Recommended - 16 hrs   Advanced…Day one Classroom - Day 2 Hands on situations drills…Decontamination   systems will be involved..day 2  will introduced the stress, different situations and the command structure…Control and security will come into the theater of operation…Safety and security officers will be shown the need to act and take control .…


Main Staff - 8 hour minimum training course – Other modules can  be added as  needed.  


Secondary Staff - 4 hour introduction... This can be expanded  as the alert system is elevated


As soon as possible, the hospital should acquire all of the materials needed to meet appropriate hygiene standards and contact precautions.
• Non--touch Infrared thermometers (you will need several)
• Chlorine powder or 40 gallons of bleach
• Chlorine hand wash buckets with spigots -- One for the ER, one for each ward, one for registration (one of the ill health care workers was a registration clerk), one for the visitors area, and at least 4 for the isolation unit.
• Disposable gowns with sleeves for the ER. (Medline Polyethylene Thumb Loop Style Isolation Gowns can be ordered for $0.50 USD each online). The quantity ordered will depend on the volume of ER patients and number of hospital beds, but we recommend having a very generous supply of these gowns.
• Gloves (will essentially require twice as many gloves as currently using)
• PPE for 2--4 weeks (typically use approx. 12--14 suits/day when caring for 1--4
Ebola patients as teams of 2--3 enter the unit approximately every 3--4 hours).
o Tyvek or Tychem overalls by Dupont (Size XXL and Medium). Any other products should be tested for impermeability before using.
o Tyvek hood/mask (isoclean or microclean)
o N95 mask (duck--bill best)
o exam gloves
o surgical gloves (size 6.5, 7.5, 8) to be worn over the top of the exam
o rubber boots (size 7, 8, 10, 12)
o goggles
o rubber aprons
o heavy rubber gloves
• Several rolls of Duct tape (some of the suits have thumb loops and are safe to be worn without taping the sleeve to the glove, but for those without thumb
loops, duct tape is needed to secure the glove).
• 3 sprayers (garden sprayer okay. Square lever pump work better than round sprayers with a pump on top).
• Scrubs that can be dedicated for Ebola care. (After use, these should be soaked in a bleach solution for 1 hour before washing).
• Buckets or bedside commodes (many patients have cholera--like diarrhea)
• Wide shallow basins to be used as foot baths
• Several approx. 40--gallon plastic trash cans to mix chlorine solution and soak aprons, scrubs, and boots.
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• Thick garbage bags (heavy--duty)
• Electronic BP cuff to be used on confirmed cases only (cannot auscultate BP
through the tyvek suit)
• Pulse oximeter to be used on confirmed cases
• Oxygen canisters or oxygen concentrators and tubing
• Foley catheters and insertion kits (To be used early in care. Volume management is the mainstay of treatment and urine output of 0.5 ml/kg/hr must be maintained)
• Plastic mattress covers
• Extra mattresses
• Linens and patient gowns (soiled linens and gowns will typically be disposed of so a plentiful supply is needed)
• Adult diapers
• Chux underpads
• IV tubing, IV cannulas and IV flush.
• Syringes, needles, alcohol
• IV Lactated Ringers (patients require 6--8 liters/day at times).
• IV Potassium supplementation (hypokalemia can be severe in these patients with profuse diarrhea)
• D50
• Ceftriaxone
• Oral Levaquin
• Oral Azithromycin
• Omeprazole
• Paracetamol or Acetaminophen
• Antimalarial med (Coartem or IV Artesunate)
• Multiple Vitamin
• Vitamins A, B--complex, and C
• Parenteral nausea medication (we avoided the promotility agent, metoclopramide because of the diarrhea that most patients have)
• Diazepam
• Parenteral pain medication (in our experience, 2 mg morphine tid was a much more effective antimotility agent than imodium or lomotil in those with severe diarrhea)
• Blood typing kits (If the reference lab is unable or unwilling to provide blood typing).
• Nutritional supplements (plumpy--nut or nutritional shakes)
Establish a reliable supply chain. Frequent shipments may be required to replenish supplies.
UPDATE ... OCT 23, 2014 I just sent out a Letter to Canada, to prepare the funding and planning for 1000 of our High-Tech Hospital and Clinic System for Africa.  In our early planing this was designed with the intent for Infectious Deseases. This design will involve the ventalation and lighting systems to control and kill the virus as the workers move through different sections. Once delivered the building system will be setup and working with-in a week if our plan is  followed. There is no other repid responce system in the world with this protection in this type of operation. I am the ASIA repersinitive for this solution.  D.Rymer 
UPDATE ... Oct 24, 2014   Whereas.... The movement around the world to make ready is moving at a snales pace... My visits to privite hospitals here in Mindanao offten reply that they will start their training as they receive a Ebola Patient... The Government Hospital here in Gensan has sent repersentivies to Manila to train with the DOH. Outside of the Government starting..... I see so far a repeate  of another failed disaster where people are not ready and proprety trained. There is little to none Level 3 protection equipment. At this point our offer to assistance is not being received as the ungency of what it repersents. D.Rymer
This list will be under constance change and I will also direct suggestions for the Barangay and Home level.
We need to be using Level 3 Protection.... In Truth this will not be possible here in the Philippines. We will try and place a plan that will save lives to the hightest level possible if this Virus makes entry....Studies say that this is highly possible.
Home Survival
Emergency Response