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).Huddlingforhighreliabilityandsitua^onawareness.BMJQualityandSafety,22:899–906.Ins^tuteforHealthcareImprovement.(2016).Useregularhuddlesandstaffmee^ngstoplanproduc^onandtoop^mizeteamcommunica^on.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)