The Electronic Medical record system is what fsz flawed. Theyre saying the nurse did ask the patient about the travel history and the patient volunteered that information, yes, they were from liberia. Were told, though, the nurses work flow were separate to the medical work flow that the physician had access to. Thats why that information was not relaid to the entire medical team. No Health Care Worker should be relying on someone else to take a history and the physicians should be taking a travel history, especially now when the cdc has offered guidance saying the travel history is a crucial question to be asking at this time. A lot of people would find that alarming, even if you just go in feeling ill, you assume the Nurse Practitioner when they put those notes in, those notes eventually go to the doctor. In this case was tla failure of those two systems to connect or are those two systems always this separate . Theyre not always this separate. Weve talked to many local hospitals saying, this isnt how it works for us. Since august 4th when cdc offered guidance about taking a travel history, many offices said, we have automatic screening questions that come up all the time for anyone who triages or speaks to a patient. So, other hospitals in the area are asking those crucial questions. And lets talk now about the cleanup. Thats the other alarming thing. Four days this family was basically sequestered in this apartment where you still had the bed linens and other things used by this man. Has that procedure changed or is there some sort of an official procedure to have a professional, competent entity remove those sheets, this bedding and things like that . Well, any soiled clothing or bedding has to be discarded in a very proper manner. There are guidelines to do so. Were told a hazmat crew was deployed to clean up this mess. Many local residents are asking why there was such a delay. We know this is a very collaborative process. Many agencies involved in this response right now. Theres a local Public Health, state Public Health and of course the cdc as well. There are guidelines about how to discard those biohazard materials. Thats assuming you can, of course, find a contractor willing to undertake it. A very troubling case. Thank you very much. Nbcs charred hadlock joins us outside eric duncans family apartment. Were hearing the cdc is making progress narrowing down the list of potential contacts. What can you tell us about that . They have narrowed the contacts down to 50. That doesnt include the doctors and nurses at the hospital. The latest news from the apartment complex, the city of dallas is now on site with the Fire Department, hazmat treem a long with a private company to disinfect the apartment. We just learned the family will be moving out of this apartment some time this afternoon to an undisclosed location. The location is not a medical facility but another housing place somewhere in dallas county. Thats all the pio can tell us, the Public Information officer for the city of dallas could tell us at the moment. They are going to clean up this apartment. We asked why they are moving the family out now and they told us the families around the Apartment Unit are concerned. As a matter of safety and to ease everyones minds, theyll move them out of this apartment complex later today. Back to you. It sounds as if youre saying theyre going to move them into another complex where people wouldnt say theyre coming and youre saying this is not a medical facility. Another private apartment complex . Reporter thats what were told. I asked that question specifically, will they be moving to a medical facility. They said they resident moving to a medical facility but another housing place in dallas. They didnt say whether it was a house, an apartment, a condo. We dont know. Wow. Charles hadlock, appreciate it. Cindy is director of Texas Nurses Association. Thank you for being here. Thank you for being here. There was a Statement Issued by the Texas Nurses Association that essentially said when something is missed or goes wrong, we need to ask why and how. Blaming individuals is counterproductive. Worse, it can distract from the central question of highway can we prevent this from happening again. Wouldnt the simple answer to that be, to have the nurses system she inputs information in connect to the doctors system . Why didnt that happen . My understanding it was a System Design issue, even both both parties, both team members are following protocol, the way the system was designed they didnt communicate in that manner where the information the nurse entered was available to the physician when he was making his or her clinical diagnosis. That is a risk of Electronic Medical system. There are nurse informatacist and are aware of systems in documentation. This is not a documentation issue. In a case where a patient is presenting with ebola, texas one of 13 states certified good to go to deal with potential ebola cases, wouldnt it be incumbent on the nurse to not just enter information into the computer but to say, hey, red flag, doctors, we need to Pay Attention to this and verbally make sure people understood the gravity of the situation . I think when you depend on systems to collect the system. The nurse was following her protocol. Weve learned a lot from this situation in terms that the systems were not communicating. I dont know if that was known previously. Now that that information