Resources / en Tue, 22 Oct 2024 20:40:06 -0500 Thu, 07 Jan 21 14:32:51 -0600 Project Firstline /project-firstline Thu, 07 Jan 2021 14:32:51 -0600 Resources COVID-19 Resources for EVS Professionals /covid-19-resources-evs-professionals <div class="container"> <div class="row"> <div class="col-md-8"> <div class="row"> <div class="col-sm-6"> <div class="panel panel-default"> <div class="panel-heading" id="heading1" role="tab"> <h5 class="panel-title"><a aria-controls="item1" aria-expanded="false" class="collapsed" data-parent="#accordion" data-target="#example1" data-toggle="collapse" role="button">Page Updates <strong>+</strong></a></h5> </div> <div aria-expanded="false" aria-labelledby="heading1" class="panel-collapse collapse" id="example1" role="tabpanel"> <div class="panel-body"> <div> <p><strong>Last Updated</strong> 5/29/2020 |Thermometers to States | Reopening information. | Hurricane Season Preparation.</p> </div> <div> <p><strong>Last Updated</strong> 4/30/2020 | COVID-19 EVS Cleaning Essentials Refresher Training Toolkit. | Airborne Precautions Infographic. | EVS Considerations Infographic.</p> </div> <div> <p><strong>Last Updated</strong> 4/13/2020 | List of Personal Protective Equipment FDA Emergency Use Authorizations. | Medical Waste Infographic.</p> </div> <div> <p><strong>Updated</strong> 4/08/2020 | FDA Approves System for Decontaminating N95 Respirators link and file. Medical waste content. Staffing content.</p> </div> <div> <p><strong>Updated</strong> 4/01/2020 | Decontamination and Reuse of Filtering Facepiece Respirators using Contingency and Crisis Capacity Strategies link |Determining Air Changes Per Hour (ACH) in the Field video.</p> </div> <div> <p><strong>Updated</strong> 3/30/2020 | Enforcement Policy for Sterilizers, Disinfectant Devices, and Air Purifiers During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency | FDA resource links.</p> </div> <div> <p><strong>Updated</strong> 3/27/2020 | EPA List N Infographic.</p> </div> <div> <p><strong>Updated</strong> 3/26/2020 | Preparedness links.</p> </div> <div> <p><strong>Updated</strong> 3/25/2020 | PPE, Cleaning and Disinfecting,Isolation Rooms links.</p> </div> <div> <p><strong>Updated</strong> 3/23/2020 | COVID-19 resources: General resource links. | Guidance for Retirement Communities and Independent Living links.</p> </div> <div> <p><strong>Updated</strong> 2/20/2020 | Updated Advisory 91°µÍřşÚÁĎ2019 Novel Coronavirus released.</p> </div> <div> <p><strong>Updated</strong> 1/29/2020 | 91°µÍřşÚÁĎ2019 Novel Coronavirus Advisory released.</p> </div> </div> </div> </div> <p>Note: You must login to view members-only content.</p> <h2><strong>Training</strong></h2> </div> </div> <p> </p> <ul> <li> <p><strong>Project Firstline:</strong> To stop the spread of infectious disease threats—including COVID-19—anyone working in a health care facility needs a foundational knowledge of infection control and must understand and be ready to implement infection control protocols and procedures throughout their work day, including during every patient care activity and health care interaction. </p> <p>CDC’s Project Firstline is a collaborative of diverse health care and public health partners that have come together to make that happen.<br /> <a href="/project-firstline">Learn More</a></p> </li> <li><strong>PATHWAYS TO CLEAN –  eLearning Bundle certificate program:</strong> Turnkey cleaning and disinfection solutions for outbreak and pandemic surge response.<br /> <a href="/pathways-clean">Access eLearning Bundle</a></li> <li><strong>Ready. Set. Clean. Hospitality eLearning Bundle certificate program:</strong> Turnkey cleaning and disinfection solutions for outbreak and pandemic surge response for a hospitality setting.<br /> <a href="/ahe-ready-set-clean-certificate-program">Access eLearning Bundle</a></li> <li><strong>COVID-19 EVS Cleaning Essentials Refresher Training Toolkit</strong><br /> <a href="/covid-19-evs-cleaning-essentials-refresher-training-toolkit" hreflang="en">Download Now</a><em> (members-only)</em></li> </ul> <hr /> <h2>Omicron Variant: What You Need to Know</h2> <p>The United States has named <a href="https://www.epa.gov/coronavirus/about-list-n-disinfectants-coronavirus-covid-19-0">Omicron</a> a Variant of Concern in the ongoing COVID-19 pandemic. Stay up-to-date with COVID-19 by visiting the CDC's <a href="https://www.epa.gov/coronavirus/about-list-n-disinfectants-coronavirus-covid-19-0">COVID-19 website</a>.</p> <hr /> <h2>Vaccine Considerations</h2> <p>Strategies are needed for healthcare facilities to appropriately evaluate and manage post-vaccination signs and symptoms among healthcare personnel. These considerations are based on the current understanding of signs and symptoms following COVID-19 vaccination, including timing and duration, and might change as experience with the vaccine accumulates. </p> <ul> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/post-vaccine-considerations-healthcare-personnel.html">Post Vaccine Considerations for Healthcare Personnel</a></li> </ul> <hr /> <h2>Well Being and Self Care</h2> <ul> <li><a href="https://hcpselfcare.s3.us-east-2.amazonaws.com/interaction_html5.html">Health Care Professional Self Care</a></li> <li><a href="https://designlabstorage.z22.web.core.windows.net/publish/$account/$272/coping/keep_your_cool/index.html">Regulating Emotions</a></li> <li><a href="https://designlabstorage.z22.web.core.windows.net/publish/$account/$272/coping/treat_yourself/index.html">Treat Yourself</a></li> </ul> <p><strong>Special Message:</strong> After months on the front lines of the COVID-19 pandemic, environmental service professionals have served as a source of comfort for patients not able to see loved ones, while maintaining rooms to the highest standards of cleanliness. EVS personnel are heroes deserving of recognition, but never forget they are human, too, and also may need care.</p> <p><br /> <strong>To support these health defenders, AHA has a number of behavioral health resources, including a page dedicated to <a href="https://www.aha.org/behavioralhealth/covid-19-stress-and-coping-resources">COVID-19: Stress and Coping Resources</a>.