature, taken together with travel history they may portend exposure.
  3. Be familiar with proper use of personal protective equipment and clothing, as well as the need to potentially isolate the patient, while implementing standard, contact, and droplet precautions.
  4. Report suspected cases to the health department and follow subsequent instructions.