is known, the hospital has fixed it and its been alert to many other Health Systems to look at their systems and make sure they dont have a similar flaw so that they can also make sure that nothing slips between the cracks. Youre primarily dealing with nurses and Nurse Practitioners. Shouldnt there be more than just inputting systems . Shouldnt it be incumbent on health professionals, doctor or nurse, to alert the people around thm, just for the safety of the people around them and to say, this is a very serious disease. If someone says, ive been to west africa, shouldnt there be more than just inputting into a system . Well, whats incumbent upon the nurse is to take the information. The nurse used the Electronic Medical record to communicate that information. The Electronic Medical record system, to my understanding, did not communicate that information in the manner the nurse thought it would. I dont think you can fault the nurse in this case. I dont think its useful to do so because its more important to identify the system issue because that has ramifications throughout the country as hospitals struggle to be prepared in case they encounter a patient with ebola. The last question, are the nurses and nurses association, are nurses being briefed on the potential severity of ebola itself . If you had a sense of the gravity of a potential case, they wouldnt just input, they would walk up to a doctor and say, i believe we have a case that may present the symptoms of ebola or someone has been to west africa and is sick and cue the doctor to take action right then and there, aside from the system . I believe nurses are aware of Public Health threats such as this one. This is an Infectious Disease process. Nurses not know how to respond and treat Infectious Diseases. Thank you for being here. Appreciate you being here. Thanks. Now to a reid alert on the fight in isis. In the past 24 hours the u. S. Has conducted six air strikes in syria. Australia announced its spending special forces troops and jets to attack the terrorist group in iraq. The white house released a statement saying they welcome australias participation. Coming up, healthy job numbers and immigration. President obama goes into Campaign Mode and tries to set the agenda four weeks from the midterm elections. More on the fight to contain the ebola virus. Will more people from western africa come here to try to get medical treatment. If they do, is it ethical to try to keep them out . 17 years ago janine turned her passion for running into a way to earn a living, opening runners alley in portsmouth, new hampshire. Now shes added two more locations. For more watch your business sunday morning on msnbc. If i can impart one lesson to a new business owner, it would be one thing ive learned is my philosophy is real simple American Express open forum is an online community, that helps our members connect and share ideas to make Smart Business decisions. If you mess up, fess up. Be your partners best partner. We built it for our members, but its open for everyone. Theres not one way to do something. No details too small. American express open forum. This is what membership is. This is what membership does. Welcome back. President obama is definitely in midterm form with another big speech on the economy in an hour and big talk on immigration. Today he got a big assist from the september jobs numbers. The headline numbers were both positive. With almost 250,000 jobs added and an Unemployment Rate under 6 for the First Time Since july 2008. Revisions also helped augusts four numbers into something more respectable with revisions for it and july, adding another 69,000 jobs. Wages, which are barely keeping pace with low inflation declined a tenth of a point. Still, the administration was front and center today touting the overall good report. The Unemployment Rate below 6 , 5. 9 . It was 10 thats a good thing. You can clap for that. Robert jones, ceo of Public Institute research. Thank you for being here. Thanks for having me. I recently had was on a panel with you. You talked about the data and the economy and what people perceive about it. Talk about why it is and who it is that does not believe these good numbers even when they see them in black and white. Youre right. The numbers at the macro level look fairly rosy. But its pretty gloomy out there when we get down to the grassroots. Our last National Survey showed a significant number of Americans Still struggling economically. We asked americans some very practical questions. Have you had trouble paying a bill . Have you put ov going to the doctor. Have you had trouble having food and having to reduce your meals or skip meals to make ends meet what we found, 4 in 10 americans say they are living in either high other moderate economic insecurity households. Those numbers rise to half of latino households and 6 in 10 africanamerican households. A significant number of americans, despite rosy numbers at the macro level still saying it hasnt trickled down to them. Its interesting because you also talked about the political lens through which people sometimes view the economy. What you find is how republicans, for instance, selfreport how theyre doing versus how they think the economy is and how democrats selfreport verse how they think the economy is. 48 of democrats in the pri poll said they believe the economy has gotten better. Only 15 of republicans, even though republicans selfreport