</strong></p> <hr /> <h2><strong>Webinar Series</strong></h2> <ul> <li><strong>COVID-19 Challenges for Health Care Environmental Services: Open Forum Part 3, August 18th,<br /> 12:00pm CST</strong><br /> <a href="/education-events/covid-19-challenges-health-care-environmental-services-open-forum-part-3">Register</a></li> <li><strong>Solution Sharing Open Forum: Health Care Environmental Services’ Response to COVID-19 Challenges –Continuing the Conversation</strong><br />  <a href="/education-events/health-care-environmental-services-response-covid-19-challenges-continuing">View On Demand</a></li> <li><strong>Solution Sharing Open Forum: Health Care Environmental Services’ Response to COVID-19 Challenges</strong><br />  <a href="/education-events/solution-sharing-open-forum-health-care-environmental-services-response-covid-19">View On Demand</a></li> <li><strong>Post COVID-19: Transitioning Environmental Services to a New Normal</strong><br /> <a href="/education-events/post-covid-19-transitioning-environmental-services-new-normal">View On Demand</a><br /> <strong>Coronavirus Update, Part II: Health Care Professional Preparedness and Response to COVID-19</strong>, with Dr. Michael Bell, Deputy Director, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention. Members-only webinar.<br /> <a href="/education-events/coronavirus-update-part-ii-health-care-professional-preparedness-and-response">View On Demand</a></li> <li><strong>Coronavirus Update—What Health Care Professionals Need to Know to Prepare for COVID-19</strong>,<strong> </strong>with Dr. Michael Bell, Deputy Director, Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention. Members-only webinar. <br /> <a href="/education-events/coronavirus-update-what-health-care-professionals-need-know-prepare-covid-19">View On Demand </a>| <a href="/system/files/media/file/2020/03/COVID_19_Dr._Bell_Webinar_FAQs.pdf">Download Post Webinar FAQs</a></li> </ul> <hr /> <h2><strong>Infographics</strong></h2> <p><a class="btn btn-primary btn-xs" href="/system/files/media/file/2020/04/EVS_Considerations_Infographic.pdf" role="button">EVS Considerations</a> <a class="btn btn-primary btn-xs" href="/system/files/media/file/2020/04/Airborne_Precautions_Infographic.pdf" role="button">Airborne Precautions</a> <a class="btn btn-primary btn-xs" href="/system/files/media/file/2020/04/AHE_COVID-19_Medical_Waste_Infographic.pdf" role="button">Medical Waste</a></p> <hr /> <h2><strong>Preparedness</strong></h2> <p><a class="btn btn-primary btn-xs" href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/faq.html" role="button">Healthcare Professionals: FAQs</a></p> <ul> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/global-covid-19/make-handwashing-solution.html">Making Handwashing Solution for Use in Global. Low-Resource Settings</a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/hcp-hospital-checklist.html">Comprehensive Hospital Preparedness Checklist for Coronavirus Disease 2019 (COVID-19)</a></li> <li><a href="https://www.fema.gov/media-library/assets/documents/188203">Hurricane Season Preparations</a></li> </ul> <hr /> <h2>Reopening</h2> <ul> <li><a href="https://www.fema.gov/news-release/2020/05/26/distribution-infrared-thermometers">Thermometers to States</a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/using-transportation.html">Protecting Yourself While Using Transportation</a></li> </ul> <h3>Cleaning and Disinfection Information</h3> <ul> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cleaning-disinfection.html">Cleaning and Disinfection for Households </a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/cleaning-disinfection.html">Cleaning and Disinfection for Community Facilities</a></li> </ul> <hr /> <h2>Personal Protective Equipment</h2> <p><a class="btn btn-primary btn-xs" href="/system/files/media/file/2020/04/Personal_Protective_Equipment.pdf" role="button">PPE Information</a></p> <p><strong>FDA Reissues EUA for Certain Disposable FFRs</strong><br /> The FDA reissued the emergency use authorization (EUA) for imported, non-NIOSH-approved, disposable filtering facepiece respirators (FFRs) manufactured in countries other than China. The FDA revised and reissued this EUA to authorize for emergency use only those respirators listed in the EUA’s Exhibit The agency also announced that no new respirator models will be added to Exhibit 1. <a href="https://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices/personal-protective-equipment-euas">Read the EUA notice, including Exhibit 1</a>. </p> <ul> <li><a href="https://files.asprtracie.hhs.gov/documents/fema-fact-sheet-ppe-preservation-best-practices-update---14-july-2020.pdf">PPE Preservation Best Practices</a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/using-ppe.html">Updated Proper PPE Use</a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirator-use-faq.html">General FAQ’s on PPE</a></li> <li><a href="https://www.cdc.gov/niosh/npptl/pdfs/PPE-Sequence-508.pdf">CDC Sequence for Donning and Doffing PPE</a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/infection-control/infection-prevention-control-faq.html">What personal protective equipment (PPE) should be worn by environmental services (EVS) personnel who clean and disinfect rooms of hospitalized patients with COVID-19?</a></li> <li><a href="https://www.fda.gov/medical-devices/emergency-situations-medical-devices/emergency-use-authorizations#covid19ppe">List of Personal Protective Equipment  FDA Emergency Use Authorizations</a></li> <li><a href="https://www.aha.org/advisory/2020-04-08-coronavirus-update-technology-decontamination-and-reuse-n95-respirators-now">FDA Approves System for Decontaminating N95 Respirators</a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/decontamination-reuse-respirators.html">Decontamination and Reuse of Filtering Facepiece Respirators using Contingency and Crisis Capacity Strategies</a></li> <li><a href="https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-daily-roundup-march-24-2020?utm_campaign=20200325%20MCMi&utm_medium=email&utm_source=Eloqua">FDA allows use of respirators that are not NIOSH approved.</a></li> <li><a href="https://www.fda.gov/media/138326/download">Emergency Use Authorization (EUA)</a></li> </ul> <h3>Checklist for Healthcare Facilities</h3> <ul> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html">Strategies for Optimizing the Supply of PPE</a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/checklist-n95-strategy.html">Strategies for Optimizing the Supply of N95 Respirators during the COVID-19 Response</a></li> </ul> <hr /> <h2><strong>Environmental Infection Prevention</strong></h2> <p><a class="btn btn-primary btn-xs" href="https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2" role="button">N List Disifectants</a> <a class="btn btn-primary btn-xs" href="/system/files/media/file/2020/03/AHE_COVID-19_Article%20_FINAL_D_Kley_2020.03.29.pdf" role="button">COVID-19 Infection Control Basics for Environmental Services Workers</a></p> <ul> <li> <p><a href="https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Finfection-control.html">Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed COVID-19 in Healthcare Settings</a></p> </li> <li> <p><a