Californian, Lost in Texas
Yes. At first it was a voluntary quarantine however one of them attempted to leave the base which changed things to a mandatory 14 day quarantine. We have everyone on site just as a precaution. Should anyone need transport for further evaluation/treatment that is where the ALS units come in and there is also already an accepting ED for the patients.Aren't they quarantined at March Air Reserve Base?
With negative pressure rooms, you eliminate patient to patient airborne spread, so no need for filters on the patient mask. Hcw are protected by their n95/paprChina manufactures a significant percentage of disposable medical devices and the quality is certainly there if you go to the right facility. That being said, any company who puts their name on it and sells it still must perform their due diligence in quality control. There are delays in shipments at the manufacturing plants as well as the shipping ports. Part of the reason is the extended New Year season and the delays in sparking up the plants again.
Also, an approach adopted in Canada as a result of the 2003 SARS outbreak (where 72% of the cases were hospital acquired) was to administer oxygen through masks that had expiratory filters in their design. The CDC/WHO promotes surgical masks on patients and filters on BVMs and vents, but doesn't speak to oxygen delivery masks or CPAP/Bilevel administration. Just another line of defense in the containment that is rarely mentioned. There are a few brands available.
The masks that are being used in Canada are as a line of defense in the pre-hospital setting up to and including the care and transport of patients prior to isolation facilities. Its upon first contact when oxygen therapy is being applied. That's the problem with common respiratory etiquette protocols; They are designed for locations with unlimited resources. Many services don't even carry filters to be placed on the BVM's once the patient is intubated.With negative pressure rooms, you eliminate patient to patient airborne spread, so no need for filters on the patient mask. Hcw are protected by their n95/papr
Read in a narrative this week during QI.. "patient traveled from XXX (nowhere near China), didn't perform XXX treatment due to possible coronavirus".
QI - so.. did you notify anyone of a possible coronavirus exposure? (no).. did you use your PPE? (no).. Did you come back and decon the truck? (no).. "well honestly we didn't really think it was coronavirus, but there was the possibility"..
Ok, well please don't write coronavirus in the narrative and not go full measures..
thats how we get directives that disregard coronavorus, then get infected by same