SLIDESHOW: Vanessa Makarewicz, right, infection-control operations manager at Harborview, plays the role of the emergency medical responder handing off the prospective Ebola patient to ICU nurses during the simulation. Michelle McIntosh, left, is the trained observer, ensuring that protocols are followed, and opening doors and elevators. (Click to enlarge.)
SLIDESHOW: During the Ebola case simulation, nurses Natalie Hare and Jessica Hamilton transfer the prospective patient to the intensive care unit. (Click to enlarge.)
SLIDESHOW: Onlookers watch as the simulated patient receives care in a negative air pressure room. Harborview's maintenance team has installed barriers to create biocontainment zones – cold (no risk), warm (removing personal protective equipment), and hot (nearest the treatment area). (Click to enlarge.)
SLIDESHOW: Carolyn Blayney, clinical operations manager for patient care services, is among observers inside and outside of the room where the "patient" receives care during the Ebola simulation. Inside the room, gowned and with clipboard, is Jessica Hamilton, watching to ensure that caregivers are not exposed. (Click to enlarge.)
Nurse Natalie Hare simulates taking the temperature of a prospective Ebola patient during an exercise Nov. 14 at Harborview Medical Center. (Click to enlarge.)
Drs. Jeff Duchin, center, and Tim Dellit confer with a nurse during an Ebola case simulation at Harborview. Duchin is an epidemiologist with Public Health-Seattle & King County; Dellit is Harborview's associate medical director. (Click to enlarge.)
SLIDESHOW: Nathan Napolitano, infection-control operations specialist, surveys a checklist as Michelle Mcintosh, an acute care registered nurse, helps colleague Natalie Hare don gloves during an Ebola simulation training session Nov. 14 at Harborview Medical Center. (Click to enlarge.)
SLIDESHOW: Caregivers and infection-control monitors observe as nurses don personal protective equipment during an Ebola simulation training session Nov. 14 at Harborview Medical Center. (Click to enlarge.)
SLIDESHOW: Jessica Hamilton, left, an assistant nurse manager in Harborview's intensive-care unit, and colleague Natalie Hare celebrate being finished with the 20-minute process of donning personal protective gear. (Click to enlarge.)
SLIDESHOW: Nurses can wear an air-purifying respirator, shown, or a special mask covering the nose and mouth to protect themselves from airborne pathogens. (Click to enlarge.)
Two additional UW Medicine hospitals have joined Harborview Medical Center in adopting infection-control protocols necessary to care for prospective Ebola patients.
Deb Metter, critical care nurse specialist and lead of Harborview's Ebola quarantine training, helps a nurse put on gloves during the exercise. (Click to enlarge.)
Deb Metter, critical care nurse specialist and lead of Harborview's Ebola quarantine training, helps a nurse put on gloves during the exercise.
UW Medical Center and Valley Medical Center are among several facilities statewide that will use guidelines established by the Centers for Disease Control and Prevention to identify, isolate, evaluate and treat patients with suspected or confirmed Ebola virus disease, the Washington Department of Health announced today.
“The chance of a confirmed case of Ebola in Washington is very low, but in the event it happens we want to be sure we have the capacity to provide ongoing care to a patient,” said Dr. Kathy Lofy, state health officer. “Patients with Ebola can become critically ill and require intensive care therapy. Care needs to be delivered using strict infection-control practices.”
The other facilities:
Harrison Medical Center, Bremerton (CHI Franciscan Health)
MultiCare Tacoma General Hospital
Providence Regional Medical Center, Everett
Providence Sacred Heart Medical Center and Children’s Hospital, Spokane
Swedish Medical Center, Issaquah
Virginia Mason Hospital, Seattle
The threat of exposure to the Ebola virus remains low. Anyone arriving in Seattle from West Africa has passed through airports that assess risk. Public health will perform temperature and symptom monitoring of potentially exposed individuals during the 21 day incubation period. Because individuals are not infectious until they develop symptoms, active monitoring for symptoms will rapidly identify anyone who has contracted Ebola and allow isolation before he or she is able to infect someone else with the virus. In the event a case is confirmed the CDC will send a team to assist the hospitals in providing care safely and effectively.