LETTER FROM A NURSE. THERE IS A RISK THAT THE MAYOR IS AFTER Ebola and CRYSTAL.
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I am a nurse in the Intensive Care Unit (ICU) of the Hospital La Paz. The reason for addressing you.'s To inform the public the facts that have happened recently regarding the "Crisis of the Ebola virus" opinion. Do not want to create social alarm, but tell what is still a reality in everyday for a few months of nursing staff the ICU among which I include ago.
Since the hospital was named La Paz as a reference center for the diagnosis and treatment of HIV infection in April 2014, the staff has been showing its disconfor to that measure and irregularities have been committing the direction of nursing the hospital as a whole. (See attachment Notification Judge).
These irregularities summarize, focus on that:
• The hospital does not have adequate infrastructure to enter patients affected with this type of disease (the famous isolation rooms with negative pressure).
• The original protocols of the Ministry of Health were modified to fit like the gaps that had the hospital: If you do not have "negative pressure" we say "as far as is demonstrated airborne transmission is not necessary."
• General (modified or not) protocols are not handed to staff for knowledge, nor were exposed at various meetings with management nursing.
• As ICU care were demanding the implementation of specific protocols UCI (Today still not exist or at least personnel have not arrived)
• Staff training requires the completion of courses and training to work in situations like this.
• The Department of Preventive Medicine Hospital offers two informative talks (45 minutes) of such as personal protective equipment required. In those talks and the inexperience of the same staff that taught, costumes torn apart, replaced the shims for plastic bags, there were no complete SCUBA and coming to say more or less I had to do a hack to cover his face with masking tape.
Without being solved any of these issues by the Department of the hospital, you will hanging out and communicating to staff that will be the Hospital of the defense "Gómez Ulla" who takes these emergencies but as it is in the process of reform to create appropriate facilities, until the month of October will remain referral hospital.
So, without making anyone anything we turned on the evening of August 5, and the staff on duty that night between myself included, through the media found out that it will repatriate the priest. We notify our immediate superior (Supervisor Guard) which completely ignores the way forward taking you to contact the Chief of Hospital on call that night, which in turn know the news and begins to activate the protocol set (remember that until that night the patient was to be admitted to peace). Being the ICU staff in charge of receiving the priest is not made aware of the protocol itself.
It was the next morning, August 6, when thankfully, someone warns of the potential danger of entering the priesthood in a hospital the size of the Peace, without adequate facilities. About 14 hours of the decision to be taken to the 6th floor of the Hospital Carlos III equipped with isolation rooms with negative pressure is taken. From that moment you begin to equip the hospital Carlos III than necessary to accommodate the patient. Here it should be noted that the floor of the hospital was closed without staffing or equipment since the middle of August would begin the conversion work in a hospital ward for the chronically ill. - We'll agree that this is called a "wing".
So during the afternoon of August 6 and the entire staff of both hospitals hurry were providing media said plant. Realising curious cases in which La Paz hospital nurses transporting materials in their own vehicles lacking in the Carlos III. (Now that's "Brand Spain").
Given the lack of staff at the Hospital Carlos III for the above reasons, the Management of Both hospitals determined that ICU staff of Peace is sent to Carlos III. And it is here that due to the improvisation and the lack of criteria other negligence committed more by sending an untrained one on Biological Hazards to treat a patient with one of the most dangerous infections known declared by WHO globally and Public Health emergency. (Here it should be remembered that there is a special unit trained to deal with such cases: the NBC unit or UME Emergency Military Unit).
And here another outrage, Supervisors nursing and self Nursing Management of Peace savvy than their staff is not well trained that has not been given specific training and has not been informed of the protocols to follow is committed or what their function when they visit there, is forced to move with coercion and threats of losing their jobs or disciplinary proceedings open for him if he refuses to be sent to Carlos III.
