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http://www.reuters.com/article/2014/10/03/us-health-ebola-nurses-idUSKCN0HS18C20141003

If an Ebola patient becomes sick while being transported, "How do you clean
the elevator?"

Nurses at hospitals across the country are asking similar questions.

A survey by National Nurses United of some 400 nurses in more than 200
hospitals in 25 states found that more than half (60 percent) said their
hospital is not prepared to handle patients with Ebola, and more than 80
percent said their hospital has not communicated to them any policy
regarding potential admission of patients infected by Ebola.

Another 30 percent said their hospital has insufficient supplies of eye
protection and fluid-resistant gowns.

"If there are protocols in place, the nurses are not hearing them and the
nurses are the ones who are exposed," said RoseAnn DeMoro, executive
director of National Nurses United, which serves as both a union and a
professional association for U.S. nurses.

Unlike influenza or the common cold, which can be spread by coughing and
sneezing, Ebola is only spread by contact with bodily fluids from someone
who is actively sick. That means the risk to the average person is low, but
for healthcare workers, the risk is much higher.

As of Aug. 25, more than 240 healthcare workers have developed the disease
in Guinea, Liberia, Nigeria, and Sierra Leone, and more than 120 have died,
according to the World Health Organization.

Many of these infections occurred when healthcare workers were removing the
personal protective gear - masks, gowns, gloves or full hazmat suits used
to care for the patients, said biosafety experts.

Sean Kaufman, ā€ˇpresident of Behavioral-Based Improvement Solutions, an
Atlanta-based biosafety firm, helped coach nurses at Emory University
through the process of putting on and taking off personal protective
equipment (PPE) while they were caring for two U.S. aid workers flown to
Atlanta after becoming infected with Ebola in West Africa.

Kaufman became known as "Papa Smurf" to the Emory nurses because of the
blue hazmat suits he and others wore that resembled the cartoon character.

"Our healthcare workforce goes through so many pairs of gloves that they
really don't focus on how they remove gloves. The putting on and the taking
off doesn't occur with enough attention to protect themselves," he said.

Nurses say hospitals have not thought through the logistics of caring for
Ebola patients.

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