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Home / Health / Surprise inspections reveal problems in the establishment of N.J. In the nine children died in a virus outbreak

Surprise inspections reveal problems in the establishment of N.J. In the nine children died in a virus outbreak



Editor's note: Do you have a family member in the Pediatric Unit of the Wanaque Center for Nursing and Rehabilitation or a child affected by the virus outbreak? NJ.com would like to hear from you. You can contact us at (732) 902-4559 or write to Susan Livio (slivio@njadvancemedia.com), Spencer Kent (skent@njadvancemedia.com) or Ted Sherman (tsherman@njadvancemedia.com).

The state released a new inspection report from the Wanaque Nursing and Rehabilitation Center in Haskell, where nine children died in a serious outbreak and more than a dozen others fell ill, with some shortcomings in hand washing and infection control.

In one case a The nurse who looked after a patient put on gloves, touched the patient's gastrostomy tube (a tube inserted through the abdomen that delivered food directly to the stomach), repositioned the resident, pulled then, however, their gloves off and did not use the hand hygiene Then he touched the hose, which was connected to the tracheostomy tube of the resident and the ventilator. "

At the same time, Health Commissioner Shereef Elnahal questioned whether the Centers Medicare & Medicaid Services for patient care needed to be reviewed.

" Certain findings raise questions as to whether these general long-term care standards for this susceptible population of medically "I will work with CMS to assess how we can better align pediatric long-term care standards with each other."

Health authorities note that CMS already requires that long-term care facilities " Infection "to demand preventionist" spot, responsible for infection prevention programs. This mandate will begin in November 201

9.

"This new CMS requirement encourages me, and we need to think about whether, as a health leader, we can do more to protect immunocompromised children, such as those cared for at the Wanaque Center. " said Elnahal.

To date, 26 confirmed pediatric cases associated with the adenovirus outbreak in the facility have been confirmed. In addition, an employee, who had recovered in the meantime, fell ill in the course of the outbreak.

The deceased and other patients were pediatric patients, ranging in age from toddlers to teenagers, many of whom had weakened immune ventilators – some with developmental disorders or serious health problems. All became ill between September 26 and October 22, health officials said.

The state said it had been informed on 9 October about the outbreak of adenovirus.

Adenovirus is typically a mild disease that mimics the flu and the common cold. Symptoms, however, can be serious for some people, especially those with weakened immune systems.

The health department conducted an unannounced inspection of the facility on October 21. According to the report of this visit, a review of the medical records should be carried out. For the deceased, it was determined that they were monitored for fever and treated with Tylenol alternating with ibuprofen and antibiotics given on the instructions of a doctor before the hospitalization.

During the investigation, the state confirmed that there were germicidal disposable wipes and disinfectants, masks, gloves and robes available in every wing and especially in each room for staff and visitors before entering the room.

The report states that there were also guidelines Adenovirus for visitors who are visible in every room, warns the visitors from visiting them when they are ill. A review of the facility's records revealed that a memo was issued on October 8 that informed all staff about the intensive cleaning and disinfection of pediatrics and classrooms.

"The facility also had good communication with doctors and police received hospitals," the report said.

However, the report noted shortcomings in hand washing procedures where employees did not wash their hands long enough. In another case, a nurse stepped out of a room without first performing hand hygiene, went to another patient room to reopen the window without hand hygiene, and went to her medicine cart.

Elnahal said his department had worked in close collaboration with the facility on infection control issues since the outbreak broke out, including the presence of a representative of the agency for communicable diseases in the facility.

"In addition, in November, we will send a team of infection control experts and epidemiologists to conduct training and assessments of infection control procedures in Wanaque and similar facilities," he said.

Rowana Bautista, administrator of the Wanaque Center, did not respond to calls for comment.

The Wanaque Center in northern Passaic County is a 227-bed nursing home, rehabilitation center and paediatrics center providing short-term and long-term care.

Admitted to 92 Pediatric Beds, Government Office The facility has agreed to cease the admission of new patients until the outbreak. It has also set up a 24/7 hotline for affected families. It is said that the Wanaque Center offers professional care counseling to anyone affected.

Spencer Kent can be reached at skent@njadvancemedia.com. Follow him on Twitter @SpencerMKent . Find the Find NJ.com on Facebook.

Ted Sherman can be reached at tsherman@njadvancemedia.com. Follow him on Twitter @TedShermanSL . Facebook: @ TedSherman.reporter. Find NJ.com on Facebook.


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