href="https://www.cdc.gov/coronavirus/2019-ncov/downloads/summary-of-IPC-guidance-P.pdf ">Protect Your Patients and Staff form COVID-19: CDC Recommended Infection Control Procedures</a></p> </li> <li> <p><a href="https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fhcp%2Finfection-control.html#train_educate">Implement environmental infection control</a></p> </li> <li> <p><a href="https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2">EPA Registered Disinfectants qualified under EPA’s emerging viral pathogens program for use against SARS-CoV-2 (List N) </a></p> </li> <li> <p><a href="https://www.cdc.gov/coronavirus/2019-ncov/infection-control/infection-prevention-control-faq.html">CDC Healthcare Infection Prevention and Control FAQs for COVID-19</a></p> </li> </ul> <hr /> <h2><strong>Cleaning and Disinfection</strong> </h2> <ul> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-for-ems.html">Interim Guidance for Emergency Medical Services (EMS) Systems and 911 Public Safety Answering Points (PSAPs)</a></li> <li><a href="http://www.fda.gov/regulatory-information/search-fda-guidance-documents/enforcement-policy-sterilizers-disinfectant-devices-and-air-purifiers-during-coronavirus-disease">Enforcement Policy for Sterilizers, Disinfectant Devices, and Air Purifiers During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency | FDA</a></li> </ul> <h3>Isolation Rooms</h3> <p><a class="btn btn-primary btn-xs" href="/system/files/media/file/2020/04/Isolation_Rooms.pdf" role="button">Isolation Room Information</a></p> <ul> <li> <p><a href="https://www.cdc.gov/coronavirus/2019-ncov/hcp/caring-for-patients.html">What Healthcare Personnel Should Know about Caring for Patients with Confirmed or Possible COVID-19 Infection</a></p> </li> <li> <p><a href="https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html">CDC Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings</a></p> </li> <li> <p><a href="https://www.cdc.gov/infectioncontrol/guidelines/environmental/appendix/air.html#tableb1">General guidance on clearance rates under differing ventilation conditions</a>.</p> </li> </ul> <h3>Air Change Formula</h3> <ul> <li><a href="https://youtu.be/AJCleMFTxhI">Determining Air Changes Per Hour (ACH) in the Field. Watch this video from the American Society of Health Care Engineers.</a></li> </ul> <hr /> <h2>Personnel and Personnel Training</h2> <ul> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/communication/toolkits/employees-and-worker-safety.html">Toolkit for Worker & Employee Safety</a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/hcp-return-work.html">Train and educate health care personnel</a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/healthcare-facilities/hcp-return-work.html ">Criteria for Return to Work for Healthcare Personnel with Confirmed or Suspected COVID-19 (Interim Guidance)</a></li> </ul> <hr /> <h2>Staffing</h2> <p><a class="btn btn-primary btn-xs" href="/system/files/media/file/2020/04/Staffing_Strategies.pdf" role="button">Staffing Strategies</a></p> <p>Stay informed about the local COVID-19 situation. Know where to turn for reliable, up-to-date information in your local community. Monitor the CDC COVID-19 website and your state and local health department websites for the latest information.</p> <hr /> <h2>Waste</h2> <p><a class="btn btn-primary btn-xs" href="/system/files/media/file/2020/04/AHE_COVID-19_Medical_Waste_Infographic.pdf" role="button">Medical Waste Infographic</a>  <a class="btn btn-primary btn-xs" href="/system/files/media/file/2020/04/Waste_Management.pdf" role="button">Waste Management Information</a></p> <p>The CDC has determined that medical waste generated in the treatment of COVID-19 patients and patients under investigation (PUIs) be managed in accordance with routine procedures. There are no additional packaging or transportation requirements from the Department of Transportation (DOT) for regulated medical waste or sharps.</p> <hr /> <h2><strong>Retirement Communities and Independent Living Facilities</strong></h2> <p>The CDC released new guidance for retirement communities and independent living facilities to better aid in the planning, preparation for, and response to coronavirus disease 2019. The guidance is based on what is currently known about the transmission and severity of coronavirus disease. Residents in retirement communities and independent living facilities are considered to be at higher risk of severe COVID-19 outcomes because of older age and because they may have underlying health conditions. </p> <ul> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/community/retirement/index.html">Guidance for Retirement Communities and Independent Living</a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/community/retirement/guidance-retirement-response.html">Preventing the Spread of COVID-19 in Retirement Communities and Independent Living Facilities (Interim Guidance)</a></li> <li><a href="https://www.cdc.gov/coronavirus/2019-ncov/community/retirement/checklist.html">Coronavirus disease 2019 (COVID-19) Checklist: Older Persons</a></li> </ul> <hr /> <h2><strong>Leadership</strong></h2> <h3>Crisis Management Leadership</h3> <p>In the absence of pre-determined procedures, a novel crises, such as the COVID-19 pandemic, can overwhelm contingency plans and test leadership’s decision making. Follow these four principles to help you manage the unexpected. <strong>Note:</strong> Click screen if content doesn’t begin automatically. </p> <p><a class="btn btn-primary btn-xs" href="https://crisismanagementleadership.s3.us-east-2.amazonaws.com/interaction_html5.html" role="button">Play</a></p> <ul> </ul> <hr /> <h3 class="text-align-center"> </h3> </div> <div class="col-md-4"> <div class="panel panel-default"> <div class="panel-body"> <h4>For More Resources Visit</h4> <a href="https://connect.ahe.org/home" target="_blank"><img src="/sites/default/files/2020-03/myAHE_logo.jpg" /></a> <hr /> <p><a href="https://aha2.realmagnet.land/covid-19-rundown-eblast-request-form" target="_blank"><img src="/sites/default/files/2020-04/COVID_19_newletter_box.jpg" /></a></p> <hr /> <p><a href="https://www.aha.org/2020-01-22-updates-and-resources-novel-coronavirus-2019-cov" target="_blank"><img src="/sites/default/files/2020-03/aha-brand-full.png" /></a></p> <hr /> <p><a href="https://www.epa.gov/coronavirus" target="_blank"><img src="/sites/default/files/2020-03/EPA.jpg" /></a></p> <hr /> <p><a href="https://www.cdc.gov/coronavirus/index.html" target="_blank"><img src="/sites/default/files/2020-01/cdc-update-270.jpg" /></a></p> <hr /> <p><a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019" target="_blank"><img src="/sites/default/files/2020-01/who-world-health-organization-logo-270.jpg" /></a></p> <hr /> <p><a href="https://www.osha.gov/SLTC/covid-19/" target="_blank"><img src="/sites/default/files/2020-03/OSHA.jpg" /></a></p> <hr /> <p><a href="https://www.fda.gov/emergency-preparedness-and-response/mcm-issues/coronavirus-disease-2019-covid-19" target="_blank"><img src="/sites/default/files/2020-03/FDA_Logo_270.jpg" /></a></p> <hr /> <p><a href="https://www.aha.org/100millionmasks" target="_blank"><img src="/sites/default/files/2020-03/facebook-100-million-masks.jpg" /></a></p> </div> </div> </div> </div> </div> Mon, 23 Mar 2020 13:41:34 -0500 Resources Health Care Environmental Services Job Descriptions /health-care-environmental-services-job-descriptions <h5>91°µÍřşÚÁĎMembers Only Content.