ISSUE: Bioterrorism and biological warfare have been areas of high concern since September 11, 2001. If biological agents are used again, will our healthcare system be prepared? Even with the April 2002 APIC Bioterrorism Working Group Interim Bioterrorism Readiness Plan Suggestions, can we be sure that all nurses are educated about the diseases they might encounter? What can be done in the healthcare setting to enhance the knowledge level of all nurses on the category A bioterrorist agents and the diseases they cause? PROJECT: A survey was conducted with nursing personnel in 20 hospitals across the United States to determine the level of understanding of the six Category A diseases, as outlined by the Centers for Disease Control and Prevention (CDC). The survey consisted of a listing of the baseline education nurses had on bioterrorism preparedness in their facility and a pre-test to determine their knowledge base about the diseases. Baseline data were obtained that indicated that nurses were aware of the issue but lacked a complete understanding of the diseases caused by the six category A agents and what isolation measures needed to be utilized for each disease to prevent spread of the diseases. A self-study educational module was developed to educate nurses on the diseases. It included review of each disease's signs and symptoms, diagnosis, treatment options, post-exposure prophylaxis, and infection control issues including proper barrier protection selection. RESULTS: A post test completed after the self-study module indicated that an understanding of the issues dealing with the six category A diseases improved from 20% to 90%. An evaluation form completed after the module indicated that the nurses liked the self-study format and believed that their knowledge base had increased as a result of completing it and that they were better prepared to handle a bioterrorist event. LESSONS LEARNED: The individual education provided by the self-study module addresses all the healthcare workers' needs for 1) understanding the principles of transmission of the six category A diseases, 2) understanding the signs and symptoms of each disease, 3) understanding the diagnosis of the disease, 4) understanding the treatment of the diseases, understanding the post-exposure prophylaxis needed, and 5) understanding the infection control measures to use including the best barrier protection to use. ISSUE: Bioterrorism and biological warfare have been areas of high concern since September 11, 2001. If biological agents are used again, will our healthcare system be prepared? Even with the April 2002 APIC Bioterrorism Working Group Interim Bioterrorism Readiness Plan Suggestions, can we be sure that all nurses are educated about the diseases they might encounter? What can be done in the healthcare setting to enhance the knowledge level of all nurses on the category A bioterrorist agents and the diseases they cause? PROJECT: A survey was conducted with nursing personnel in 20 hospitals across the United States to determine the level of understanding of the six Category A diseases, as outlined by the Centers for Disease Control and Prevention (CDC). The survey consisted of a listing of the baseline education nurses had on bioterrorism preparedness in their facility and a pre-test to determine their knowledge base about the diseases. Baseline data were obtained that indicated that nurses were aware of the issue but lacked a complete understanding of the diseases caused by the six category A agents and what isolation measures needed to be utilized for each disease to prevent spread of the diseases. A self-study educational module was developed to educate nurses on the diseases. It included review of each disease's signs and symptoms, diagnosis, treatment options, post-exposure prophylaxis, and infection control issues including proper barrier protection selection. RESULTS: A post test completed after the self-study module indicated that an understanding of the issues dealing with the six category A diseases improved from 20% to 90%. An evaluation form completed after the module indicated that the nurses liked the self-study format and believed that their knowledge base had increased as a result of completing it and that they were better prepared to handle a bioterrorist event. LESSONS LEARNED: The individual education provided by the self-study module addresses all the healthcare workers' needs for 1) understanding the principles of transmission of the six category A diseases, 2) understanding the signs and symptoms of each disease, 3) understanding the diagnosis of the disease, 4) understanding the treatment of the diseases, understanding the post-exposure prophylaxis needed, and 5) understanding the infection control measures to use including the best barrier protection to use.
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