Identify
What is the deadliest Orthoebolavirus if the patient does not have access to treatment?
Ebola virus
In which room should a patient with suspected Ebola be placed in the ED?
ED 7
What is the first step of the donning process?
What is the first step of the doffing process?
Engaging a trained observer
A patient with norovirus needs to be in which type of isolation precaution?
contact precautions
What is the incubation period for viral hemorrhagic fevers?
2 - 21 days
Which two ED rooms should be used for patient visitors and storage?
ED 6 and ED 8
How many pairs of gloves total are put on during the donning process?
2 pairs
gown
A patient with covid-19 or Monkeypox will require which type of isolation?
airborne plus eye protection
Early-stage Ebola symptoms, sometimes called "dry" symptoms, include what? Please list at least 2 out of the 4 discussed.
Fever, chills, myalgia, and fatigue
Who is the first person that needs to be notified when a potential viral hemorrhagic fever patient arrives?
Charge or flow
True or False:
It is ok to take our assigned cell phones in to a suspected Ebola patient's room.
FALSE!
Remove all personal clothing and personal items. No cell phones, jewelry, watches, pagers, or pens should be brought into the patient's room.
What should be done after removing each item of PPE?
Disinfecting gloves and/or hand hygiene
A patient with C. diff needs to be in which type of isolation precaution and what is special about hand hygiene in this type of isolation?
contact enteric precautions and hands must be washed with soap and water - NOT alcohol based hand rubs
Mid to late-stage Ebola symptoms, sometimes called "wet" symptoms, include what? Please list 4 out of the 6 discussed.
Diarrhea, nausea, vomiting, abdominal pain, unexplained bleeding, and flat or raised lesions on the skin
What ED staff members will be assigned to each patient with suspected viral hemorrhagic fever?
1 ED nurse, 1 trained observer, and 1 ED tech
What additional item of PPE should be worn when a patient has diarrhea or is vomiting?
an apron
Who needs to be contacted in the event of staff contamination due to a breach in PPE?
Follow up with Public Health for post-exposure monitoring requirements
A patient with chickenpox will require what specific PPE?
Gown, N95, and gloves (airborne precautions)
What are the three screening questions suggested by the CDC to screen for viral hemorrhagic fevers?
- has the person been in contact with someone with a suspected or confirmed infection?
- has the person been to an area with an active outbreak of disease?
- has the person worked in a laboratory that handles special pathogens?
What should be done with blood specimens obtained from a patient with Ebola?
Seal them in a durable, leak-proof secondary container and carry them up to lab (never use the tube system)
What PPE should the trained observer be wearing?
A gown/coverall, a full-face shield, a surgical mask, two pairs of gloves, and shoe covers
If a staff member has a visibly soiled area on their gown what do they need to do before beginning to doff PPE?
Use an EPA-registered disinfectant wipe to disinfect soiled area of gown prior to exiting to doffing area.
What are 3 of the diseases that require droplet precautions?
Croup, epiglottitis due to Haemophilus influenzae, influenza, meningitis, mumps, mycoplasma pneumonia, parvovirus B 19, Rhinovirus, Rubella, Scarlet fever, streptococcus, RSV, and pertussis