</h5> <h6>You must be logged-in to access content.</h6> <p>Download these sample Environmental Services job descriptions to ensure you find the most qualified candidate for your open positions.</p> Tue, 17 Mar 2020 13:04:47 -0500 Resources Contracting Myth and Realities /contracting-myth-and-realities <h1>Contracting Myth and Realities</h1> <hr> <p>The valuable document is now available. This publication will cover everything from outsourcing to management pitfalls. 91°µÍřşÚÁĎre-released this manual in order to keep the EVS professional at the top of their game. Includes sample surveys, budgets, and task lists that will assist in making the best decisions for your EVS department.</p> <p><strong>Contact Areas</strong></p> <ul> <li>Contracting Today</li> <li>Why Outsource</li> <li>The Sales Process</li> <li>The Proposal</li> <li>Your Response and Re-Focus</li> <li>Conducting Your Own Survey</li> <li>The Staffing Analysis</li> <li>Inspections</li> <li>Treat It Like Your Business</li> <li>More Management Tools and Techniques</li> <li>Management Pitfalls</li> <li>Reflections and Continual Look Toward the Future<br>  </li> </ul> <p><img alt="Contracting Myth and Realities" data-entity-type="file" data-entity-uuid="f0a5f154-2798-4b26-8dfe-1f43f921d55a" src="/sites/default/files/inline-images/contractring_myths_125.jpg" width="125" height="162" class="align-left">   <strong>Product Code:</strong> 057047<br>    <strong>Member Price:</strong> $95.00 each<br>    <strong>Non-Member Price:</strong> $135.00 each</p> <p>  <a class="btn btn-primary btn" href="http://ams.aha.org/EWEB/DynamicPage.aspx?WebCode=ProdDetailAdd&ivd_prc_prd_key=4359f9cc-98c9-47c3-90e4-de5ff7c14a13&_ga=2.221389726.78837142.1559049924-620121517.1547669993" role="button">Order Now</a></p> <p> </p> <p> </p> Thu, 30 May 2019 10:24:44 -0500 Resources Ebola and the Environment of Care Best Practices and Procedure Reference Resources <p align="center"><strong><a href="#10/21 Update">UPDATED </a></strong><strong>1-12-15</strong></p> <p align="center"><em>91°µÍřşÚÁĎwill keep you informed of all the latest developments on Ebola as we received them. Check this webpage often and watch for 91°µÍřşÚÁĎor AHA Advisory emails. </em></p> <p> </p> <table border="0"> <tbody> <tr> <td><strong>35 hospitals identified as Ebola treatment centers.</strong> The Department of Health and Human Services Dec. 2 <a href="http://www.aha.org/advisories?utm_source=newsletter&utm_medium=email&utm_campaign=WeeklyUpdate">announced</a> that state health officials have identified 35 hospitals with Ebola treatment centers, with more expected in the coming weeks. The announcement was part of an <a href="http://www.whitehouse.gov/the-press-office/2014/12/02/fact-sheet-update-ebola-response">update</a> from the White House on the government’s efforts and the need for immediate, additional funding. In a <a href="http://www.aha.org/press-center?utm_source=newsletter&utm_medium=email&utm_campaign=WeeklyUpdate">statement</a>, AHA President and CEO Rich Umbdenstock said, “America’s hospitals are investing enormous time and resources to enhance our country’s readiness for the new and real threat of Ebola.” In addition, he reiterated the <a href="http://www.aha.org/advocacy-issues/alert/2014/141120-aa.shtml?utm_source=newsletter&utm_medium=email&utm_campaign=WeeklyUpdate">AHA’s request</a> for “Congress to approve at least $500 million in funds to help hospitals better prepare to win the battle against Ebola.” An AHA <a href="http://www.aha.org/content/14/141202-aha-ad.pdf">ad</a> launched Dec. 2 in Politico highlights the importance of hospital preparedness funding.</td> </tr> </tbody> </table> <p><strong><em>What is Ebola?</em></strong></p> <p>Ebola is a rare and deadly disease caused by infection with one of the Ebola virus strains. Symptoms include, fever, headache, muscle pain, weakness, diarrhea, vomiting, stomach pain and unexplained bleeding or bruising.<sup><a href="http://www.cdc.gov/vhf/ebola/about.html">8</a>, <a href="http://www.cdc.gov/vhf/ebola/symptoms/index.html">9</a></sup></p> <p><strong><em>How is Ebola transmitted/spread?</em></strong></p> <p>Ebola is spread through direct contact with broken skin or mucous membranes, such as, the eyes, nose, or mouth with</p> <ul> <li>blood of a person who is sick with Ebola</li> <li>body fluids of a person who is sick with Ebola (urine, saliva, sweat, feces, vomit, breast milk, and semen) of a person who is sick with Ebola</li> <li>objects that have been contaminated with the virus (i.e. needles and syringes)</li> <li>infected animals<sup><a href="http://www.cdc.gov/vhf/ebola/transmission/index.html">10</a></sup></li> </ul> <p><strong>How Ebola is NOT transmitted/spread</strong></p> <p>Ebola is not spread via the air, water, food (except from handling infected bushmeat from the region), mosquitos and other insects or contact with people who have survived Ebola (except the virus will remain in semen for up to 3 months after the infection)</p> <p><a href="http://www.cdc.gov/vhf/ebola/hcp/case-definition.html">Case Definition for Ebola Virus Disease (EVD)</a></p> <p><strong>Recommended Protocols for Personnel Caring for the Environment of Ebola Patients</strong></p> <p>According to the CDC, “The role of the environment in transmission has not been established. Limited laboratory studies under favorable conditions indicate that Ebolavirus can remain viable on solid surfaces, with concentrations falling slowly over several days.” <a href="#1"><sup>1</sup></a> As such, following consistent protocols for cleaning and surface disinfection is critical.</p> <p>While your facility may not ever have an Ebola patient, it is wise to establish internal communication with infection preventionists, nursing and epidemiology to establish protocols, processes and nail down who will do what with respect to cleaning and disinfection. Establish processes for equipment cleaning as well.    </p> <p>With respect to personal protective equipment (PPE), retrain staff on proper donning and removal of PPE and have them practice for proper sequence. A good tip for practicing removal is using chocolate syrup to illustrate the potential for spreading fluids while providing a visual to gain confidence in doing it correctly. Confidence removes fear.</p> <p> </p> <p><a href="http://www.ahe.org/ahe/images/learn/AHA-EbolaAdvisory-Guidance_102114.pdf">CDC Issues Updated PPE Guidance</a> </p> <p><a href="http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTUwMTA4LjQwMDU3ODYxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE1MDEwOC40MDA1Nzg2MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE2OTU2MzY0JmVtYWlsaWQ9bG9zMEBjZGMuZ292JnVzZXJpZD1sb3MwQGNkYy5nb3YmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg==&&&103&&&http://www.cdc.gov/vhf/ebola/healthcare-us/ppe/supplies.html">Considerations for U.S Healthcare Facilities to Ensure Adequate Supplies of Personal Protective Equipment (PPE) for Ebola Preparedness</a> <strong>NEW</strong></p> <p><a href="https://m.youtube.com/watch?feature=youtu.be&v=N6F61J93FvE">Donning and Doffing of PPE for Ebola Isolation Units Video</a> </p> <p><a href="http://www.cdc.gov/HAI/pdfs/ppe/PPEslides6-29-04.pdf">Guidance for the Selection and Use of Personal Protective Equipment in Healthcare Settings</a></p> <p><a href="http://www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html">Guidance on Personal Protective Equipment To Be Used by Healthcare Workers During Management of Patients with Ebola Virus Disease in U.S. Hospitals, Including Procedures for Putting On (Donning) and Removing (Doffing)</a></p> <p><a href="http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTUwMTA4LjQwMDU3ODYxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE1MDEwOC40MDA1Nzg2MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE2OTU2MzY0JmVtYWlsaWQ9bG9zMEBjZGMuZ292JnVzZXJpZD1sb3MwQGNkYy5nb3YmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg==&&&104&&&http://www.cdc.gov/vhf/ebola/hcp/index.html">Information for healthcare workers and settings</a> <strong>NEW</strong></p> <p><a href="http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTUwMTA4LjQwMDU3ODYxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE1MDEwOC40MDA1Nzg2MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE2OTU2MzY0JmVtYWlsaWQ9bG9zMEBjZGMuZ292JnVzZXJpZD1sb3MwQGNkYy5nb3YmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg==&&&108&&&http://www.cdc.gov/vhf/ebola/hcp/current-treatment-centers.html">List of 48 U.S. Ebola treatment centers</a> <strong>NEW</strong></p> <p><a href="http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTUwMTA4LjQwMDU3ODYxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE1MDEwOC40MDA1Nzg2MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE2OTU2MzY0JmVtYWlsaWQ9bG9zMEBjZGMuZ292JnVzZXJpZD1sb3MwQGNkYy5nb3YmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg==&&&106&&&http://www.cdc.gov/vhf/ebola/hcp/preparing-ebola-assessment-hospitals.html">Preparing Ebola assessment hospitals</a> <strong>NEW</strong></p> <p><a href="http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTUwMTA4LjQwMDU3ODYxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE1MDEwOC40MDA1Nzg2MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE2OTU2MzY0JmVtYWlsaWQ9bG9zMEBjZGMuZ292JnVzZXJpZD1sb3MwQGNkYy5nb3YmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg==&&&105&&&http://www.cdc.gov/vhf/ebola/hcp/preparing-ebola-treatment-centers.html">Preparing Ebola treatment centers</a><strong> NEW</strong></p> <p><a href="http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbWFpbGluZ2lkPTIwMTUwMTA4LjQwMDU3ODYxJm1lc3NhZ2VpZD1NREItUFJELUJVTC0yMDE1MDEwOC40MDA1Nzg2MSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTE2OTU2MzY0JmVtYWlsaWQ9bG9zMEBjZGMuZ292JnVzZXJpZD1sb3MwQGNkYy5nb3YmZmw9JmV4dHJhPU11bHRpdmFyaWF0ZUlkPSYmJg==&&&107&&&http://www.cdc.gov/vhf/ebola/hcp/preparing-frontline-healthcare-facilities.html">Preparing frontline healthcare facilities</a> <strong>NEW</strong></p> <p><a href="http://www.cdc.gov/hai/pdfs/ppe/ppeposter8511.pdf">Sequence for Donning and Removing Personal Protective Equipment</a></p> <p><a href="http://www.cdc.gov/media/releases/2014/fs1020-ebola-personal-protective-equipment.html">Tightened Guidance for U.S. Healthcare Workers on Personal Protective Equipment for Ebola</a></p> <p>To be sure you are protecting yourself and your staff, read, review and be clear on PPE recommendations as noted in the <a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html">Interim Guidance for Environmental Infection Control in Hospitals for Ebola Virus</a>  from the <a href="http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html">CDC</a>.</p> <p>As part of the care of patients who are <a href="http://www.cdc.gov/vhf/ebola/hcp/case-definition.html">persons under investigation, or with probable or confirmed Ebola virus infections(http://www.cdc.gov/vhf/ebola/hcp/case-definition.html)</a>, hospitals are recommended to:</p> <p><strong>Avoid contamination of reusable porous surfaces that cannot be made single use</strong>. Use only a mattress and pillow with plastic or other covering that fluids cannot get through. Do not place patients with suspected or confirmed Ebola virus infection in carpeted rooms and remove all upholstered furniture and decorative curtains from patient rooms before use.</p> <p><strong>Textiles & cleaning cloths</strong></p> <p>To reduce exposure among staff to potentially contaminated textiles (cloth products) while laundering, discard all linens, non-fluid-impermeable pillows or mattresses, and textile privacy curtains into the waste stream and disposed of appropriately.<strong> </strong></p> <p><strong>Disinfectants: </strong></p> <p>Use a U.S. Environmental Protection Agency (EPA)-registered hospital disinfectant with a label claim for a non-enveloped virus (e.g., norovirus, rotavirus, adenovirus, poliovirus) to disinfect environmental surfaces in rooms of patients with suspected or confirmed Ebola virus infection.</p> <p><strong>Of special note in the guidance: </strong></p> <p>Although there are no products with specific label claims against the Ebola virus, enveloped viruses such as Ebola are susceptible to a broad range of hospital disinfectants used to disinfect hard, non-porous surfaces. In contrast, non-enveloped viruses are more resistant to disinfectants. As a precaution, selection of a disinfectant product with a higher potency than what is normally required for an enveloped virus is being recommended at this time. EPA-registered hospital disinfectants with label claims against non-enveloped viruses (e.g., norovirus, rotavirus, adenovirus, poliovirus) are broadly antiviral and capable of inactivating both enveloped and non-enveloped viruses.