doing better. What is that about . I think its about the power of partisanship. It doesnt gr get much starker than this. Democrats overall are doing worse by their own selfreports on their personal level, they are nonetheless more optimistic that the economy is doing well over the last two years and its reverse for republicans. Republicans are by most measures doing much better than democrats in this economy. And yet as you said, only 15 of republicans say the economy is doing better. Bereally have very powerful example of the way partisanship really does shape even things as basic as perceptions of how the economy is doing. When you put partisanship aside, the basic baseline question of whether people believe were still in a recession. This was a stunning number. Do you believe the recession has ended in the pri poll . Only 21 of people believe the recession is over. Threequarters of people say they think were still in a recession. That was stunning to me. Was it as stunning to you . It was a real surprise to us but i think its consistent with the other numbers we see. One number ill add to that is that we only saw 4 in 10 americans today saying the american greem dream, this basic idea if you work hard, youll get ahead, still holds true today. Thats a pessimistic outlook for something thats a fundamental american value. Lets turn to immigration, the subject of a speech president obama gave before the Congressional Hispanic Caucus last night. Take a listen. [ inaudible ] about to get to that. About to get to it. I want to bring in maria, ceo of voter latino. Mariateresa, that heckling that took place at a friendly audience at the chc for the president showed the angst that you still see in the Latino Community over immigration. The president , is he in trouble here with latino voters . I was there last night. It was a heckler who is a dreamer whos been really active in the community. No one was surprised. Everyone expected it to happen. And i think what folks were looking for is what the president did, he addressed her and also gave the opportunity about what we need to do as latinos. That is to register and vote. Latinos are frustrated with both parties, joy. I think its because weve had so many promises on the administration side and then weve had so many letdowns from the republicanled congress. Fundamentally whatever the president does is going to be a band aid effect. We need to solve the problem. The only way to do so is ensure latinos register and register their allies. The president made that point over and over in his speech. He said anything i do will be a band aid. Im only going to be here 2 1 2 more years. Was that message compelling in the room where the president was essentially saying, this only works if we keep the senate and theoretically got the house. The amount of groups we have a coalition of over 48 organizations pushing the Latino Community to vote. When he talked about that i have to say, people jumped to their feet. They started clapping, recognizing they are part of the solution. And i think it was a message the president needed to do. Obviously, families right now in the Latino Community that are hurting. We need to make sure were teaching folks the process of civic participation just because what we forget a lot of times is that these young latinos are the first people in their family ever to participate in government. I want to get data from robby. Are there hard numbers that latinos are one of the reasons latinos are frustrated, on this issue there is quite a bit of agreement. We have 6 in 10 americans agreeing on a path to citizenship that immigrants should be allowed to become citizens provide they meet certain requirements. 7 in 10 support for treating children arriving at the border as refugees. And i think the fact the Public Opinion support is there and its there not only among democrats but also among republican, i think that is the reason were seeing so much frustration in the Latino Community. Are we looking at low, medium, high turnout in your estimation . I think its very much going to be medium. This is an issue that cuts across party lines. We recognize as americans the immigration system is broken and we have a small sector of the Republican Party in congress right now that basically is playing political politics with americas future. We have to figure out how to actually change that equation come november. Indeed. Robert jones and mariateresa, thank you very much. Women seeking legal abortions in texas now have fewer options after a federal Appeals Court sided with tough new clinic restrictions . A sweeping abortion bill signed by governor rick perry. The ruling effectively closes all bet eight abortion facilities in the state. The fight over colorados High School Curriculum has gone state wide. A member of the state board of education reportedly posted to facebook shes concerned the ap u. S. History test failed to include that u. S. Ended slavery volunteering, which it didnt. Students and parents continue their walkout on the Jefferson County school board to push to make sure the School Districts history materials, quote, promote patriotism and respect for authority and dont condone civil disorder. And its tough to get a mortgage. Beb bernanke told a conference yesterday hes trying to refinance but so far hes been unsuccessful. Fancy that. whistle bl ws okay patrick, one more stop. 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