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MineralMan

(146,317 posts)
Mon Oct 13, 2014, 04:41 PM Oct 2014

Now, here's something to worry about with regard to Ebola:

We live in the United States. We don't do forced labor here. If health care workers refuse to work on or near Ebola patients, we could be in for some interesting situations if there is an Ebola outbreak. There isn't one, so far, of course. But it's something to consider. So, if you were a health care worker, would you show up for work if there was an Ebola patient in the place where you work?


7 votes, 0 passes | Time left: Unlimited
Yes, I'd go to work and care for patients.
4 (57%)
Not a chance.
0 (0%)
I really don't know what I'd do.
3 (43%)
This is a stupid, stupid question.
0 (0%)
Other (Please explain your alternative answer.)
0 (0%)
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Now, here's something to worry about with regard to Ebola: (Original Post) MineralMan Oct 2014 OP
If nurses are scared of sick people, maybe they shouldn't have become nurses. NightWatcher Oct 2014 #1
OK. However, Ebola is a little different from most of the MineralMan Oct 2014 #2
What about MRSA, Smallpox, and all the other things they could be exposed to every day? NightWatcher Oct 2014 #3
MRSA's all around us. Basic hygiene does a pretty good job MineralMan Oct 2014 #4
+1 kestrel91316 Oct 2014 #13
WTF Skittles Oct 2014 #5
I would go because it's my job. bigwillq Oct 2014 #6
Same thing happened during the outbreak of AIDS FLPanhandle Oct 2014 #7
Of course. I've taken care of people with active TB, MRSA, other things like that.I would, of course uppityperson Oct 2014 #8
I am so grateful for healthcare workers TBF Oct 2014 #9
Every large hospital I've ever worked in had some level of isolation and quarantine unit procon Oct 2014 #10
Well said, thank you. uppityperson Oct 2014 #11
The entire problem you are talking about can be summed up in two words: kestrel91316 Oct 2014 #14
I think it would be relatively simple to procon Oct 2014 #18
80% of hospital nurses surveyed said they had NO training yet. dixiegrrrrl Oct 2014 #28
Health care workers don't even think twice about that tuhaybey Oct 2014 #12
And the same with us veterinarians. We are the ones who actually have to handle that dog or cat kestrel91316 Oct 2014 #15
Yeah, totally agree tuhaybey Oct 2014 #20
Yep. At any point you can wind up at risk of amputation. kestrel91316 Oct 2014 #22
"zoonoses" Feral Child Oct 2014 #29
Of course I would. Texasgal Oct 2014 #16
I would volunteer to care for a family member at home librechik Oct 2014 #17
Other. Those that survive should be paid to care for new patients. grahamhgreen Oct 2014 #19
+1 kestrel91316 Oct 2014 #23
In fact, I wonder if we should hire some post ebola African healthcare pros grahamhgreen Oct 2014 #25
here's something to worry about with regard to Ebola KMOD Oct 2014 #21
I would feel safe taking care of an Ebola patient if I followed protocol. Quixote1818 Oct 2014 #24
I would want training on safety measures. nt ZombieHorde Oct 2014 #26
I'll be there....I just won't come out of my office. LOL ileus Oct 2014 #27

NightWatcher

(39,343 posts)
1. If nurses are scared of sick people, maybe they shouldn't have become nurses.
Mon Oct 13, 2014, 04:44 PM
Oct 2014

This is along the lines of cops who are scared of individual black teens and feel the need to shoot them just for looking 'thugish'. If you are scared of something you may face in your day to day job, maybe you should not have taken that job.

MineralMan

(146,317 posts)
2. OK. However, Ebola is a little different from most of the
Mon Oct 13, 2014, 04:45 PM
Oct 2014

things healthcare workers encounter. A lot of people in healthcare see their work as a job, much like any other. I think it's a valid question.

NightWatcher

(39,343 posts)
3. What about MRSA, Smallpox, and all the other things they could be exposed to every day?
Mon Oct 13, 2014, 04:49 PM
Oct 2014

Hospitals are aware and train for all kinds of different scenarios from mass fire casualty to dangerous viral outbreaks.

I'm not saying I'd want to do it, therefore I will not get another job at a hospital.

MineralMan

(146,317 posts)
4. MRSA's all around us. Basic hygiene does a pretty good job
Mon Oct 13, 2014, 04:51 PM
Oct 2014

of keeping it away from healthy individuals. Smallpox has been eradicated, thanks to almost universal inoculation. There are evacuation plans for fires.

Ebola's pretty scary stuff if you have to come in contact with it.

So, I take it that your answer is that you would not do that.

 

bigwillq

(72,790 posts)
6. I would go because it's my job.
Mon Oct 13, 2014, 05:14 PM
Oct 2014

If I don't like my job, I am free to quit and work in another field.

