Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

The Ebola outbreak: Don’t blame the nurse

Sarah Beth Cowherd, RN
Conditions
October 4, 2014
Share
Tweet
Share

shutterstock_193801559

There is a lot of talk about why the man diagnosed with Ebola at Texas Health Presbyterian Hospital was sent home from the emergency room not having been tested for Ebola despite telling the triage nurse he had been in Liberia.

Because they let him go, he came in to contact with up to 20 people including a handful of school aged children. According to CNN, “Hospital officials have acknowledged that the patient’s travel history wasn’t fully communicated to doctors.”

“A travel history was taken, but it wasn’t communicated to the people who were making the decision … It was a mistake. They dropped the ball,” said Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases.

“They dropped the ball.”

I certainly hope Dr. Fauci is not talking about the nurse.

Don’t get me wrong, internal communications, or lack thereof, is a very serious problem in health care today. And the common patient is often unaware of this. To the patient, if you tell one person, they will tell the others. Unfortunately, as we all to well know, this isn’t always the case.

The nurse was following a check list which asks about foreign travel as a part of the history taken on each patient with infectious symptoms. He or she must have documented this in a computer chart but they must not have verbally told the doctor. To be completely safe, a patient presenting with these symptoms with a travel history from Liberia who had contact with someone who died of Ebola should have been immediately put on contact isolation pending testing. But for this, we should not blame the nurse.

Each doctor is supposed to take their own history as a part of the examination of the patient. The fact that the emergency doctor or doctors did not take a thorough history is not the fault of the triage nurse. In fact, this isn’t a “communication” problem at all. It is an examination problem. For reasons unknown, because it hasn’t been addressed in the media, the doctor simply failed to ask the right questions.

This was a mistake, and hopefully not a deadly one. 80 people are now being monitored for signs and symptoms of the disease for the next 21 days, the incubation period of Ebola. They likely will be just fine. It is an unfortunate circumstance.

But let’s not default to blaming the nurse.

Sarah Beth Cowherd is a nurse who blogs at SaraBethRN.com.

Image credit: Shutterstock.com

Prev

Physicians don't take the time to communicate with their colleagues

October 4, 2014 Kevin 14
…
Next

How the costs of care impacted H. pylori treatment

October 4, 2014 Kevin 0
…

Tagged as: Emergency Medicine, Infectious Disease

Post navigation

< Previous Post
Physicians don't take the time to communicate with their colleagues
Next Post >
How the costs of care impacted H. pylori treatment

ADVERTISEMENT

More by Sarah Beth Cowherd, RN

  • Nurse Nina Pham is a hero: Stop blaming her

    Sarah Beth Cowherd, RN
  • 5 ways to bridge the communications gap with doctors

    Sarah Beth Cowherd, RN
  • a desk with keyboard and ipad with the kevinmd logo

    Receiving disability payments is more difficult than one might think

    Sarah Beth Cowherd, RN

More in Conditions

  • Why hesitation over the HPV vaccine threatens public health and equity

    Ayesha Khan
  • Why your health is a portfolio to manage

    Larry Kaskel, MD
  • Pain control failures in fertility clinics

    Maire Daugharty, MD
  • Why what you do in midlife matters most

    Michael Pessman
  • Was Viagra the best heart drug we never had?

    Bharat Desai, MD
  • How to stay safe from back-to-school illnesses

    Kevin King, PhD
  • Most Popular

  • Past Week

    • A doctor’s letter from a federal prison

      L. Joseph Parker, MD | Physician
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • A surgeon’s view on RVUs and moral injury

      Rene Loyola, MD | Physician
    • Why doctors are losing the health care culture war

      Rusha Modi, MD, MPH | Policy
    • A cancer doctor’s warning about the future of medicine

      Banu Symington, MD | Physician
    • How retraining the physician mindset can boost resilience and joy in medicine [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • The ignored clinical trials on statins and mortality

      Larry Kaskel, MD | Conditions
    • How one physician redesigned her practice to find joy in primary care again [PODCAST]

      The Podcast by KevinMD | Podcast
    • I passed my medical boards at 63. And no, I was not having a midlife crisis.

      Rajeev Khanna, MD | Physician
    • The silent disease causing 400 amputations daily

      Xzabia Caliste, MD | Conditions
    • Why medicine needs a second Flexner Report

      Robert C. Smith, MD | Physician
  • Recent Posts

    • How retraining the physician mindset can boost resilience and joy in medicine [PODCAST]

      The Podcast by KevinMD | Podcast
    • How AI on social media fuels body dysmorphia

      STRIPED, Harvard T.H. Chan School of Public Health | Policy
    • Physician work-life balance and family

      Francisco M. Torres, MD | Physician
    • Why hesitation over the HPV vaccine threatens public health and equity

      Ayesha Khan | Conditions
    • What psychiatry teaches us about professionalism, loss, and becoming human

      Hannah Wulk | Education
    • How Gen Z is reshaping health care through DIY approaches and digital tools [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 36 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • A doctor’s letter from a federal prison

      L. Joseph Parker, MD | Physician
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • A surgeon’s view on RVUs and moral injury

      Rene Loyola, MD | Physician
    • Why doctors are losing the health care culture war

      Rusha Modi, MD, MPH | Policy
    • A cancer doctor’s warning about the future of medicine

      Banu Symington, MD | Physician
    • How retraining the physician mindset can boost resilience and joy in medicine [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Rethinking the JUPITER trial and statin safety

      Larry Kaskel, MD | Conditions
    • The ignored clinical trials on statins and mortality

      Larry Kaskel, MD | Conditions
    • How one physician redesigned her practice to find joy in primary care again [PODCAST]

      The Podcast by KevinMD | Podcast
    • I passed my medical boards at 63. And no, I was not having a midlife crisis.

      Rajeev Khanna, MD | Physician
    • The silent disease causing 400 amputations daily

      Xzabia Caliste, MD | Conditions
    • Why medicine needs a second Flexner Report

      Robert C. Smith, MD | Physician
  • Recent Posts

    • How retraining the physician mindset can boost resilience and joy in medicine [PODCAST]

      The Podcast by KevinMD | Podcast
    • How AI on social media fuels body dysmorphia

      STRIPED, Harvard T.H. Chan School of Public Health | Policy
    • Physician work-life balance and family

      Francisco M. Torres, MD | Physician
    • Why hesitation over the HPV vaccine threatens public health and equity

      Ayesha Khan | Conditions
    • What psychiatry teaches us about professionalism, loss, and becoming human

      Hannah Wulk | Education
    • How Gen Z is reshaping health care through DIY approaches and digital tools [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The Ebola outbreak: Don’t blame the nurse
36 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...