Thursday, October 16, 2014




Posted: 16 Oct 2014 09:25 AM PDT

Hello from the CNN Digital newsroom! Some of the ladies of the iReport team wore purple for Spirit Day -- standing against LGBT bullying.

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Ebola patient in Atlanta

Posted: 15 Oct 2014 07:24 PM PDT

If we didn't need any more excitement, the newest #Ebola victim being transported to Emory Hospital just passed us. @cnnireport

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Healthcare workers feel unprepared to care for Ebola patients

Posted: 15 Oct 2014 08:06 AM PDT

I am an Emergency Room Physician in New York. On American soil, the ER becomes the frontline for Ebola. Our hospital is trying to establish protocols for dealing with possible Ebola patients, but we know we are not adequately trained. No poster or guideline packet from the CDC can compare with the extraordinary experience workers have obtained in the field. We have drills and practice putting on equipment, but there is no one experienced on site to help us. We teach ourselves and that is the danger. I am sure the nurse in Dallas did EVERYTHING she was told to prevent transmission-who wouldn't do everything to the letter in such a situation? It was not her carelessness that led to transmission, it was institutional inexperience and lack of higher level training and oversight from the CDC.

These patients deserve to be cared for properly with state of the art resources, by people who know this terrible disease. If we do bring people to the US, they should be managed in regional centers with dedicated, EXPERIENCED teams. The CDC has created a potential disaster with their hubris. It is not fair to these patients, nor to health care workers, nor to the general public to treat them at just any hospital.

We are all nervous even though we know the risk of receiving such a patient is small. However, as the case in Dallas illustrates, once you have that case, you have reason to become frightened. There is much more involved in treating these patients and preventing transmission than the average doctor and nurse understand.

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My #cnnireport story

Posted: 15 Oct 2014 08:05 AM PDT

Image submitted by @spencerschaff
#sendmebacksunday while I attempt to make lido bar quality chipa guasu for #anthonybourdain #partsunknown #paraguay night!!!

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Emergency Preparedness: A Must in Today’s World

Posted: 14 Oct 2014 03:05 PM PDT

We are fortunate to live in one of the greatest countries in the world. For the majority of us who have been fortunate to live and grow up in the US, we have lived safe and comfortable lives which often have created feelings of complacency and the feeling that "nothing will happen to us". This feeling is not our fault, it has been one of the luxuries of our way of life but things have changed and the danger now is we can no longer feel "nothing will happen to us" for terrorism and Ebola have happened.
Americans have brief periods of preparing for future emergencies such as after the unthinkable, unimaginable tragedy of when 9/11 happened. After this tragedy we saw an increased awareness and increased emergency preparedness especially at our airports. But, again with time we became complacent and many again felt and even may still feel "it will not happen to us"
Now today, we are faced with both terrorism threats and the threat of Ebola, a life threatening virus. The danger of thinking "nothing will happen to us" creates us to react slowly in the face of real dangers. We do not prepare fast enough and underestimate how real the threat right now is. We are not vigilant when we should be. In fact, when facing the pandemic of Ebola, the news continues to remind us of the essential need to become prepare in order to keep all Americans including healthcare workers safe.
As both a Nurse Leader and a Nurse Educator for over 25 years, it is evident that we need to prepare for the possibility that we will have many more patients infected and affected by the Ebola virus. Presently working in an acute care hospital as a Nursing Supervisor at Good Samaritan Hospital in Suffern NY and teaching our future nurses at Nyack College NY allows me to recognize just how important leading, managing and teaching are when confronting an epidemic such as Ebola. At both the hospital and the college we are doing just that, we are preparing to meet the potential healthcare needs of others that may become exposed or contract Ebola. The need to advocate and provide compassionate care to others has always been among nursing's core values and will continue to be but to do so nurses need education and resources to combat an pandemic such as Ebola.
In order for nurses and healthcare workers to be able to care for others, we need to provide proper training and resources not only to doctors and nurses but for first responders such as EMS, Paramedics, Police Officers and even Fireman. For instance we need to prepare before a person comes to our healthcare facilities front door to seek medical attention. We need to think about real life scenarios and practice simulated emergency preparedness before they actually happen. In NY at both the hospital and college, we are being proactive by preparing and anticipating both our hospital staff and the nursing students to be confident and ready to provide safe and competent care. For example, similar questions we needed to consider at the hospital, I asked my nursing students. The following is the case study provided to nursing students this week in class:
• A 37 year old male is at home with his family and displays the following symptoms: elevated temperature, headache and experiencing severe abdominal pain. A family member calls 911. Two police officers and EMS arrive a few minutes later on the scene. The family member does not speak English and the patient is unable to communicate at this time. The patient has blood tinged emesis and is having explosive diarrhea. The patient is transported to the Emergency Department where you, the student, take the role as the triage nurse and help bring the patient directly into an emergency room.

• Consider the following questions:

• Did EMS call and prepare you for a possible Ebola case?

• What information was given to you prior to the patient coming into the ER?

• What screening data will you collect regarding this patient?

• What isolation precautions are available to you at this time?

• What isolation precautions have you been trained to use?

• What isolation precautions if any would you use?

• What nursing care will you provide to this patient at this time?

