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Have undressing instructions given over loudspeaker as a reminder to healthcare workers

In the area where soiled gear is taken off, have step by step instructions given outloud to walk the tired, stressed healthworkers through the steps of carefully taking off their gear. It could be a person coaching them over a microphone or it could be a recording.

Photo of Rebecca Buechel

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Such a system will help avoid accidental contamination.
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18 comments

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Photo of Raul Villaseca
Team

We have included in our design, video cameras and monitors for supervision, monitoring and communication. Not only in the areas of income and output.
also in the areas of care to patients, accompaniment is a form of support, motivation and helps prevent errors.

Photo of Rebecca Buechel
Team

Hi Raul, where is your design ? is it in place or on paper? is there a link ? ☼

Photo of John
Team

Even if a protocol violation were not prevented, it might be detected and that would help with process improvement.

Photo of John
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You could also have instructions right on the suite perhaps though details. At a minimum a sequence of numbers could identify the steps. Some could have written prompts. Decals might be in the uniforms.

Photo of Rebecca Buechel
Team

Sure, written instructions at a minimum, but with foggy goggles etc...., I think the moral support of an "remote" coach (rather than another tired healthcare worker buddy) would not only be much safer, but a live opportunity for feedback for quicker improvements where necessary.

Photo of Andy Miller
Team

Would mirrors play a role in helping a single person doff ppe?

Photo of Rebecca Buechel
Team

I think mirrors might be distracting for the person & flatten the perception of depth ?
Just read today training is being done for HCWs where tabasco sauce becomes a marker of "contamination" during practice sessions: http://allnurses.com/disasters-preparing-responding/way-spice-up-956275.html

Photo of Rebecca Buechel
Team

And then there's this news about copper as an anti-ebola surface...
http://www.sciencedaily.com/releases/2014/10/141030101243.htm

Photo of John
Team

Andy / Rebecca, with regard to mirrors being distracting you would need to use them properly. I use a mirror in the bathroom every morning to shave and brush my teeth. I don't use it to put on my shoes because that would be a distraction.

The mirrors in the clothing stores come to mind. One of those mirrors might be an add to an observer. The person putting on and taking off a suit could even fact away from the mirror.

Photo of Rebecca Buechel
Team

Interesting read for "a day in the life of an ebola clinic" in Sierra Leone http://www.irinnews.org/report/100716/day-in-the-life-of-a-kenema-ebola-treatment-centre

Photo of Chris Davies
Team

Oh, this is a good one. I read it takes 6 minutes to take off the gear. This might make it 8 or 10, but worth it. Cheap and scales well.

Photo of Rebecca Buechel
Team

yeah, and could provide vocal moral support

Photo of Rebecca Buechel
Team

A bit like with astronauts on a space walk

Photo of Rebecca Buechel
Team

And someone posted that it takes 14 hours to train health workers how to suit up and undress! On TV Doctors Without Borders was mentioned (cnn) as having only 1 healthcare worker infected since they've dealt with ebola (beginning in the 70's!), so their suit up/off procedure seems to be a worthy model to share/start with.

Photo of Rebecca Buechel
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Such remote coaching could include relaxation steps for over-stressed health workers (i.e. taking deep breaths etc to de-stress)

Photo of John
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Equally important might be doing the same when gear is put on. My understanding is that it is important that gear be used properly.

Photo of Rebecca Buechel
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Yes. And I think live coaching through a speaker / webcam would be best to follow the rhythm of the worker. The person coaching the dressing/undressing health worker would be offsite and guide thru a skype-like webcam set up.

Photo of OpenIDEO
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Hi Rebecca, interesting post! Any chance you could find an image to go along with it? Images help grab attention and tell a story with higher impact. You should be able to use the Update Entry button on the right of your post and follow the instructions to add images from there. We know occasionally people have issues uploading images so let us know by hitting the Feedback button at the bottom of most pages of our site if you face any problems. Looking forward to seeing more of your inspiring insights on OpenIDEO.

And here's some tips on adding visual goodness to your idea: http://ideo.pn/vis-uals plus more on evolving your thought-starter: http://ideo.pn/oi-evolve