FLPanhandle

(7,107 posts)
7. Same thing happened during the outbreak of AIDS
Mon Oct 13, 2014, 05:26 PM
Oct 2014

Some doctors and nurses refused to work with AIDS patients but most health care professionals did.

Eventually the newness and fear died down. It'll happen with Ebola too once everyone stops panicking are starts thinking about this logically.



uppityperson

(115,677 posts)
8. Of course. I've taken care of people with active TB, MRSA, other things like that.I would, of course
Mon Oct 13, 2014, 05:29 PM
Oct 2014

and of course I would make sure to be really careful to not break isolation.

This reminds me of when HIV was first around and people were shocked that I actually made home visits to someone hiv+. Working with people with MRSA and c diff, change my clothes in the mud room at home, straight into the washing machine and leave the work shoes at the door.

It is very easy to break isolation, to touch yourself without even noticing and while ebola is not the most contagious disease I've worked around, if caught it is deadly so taking extra care is good.

Make sure universal precautions are universal all the time also and avoid getting or spreading other viruses, bacterial, etcs.

TBF

(32,062 posts)
9. I am so grateful for healthcare workers
Mon Oct 13, 2014, 05:34 PM
Oct 2014

who are willing to do this. I don't really know what it is like to be a 100% healthy person. I've always had bad allergy issues and now another chronic illness as well. I'm the type of person who can't spend the day in the woods because it will result in upper respiratory issues. I feel those who are willing to work in such fields (even teaching can be hard until your immunity is built up) should be respected and well-compensated for their efforts.

procon

(15,805 posts)
10. Every large hospital I've ever worked in had some level of isolation and quarantine unit
Mon Oct 13, 2014, 05:45 PM
Oct 2014

From TB, SARS, to things like bubonic plague here in California, and a host of other communicable diseases, or even radiation exposure, medical personnel choose to train for this type of specialized care. Its no different than the medical trauma team, or the NICU staff, where additional schooling and proficiency testing are part of the job. There are specialized hospital depts that set up protocols for infection control, and you do that type of work because you want to, it's your chosen area of expertise. It's also up to the hospital management to provide for the proper care and safety of both patients and staff by adequately supporting and funding those units.

That said, not all hospitals are efficiently run, and what concerns me is the lack of coordinated federal, or even coherent state policies mandating consistent levels of protection. Given the mishmash of our current for profit medical system, money is not channeled into maintaining and equipping dedicated isolation zones, let alone taking scarce staff off the floor for specialized training that might never be utilized... or profitable. Even in public facilities, the budget cutbacks have slashed the funds needed to maintain these high maintenance isolation rooms and train the dedicated staff who choose that profession.

 

kestrel91316

(51,666 posts)
14. The entire problem you are talking about can be summed up in two words:
Mon Oct 13, 2014, 06:52 PM
Oct 2014

STATES' RIGHTS.

Congress would NEVER (especially under the current majority party) agree to the feds taking the reins and dictating matters of public health to all the states any more than they already do. Hell, they would get rid of the Department of Health and Human Services in its entirety if they had the power.

Federally coordinated response to a health threat?? From the people who don't believe in evolution therefore they can't possibly believe in most of microbiology??

procon

(15,805 posts)
18. I think it would be relatively simple to
Mon Oct 13, 2014, 07:20 PM
Oct 2014

initiate a national standard of communicable disease and infection control protocols through the existing Joint Commission’s hospital accreditation program. This agency is already set up to certify that hospitals meet the established provisions for treating Medicare and Medicaid patients. These federal programs generate huge amounts of revenue for the providers, so its in their best interest to comply and keep up their accreditation.

Of course, the roadblock to launching any new health protocols is the money. This would require addition federal funding to setup the funding for grants or loans to construct the special facilities needed, equipping them, annual inspections, ongoing training and certification schemes for the medical and ancillary staff, as well as first responders, R&D of new medications and treatment regimens, etc.

As long as the federal purse is in the hands of these penny-wise and pound foolish Republicans, who are congenitally incapable of think past their next fundraising mailer, we'll continue to see these inchoate, stumbling efforts at OTJT in crisis management.

dixiegrrrrl

(60,010 posts)
28. 80% of hospital nurses surveyed said they had NO training yet.
Tue Oct 14, 2014, 07:33 AM
Oct 2014
Several weeks ago, National Nurses United began surveying registered nurses across the U.S. about emergency preparedness. Most of the nurses are telling NNU that their hospital is not prepared for the Ebola virus.

