quote:
Actual risk tells us a nurse was not capable of making that decision. Especially a nurse as emotionally unstable under the circumstances as to run her temperature up to 101° in a fit of rage.

She didn't run her temperature up, she became angry/distressed which caused her face to flush. As I'm sure you know, increased increased blood flow to the face and forehead can increase locally the temperature of the skin of the face and forehead. So of course a hand-held thermometer will pick up an increase when pointed at the forehead - however, this is in no way indicative of true fever, which is why she should have been checked with an oral thermometer immediately.

Subsequently, when she was checked at the hospital by oral thermometer, she had no fever. However, the airport (and state) was only interested in quarantining her, regardless of presence of disease.

And I wasn't on the phone call with Vinson - there are perfectly acceptable circumstances where she could have been told it was low/no risk, then after more facts came out it was deemed too much a risk. I know you have some personal vendetta against Frieden, but he personally had nothing to do with that phone call, either.

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Posted by lsunurse

Member since Dec 2005

129071 posts

Posted on 10/31/14 at 12:37 pm to BamaAtl

She never had a fever. They used a forehand scanner type thermometer on her. Those aren't the most accurate if your face is flushed and warm from that. It read 101 when her face was flushed....oral temp was 98.6. Any ER will go with the oral temp readout over the forehead one if they are not the same (unless she just drank something cold or hot).

I know cause I see it at work. I'll use forehead scanner in a child and it read high....I take a oral temp to double check (which that is the most accurate besides a rectal or core temp) and it reads fine.

Also....If you aren't using the thermometer properly you won't get an accurate temp.

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Posted by NC_Tigah

Carolinas

Member since Sep 2003

124648 posts

Posted on 10/31/14 at 12:52 pm to BamaAtl

quote:
As I'm sure you know, increased increased blood flow to the face and forehead can increase locally the temperature of the skin of the face and forehead

How are Ebola screening temps normally done at airports? Are they not done in exactly the same manner?

She registered a 101°.
Period!
From that point she was done traveling for the day.

As a CDC worker she should have respected that.
The temp measuring technique identifying her as febrile is identical to the process that would strand anyone in Monrovia, Liberia given the same recording. The Liberian temperature screening process is something of which the CDC approves, is it not?

quote:
which is why she should have been checked with an oral thermometer immediately.

Is that protocol?

A registered fever in a potential Ebola carrier means don't worry. Simply change the thermometer. Then change the measuring site, and try again. If no fever is noted using the latter, then ignore the higher number, and geaux with the lower recording. Really?

quote:
And I wasn't on the phone call with Vinson - there are perfectly acceptable circumstances where she could have been told it was low/no risk, then after more facts came out it was deemed too much a risk.

So that's it!
Got it.

We find out if the person turns up with Ebola a couple of days later, and if they do, they were too much a risk to travel wherever they traveled.

By chance, do you work for the CDC?

quote:
I know you have some personal vendetta against Frieden, but he personally had nothing to do with that phone call, either.

Well let's see. First there was the ""paranoid"" accusation, and now I seem to have a ""personal vendetta"" against someone I've not met. Frieden is incompetent. It is nothing personal. It's not a "personal vendetta". He may be a really good guy at home. He has been awful in his role as CDC Director though. Just awful.

As a result, the Ebola saga is a leaderless quagmire.
Vinson is criticized for traveling.
Spencer is criticized for bowling.
Pham is criticized for caring.
THP is criticized as being subpar.
Duncan is criticized for lying.
And the public is criticized for being paranoid.

All points back to the simple fact of a leadership void.

This post was edited on 10/31/14 at 1:10 pm

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