<strong> </strong></p> <p><strong>The CDC Frequently Asked Questions is taken directly from the CDC website We are copying them here to save you time. </strong><a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html">http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html</a></p> <p><strong>1. How can I determine whether a particular EPA-registered hospital disinfectant is appropriate for use in the room of a patient with suspected or confirmed Ebola virus infection?</strong></p> <p>Begin by looking at the product label or product insert or, if these are not available, search the <a href="http://iaspub.epa.gov/apex/pesticides/f?p=PPLS:1" target="_blank" title="Link to External Web Site">EPA search engine</a> for this information. Users should be aware that an 'enveloped' or 'non-enveloped virus' designation may not be included on the container label. Instead check the disinfectant's label for at least one of the common non-enveloped viruses (e.g., norovirus, rotavirus, adenovirus, poliovirus).</p> <p><strong>2. Are there special instructions for cleaning and disinfecting the room of a patient with suspected or confirmed Ebola virus infection?</strong></p> <p>Daily cleaning and disinfection of hard, non-porous surfaces (e.g., high-touch surfaces such as bed rails and over bed tables, housekeeping surfaces such as floors and counters) should be done.<a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html#four"><sup>4</sup></a> Before disinfecting a surface, cleaning should be performed. In contrast to disinfection where products with specific claims are used, any cleaning product can be used for cleaning tasks. Use cleaning and disinfecting products according to label instructions. Check the disinfectant's label for specific instructions for inactivation of any of the non-enveloped viruses (e.g., norovirus, rotavirus, adenovirus, poliovirus) follow label instructions for use of the product that are specific for inactivation of that virus. Use disposable cleaning cloths, mop cloths, and wipes and dispose of these in leak-proof bags. Use a rigid waste receptacle designed to support the bag to help minimize contamination of the bag's exterior. </p> <p><strong>3. How should spills of blood or other body substances be managed?</strong></p> <p>The basic principles for blood or body substance spill management are outlined in the United States Occupational Safety and Health Administration (OSHA) <a href="https://www.osha.gov/SLTC/bloodbornepathogens/standards.html" target="_blank" title="Link to External Web Site">Bloodborne Pathogen Standards</a> (29 CFR 1910.1030).<a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html#five"><sup>5</sup></a> CDC guidelines recommend removal of bulk spill matter, cleaning the site, and then disinfecting the site.<a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html#four"><sup>4</sup></a> For large spills, a chemical disinfectant with sufficient potency is needed to overcome the tendency of proteins in blood and other body substances to neutralize the disinfectant's active ingredient. An EPA-registered hospital disinfectant with label claims for non-enveloped viruses (e.g., norovirus, rotavirus, adenovirus, poliovirus) and instructions for cleaning and decontaminating surfaces or objects soiled with blood or body fluids should be used according to those instructions.</p> <p><strong>4. How should disposable materials (e.g., any single-use PPE, cleaning cloths, wipes, single-use microfiber cloths, linens, food service) and linens, privacy curtains, and other textiles be managed after their use in the patient room?</strong></p> <p>These materials should be placed in leak-proof containment and discarded appropriately. To minimize contamination of the exterior of the waste bag, place this bag in a rigid waste receptacle designed for this use. Incineration or autoclaving as a waste treatment process is effective in eliminating viral infectivity and provides waste minimization. If disposal requires transport offsite then this should be done in accordance with the U.S. Department of Transportation’s (DOT) Hazardous Materials Regulations (HMR, 49 C.F.R., Parts 171-180).<a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html#six"><sup>6</sup></a><sup>, </sup><a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html#seven"><sup>7</sup></a> Guidance from DOT has been released for Ebola.<a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html#seven"><sup>7</sup></a></p> <p><strong>5. Is it safe for Ebola patients to use the bathroom?</strong></p> <p>Yes. Sanitary sewers may be used for the safe disposal of patient waste. Additionally, sewage handling processes (e.g., anaerobic digestion, composting, and disinfection) in the United States are designed to inactivate infectious agents. </p> <p><strong>6. How long does the Ebola virus persist in indoor environments?</strong></p> <p>Only one laboratory study, which was done under environmental conditions that favor virus persistence, has been reported. This study found that under these ideal conditions Ebola virus could remain active for up to six days.<a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html#one"><sup>1</sup></a> In a follow up study, Ebolavirus was found, relative to other enveloped viruses, to be quite sensitive to inactivation by ultraviolet light and drying; yet sub-populations did persist in organic debris.<a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html#two"><sup>2</sup></a></p> <p>In the only study to assess contamination of the patient care environment during an outbreak, conducted in an African hospital under "real world conditions", virus was not detected by either nucleic acid amplification or culture in any of 33 samples collected from sites that were not visibly bloody. Virus was detected on a blood-stained glove and bloody intravenous insertion site by nucleic acid amplification, which may detect non-viable virus, but not by culture for live, infectious virus.<a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html#three"><sup>3</sup></a> Based upon these data and what is known regarding the environmental infection control of other enveloped RNA viruses, the expectation is with consistent daily cleaning and disinfection practices in U.S. hospitals that the persistence of Ebola virus in the patient care environment would be short – with 24 hours considered a cautious upper limit.</p> <p><strong>7. Are wastes generated during delivery of care to Ebola virus-infected patients subject to select agent regulations?