The American College of Occupational and Environmental Medicine (ACOEM) has published new guidelines intended to help strengthen procedures for the medical clearance of designated Ebola caregivers in the nation's hospitals.
"Guidelines for the Medical Clearance of Designated Ebola Caregivers in U.S. Hospitals" provides a nine-point list of conditions in which assessment by a trained occupational medicine physician may be necessary for determining the readiness and suitability of health care workers for Ebola caregiving. The guidelines also provide a step-by-step safety-check procedure for health care workers who use personal protective equipment in the course of treating Ebola patients, as well as other tools for ensuring caregiver safety.
ACOEM's nine-point list is specifically aimed at those conditions which may require assessment by a physician trained in occupational medicine. While initial screening may be conducted by an appropriately trained nurse or physician assistant, referral to an occupational medicine physician is indicated in some circumstances.
"After our recent experience with treatment of Ebola patients in the United States it is clear that U.S. hospitals need to be especially vigilant in equipping and preparing caregivers who deal with this highly contagious disease," said ACOEM President Kathryn Mueller, MD. "These guidelines provide a tool that hospitals can quickly turn to, should we face new cases of Ebola patients being treated in the U.S. in the future."
"The crisis of last fall has subsided, but the threat to health care workers remains real," she added. "This is the time for hospitals to carefully review their process to ensure they will not be caught unprepared."
ACOEM's guidelines suggest that hospitals thoroughly assess caregivers before they are assigned to treat Ebola patients in order to determine their ability to comply with Ebola-care protocols, utilizing occupational medical professionals when appropriate to help with the assessments. Ebola caregivers must be able to comply with direct active monitoring throughout a care assignment, for example, and should be aware that in the event of high-risk exposure, additional restrictions on movement and travel could apply.
Additionally, the suitability of caregivers to tolerate or safely put on and remove personal protective equipment is extremely important and should be taken into account before care begins.
ACOEM's guidelines include a step-by-step health-and-safety check for ensuring that health caregivers are able to safely don and doff such protective gear when caring for Ebola patients.
The guidelines also include a checklist of personal and medical conditions that should be taken into account when determining suitability for Ebola caregiving. These can range from having musculoskeletal conditions that interfere with donning and doffing personal protective equipment to personal factors, such as having travel plans that could interfere with monitoring or movement restrictions.
The guidelines can be found online at: http://www.acoem.org/uploadedFiles/Public_Affairs/Policies_And_Position_Statements/Guidelines/Position_Statements/Medical%20Clearance%20Guidelines%20for%20Ebola%20Care%20Teams%20in%20US%20Hospitals.pdf
Materials provided by American College of Occupational and Environmental Medicine (ACOEM). Note: Content may be edited for style and length.
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