Health-Orientated Protocols for Ebola
September to December 2014, the American citizens suffered from an Ebola scare
which came from Dallas, Texas. The primary patient was Thomas Eric Duncan
who left Monrovia, Liberia for a trip to Dallas, Texas to visit his
family members. Duncan was exposed to Ebola but he did not exhibit symptoms,
which made him not contagious. It is still unclear
whether or not he had knowledge that he was exposed.
Duncan arrived in Dallas, Texas he became sick and admitted to the Texas Health
Presbyterian Hospital Dallas on September 26, which he was sent
back home with antibiotics. Two days later Duncan was transported to the
hospital by ambulance and was confirmed that he came in contact with Ebola.
Nurses Nina Pham and Amber Vinson
treated Duncan’s illness and contacted Ebola.
Duncan died during the treatment process, but nurses Pham and Vinson made a
can also be said that one of the reason why the United States did not have a
set protocol of dealing with Ebola because guidelines for treating patients
were “constantly changing
”. However, union members from National Nurses
United developed different claims
to argue that regardless of the missing protocols for dealing with
Ebola, it was carelessness that allowed the virus to spread.
The first claim
how the patient Duncan was not immediately isolated. The nurse union
co-president Deborah Burger stated that “he [Duncan] was ‘left for several hours,
not in isolation, in an area where other patients were present’”. About seven
patients were present where Duncan was held. As well, a nursing supervisor
faced resistance from the hospital authorities when the supervisor demanded
Duncan to be move to an isolation unit.
The second claim
how nurses found their necks to be exposed while wearing protective gears. A
simple fix was to wrap their necks with medical tape with four to five pieces
of the tape. Nurses did express discouragement because they were concerned on
how difficult it would be peeling the tape away from their neck.
The third claim
where the hazardous materials piled up, which no one cared to solve this issue
nor did they have access to proper supplies.
The fourth claim
how there was “no hands-on training’. There was no mandate that all nurses had
to attend an Ebola seminar. Even though the nurses did receive an e-mail about
the seminar, the hospital treated as a “voluntarily seminar” offered to staff.
The fifth claim
how authorities shifted blames to Nurses like Pham and Vinson for being
contacted with Ebola for not following protocols. The problem was there was no
protocols to follow in the first place.
of these arguments and/or claims from the unions of Nurses successfully
illustrate the hospital’s lack of attention for safety to their staff and
patients. Nonetheless, the amount of denial the Texas Health Presbyterian
Hospital is in, authorities blame their staff for their actions of not
providing a safe operable medical environment.
are two known institutions in the United States that are capable of treating
the Ebola virus. The National Institutes
of Health located in Bethesda, Maryland and Emory University Hospital in
Atlanta, Georgia, treated Nurses Pham and Vinson respectively. Emory Healthcare
has a drafted set of protocols to deal with Ebola, which will be generously
analyzed in the following paragraph.
The Emory Healthcare Ebola Preparedness Protocols
is an 84 pages manual that provides the necessary
protocols and education that I believe all health institutions should follow.
The manual is broken down into individual parts, then following with visuals. A
sample table of content is provided by the Emory University
to depict how an ideal set of medical protocols should be:
Specimen Management & Laboratory Protocol for
Communicable Diseases Unit
Protocol for Activation of the Unit
Protocol for Biosafety Transport Team
Infection Control Policy
manual is then followed by graphical illustrations that accompanies the prior
treatment, laboratory testing, and post treatment of patients with Ebola.
Overall a very well assembled report that should be read by people that are
interested in Ebola.
should be properly treated just like any viral infection. Even though there
were no known Ebola protocols in United States, this caused a nationwide scare
because of the lack of knowledge. However now that we have sets of protocols to
follow for treating Ebola thanks to Emory Healthcare, we should continue to
work to improve treatments for Ebola.
factor to consider is the readjustment of the protocols in medical
institutions. Educative seminars should be made mandatory because the degree of
an illness occurring is complete random.