</strong></p> <p>As long as facilities treating Ebola virus-infected patients follow the CDC's <a href="http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html">Infection Prevention and Control Recommendations for Hospitalized Patients with Known or Suspected Ebola Hemorrhagic Fever in U.S. Hospitals(http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html)</a>; waste generated during delivery of care to Ebola virus-infected patients would not be subject to Federal select agent regulations (See the exclusion provision 42 CFR § 73.3(d)(1)). However, this would not apply to any facility that intentionally collected or otherwise extracted the Ebola virus from waste generated during the delivery of patient care.</p> <p><strong>8. Are wastes generated during delivery of care to Ebola virus-infected patients subject to any special transportation requirements?</strong></p> <p>Yes, wastes contaminated or suspected to be contaminated with Ebola virus must be packaged and transported in accordance U.S. DOT Hazardous Materials Regulations (HMR, 49 C.F.R., Parts 171-180).<a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html#six"><sup>6</sup></a><sup>, </sup><a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html#seven"><sup>7</sup></a></p> <p>Once a patient with suspected Ebola Virus Disease (e.g., Patients under investigation) is no longer suspected to have Ebola Virus disease (EVD) or has ruled out for EVD, their waste materials no longer need to be managed as if contaminated with Ebola Virus.</p> <p><strong>WASTE HANDLING</strong></p> <p><a href="http://www.cdc.gov/vhf/ebola/prevention/handling-sewage.html">Interim Guidance for Managers and Workers Handling Untreated Sewage from Individuals with Ebola in the United States </a><a href="http://www.cdc.gov/vhf/ebola/hcp/us-hospital-preparedness.html"><strong>11/20/14</strong></a></p> <p><a href="http://www.cdc.gov/vhf/ebola/hcp/survivability-ebola-medical-waste.html">Information on the Survivability of the Ebola Virus in Medical Waste</a><a href="http://www.cdc.gov/vhf/ebola/hcp/medical-waste-management.html"> </a><a href="http://www.cdc.gov/vhf/ebola/hcp/us-hospital-preparedness.html"><strong>11/21/14</strong></a></p> <p><a href="http://www.cdc.gov/vhf/ebola/hcp/medical-waste-management.html">Ebola Medical Waste Management (<em>key information from the CDC</em>)</a></p> <p><strong><em>What is a Category A Infectious Substance?</em></strong></p> <p>Ebola is classified as a Category A substance, a biological agents or pathogen that is rarely seen in the United States and:</p> <p>•can be easily disseminated or transmitted from person to person;</p> <p>•result in high mortality rates and have the potential for major public health impact;</p> <p>•might cause public panic and social disruption; and</p> <p>•require special action for public health preparedness.<a href="#13"><sup>13</sup></a></p> <p>For information and clarification on the how Category A infectious substances must be disposed of and transported refer to</p> <p><a href="http://www.ecfr.gov/cgi-bin/text-idx?SID=2a97f2935677211e1785ac643163d2a9&node=49:2.1.1.3.10.5.25.33&rgn=div8">Transporting Category A Infectious Substances</a></p> <p><strong>Department of Transportation Resource</strong></p> <p>The U.S. Department of Transportation’s Pipeline and Hazardous Materials Safety Administration (PHMSA) in coordination with the Centers for Disease Control and Prevention (CDC) announced that it has issued an emergency special permit allowing a Lake Forest, Ill.-based company to transport large quantities of Ebola-contaminated waste from Texas Health Presbyterian Hospital Dallas for disposal. <a href="http://www.dot.gov/briefing-room/us-department-transportation-approves-special-permit-safe-transport-ebola-infected">More</a></p> <p><a href="http://phmsa.dot.gov/hazmat/question-and-answer">Pipeline and Hazardous Materials Safety Administration (PHMSA) special permit Q & A</a></p> <p><a href="http://phmsa.dot.gov/portal/site/PHMSA/menuitem.6f23687cf7b00b0f22e4c6962d9c8789/?vgnextoid=4d1800e36b978410VgnVCM100000d2c97898RCRD&vgnextchannel=d248724dd7d6c010VgnVCM10000080e8a8c0RCRD&vgnextfmt=print">DOT Guidance</a></p> <p><a href="http://phmsa.dot.gov/staticfiles/PHMSA/DownloadableFiles/Files/Transporting_Infectious_Substances_brochure.pdf">DOT Transporting Infectious Substances Brochure</a></p> <p><strong>ADDITIONAL EBOLA RELATED RESOURCES</strong></p> <p><strong>91°µÍřşÚÁĎ Resources</strong></p> <p><a href="http://www.aha.org/advocacy-issues/emergreadiness/ebola.shtml">Ebola Preparedness Resources</a></p> <p><a href="//C:/Users/dbarbetta/Downloads/141002-readiness-adv.pdf">Ebola Screening Criteria</a></p> <p><a href="http://www.cdc.gov/vhf/ebola/pdf/hospital-checklist-ebola-preparedness.pdf">Detailed Hospital Checklist for Ebola Preparedness</a></p> <p><strong>Center for Disease Control</strong></p> <p><a href="http://www.cdc.gov/vhf/ebola/hcp/us-hospital-preparedness.html">Interim Guidance for U.S. Hospital Preparedness for Patients with Possible or Confirmed Ebola Virus Disease: A Framework for a Tiered Approach </a></p> <p><a href="http://www.cdc.gov/vhf/ebola/hcp/preparing-frontline-healthcare-facilities.html">Interim Guidance for Preparing Frontline Healthcare Facilities for Patients with Possible Ebola Virus Disease</a> </p> <p><a href="http://www.cdc.gov/vhf/ebola/hcp/preparing-ebola-assessment-hospitals.html">Interim Guidance for Preparing Ebola Assessment Hospitals </a></p> <p><a href="http://www.cdc.gov/vhf/ebola/hcp/preparing-ebola-treatment-centers.html">Interim Guidance for Preparing Ebola Treatment Centers </a></p> <p><a href="http://www.cdc.gov/vhf/ebola/pdf/checklist-patients-evaluated-us-evd.pdf">Checklist for Patients Being Evaluated for EVD, U.S.</a></p> <p><a href="http://www.cdc.gov/vhf/ebola/pdf/ebola-algorithm.pdf">Ebola Virus Disease(EVD) Algorithm for Evaluation of the Returned Traveler</a></p> <p><a href="http://www.cdc.gov/vhf/ebola/pdf/evd-screening-criteria.pdf">Ebola Screening Criteria Template for EMS</a></p> <p><a href="http://www.cdc.gov/vhf/ebola/resources/index.html#crfactsheets">Ebola Transmission Table</a></p> <p><a href="http://emergency.cdc.gov/han/han00371.asp">HAN 371: Evaluating Patients for Possible Ebola Virus Disease: Recommendations for Healthcare Personnel and Health Officials</a></p> <p><a href="http://www.cdc.gov/vhf/abroad/pdf/african-healthcare-setting-vhf.pdf">Infection Control for Viral Hemorrhagic Fevers in the African Health Care Setting</a></p> <p><a href="http://www.cdc.gov/vhf/ebola/hcp/environmental-infection-control-in-hospitals.html">Interim Guidance for Environmental Infection Control in Hospitals for Ebola Virus</a></p> <p><a href="http://www.cdc.gov/vhf/ebola/hcp/interim-guidance-emergency-medical-services-systems-911-public-safety-answering-points-management-patients-known-suspected-united-states.html">Interim Guidance: EMS Systems & 9-1-1 PSAPs: Management of Patients in the U.S.