Nurses File Cal-OSHA Complaint After Hospital Refuses to Supply Swine Flu Masks for...

Tue Jul 14, 2009 3:18pm EDT
 
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Nurses File Cal-OSHA Complaint After Hospital Refuses to Supply Swine Flu
Masks for Units with Infected Patients
Sutter Solano Creates Potential Danger to Patients and Conditions That Could
Further Spread Swine-Flu Pandemic with Refusal to Safeguard RNs






OAKLAND, Calif., July 14 /PRNewswire/ -- RNs from the California Nurses
Association/National Nurses Organizing Committee (CNA/NNOC) have filed an
urgent plea with the state of California to step in and force Sutter Solano
Hospital to provide nurses with proper safety equipment when they care for
patients infected with the H1N1 "swine flu" virus.  The nurses fear that the
unsafe procedures at the hospital create a danger of infection for every
patient at the facility, as well as for the surrounding community.

The plea comes as nurses are actively caring for hospital patients infected
with the virus, and with up to 10 RNs from the facility experiencing severe
respiratory illness in recent weeks that their physicians have called
"probably" the swine flu, leaving them physically unable to work.  

The nurses requested assistance from the California Division of Occupational
Health and Safety just days after the World Health Organization re-classified
H1N1 as an "unstoppable" Level 6 pandemic, with the number of confirmed cases
worldwide approaching 100,000, and 170 confirmed deaths in the United States
alone.

Sutter Solano has purchased so few of the proper N95 masks that most nurses
working with patients are unable to procure an adequate supply of disposable
masks.  Last week, the union raised their concerns with management.  On
Friday, the hospital supplied new masks that did not properly fit, making them
useless for stopping the virus.  Management responded by ordering the nurses
to wear a contact mask on top of the ill-fitting N95 masks but the nurses
raised concerns because doing so can increase carbon dioxide retention in the
mask wearer.  Earlier that week, management had given nurses a single mask in
a plastic bag, with instructions to re-use it repeatedly, rendering the mask
useless for infection control purposes.  Compounding these problems, some
rooms with infected patients lack appropriate HEPA filters, and proper
isolation protocol is not being followed, with visitors moving in and out of
contact with infected patients.

"Nurses will be on the front line of the fight against the H1N1 virus. 
However, if hospitals refuse to take basic safety steps to protect them from
exposure, then infected RNs will be physically unable to continue working and
may well become a vector for further infection.  We nurses are shocked that
hospital management is exposing us to this risk.  It endangers every other
person we come into contact with--our patients, our family, even management. 
This is not a time for finger-pointing, this is the time for Sutter Solano
management to do their job and provide nurses with basic safety protections,"
said Sherry Ramsey, a RN at Sutter Solano.

Hospital management has claimed that there is a national shortage of the
appropriate masks, a charge not verifiable in any way: neither the Centers for
Disease Control nor the mask's manufacturers have reported any shortage, and
other hospitals are able to provide their nurses with this safety protection.

"Sutter Health is an outlier with their refusal to protect nurses against the
H1N1 virus.  They must immediately move to safeguard these nurses, because we
have a very busy and deadly flu season coming up, and hospitals must meet
safety standards," said Deborah Burger, RN, a diabetes case management nurse
and co-President of CNA/NNOC.

A study published in October 2009 by the Journal of Occupational and
Environmental Hygiene found that face-seal leakage, such as that caused by the
use of ill-fitting masks, is a key reason for mask failure, and allowing the
penetration of viral particles.  The article, "Performance of an N95 Filtering
Facepiece Particulate Respirator and a Surgical Mask During Human Breathing:
Two Pathways for Particle Penetration," by Sergey A. Grinshpun et. al.,
reports that, "The number of particles penetrating through the faceseal
leakage of the tested respirator/mask far exceeded the number of those
penetrating through the filter medium."

CNA/NNOC is the largest and fastest-growing organization of RNs in the U.S.
with 86,000 members in all 50 states.


SOURCE  California Nurses Association/National Nurses Organizing Committee

Shum Preston, +1-510-273-2276

 

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