Over the past few months, medical staff all over the world have been working around the clock. Due to the Coronavirus, doctors, medics, and nurses in Israel have been working overtime because of the lack of medical staff. There are also many new challenges that medical personnel are facing. They have to wear protective equipment that they didn't have to wear before, including, face mask, face shields, gloves, gowns, and even hazmat suits. They also need to limit their time with each patient to limit their exposure to the Coronavirus.
Our EMA Care staff have also been faced with new challenges. Normally throughout the year, our medical staff runs weekly clinics for Gap year programs. During these clinics, our staff examines and diagnoses patients , provides treatment and prescribes medication to the students in need. However, this reality has changed because of the coronavirus. Our nurses have had to adjust in a few ways:
Pre-screening the students before clinics
EMA Care's most important priority is with our staff's safety. To do so, we do have to pre-screen the students that need to come to the clinic. Our nurses call each student before they run a clinic and make sure that they have no Coronavirus symptoms. If a student has a symptom then they cannot come to the clinic physically. However, they have the option to do telemedicine. One of our nurses started “I feel bad that we have to make our students do telemedicine, but we need to protect ourselves against the Coronavirus”. The nurses also need to ask very specific questions to determine if a symptom can be related to Coronavirus.
Wearing protective gear & diagnosing patients
When our nurses arrive at a clinic, they are fully equipped with a face mask, a face shield, a protective gown, and gloves. While this protects them and makes them feel very secure, it is very difficult to work in. “The face shield often gets fogged up by the mask underneath which makes physical examinations and working very hard”. Our nurses have even found it challenging to do basic examinations due to the equipment, so often the diagnoses can take longer.
Our nurses take care of gap year students, students who are away from home during a pandemic and they are scared of getting the Coronavirus. Our nurses want to help these students as much as they can. However, with all of the protective equipment, many people find these medical workers very intimidating. “Sometimes I just want to take off the equipment and remind the students that there is a person underneath the gear”. Our nurses want to help the students as much as they can without intimidating them!
Limited time for each student
According to the EMA Care protocols, each student who comes in for a clinic only has 10 minutes with the nurse in order to limit the time that they are exposed to one another. Some of our nurses have found this very difficult because during these ten minutes they need to get the patient’s medical history, do a physical examination, diagnose them, and write a prescription.
One of our solutions is to have "Hybrid appointments" for each student before the session. These sessions take place outside in the open air (to avoid contamination). This way the nurse can get some extra time to get the patient's medical history. This allows our nurses to have much better-quality time with the patient while they have an appointment.
Telemedicine & Avoiding the ER
Telemedicine has become very popular over the last few years, and specifically with the global COVID-19 pandemic. EMA Care has a telemedicine hotline that deals with students who have emergencies. Normally, a student who calls with an emergency is sent to the ER or some kind of immediate medical center. However, during the pandemic, our nurses have been doing everything in their power to prevent the students from going to the emergency room and get exposed to the virus. If a student is in quarantine, then the only option is to go to the Covid-19 emergency rooms.
“We try to hold off as much as we can unless it is necessary” – a few weeks ago we had a student who had an allergic reaction and needed care. There is a rule in Israel that if someone receives an Epipen then they must go to the emergency room. So, our nurses gave him Benadryl and monitored him for a few hours until the symptoms cleared and he was fine. This saved him from going to the ER and getting exposed to the Coronavirus.
EMA Care's priority is to keep our staff safe. We have many protocols that all of our staff must follow.. Their protective gear, although extensive makes the nurses feel safe from being contaminated with the Coronavirus. We also make sure that when our nurses are in the clinic, they limit their appointments to 10 minutes or less. Overall, our nurses feel very safe “EMA Care has a great protocol to protect their staff and I feel very safe”.
My experience with Ema Care has been so positive that I wanted to share it in case it could help someone else. Eight days ago my daughter, a Shanah Bet student, called to say she wasn’t feeling well and had symptoms of Covid-19. I was put in touch with an Infectious Disease specialist who recommended Ema Care. I reached Dr. Eliana Aaron easily and signed my daughter up. The next morning, Ema Care gave my daughter a telehealth exam and provided her with prescriptions, as well as a list of...
I would like to also add my compliments, you exceeded my already very high expectations. You can certainly send other schools our way for a recommendation.
-Mr. E. Naiman
Dear Dr. Eliana words simply cannot express how much you have done for all of us and so many others in keeping us informed, calming anxieties, and being such a wonderful and patient resource through such a difficult time. Wishing you much bracha and hatzlacha in the merit of all the countless mitzvot u have done to help so many through these trying times; mikol halev, ein milim and thanks so so much .
Gap Year Program Staff
Hello Dr. Aaron. I cannot thank you enough for providing not only crucial information but a framework that gave us stability and allowed us to function (instead of descending into chaos, which undoubtedly would have happened, if not for you). At the risk of waxing dramatic, I will tell you that when I think of what you've done these past couple of months, what comes to mind is Rav Yohanan Ben Zakai asking Vespasian to give him Yavneh ve-Hakhameha, thus saving the entire enterprise of Talmud...
I just wanted to say I think Dr. Eliana is one of the most rationale people providing the public with current information. I have no idea how I came across your Facebook page but I love what you say, just heard the one about reopening shuls, and the way you present it. clear, concise and factual. I work in Toronto on COVID 19 and just wanted to let you know that you are doing a fantastic job. I think here there are community doctors putting out information and I have told them they are too...
I just wanted to thank you very much for that presentation. Very thorough and certainly helped create important and necessary focus. Very much appreciated.
Gap Year Program Staff
First of all, thank you for that incredibly informative call. Really got us thinking about all the issues we need to consider for next year. Thank you in general for being available to all of us on the group. We have benefited so much from your wisdom and advice over the past few weeks.
Head of Gap Year Program
I just wanted to thank you for all your guidance and advice you're are providing the yeshivot and midreshot. I'm the Director of a boys program and although I'm sure you've heard it many times already, your role has been indispensable in getting us all through this.
Head of Gap Year Program