Nash County paramedics Nicky Joyner, left, and Dale Tippett attend to Ricky Fortner, playing the role of a patient with Ebola symptoms, on Tuesday during Nash County Ebola Response Training at LifeCare Hospitals of North Carolina. Fortner is also a Nash County paramedic.
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Telegram photo / Alan Campbell

Nash County paramedics Nicky Joyner, left, and Dale Tippett attend to Ricky Fortner, playing the role of a patient with Ebola symptoms, on Tuesday during Nash County Ebola Response Training at LifeCare Hospitals of North Carolina. Fortner is also a Nash County paramedic.

Emergency officials train for Ebola response

By Brie Handgraaf

Staff Writer

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Developing a response plan on paper is important, but making sure that plan can be executed without a hitch is crucial should an emergency arise.

That was the idea behind a Tuesday morning Ebola Response Training.

“You play like you practice, so we want to make this as real as possible,” said Nash Deputy Emergency Management Coordinator Brent Fisher.

About 50 personnel from EMS, Emergency Communications, Public Health, Emergency Management and the Fire Marshal’s Office in Nash County joined staff from Nash UNC Health Care, LifeCare Hospitals of North Carolina and Eastern Environmental to run through what to do from the time a patient presents with Ebola-like symptoms to the time the patient is dropped off at the emergency room.

That meant that several paramedics had to be outfitted in full hazardous material suits, gloves, boots, masks and respirators while other personnel lined an ambulance in plastic to prevent contamination. Once they were suited up, the crew headed to LifeCare Hospital on Noell Lane where Nash County Paramedic Ricky Fortner played the patient with Ebola symptoms.

Fortner was suited up in his own protective gear and his belongings were placed in red biohazard bags before they all proceeded to Nash General Hospital’s emergency department, where they were met with more personnel in hazardous material suits.

“Though we hope to never have a true Ebola patient at our hospital, we have had a number of false alarms in recent weeks and want to make every effort to be fully prepared for an infected patient,” said Nash UNC Health Care Executive Director Continuum of Care Cindy Worthy.

Even after the patient’s care was transferred to the hospital, the work of the paramedics wasn’t over, as a great deal of caution had to be taken to disrobe from the “contaminated gear.”

“We have a lot of confidence in this team we’ve got because they’ve been through specialized training and can do what they need to do while being safe in the suits,” said Nash County EMS Director George Winstead. “That is very important because this is not only for the protection of our employees, but about letting the public know we have people who are capable and confident to handle situations like this.”

Scott Strufe, Nash EMS program manager and training officer, said officials believe the medical personnel who’ve been infected with Ebola in the United States were exposed when they took off their equipment. As such, participants in Tuesday’s exercise went through a checklist to ensure risk management.

“This is a chance for us to check our policies because you don’t know where your deficiencies are unless you try them,” Fisher said. “Once you know where they are, you can work to improve your technique for use if a real situation occurred.”

Fisher praised all of the agencies involved in the exercise.

“Just hearing the word ‘Ebola” put fear in people, but we hope that the knowledge that we’re preparing lessens the stress on community members,” Fisher said.

Emergency preparedness was stressed among all who participated Tuesday.

“It is our goal to be proactive and plan ahead,” said Robyn Perkerson, chief executive officer of LifeCare Hospitals. “We never try to wait and react after something has already happened.”

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At least some of the drugs,

At least some of the drugs, at least the ones that expire while at the store, get returned to the manufacturer. In the 80's and 90's, my mother worked for one of the mega-pharma companies in legionella testing and the return processing division. They would get cases of expired meds from stores and pharmacies, and they would be reprocessed. I am not sure what all that entailed, but some things were incinerated, and I think some packaging could be recycled.

Every state must have such

Every state must have such specialized services, because you will never know when you will need them. There are the normal emergency services, like the ambulance, the firefighters and the police, but besides these ones, a few emergency services are needed for critical missions. Even though the medical emergencies aren't critical missions, people who resort to them must receive proper care immediately. For instance, these reputed emergency rooms in Houston are famous for their great and prompt services and also for their professional doctors.

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