</a></p> <p><a href="http://www.phe.gov/about/OPP/dhsp/Documents/ebola-openletterhealthcareprofessionals.pdf">Open Letter to All U.S. Healthcare Professionals from Dr. Nicole Lurie, the Assistant Secretary for Preparedness and Response, regarding the current Ebola situation. </a></p> <p> CDC/ASPR Checklists:</p> <ul> <li><a href="http://www.cdc.gov/vhf/ebola/pdf/hospital-checklist-ebola-preparedness.pdf">Detailed Hospital Checklist for Ebola Preparedness</a></li> <li><a href="http://www.cdc.gov/vhf/ebola/pdf/coalition-checklist-ebola-preparedness.pdf">Checklist for Healthcare Coalitions for Ebola Preparedness</a></li> <li><a href="http://www.cdc.gov/vhf/ebola/pdf/ems-checklist-ebola-preparedness.pdf">Detailed Emergency Medical Services (EMS) Checklist for Ebola Preparedness</a></li> </ul> <p><strong>Webinar Recording Available on Ebola Preparedness for U.S. Health Care System</strong></p> <p>A recording of a recent <a href="http://www.phe.gov/Preparedness/responders/Pages/ebola-healthcare-webinar.aspx">webinar</a> hosted by ASPR and CDC on Ebola Preparedness for the U.S. health care system is now available for viewing. The webinar focused on the <a href="http://www.cdc.gov/vhf/ebola/pdf/hospital-checklist-ebola-preparedness.pdf"><em>Detailed Hospital Checklist for Ebola Preparedness</em></a><em>,</em> which highlights the activities that all hospitals can take to prepare for the possibility of a patient exposed to Ebola arriving for medical care. This information is especially useful for hospital emergency managers, infection control officers, hospital leadership, and clinical staff. The checklist provides practical and specific suggestions to ensure hospitals can detect possible Ebola cases, protect their employees, and respond appropriately.<strong> </strong></p> <p><strong>Centers for Medicare & Medicaid Services</strong></p> <p><a href="http://www.aha.org/content/14/141121-sc15-10emtala-ebola.pdf">Ebola-related EMTALA requirements </a></p> <p><strong>WHO Resources</strong></p> <p><a href="http://www.who.int/csr/resources/publications/ebola/filovirus_infection_control/en/">Infection prevention and control guidance for care of patients in health-care settings, with focus on Ebola</a></p> <p> </p> <table border="0"> <tbody> <tr> <td> <p><strong>At the request of the Chief Medical Officer in ASPR’s Office of Biomedical Advanced Research and Development Authority (BARDA)</strong> <strong>10-16-14</strong></p> <p><strong>Please note this video:</strong> Clinical Update and 5-minute Ebola virus disease (EVD) management and lessons learned video. The video provides a summary by Dr. Bruce Ribner on caring for Ebola patients in the US, and the video is an interview with Dr. Ribner. Dr. Ribner led the team at Emory University that cared for two patients with Ebola virus disease (EVD) in August.</p> <p><strong>Video:</strong> <a href="http://goo.gl/51CsLW">Dr. Bruce Ribner’s Interview on EVD Management and Lesson Learned</a></p> <p><em>*Taken from ID Week 2014 program. Special thanks to the partners at ID Week for sharing this information with the wider health care community.</em></p> <p><a href="http://teamsite.aha.org/ahe/images/Emory Ebola Patient Synopsis.pdf">Emory Ebola Patient Synopsis </a></p> <p><a href="http://teamsite.aha.org/ahe/images/learn/10_14_14_preparing_for_ebola.pdf">Preparing for Ebola</a></p> </td> </tr> </tbody> </table> <p><strong>References</strong></p> <ol> <li><a name="1"></a>Sagripanti JL, Rom AM, Holland LE. Persistence in darkness of virulent alphaviruses, Ebola virus, and Lassa virus deposited on solid surfaces. <em>Arch Virol</em> 2010; 155:2035-2039</li> <li>Sagripanti JL, Lytle DC. Sensitivity to ultraviolet radiation of Lassa, vaccinia, and Ebola viruses dried on surfaces. <em>Arch Virol</em> 2011; 156:489–494</li> <li>Bausch DG et al. Assessment of the Risk of Ebola Virus Transmission from Bodily Fluids and Fomites. <em>J Infect Dis</em> 2007; 196:S142–7</li> <li><a href="http://www.cdc.gov/hicpac/pdf/guidelines/eic_in_HCF_03.pdf">CDC Guidelines for Environmental Infection Control in Healthcare Facilities[PDF - 249 pages]</a> (see: Environmental Surfaces Section).</li> <li><a href="https://www.osha.gov/SLTC/bloodbornepathogens/standards.html" target="_blank" title="Link to External Web Site">OSHA Bloodborne Pathogen Standard 29 CFR 1910.1030</a></li> <li><a href="http://phmsa.dot.gov/portal/site/PHMSA/menuitem.6f23687cf7b00b0f22e4c6962d9c8789/?vgnextoid=4d1800e36b978410VgnVCM100000d2c97898RCRD&vgnextchannel=d248724dd7d6c010VgnVCM10000080e8a8c0RCRD&vgnextfmt=printhttp://phmsa.dot.gov/portal/site/PHMSA/menuitem.6f23687cf7b00b0f22e4c6962d9c8789/?vgnextoid=4d1800e36b978410VgnVCM100000d2c97898RCRD&vgnextchannel=d248724dd7d6c010VgnVCM10000080e8a8c0RCRD&vgnextfmt=print" target="_blank" title="Link to External Web Site">DOT. Guidance for Transporting Ebola Contaminated Items, a Category A Infectious Substance</a></li> <li><a href="http://www.ecfr.gov/cgi-bin/text-idx?tpl=/ecfrbrowse/Title49/49cfrv2_02.tpl" target="_blank" title="Link to External Web Site">DOT. Hazardous Materials Regulations [49 CFR Parts 100-1999; 49 CFR 172.700; 49 CFR 173.134(a)(5))</a></li> <li><a href="http://www.cdc.gov/vhf/ebola/about.html">91°µÍřşÚÁĎ Ebola Virus Disease. (2014, October 3). Retrieved October 6, 2014.</a></li> <li><a name="2"></a><a href="http://www.cdc.gov/vhf/ebola/symptoms/index.html">Signs and Symptoms. (2014, October 3). Retrieved October 6, 2014.</a></li> <li><a name="3"></a><a href="http://www.cdc.gov/vhf/ebola/transmission/index.html">Transmission. (2014, October 3). Retrieved October 6, 2014.</a></li> <li><a name="4"></a><a href="http://www.cdc.gov/vhf/abroad/vhf-manual.html">(2014, January 28). Retrieved October 6, 2014.</a></li> <li><a name="5"></a><a href="http://www.cdc.gov/vhf/ebola/hcp/infection-prevention-and-control-recommendations.html">Infection Prevention and Control Recommendations for Hospitalized Patients with Known or Suspected Ebola Virus Disease in U.S. Hospitals. (n.d.).</a></li> <li><a name="13"></a><a href="http://www.bt.cdc.gov/agent/agentlist-category.asp">Bioterrorism Agents/Diseases. (n.d.). Retrieved October 8, 2014.</a></li> <li>Ribner BS. Treating patients with Ebola virus infections in the US: lessons learned. Presented at IDWeek, October 8, 2014. Philadelphia PA</li> <li>Hill CE, Burd EM, Kraft CS, et al. Laboratory test support for Ebola patients within a high-containment facility. Lab Medicine 2014:45(3):e109-111.</li> </ol> Mon, 17 Apr 2017 00:00:00 -0500 Resources