• Do you know what the protocol is or if you even have one at your hospital for a suspected Ebola patient?

• Do you have an isolation room available for this patient?

• How many isolation rooms do you have at the hospital that you work?

• What type of isolation rooms are they? For example are they negative pressure rooms?

• When and why would you think to use a negative pressure room?

• Are you nervous or anxious caring for a suspected or diagnosed Ebola patient?

• What can you do to decrease or even alleviate any anxiety or nervousness you feel?

• What care do you feel we should provide to Ebola patients?

• How do we care for their families and friend's needs at this time?

• Do we gently apply a soothing touch to a distraught family member of a patient with suspected Ebola?
There are so many scenario questions that need to be considered BEFORE an actual case arrives in our healthcare settings. Running through various case scenarios can help prepare healthcare workers prior to having to care for their first Ebola patient. Being prepared will also lessen the chance of healthcare workers becoming infected. We need to consider every person who may respond to patient in need of care such as EMS, Paramedics, Police, Fireman, Primary Care Providers, Nurses, and Nurses' Aides, Lab Technicians, Respiratory Therapists and the entire healthcare team as well as neighbors, friends and family. We need to remember that as healthcare providers it is essential that we receive proper training to be able to safely help those in times of need. Preparing for a crisis includes effective c communication among first responders, healthcare facilities and their interdisciplinary team of care providers as well as community and government leaders. Healthcare workers need to not only advocate for their safety but the safety patients, families, communities and society. We need to work as an interdisciplinary team and demand the best defense against this new healthcare threat. Demanding education, supplies and resources with emergency preparedness including proactive training is a must today.

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Ban Ki Moon Comes to Nirim

Posted: 14 Oct 2014 01:39 PM PDT

Secretary General of the United Nations, Ban Ki Moon, came to Nirim today to listen to the people who lived through this conflict. There were about 15 of us who came to speak. You can see us in the photos, above, as we waited nervously to be admitted into the communal dining room of Kibbutz Nirim, which had been transformed as the venue for this occasion.


All of the participants who were invited to come and speak, are people who live in the different communities along the border of the Gaza Strip, in the western Negev. We have all been through an extremely trying and tragic summer. We all had equally compelling, important stories to tell. Unfortunately, due to pressures from the Secretary General's assistants, only two actually got the opportunity to make themselves heard. The grandmother of Daniel Tregerman spoke, as did a resident of Sderot.


The Secretary General said that he knew war from close up, as a Korean. He empathized with us, and said that the children of our community should have the freedom to run around freely on our lawns without fear of rocket attack. He expressed concern for the trauma that the residents - especially the children -  have experienced. He also recognized Israel's right to defend herself, and assured us that the money donated to Gaza will not fall in the wrong hands. (Do I believe he can actually follow through with that? Who knows... the eternal optimist in me wants to believe him...)


Part of what he said can be heard here.


What follows is the text with what I had intended to tell him, but did not get the opportunity to. As he bid each of us farewell, I placed it in his hand, and asked him to please read it. I guess I will never know if he actually read it. I hope so. At least I will have my say here.


At any rate, it was an honor to host him here on Kibbutz Nirim.


Welcome to our humble community dining room. My name is Adele. I was born in the US but I have lived here on Nirim for 39 years – all of my adult life. I married here, raised my children here.


When I first came to live here, this was the most quiet, peaceful place in the world – as it sounds today, the day of your visit. We used to pile into a van and go to the beach on the Gaza shore, then pop into the market to buy wicker furniture. A Gazan man built my home in 1996 - not all that long ago.


Ever since I came here, I have known about a song that the people who live here wrote, about how the day will come when we will be able to go to Han Yunis to see movies in spoken Arabic, to bring the guard tower from the kibbutz over to the Gazan shore, to be repurposed as a life-guard tower. The people of this community have always, and still do, want to live in peace with their neighbors.


This past summer was a nightmare – for the people living on both sides of the border. My heart goes out to the people of Gaza, who have been wounded, lost their lives, their homes. I have no doubt that the Gazan people also want to live in peace, to put food on their tables, have safety and security for their children.


As do we.


However, it is unacceptable for us to be living in a situation as we have been living for over a decade, with the threat of Hamas rocket fire, and concerns that noises we hear below our feet at night could be the digging of another tunnel of terror that will enable Hamas terrorists to infiltrate our community, our homes – popping up in the middle of our kibbutz, spraying the children playing outside with automatic gunfire, taking hostages.
It is unacceptable that my newly-wed daughter be afraid to raise a family here – both she and her husband are the third generation on Nirim.


It is unacceptable that our friends from this kibbutz lose their lives and limbs, simply trying to restore our electricity, which had been knocked out by Hamas rockets.


It is unacceptable for the Hamas to hold both the Gazans, as well as us, hostage, as they did this past summer.


I am hoping that someday soon I will hear that the people of Abasan or Han Yunis have written a song, pining for the day when they can live in peace with us, their neighbors in Nirim. I am hoping that the people of Gaza will soon have something to live for rather than just having something to die for.

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Berlin Is Togetherness

Posted: 13 Oct 2014 11:14 AM PDT

Berlin Is Togetherness  --  Markku Rainer Peltonen

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