Hawai'i-Pacific Chapter
A quarterly e-newsletter for the Hawai'i Pacific Chapter of ACHE Summer 2015 Issue
In This Issue
Message from your ACHE Regent, Summer 2015
Message from the Chapter President
Guam Local Program Council
Recent Chapter Events
News from the Education Committee
Membership: New Fellows, Members, and Recertified Fellows
Summer 2015 Calendar of Events
Summer 2015 Education Calendar
Summer 2015 Financial Report
ACHE Diversity Internship Available
MERS: An Emerging Pathogen?
National News - Summer 2015
12 Things Successful Leaders Never Tolerate
Employee Engagement During Conference Calls
Many thanks to our Sponsors!
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Poll
For the October 8-9 Educational Session, what topic interests you most as a health care leader?
Process and Technique of Negotiating, by Chris Laudach
Practical Leadership Strategies in an Age of Change, by Carson Dye
Strategic Planning: From Formulation to Action, by Alan Zuckerman
CHAPTER OFFICERS

 

REGENT
Jen Chahanovich, FACHE
jen.chahanovich@palimomi.org


PRESIDENT
Gidget Ruscetta, FACHE
gidget.ruscetta@kapiolani.org


PRESIDENT-ELECT
Art Gladstone, FACHE
art.gladstone@straub.net

CHAIR, GUAM LOCAL PROGRAM COUNCIL
LT Joseph Fromknecht

joseph.fromknecht@med.navy.mil


TREASURER
Selma Yamamoto
syamamoto@queens.org 


SECRETARY
Natalie Pagoria
npagoria@hawaiihie.org


DIRECTORS
Art Gladstone, FACHE
Art.Gladstone@straub.net

Micah Ewing
micah.ewing@hawaiipacifichealth.org    


MAJ Charlotte Hildebrand, FACHE
charlotte.l.hildebrand.mil@mail.mil


Lt. John Piccone
john.piconne@med.navy.mil  


Nick Hughey
nhughey@hhsc.org  


Jennifer Dacumos
Jennifer.Dacumos@palimomi.org   
 


STUDENT REPRESENTATIVE
Stella Laroza
stella.laroza@straub.net  

 

IMMEDIATE PAST PRESIDENT
Darlena Chadwick, FACHE
dchadwick@queens.org

 

MERS: An Emerging Pathogen?
Richard Giardina RN, MPH, CIC, FACHE

Middle East Respiratory Syndrome (MERS) is a viral respiratory illness that is new to humans. It was first reported in Saudi Arabia in 2012 and has since spread to several other countries, including the United States. Most people infected with MERS-CoV developed severe acute respiratory illness, including fever, cough, and shortness of breath. Many of them have died.

As of June 19, 2015, 24 people have died in South Korea, and more than 6,700 are isolated at homes and medical facilities as officials continue their efforts to put the MERS outbreak under control. More than 160 people have been diagnosed with MERS nearly a month after the outbreak originated from a 68-year-old man who had traveled to the Middle East, according to Seoul's Health Ministry.

Doctors of the renowned hospital, the Samsung Medical Center in Seoul, were the first to confirm the disease, known as MERS, in another patient a week earlier but failed to make the connection between the two cases. Investigators now say the misdiagnosed patient, awaiting a vacant bed in a general ward upstairs, wheezed and expectorated in common areas with no oversight, turning into a MERS "superspreader."

The mistakes by the Samsung Medical Center are now the focus of much that has gone wrong to escalate the MERS crisis in South Korea, the worst outbreak beyond Saudi Arabia, where the disease first appeared in 2012. As of June 19, 2015, nearly half of all 165 confirmed MERS cases in South Korea have been traced to Samsung, historically regarded as the nation’s best hospital.

At Samsung, the system began faltering when the 35-year-old man, whom investigators called Patient No. 14, arrived at its emergency room on May 27, a week after Samsung discovered the first case. "What pains us the most is our failure to contain Patient No. 14 at the Samsung hospital," said Kwon Deok-Cheol, a senior official at the government’s MERS response headquarters1.

Our challenge is to ensure we have adopted CDC best practice for early identification and containment of infectious persons; be it MERS, influenza, or any respiratory virus. To prevent the transmission of all respiratory infections in healthcare settings, including MERS, the following infection control measures should be implemented at the first point of contact with a potentially infected person. The CDC calls this ‘Respiratory Hygiene/Cough Etiquette’. Your Infection Control team is already well aware of this best practice; however, it depends on consistent use for every suspected patient, and therefore may require some monitoring of staff practice.

Respiratory Hygiene/Cough Etiquette relies on these basic principles2:

1. Visual Alerts

Post visual alerts (in appropriate languages) at the entrance to outpatient facilities (e.g., emergency departments, physician offices, outpatient clinics) instructing patients and persons who accompany them (e.g., family, friends) to inform healthcare personnel of symptoms of a respiratory infection when they first register for care and to practice Respiratory Hygiene/Cough Etiquette.

2. Respiratory Hygiene/Cough Etiquette

The following measures to contain respiratory secretions are recommended for all individuals with signs and symptoms of a respiratory infection.

  • Cover your mouth and nose with a tissue when coughing or sneezing;
  • Use the nearest waste receptacle to dispose of the tissue after use;
  • Perform hand hygiene (e.g., hand washing with non-antimicrobial soap and water, alcohol-based hand rub, or antiseptic hand wash) after having contact with respiratory secretions and contaminated objects/materials.
  • Provide tissues and no-touch receptacles for used tissue disposal.
  • Provide conveniently located dispensers of alcohol-based hand rub; where sinks are available, ensure that supplies for hand washing (i.e., soap, disposable towels) are consistently available.

3. Masking and Separation of Persons with Respiratory Symptoms

  • Offer masks to persons who are coughing. Either procedure masks (i.e.,with ear loops) or surgical masks (i.e.,with ties) may be used to contain respiratory secretions (respirators such as N-95 or above are not necessary for this purpose).
  • When space and chair availability permit, encourage coughing persons to sit at least three feet away from others in common waiting areas. Some facilities may find it logistically easier to institute this recommendation year-round.

MERS may appear to be a new emerging pathogen with new challenges; however, basic infection control practices such as Respiratory Hygiene/Cough Etiquette accompanied by hand hygiene are the best interventions to control spread of any respiratory virus.

1, 2 www.cdc.gov, last accessed 6/22/15

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Save the Date

Annual Chapter Breakfast

Join us for the annual Chapter breakfast.  Ms. Christine M. Candio, RN, FACHE, President and Chief Executive Officer at St. Luke's Hospital/MO (ACHE Immediate Past Chairman, 2015-2016) will present:

"Leading Through an Evolving Healthcare Landscape: ACHE Update"

WHEN:  July 13, 2015, 6:30AM - 8:00AM

WHERE:  Hawaii Prince Hotel, Haleakala Room

ACHE members will receive 1.0 Qualified Education Credits! 

 

 

 

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