In updated preliminary results from nearly 700 RNs at over 250 hospitals in 31 states released Friday:

80 percent say their hospital has not communicated to them any policy regarding potential admission of patients infected by Ebola
87 percent say their hospital has not provided education on Ebola with the ability for the nurses to interact and ask questions
One-third say their hospital has insufficient supplies of eye protection (face shields or side shields with goggles) and fluid resistant/impermeable gowns
Nearly 40 percent say their hospital does not have plans to equip isolation rooms with plastic covered mattresses and pillows and discard all linens after use, less than 10 percent said they were aware their hospital does have such a plan in place
More than 60 percent say their hospital fails to reduce the number of patients they must care for to accommodate caring for an “isolation” patient.
http://www.nationalnursesunited.org/press/entry/national-nurse-survey-shows-hospitals-still-not-prepared-for-us-ebola/

tuhaybey

(76 posts)
12. Health care workers don't even think twice about that
Mon Oct 13, 2014, 06:24 PM
Oct 2014

Healthcare workers work with people who have contagious, potentially deadly diseases all the time. They are reliably heroic about it. In fact, even right now, there are probably other diseases healthcare workers are more worried about being exposed to, like drug resistant TB perhaps.

There is this funny thing where most people sort of assume that what is covered in the news is roughly what happens in the world. We heard one big wave of stories about heroic firemen around 9/11 so people kind of unconsciously assume that the level of heroism among firemen suddenly surged on that day. But what really happened is more along the lines of that we suddenly paid attention to how heroic firemen always are. Every day in every major city, a fireman runs into a burning building knowing full well that it might collapse on him, to save somebody. Amazingly, pretty much every fireman faced with that choice of putting themselves in real danger to save somebody else does it without a second thought. We just only notice it when it is on the national news or when we're personally involved.

Same deal with healthcare workers. This is what they do. They have chosen to make this sacrifice for humanity knowing full well that they will frequently come into contact with real threats to their lives and health as a result. That isn't just about the volunteer going to Africa and whatnot, that is true of the nurses assistant at your local clinic too and we should all probably keep that in mind next time we run into a healthcare worker.

 

kestrel91316

(51,666 posts)
15. And the same with us veterinarians. We are the ones who actually have to handle that dog or cat
Mon Oct 13, 2014, 06:56 PM
Oct 2014

suspected of having rabies. We are the ones who risk mutilation and career-ending injuries handling fractious animals so that their needs can be taken care of, both out of compassion for their suffering and a desire to keep the community safe from zoonoses.

Nobody ever thinks about that. They think we are adored by our patients and it's all petting Fluffy and getting kitty kisses all day.

In your dreams. You ought to see my right hand right now. And the left one ain't so great either.

tuhaybey

(76 posts)
20. Yeah, totally agree
Mon Oct 13, 2014, 09:45 PM
Oct 2014

I saw an insane video the other day about infected cat bites that a veterinarian's assistant got... Yikes.

Feral Child

(2,086 posts)
29. "zoonoses"
Tue Oct 14, 2014, 08:20 AM
Oct 2014

Very cool word, I had to look it up.


Most people don't realize that veterinarians and staff are not the most highly paid health-care professionals, either. Takes enormous dedication to choose the field when a pediatrician makes so much more with an equivalent level of training.

This pet-owner/rescuer appreciates who you are.

Texasgal

(17,045 posts)
16. Of course I would.
Mon Oct 13, 2014, 06:56 PM
Oct 2014

I do... everyday. Of course I am a surgical nurse at a opthalmologic practice even if I was on the front lines ( ER ) I would absolutely go to work without a second thought!

librechik

(30,674 posts)
17. I would volunteer to care for a family member at home
Mon Oct 13, 2014, 06:58 PM
Oct 2014

in the worst case scenario. Like if there were 500 cases.

However, post 12 was absolutely right when they said healthcare workers don't think twice about it. I would be damn careful and watch everybody else's ass, which is part of the job. Thank god I'm not in the industry anymore.

 

KMOD

(7,906 posts)
21. here's something to worry about with regard to Ebola
Mon Oct 13, 2014, 10:49 PM
Oct 2014

exactly, Mineral Man.

This is the single most worrisome issue.

It is absolutely imperative that our health care workers feel safe, educated and prepared.

Quixote1818

(28,943 posts)
24. I would feel safe taking care of an Ebola patient if I followed protocol.
Tue Oct 14, 2014, 01:30 AM
Oct 2014

I do however, think they should spray the suites down to kill all germs before they are taken off. You can bet the nurse who got sick made a mistake at some point but had the suit been sterilized after she left the room and before she took it off, that mistake probably would not have mattered.

If it was my job I for sure would do it. Fact is, it's still not spreading that fast and is hard to catch. I remember drinking from a glass that a family friend with AIDS had placed ice into with his bare hands back in the late 80's. It was a bit freaky but I believed the doctors when they said you could not catch it that way.

ileus

(15,396 posts)
27. I'll be there....I just won't come out of my office. LOL
Tue Oct 14, 2014, 07:10 AM
Oct 2014

I do direct patient equipment care....not patient care.

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