title: Hospital Preparations for Viral Hemorrhagic Fever Patients and Experience Gained from Admission of an Ebola Patient.
abstract: The Major Incident Hospital of the University Medical Centre of Utrecht has a longstanding history of preparing for the management of highly pathogenic and infectious organisms. An assessment of the hospital's preparations for an outbreak of viral hemorrhagic fever and its experience during admission of a patient with Ebola virus disease showed that the use of the buddy system, frequent training, and information sessions for staff and their relatives greatly increased the sense of safety and motivation among staff. Differing procedures among ambulance services limited the number of services used for transporting patients. Waste management was the greatest concern, and destruction of waste had to be outsourced. The admission of an Ebola patient proceeded without incident but led to considerable demands on staff. The maximum time allowed for wearing personal protective equipment was 45 minutes to ensure safety, and an additional 20 minutes was needed for recovery.
authors.forename: J J Mark
authors.initials: JJ
authors.lastname: Haverkort
authors.forename: A L C Ben
authors.initials: AL
authors.lastname: Minderhoud
authors.forename: Jelte D D
authors.initials: JD
authors.lastname: Wind
authors.forename: Luke P H
authors.initials: LP
authors.lastname: Leenen
authors.forename: Andy I M
authors.initials: AI
authors.lastname: Hoepelman
authors.forename: Pauline M
authors.initials: PM
authors.lastname: Ellerbroek
mesh_terms: D019468:Disease Management; D004632:Emergency Medical Services / Q000458:organization & administration; D019142:Hemorrhagic Fever, Ebola / Q000453:epidemiology* / Q000517:prevention & control*; D006760:Hospitalization; D006761:Hospitals; D006801:Humans; D011159:Population Surveillance; D000078329:Workforce
keywords: Ebola; Ebola virus; Ebola virus disease; biosafety level; disease outbreak; major incident hospital; personal protective equipment; preparedness; the Netherlands; viral hemorrhagic fever; viruses
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