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Major Article| Volume 48, ISSUE 4, P375-379, April 2020

An update on US Ebola treatment center personnel management and training

Published:February 06, 2020DOI:https://doi.org/10.1016/j.ajic.2019.12.005
An update on US Ebola treatment center personnel management and training
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      Highlights

      • •
        Ebola treatment centers are facing competing demands for resources and staffing.
      • •
        Dedicated Ebola-care units require cadre of highly trained staff.
      • •
        US preparedness capabilities for highly hazardous communicable diseases are reduced.
      • •
        Research and support is needed to sustain US high-level isolation capabilities.

      Background

      In 2014, 56 US hospitals were designated as Ebola treatment centers (ETCs). ETCs had minimum augmented capability requirements for Ebola virus disease care, including for staffing and training. We sought to identify current ETC staffing challenges and frequency of staff retraining.

      Methods

      In May 2019, an electronic survey was distributed to representatives of the 56 ETCs.

      Results

      Sixty-six percent (37/56) of ETCs responded. Registered nurses comprised the majority of ETC staff. All responding units required orientation training (average = 15.21 hours) and all but one required retraining. Among the top challenges that ETCs reported to maintaining high-level isolation capabilities were staff training time, staff recruitment, staff retention, and training costs.

      Discussion

      Five years after ETC designation, units face staffing challenges. Research is lacking on the effective number of hours and optimal frequency of staff training. ETCs reported smaller staffing teams compared to our 2016 assessment, but team composition remains similar. As units continue to maintain capabilities with decreasing external support and attention, the need for retraining must be balanced with logistical constraints and competing demands for staff time.

      Conclusions

      Our study shows that US preparedness capabilities are reduced. More research, support, and funding are needed to sustain the unique knowledge and proficiency acquired by ETC teams to ensure domestic preparedness for highly hazardous communicable diseases.

      Key Words

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      Article info

      Publication history

      Published online: February 06, 2020

      Footnotes

      Conflicts of interest: None to report.

      Identification

      DOI: https://doi.org/10.1016/j.ajic.2019.12.005

      Copyright

      © 2019 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

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