Pam Vaccaro’s home phone rings at 4:30 a.m. A patient has arrived
at North Oaks Medical Center concerned about pesticide exposure –
what is the risk? And with that, the day has officially begun for Vaccaro,
who is an RN and the Infection Prevention Director at North Oaks Health System.
Enterovirus-D68 have the entire nation asking questions about the steps health care institutions
take to protect their communities from infectious diseases. Vaccaro, who
is certified by the Certification Board of Infection Control and Epidemiology,
spearheads those efforts at North Oaks. It’s a charge she takes
seriously, and it’s a priority 365 days a year, 7 days a week, 24
hours a day.
In her office, coffee in hand, she turns to her computer and the latest
update from the
Centers for Disease Control and Prevention (CDC). “Every day, the CDC provides updated information on
all infectious diseases, from more common conditions like West Nile Virus
and the flu, to those more rare, like Ebola or anthrax,” states
Vaccaro. “I use that information, and guidance from
Dr. Stacy Newman, North Oaks’ infectious disease specialist, to educate our staff
and ensure that our policies are up-to-date so that we are prepared to
handle any situation involving any infectious disease.”
Arming the community with infection prevention information they need also
is an important responsibility of North Oaks Health System. Vaccaro recently
worked with North Oaks health educators to provide area day care centers
with information about Enterovius-D68, a condition that primarily affects
young children. She also has worked with
Southeastern Louisiana University to share information about Ebola, and help them adapt their infectious
disease policies for the collegiate setting. Meanwhile this summer, Dr.
Newman spoke to local media about prevention of
vibrio vulnificus, a.k.a. “flesh-eating bacteria,” plaguing the Gulf Coast’s beaches.
“I’ve been accused of employing an ‘over-abundance of
caution’ in my role,” Vaccaro points out with a smile. “But
it’s always easier to prevent an infection than to ‘chase
the horse after it’s left the barn.’”
While prevention is key, the reality is that people who come to the hospital
or a physician’s clinic are often contagious. The goal then becomes
two-fold: caring for the patient and protecting others from getting sick.
“We have very specific policies that direct how to provide patients
diagnosed with or suspected of having infectious conditions all the medical
care they need in a manner that is respectful, preserves their dignity
and protects other patients, visitors and hospital staff.” Protective
measures may include putting the patient in a private room or isolation
room with their own bathroom; requiring staff to wear special masks and
gowns to help prevent the spread of infection; and using special disinfection
protocols for linens, equipment and dishes used in the care of the patient.
Communication is vital to the success of an infection prevention and control
program. At North Oaks, safety huddles are conducted every day to share
information about special precautions that may be needed. “Just
today, I worked with our
ER staff to confirm that our electronic health record quickly identifies
any patient who reports they have traveled to or been in contact with
someone who has been to Africa in the past 21 days. That’s information
our medical team absolutely must have.” The process works well;
the infection rate at North Oaks is below both state and national levels.
Vaccaro also shares information about infectious diseases with other area
hospitals and with local, state and national organizations, including
the CDC and state
Office of Public Health. This information helps physicians called epidemiologists study how common
a disease is and identify patterns in how disease spreads in human populations.
Special hotlines are available 24/7 to make it easy to get information
to the people who need it.
Given today’s high alert about Ebola – what advice does Vaccaro
offer? “Get your
flu shot!” she exclaims. “The flu killed 10,000 people last year in
the U.S. – more than the number of people who at present have died
from Ebola world-wide. It’s the best way to protect yourself against
the flu; or if you do become ill, lessen the severity and length of time
you are ill.” Flu shots that are latex- and preservative- free,
and protect against the four most common strains of the flu, including
H1N1, are available at select
North Oaks clinic locations. North Oaks also will be making masks available at the main
entrances to its facilities for any visitors who are concerned about flu
or other airborne illnesses.
The phone rings again – it’s the ER with a question about the
precautions required for a patient who has just arrived. Pam takes the
call in stride – it’s all in a day’s work in infection
prevention. “At the end of every day, I know I’ve made my
community, and my hospital, a safer place to be. That’s what it’s
all about – I love my job.”