I took advantage of the holiday slow-down in routine meetings to visit our Health System’s new serious transmittable disease unit – the “Ebola Unit” – at Glen Cove Hospital. Wow!
I had the good fortune to have Darlene Parmentier, the nurse manager of the unit, tour me around and explain how patients will be cared for. Darlene is an experienced clinician and had a ready answer for every one of my questions. In fact, she had answers for lots of questions I never thought to ask! Despite the fact that the physical space had been transformed from an unoccupied “regular” hospital inpatient unit into a highly specialized containment and care facility in just days, I was amazed at the thoughtfulness of the design. Here are just a few of the salient features:
- A dedicated pathway (including a dedicated elevator) from an external ambulance bay directly into the patient care area
- Ample living space for care givers who may choose to stay on the unit between shifts, complete with thoughtful touches like a ping pong table and an X-box
- Designated training areas, recognizing that continuous simulation and drilling are integral to the effectiveness of the unit
- Well marked “zones” that correspond with the risk of contact or exposure to infectious agents, and dictate the different the levels of personal protective equipment that must be worn
- The pervasive evidence of planning, not just for the range of clinical challenges that may arise, but also for the needs of patients’ families, the impact on caregivers and the reaction of the community and news media
Overall, I came away incredibly impressed. Once again, our Health System has stepped up to do the right thing for our patients and our staff, and I am confident that any patient who needs treatment there will get great care.
Let’s hope it never happens. Continue reading System Readiness
With the first – and probably not the last – documented case of Ebola in New York last week, the reaction of State and local governments was big news, and the preparations of the North Shore-LIJ Health System kicked into a higher gear.
New York City Mayor Bill DeBlasio, flanked by the President of the city’s Health and Hospital Corporation, Dr. Ram Raju, and the city Health Commissioner, Dr. Mary Travis Bassett, gave a news conference. I thought they struck just the right balance of information and reassurance, and grounded their responses in what is known about the disease. In discussing the movements of the patient, a physician who had been working in West Africa with Doctors without Borders, prior to his admission to Bellevue, they repeatedly stated that he had posed no threat to the general public. Indeed, they cited the case of the man who died of Ebola in Texas, who had spent days living with family members at a much more advanced stage of his illness, and did not transmit the disease to any of them. Of course, 2 nurses who later cared for him did, but he was far sicker by then (which means he had a much higher viral load, and was correspondingly more infectious), and we now know they likely had inadequate training and personal protective equipment.
Continue reading More on Ebola
I have a pretty well-rehearsed answer for anyone who asks me what my role is all about. For those unfamiliar with the North Shore-LIJ Health System, I rattle off a few key statistics (16 hospitals, $7 billion in revenue, 48,000 employees) and then give a brief description of our clinical service lines, the ambulatory services division, which provides operational and back-office support to our physician practices, and the medical group, which integrates clinical services. Continue reading Planning for the future
It has been a good week for celebrating doctoring. The week started with a dinner in honor of the winners of our Patients’ Choice award, and ended with our health system’s third annual “Harvest Moon” physician celebration. The latter is a social event designed to allow all of our affiliated physicians the chance to get together for an evening devoted to nothing more complicated than getting to know one another better. Continue reading Physician Celebration