What Pa’ents Should Know About the Zika Virus: A Cer’fied Nurse-Midwife, Nurse Prac’’oner and Epidemiology Collabora’on. Diane Y. John PhD, ARNP, FNP-BC, Deborah Brandt Karsnitz DNP, CNM, FACNM Purpose To highlight collabora’ve efforts of the DNP prepared nurse through iden’fica’on of inter and intra-professional teamwork to educate and share informa’on with healthcare providers, pa’ents, families, communi’es and popula’ons about the Zika virus. Background According to the CDC (2016), the Zika virus was first discovered in 1947. The virus is named a[er the Zika Forest in Uganda. The first human cases of Zika were detected in 1952. Zika virus spreads to people primarily through the bite of an infected Aedes species mosquito (Ae. aegyp’ and Ae. albopictus) Zika virus can also spread: • During sex with a partner infected with Zika virus. • From a pregnant woman to her fetus during pregnancy or around the ’me of birth. • Through blood transfusion (likely, but not confirmed). The virus is achieving pandemic status in several countries and is now threatening the United States. Reported Ac’ve Transmission- All Countries & Territories with ac’ve Zika virus transmission (CDC, 2016) Team Huddles Originated to help health care teams increase communica’on, review past and current history , plan for ongoing health care and prevent adverse outcomes. Results: • Brief and frequent mee’ngs • Improved communica’on • Reveal poten’al risks • Increase pa’ent safety • Work towards a common goal • Increase trust and mutual respect • Decrease adverse outcomes Frequently Asked Ques’ons – Pa’ents/Family/Community • Mode of Transmission • Signs and Symptoms of Zika Virus • Signs and Symptoms of Guillain-Barre • Teratogenicity • Gesta’onal Age and Teratogenicity • Contagion • Treatment • Lab Tes’ng • Preven’on • Travel Plans • Microcephaly Collaborative Huddle for Emerging Information: Zika Virus Zika Virus – Updates (Team) • Partnership – Primary Care/Specialty Care • Consultant – Epidemiologist (Zika Virus) • Scheduled – Quarterly Team Mee’ngs • Concerns from new/publicized informa’on • Brief (15-30 minutes) • Prepared ques’ons • Plan for Dissemina’on • Pa’ent/Family/Community • Other health care providers/systems Conclusions • Zika virus outbreak declared a Public Health Emergence of Interna’onal Concern (PHEI) • The CDC has elevated its response efforts to a Level 1 ac’va’on. • Collabora’ve ac’on by healthcare providers is essen’al to combat the devasta’ng effects of the Zika virus. Implications for Practice • Interdisciplinary Exper’se • Ongoing Communica’on • Up-to-date facts in an emerging health care scenario • Increased Quality • Increased Accountability • Pa’ent Awareness • Dissemina’on to health care organiza’on • Culture of Collabora’on References CDC (2016). The Zika Virus. Retrieved from h=ps://www.cdc.gov/zika/. Fauci, A. S., & Morens, D. M. (2016). Zika virus in the Americas – Yet another Arbovirus threat. New England Journal of Medicine, 374:601-604. Goldenhar, L. M., Brady, P. W., Sutcliffe, K. M., & Muething, S. E. (2013). Huddling for high reliability and situaôn awareness. BMJ Quality and Safety, 22: 899–906. Ins^tute for Healthcare Improvement. (2016). Use regular huddles and staff mee^ngs to plan producôn and to op^mize team communicaôn. Improving Primary Care Access. Retrieved from hDp://www.ihi.org. Frequently Asked Ques’ons - Health Care Providers • Up-to date informa’on • Guidelines • Diagnosis • Treatments/Pallia’ve Care • Modes of Transmission • On-going research and results Impact Interdisciplinary Collaboration Zika virus disease in the United States, 2015–2016 (CDC, 2016) • US States: Travel associated cases (N=935) • US Territories: Locally Acquired cases (N = 2,020) • US Virgin Islands (N=21) Somoa (N=29) Puerto Rico (N= 1970)

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Page 1: Amazon Web Services - What Pa’ents Should Know About ...dnpconferenceaudio.s3.amazonaws.com/2016/Posters/JohnD...educate and share informaon with healthcare providers, pa’ents,

WhatPa'entsShouldKnowAbouttheZikaVirus:ACer'fiedNurse-Midwife,NursePrac''onerandEpidemiologyCollabora'on.DianeY.JohnPhD,ARNP,FNP-BC,DeborahBrandtKarsnitzDNP,CNM,FACNM

Purpose Tohighlightcollabora'veeffortsoftheDNPpreparednursethroughiden'fica'onofinterandintra-professionalteamworktoeducateandshareinforma'onwithhealthcareproviders,pa'ents,families,communi'esandpopula'onsabouttheZikavirus.

