How carol county and the state health department coordinate

Reference no: EM133503292

Assignment

At 8:00 am, Bunnyville hospital implemented a full activation of its Hospital Command Center.

At 11:00 am, from home, Mrs. Miller calls 911 for an ambulance when she develops a fever of 102°F with a hacking cough. Mrs. Miller is also admitted to Bunnyville hospital.

The hospital calls the local public health 24/7 reporting line to report Mrs. Miller as a suspect Ebola case. In response to local public health surveillance and monitoring, Bunnyville hospital also notifies any healthcare staff contacts with Mr. Miller from the previous day.

At 12:00 pm, noon, public health staff works with Mr. Miller, clinicians, and the Infection Control Practitioner to determine the close contacts of Mr. & Mrs. Miller during their probable infectious period. When notifying these individuals, health officials recommend fever monitoring twice daily for 21 days for each person after their last known exposure to either of the Millers.

Bunnyville hospital Logistics Section Chief anticipates that the hospital will require more PPE (gowns, masks, and eye protection) for future operational periods.

At 1:00 pm, the Carol County Epidemiologist continues active surveillance protocols and begins contact tracing and alerting any possible exposed cases. Carol County public health staff, including epidemiologists, infection control professionals, and Bunnyville hospital emergency managers, discuss the case definition for an Ebola PUI and CDC Infection Control recommendations. They emphasize the need to collect thorough travel histories on all patients and immediately report any suspect cases to Public Health.

At 2:00 pm, Local Public Health receives confirmation from the CDC-designated laboratory that Mr. Miller's specimen tested positive for Ebola Virus. The CDC on-call physician notifies Dr. Smith, the physician managing Mr. Miller's care, and the State epidemiologist of the results.

State public health sends out an urgent Health Alert Network (HAN) message to Regional Epidemiologists, local public health department personnel, healthcare facilities and providers with additional information regarding the Ebola patient in Oklahoma. It includes reminders of instructions and guidance for evaluating suspected cases for Ebola, including case and contact definitions. The alert also provides reporting instructions, links to infection control recommendations, and lab specimen submission procedures.

At 3:00 pm, the Governor's Office and Carol County public health announce their intent to hold a press conference tomorrow morning to inform the public of this Ebola case. Since this individual is a patient at the Bunnyville hospital, a hospital representative is needed at the media event to explain the facility's steps regarding the infected patient and actions being taken to ensure patients and staff are protected.

At 4:00 pm, the Bunnyville hospital Incident Management Team is notified that a TV reporter and cameraman are setting up across the street from the entrance. They are not on Bunnyville hospital property, but if any others show up, they will cause traffic congestion.

At 5:00 pm, the Bunnyville Hospital Command Center is beginning to get information that staff are calling out sick. Other staff members are genuinely concerned and have threatened to go home if required to go into the room of the Ebola patient.

The Logistics Section Chief for Bunnyville hospital indicates that many nursing stations are ordering extra gowns, masks, eye shields, and shoe covers. At this rate, the facility only has enough stock on hand for 24 hours, and the following delivery won't arrive for three days. The Logistics Chief is requesting Carol County Public Health Department for logistical support for needed items.

Key Issues

A. Bunnyville hospital has activated its Hospital Command Center.

B. A second potential Ebola patient, related to the first patient, has been admitted to a local hospital.

C. Local/state Public Health and CDC authorities have been notified.

D. Mr. Miller is now a confirmed case of Ebola.

E. Carol County Public Health Department has initiated active surveillance and contact tracing.

F. A joint press conference is being held, and participation by Bunnyville hospital is essential. The media is setting up across from the Bunnyville hospital facility entrance.

G. Staff from Bunnyville hospital is calling out sick, and others are threatening to go home.

H. Bunnyville hospital only has enough PPE stock on hand for the next 24 hours, and the subsequent delivery is scheduled to arrive in three days.

Task

Based on the information provided, participate in the discussion concerning the issues raised. Identify any additional requirements, critical issues, decisions, or questions you may have at this time.

Question A. How should Carol County and the State Health department coordinate active surveillance in Bobsville and the Bunnyville hospital?

Question B. How would the health departments assist Bobsville and Bunnyville hospital with information sharing to ensure the safety of the citizens, staff, and patients?

Question C. How will Carol County and Bobsville prepare for a possible influx of sick persons/worried well citizens?

Question D. What additional changes would public health and Bunnyville hospital consider or implement regarding infection control precautions or patient triage processes?

Reference no: EM133503292

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