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Presented by Ebola Preparedness Training January 11-12, 2016 at University of Nebraska Medical Center In Omaha, NE Organizing Faculty Bruce Ribner, MD MPH Medical Director, Emory Serious Communicable Diseases Unit Phil Smith, MD Medical Director, Nebraska Biocontainment Unit Laura Evans, MD MSc Medical Director of Critical Care, Bellevue Hospital www.cdc.gov; Murphy, Frederick, CDC PHIL ID#10816 STATEMENT OF NEED The 2014 Ebola epidemic is the largest in history, affecting multiple countries in West Africa. An imported case from Liberia and associated locally acquired cases in healthcare workers have been reported in the United States. The Office of the Assistant Secretary for Preparedness and Response (ASPR) and the Centers for Disease Control and Prevention (CDC) have established the National Ebola Training and Education Center (NETEC) to increase the competency of healthcare and public health workers and the capability of healthcare facilities to deliver safe, efficient, and effective Ebola patient care In cooperation with ASPR and the CDC’s Division of Healthcare Quality Promotion (DHQP), NETEC is providing site visits, educational resources, and training to identified US medical centers with prospective developed units capable of assessing, treating and managing Ebola virus disease patients. OVERVIEW This conference will provide a summary on the many aspects of managing a facility responsible for assessing and/or treating Ebola virus disease patients. This includes EVD clinical care and patient management, staffing/infrastructure development, training in donning and doffing of personal protective equipment, considerations for pediatric and OBGYN patient populations, laboratory protocols, waste management and occupational health management of clinical staff. State and jurisdictional public health planning and preparedness topics will also be covered. LEARNING OBJECTIVES Upon completion of the course, participants will be better equipped to: -Describe the knowledge, technology, equipment and controls needed to prepare hospitals to receive and care for patients with suspected or known Ebola Virus Disease - Discuss organizational and administrative policies that must be developed and implemented by Ebola assessment and treatment hospitals in order to increase capability to receive and care for a patient suspected with Ebola Virus Disease - Describe patient care protocols that have been successfully utilized for the care of patients with Ebola Virus Disease - Demonstrate appropriate Personal Protective Equipment (PPE) selection and donning/ doffing based upon the condition of the patient - Discuss environmental infection control protocols for handling waste and infectious fluids from a patient with suspected or confirmed Ebola Virus Disease. -Describe an effective healthcare worker monitoring plan -Discuss state and regional preparedness plans for patients suspected with Ebola or another seriously communicable disease PHYSICIANS (CME) Accreditation Statement The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Credit Statement The University of Nebraska Medical Center, Center for Continuing Education designates this live activity for a maximum of 11.50 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. NURSING (CE) Nebraska Medicine is an approved provider of continuing nursing education by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. Code # NE13-16H06-426 REGISTRATION There is no tuition cost for this program. Participants must register at: http://reg.abcsignup.com/reg/event_page.aspx?ek=0056-0003-9f6bf38f1d2146ae9ab695a28bd10d3b Please do not make travel arrangements until attendance has been confirmed. Attendance confirmation will be emailed to registrants by a member of the NETEC. NETEC will not be responsible for any losses incurred by registrants, including but not limited to airfare cancellation or hotel deposits. CONFERENCE LOCATION AND LODGING There is no conference fee for this training . Working meals and light snacks during breaks are provided as indicated in the agenda. Travel expenses are not covered by NETEC and are the responsibility of the attendee and/or their sponsoring organization. The conference will be held in the Truhlsen Events Center at the Michael Sorrell Center for Health Science Education, 42nd & Emile, Omaha, NE 68105. There are two area hotels that provide shuttle service to UNMC from their locations. • Element Omaha Midtown Crossing rates are $139/night studio king or 2 queen. Reservations may be made using this rate through the following URLhttp://www.elementomahamidtowncrossing.com/set-unmc • Hyatt Place Downtown/Old Market rates are $139/night. Reservations may be made using this rate through the following URL: http://omahadowntownoldmarket.place.hyatt.com/omazogcdc72016.html PARKING and TRANSPORTATION Both hotels listed offer airport shuttles as well as shuttle service to and from UNMC, which we strongly recommend you utilize. For those not utilizing hotel shuttles, parking is available on our campus in Lot #64 at 39th St and Marcy. A shuttle has been arranged to pick up at intervals beginning 30 minutes before the conference. MEETING MATERIALS The training agenda and various summary materials will be provided via a USB drive provided to participants on the first day. We encourage you to bring a laptop to the conference. January 11, 2016 11:00 am-7:00 pm 11:00 am 11:30 am 11:45 am 12:30 pm 1:15 pm Registration & Networking Box lunch provided Welcome & Introductory Remarks • Overview of NETEC Overview of Ebola Outbreak and System for US Response • Epidemiology of Ebola virus • 2014-2015 Ebola outbreak in West Africa • Clinical presentation and course of EVD • Patient under investigation vs. confirmed case • US screening & evaluation system Hospital Preparation and Team Development • Three tiers of healthcare facilities • Essential elements of assessment and treatment hospital preparedness • Team work • Staffing Personal Protective Equipment • Guidelines • Key Concepts • Inventory 2:00 pm Break 2:15 pm Patient Placement • Accepting a patient • Safe & effective patient care • Safe & effective work flow • Care considerations for the PUI Assessment and Management of the PUI and confirmed Patient with Ebola Virus Disease • Circumstances of appearance in the community • Identification and transportation • Clinical presentation • Lessons learned Break Out Sessions: • PPE—High level PPE—PAPR level • State Regional Preparedness Planning • PUI Case Studies • NBU Tour • Specimens & Spills 3:00 pm 3:45 pm6:45pm Faculty Room # January 12, 2016 7:30 am-1:30 pm 7:30 am Shelly Schwedhelm Truhlsen Events Center Philip Smith & Laura Evans Truhlsen Events Center 8:00 am 8:45 am Kate Boulter & Laura Evans Kate Boulter & Jill Morgan Truhlsen Events Center Truhlsen Events Center Truhlsen Events Center Angela Hewlett & Laura Evans Truhlsen Events Center Kate Boulter, Angie Vasa, Beth Beam, Jill Morgan, John Maher, Health Depts. Reps, Laura Evans, NBU & NETEC Team Truhlsen Events Center Room # Shawn Gibbs and Beth Beam Truhlsen Events Center John Lowe & Shawn Gibbs Truhlsen Events Center Care of the deceased Break Kate Boulter 9:30 am 9:45 am Care Considerations for the Laboring Patient John Horton Truhlsen Events Center 10:30 am Care Considerations for the Pediatric Patient • Management of Family • Clinical Care of Pediatrics Laboratory • Criteria for Ebola testing • PPE recommendations • Point of care testing • Spills, decontamination, waste management Break Ted Cieslak & Kari Simonsen Truhlsen Events Center Pete Iwen Truhlsen Events Center 11:15 am Shelly Schwedhelm & Laura Evans Arrival and networking Breakfast provided Environmental Infection Control • Protocols • Patient room preparation • Disinfectants • Cleaning & equipment management principles Waste Management • Category A waste management requirements • Packaging • Handling liquid waste • Infectious waste vs. non-infectious waste • Sequestering medical waste Faculty 12:00 pm 12:15 pm 12:45 pm TBA 1:15 pm Healthcare Worker Monitoring • Baseline Health Inventory • Action Plan/EVD Response Plan • Temperature Monitoring and Symptom Questionnaire • Exposures to EVD Organizational Controls and Sustaining Readiness • Components of systematic program • Communications • Administrative policies • Emergency Management • Sustaining Readiness Q&A panel and Adjourn Box Lunch available Shelly Schwedhelm Truhlsen Events Center & John Maher Shelly Schwedhelm Truhlsen Events Center & John Maher NETEC Faculty Truhlsen Events Center Coming soon: please continue to check the NETEC website for further training dates and additional educational materials www.netec.org PLANNING COMMITTEE Sharon Vanairsdale, MS, APRN, ACNS-BC, NP-C, CEN Emory; Program Director, Serious Communicable Diseases Unit Sonia Bell Emory; Program Coordinator, Serious Communicable Diseases Unit Shelly Schwedhelm, MSN, RN, NEA-BC Nebraska; Executive Director, Emergency Preparedness and Infection Prevention SUBJECT MATTER EXPERTS Carol Allensworth, MPH, MT(ASCP)SM Nebraska DCHD; Division Chief, Douglas County Health Department Elizabeth Beam, PhD, RN Nebraska; University of Nebraska Medical Center Biocontainment Unit Educator Emily Beck, APRN-BC Emory; Clinical Lead Nurse Practitioner for Occupational Injury Management Kate Boulter, RN Nebraska; Biocontainment Unit Nurse Manager Nicholas V. Cagliuso Sr., PhD, MPH NYC Health + Hospitals; Assistant Vice President, Emergency Management Ted Cieslak, MD Nebraska; Associate Professor of Medicine, Pediatric Infectious Disease Shawn Gibbs, PhD, MBA, CIH Indiana, Executive Associate Dean for Academic Affairs Betsy Hackman, BSN, RN Emory; Director, Infection Prevention Angela Hewlett, MD Nebraska; Associate Medical Director, Nebraska Biocontainment Unit William Hicks, MS, RT Bellevue Hospital; Chief Operating Officer SUBJECT MATTER EXPERTS (cont) Charles E Hill, MD, PhD Emory; Director, Molecular Diagnostics Laboratory John P Horton, MD Emory; Associate Director of Clinical Operations, Division of Obstetrics and Gynecology Peter Iwen, MS, PhD Nebraska; Director Public Health Lab Colleen Kraft, MD Emory; Assistant Professor of Medicine and Pathology Medical Director of the Microbiology Laboratory Nathan Link, MD Bellevue Hospital; Medical Director John Lowe, PhD Nebraska; Assistant Professor, Department of Environmental, Agricultural and Occupational Health John Maher, Esq Bellevue Hospital; Director, Special Pathogens Program Patience Mancho Bellevue Hospital; Director, Pathology Aneesh K Mehta, MD Emory; Assistant Professor of Medicine, Assistant Director of Transplant ID Jill Morgan, RN Emory; Nurse, SCDU Kelly Nadeau, MN, RN GA DPH; Healthcare Community Preparedness Director Kalpana Rengarajan, PhD MPH RBP Emory; Associate Director Environmental Health and Safety Office Eric Sergeant, PhD Nebraska DHHS; Hospital Preparedness Program Coordinator Andi Shane, MD, MPH, MSc Emory; Assistant Professor, Pediatrics Kari Simonsen, MD Nebraska; Pediatric Infectious Disease Patricia Tennill, RN Bellevue Hospital, Lead Nurse Angie Vasa, BSN, RN Nebraska; Lead Nurse, Nebraska Biocontainment Unit *Agenda and event details subject to change. Registered attendees will be notified of updates.