Background AccordingtotheCDC(2016),theZikaviruswasfirstdiscoveredin1947.Thevirusisnameda[ertheZikaForestinUganda.ThefirsthumancasesofZikaweredetectedin1952.ZikavirusspreadstopeopleprimarilythroughthebiteofaninfectedAedesspeciesmosquito(Ae.aegyp'andAe.albopictus)

Zikaviruscanalsospread:

•  DuringsexwithapartnerinfectedwithZikavirus.

•  Fromapregnantwomantoherfetusduringpregnancyoraroundthe'meofbirth.

•  Throughbloodtransfusion(likely,butnotconfirmed).

ThevirusisachievingpandemicstatusinseveralcountriesandisnowthreateningtheUnitedStates.

ReportedAc'veTransmission-AllCountries&Territorieswithac'veZikavirustransmission(CDC,2016)

Team Huddles Originatedtohelphealthcareteamsincreasecommunica'on,reviewpastandcurrenthistory,planforongoinghealthcareandpreventadverseoutcomes.

Results:•  Briefandfrequentmee'ngs•  Improvedcommunica'on•  Revealpoten'alrisks•  Increasepa'entsafety•  Worktowardsacommongoal•  Increasetrustandmutualrespect•  Decreaseadverseoutcomes

FrequentlyAskedQues'ons–Pa'ents/Family/Community•  ModeofTransmission•  SignsandSymptomsofZikaVirus•  SignsandSymptomsofGuillain-Barre•  Teratogenicity•  Gesta'onalAgeandTeratogenicity•  Contagion•  Treatment•  LabTes'ng•  Preven'on•  TravelPlans•  Microcephaly

Collaborative Huddle for Emerging Information: Zika Virus

ZikaVirus–Updates(Team)•  Partnership–PrimaryCare/SpecialtyCare•  Consultant–Epidemiologist(ZikaVirus)•  Scheduled–QuarterlyTeamMee'ngs

•  Concernsfromnew/publicizedinforma'on•  Brief(15-30minutes)•  Preparedques'ons

•  PlanforDissemina'on•  Pa'ent/Family/Community•  Otherhealthcareproviders/systems

Conclusions •  ZikavirusoutbreakdeclaredaPublicHealthEmergenceof

Interna'onalConcern(PHEI)

•  TheCDChaselevateditsresponseeffortstoaLevel1ac'va'on.

•  Collabora'veac'onbyhealthcareprovidersisessen'altocombatthedevasta'ngeffectsoftheZikavirus.

Implications for Practice •  InterdisciplinaryExper'se•  OngoingCommunica'on•  Up-to-datefactsinanemerginghealthcarescenario•  IncreasedQuality•  IncreasedAccountability•  Pa'entAwareness•  Dissemina'ontohealthcareorganiza'on•  CultureofCollabora'on

References CDC(2016).TheZikaVirus.Retrievedfromh=ps://www.cdc.gov/zika/.Fauci,A.S.,&Morens,D.M.(2016).ZikavirusintheAmericas–YetanotherArbovirusthreat.NewEnglandJournalofMedicine,374:601-604.Goldenhar,L.M.,Brady,P.W.,Sutcliffe,K.M.,&Muething,S.E.(2013).Huddlingforhighreliabilityandsituaônawareness.BMJQualityandSafety,22:899–906.Ins^tuteforHealthcareImprovement.(2016).Useregularhuddlesandstaffmee^ngstoplanproducônandtoop^mizeteamcommunicaôn.ImprovingPrimaryCareAccess.RetrievedfromhDp://www.ihi.org.

FrequentlyAskedQues'ons-HealthCareProviders•  Up-todateinforma'on•  Guidelines•  Diagnosis•  Treatments/Pallia'veCare•  ModesofTransmission•  On-goingresearchandresults

Impact

Interdisciplinary Collaboration

ZikavirusdiseaseintheUnitedStates,2015–2016(CDC,2016)•  USStates:Travelassociatedcases(N=935)•  USTerritories:LocallyAcquiredcases(N=2,020)•  USVirginIslands(N=21)Somoa(N=29)PuertoRico(N=

1970)