• JNESO Convention 2014

Ebola Virus: Guidance for Infection Control for Healthcare Workers

Active and direct active monitoring

Active monitoring means that the state or local public health authority assumes responsibility for establishing regular communication with potentially exposed individuals, including checking daily to assess for the presence of symptoms and fever, rather than relying solely on individuals to self-monitor and report symptoms if they develop. Direct active monitoring means the public health authority conducts active monitoring through direct observation. The purpose of active (or direct active) monitoring is to ensure that, if individuals with epidemiologic risk factors become ill, they are identified as soon as possible after symptom onset so they can be rapidly isolated and evaluated. Active (or direct active) monitoring could be either conducted on a voluntary basis or compelled by legal order. Active (or direct active) monitoring and prompt follow-up should continue and be uninterrupted if the person travels out of the jurisdiction.

Guaranteed Safe Staffing Ratios and Scheduled Shifts

JNESO nurses at Saint Michael’s Medical Center in Newark became the first in the state to ratify a contract that guarantees safe staffing ratios and prohibits shift cancelations. Both of these provisions are essential to patient safety and maximizing the efficiency and effectiveness of care.
The agreed to staff ratio will be a minimum of one nurse for every five patients on a unit. By contrast, there are certain medical units in the state where one nurse is responsible for nine patients – a proportion that is deemed unsafe for patients and by medical professionals alike. Achieving a contract that provides for safe staffing ratios speaks to the professionalism and dedication of the union nurses at Saint Michaels.