Today and even though these people have admitted several days, or the direction of nursing and medical direction has been active in organizing action drills taught by competent personnel in personal protective measures for displaced staff. They are the same nurses / os that once there in the Carlos III are reported each other as is the procedure and how protective measures put there. To be fair, the staff of the Carlos III that remained there working with some more training in these cases that we try to train and reassure us in this regard. But this happens there minutes before entering the patient's room. Curiously, the Guide for the selection and use of Personal Protective Equipment in healthcare settings, consists of 50 pages. And the Guide for the Care of Patients with Hemorrhagic Virus in hospitals in USA consists of 225 pages. Both the CDC in Atlanta and available in "PDF" for anyone on your website. Here we have nothing.
It is true that the staff shows their reluctance to go to Carlos III but no one has refused to treat a patient. We only note that we have not been properly trained and given the nature of the disease the risk of infection and possible transmission outside the walls of the Carlos III is a reality that as health professionals must be made aware of who is and who our superior direct not listen to us. The questions are obvious: Why ships untrained?It is incongruous! Why avoid the ultimate responsibility lies with the spread staff without specific training? The Americans would do such a thing ?.
Sorry for the last comment. I've promised myself not to fall into demagogy and be as aseptic as possible narrating the facts truthfully.
Moreover the selection of this staff has done arbitrarily and without judgment. All ICU staff will rotate by the Carlos III. Well, WHO protocol warn that the health or not, staff should minimize exposure time in the room with the patient and reduce as much as possible the number of persons attending the patient continuously. Well if the entire ICU staff walked by, Do not we are increasing exponentially the risk of possible transmission? It is not logical and contravenes the measures ordered by the WHO.
I follow; Staff passing by will not do any monitoring or epidemiological precautionary measure. Once your turn is finished running happily home and the next day, if you do not turn back to Carlos III as you go to work in the ICU of Peace with patients of diverse etiology in many Immunodepressed occasions. It is a contradiction that to get on a plane and control measures are taken and I can come and go and do my normal life as if nothing. This is not consistent.
Finally only remains to emphasize that in all this there is a lot of improvisation and a lot of reckless attitude of those who truly, really ... NOT going to be ahead of the virus at him in the face. Listen to those who are on the front line have something to say.
standard
I am a nurse in the Intensive Care Unit (ICU) of the Hospital La Paz. The reason for addressing you.'s To inform the public the facts that have happened recently regarding the "Crisis of the Ebola virus" opinion. Do not want to create social alarm, but tell what is still a reality in everyday for a few months of nursing staff the ICU among which I include ago.
Since the hospital was named La Paz as a reference center for the diagnosis and treatment of HIV infection in April 2014, the staff has been showing its disconfor to that measure and irregularities have been committing the direction of nursing the hospital as a whole. (See attachment Notification Judge).
These irregularities summarize, focus on that:
• The hospital does not have adequate infrastructure to enter patients affected with this type of disease (the famous isolation rooms with negative pressure).
• The original protocols of the Ministry of Health were modified to fit like the gaps that had the hospital: If you do not have "negative pressure" we say "as far as is demonstrated airborne transmission is not necessary."
• General (modified or not) protocols are not handed to staff for knowledge, nor were exposed at various meetings with management nursing.
• As ICU care were demanding the implementation of specific protocols UCI (Today still not exist or at least personnel have not arrived)
• Staff training requires the completion of courses and training to work in situations like this.
• The Department of Preventive Medicine Hospital offers two informative talks (45 minutes) of such as personal protective equipment required. In those talks and the inexperience of the same staff that taught, costumes torn apart, replaced the shims for plastic bags, there were no complete SCUBA and coming to say more or less I had to do a hack to cover his face with masking tape.
Without being solved any of these issues by the Department of the hospital, you will hanging out and communicating to staff that will be the Hospital of the defense "Gómez Ulla" who takes these emergencies but as it is in the process of reform to create appropriate facilities, until the month of October will remain referral hospital.
So, without making anyone anything we turned on the evening of August 5, and the staff on duty that night between myself included, through the media found out that it will repatriate the priest. We notify our immediate superior (Supervisor Guard) which completely ignores the way forward taking you to contact the Chief of Hospital on call that night, which in turn know the news and begins to activate the protocol set (remember that until that night the patient was to be admitted to peace). Being the ICU staff in charge of receiving the priest is not made aware of the protocol itself.
It was the next morning, August 6, when thankfully, someone warns of the potential danger of entering the priesthood in a hospital the size of the Peace, without adequate facilities. About 14 hours of the decision to be taken to the 6th floor of the Hospital Carlos III equipped with isolation rooms with negative pressure is taken. From that moment you begin to equip the hospital Carlos III than necessary to accommodate the patient. Here it should be noted that the floor of the hospital was closed without staffing or equipment since the middle of August would begin the conversion work in a hospital ward for the chronically ill. - We'll agree that this is called a "wing".
So during the afternoon of August 6 and the entire staff of both hospitals hurry were providing media said plant. Realising curious cases in which La Paz hospital nurses transporting materials in their own vehicles lacking in the Carlos III. (Now that's "Brand Spain").
Given the lack of staff at the Hospital Carlos III for the above reasons, the Management of Both hospitals determined that ICU staff of Peace is sent to Carlos III. And it is here that due to the improvisation and the lack of criteria other negligence committed more by sending an untrained one on Biological Hazards to treat a patient with one of the most dangerous infections known declared by WHO globally and Public Health emergency. (Here it should be remembered that there is a special unit trained to deal with such cases: the NBC unit or UME Emergency Military Unit).
And here another outrage, Supervisors nursing and self Nursing Management of Peace savvy than their staff is not well trained that has not been given specific training and has not been informed of the protocols to follow is committed or what their function when they visit there, is forced to move with coercion and threats of losing their jobs or disciplinary proceedings open for him if he refuses to be sent to Carlos III.
Today and even though these people have admitted several days, or the direction of nursing and medical direction has been active in organizing action drills taught by competent personnel in personal protective measures for displaced staff. They are the same nurses / os that once there in the Carlos III are reported each other as is the procedure and how protective measures put there. To be fair, the staff of the Carlos III that remained there working with some more training in these cases that we try to train and reassure us in this regard. But this happens there minutes before entering the patient's room. Curiously, the Guide for the selection and use of Personal Protective Equipment in healthcare settings, consists of 50 pages. And the Guide for the Care of Patients with Hemorrhagic Virus in hospitals in USA consists of 225 pages. Both the CDC in Atlanta and available in "PDF" for anyone on your website. Here we have nothing.
It is true that the staff shows their reluctance to go to Carlos III but no one has refused to treat a patient. We only note that we have not been properly trained and given the nature of the disease the risk of infection and possible transmission outside the walls of the Carlos III is a reality that as health professionals must be made aware of who is and who our superior direct not listen to us. The questions are obvious: Why ships untrained?It is incongruous! Why avoid the ultimate responsibility lies with the spread staff without specific training? The Americans would do such a thing ?.
Sorry for the last comment. I've promised myself not to fall into demagogy and be as aseptic as possible narrating the facts truthfully.
Moreover the selection of this staff has done arbitrarily and without judgment. All ICU staff will rotate by the Carlos III. Well, WHO protocol warn that the health or not, staff should minimize exposure time in the room with the patient and reduce as much as possible the number of persons attending the patient continuously. Well if the entire ICU staff walked by, Do not we are increasing exponentially the risk of possible transmission? It is not logical and contravenes the measures ordered by the WHO.
I follow; Staff passing by will not do any monitoring or epidemiological precautionary measure. Once your turn is finished running happily home and the next day, if you do not turn back to Carlos III as you go to work in the ICU of Peace with patients of diverse etiology in many Immunodepressed occasions. It is a contradiction that to get on a plane and control measures are taken and I can come and go and do my normal life as if nothing. This is not consistent.
Finally only remains to emphasize that in all this there is a lot of improvisation and a lot of reckless attitude of those who truly, really ... NOT going to be ahead of the virus at him in the face. Listen to those who are on the front line have something to say.
