When the COVID-19 pandemic hit, infection control clinical nurse Layal Abou-Chacra, BSc(N)鈥�05, started coaching frontline workers in hospitals and long-term care facilities in best practices to prevent transmission of the disease.
But, as the pandemic grew, so did a call for more people like her.
So Abou-Chacra turned her attention to training six more 鈥淐OVID coaches,鈥� who could sit down with those on the front lines to show them how to keep their workplaces safe.
鈥淐alls were coming in: 鈥榃e want more coaches. And more coaches,鈥欌�� she said. Specialists, who had seen their caseloads become non-existent, came forward to help out. 鈥淭here were dentists, radiologists, endocrinologists, pediatricians鈥攖hey were all giving us time.鈥�
In the end, Abou-Chacra cultivated and assumed leadership of a team of 120 people, one-sixth of them doctors, which, over a three-month period, trained approximately 3,000 frontline workers across the Montreal suburb of Laval.
In spite of their enthusiasm and commitment, some of the members of this team had their own reservations at first. Would they be putting vulnerable family members at risk by taking part? 鈥淚 told them you're protected, that following these practices is like having a shield. You鈥檙e going to be very knowledgeable about COVID-19.鈥� Every week, I would have Zoom meetings with them and give them the latest scientific news. They had more up-to-date information than most!鈥�
Abou-Chacra also talked of the historical role they鈥檇 be playing. 鈥淚 said 鈥榊ou're not going to remember the pandemic like everyone else because you're going be part of it. You're going to leave a positive contribution and learn lessons that will last for years.鈥欌�� Soon enough, they were making posters and putting together Facebook videos on handling personal protective equipment. 鈥淭hey were so creative and amazing. I still remember each and every one of them.鈥�
She also remembers the difficult conditions in some of the facilities they served. She tells the story of one worker in a long-term care home, who had become scared to tend to patients, many of whom were suffering from dementia. 鈥淭his person was crying and telling me, 鈥業'm afraid to go in those rooms. But if I don't help them, they're not going to eat.鈥欌�� After one-on-one training with Abou-Chacra, the worker was able to overcome this fear.
Abou-Chacra鈥檚 interest in infection control began when she was working as a nurse in a rehab facility that came down with C. difficile. It had frustrated her to see a preventable mistake derail patient progress.
She pursued a Graduate Certificate in Infection Control from Universit茅 de Montr茅al. There, she studied past cases, such as the 1918 flu pandemic, and the SARS and Ebola outbreaks. She said that 2020 would provide new lessons for future students, adding that many people preparing for an outbreak were focusing on hospitals and not considering those working at the many seniors鈥� facilities and how they might be able to spread a virus. 鈥淲e never calculated for asymptomatic transmission by employees.鈥�
Her infection control investigations have included food-borne illnesses. One of those outbreaks, at a nursing home, confounded her. 鈥淭hen six weeks later, the same episode happened,鈥� she recalled. 鈥淪o, what was happening every six weeks? It was the cafeteria menu!鈥� The clinical nurse specialist would soon discover the source of the outbreak in the kitchen: the pre-cooked eggs delivered to the facility had bacteria built up in their water.
Abou-Chacra says 平特五不中 taught her much of what makes her the investigator and team builder she is today, including how to make something from very little. 鈥淚f you wait for the perfect conditions, you're not going to be able to make a decision.鈥� She says she follows the principles that she was taught鈥攐f safety, honesty and transparency鈥攁nd tries to be clear and precise. 鈥淵ou can build a lot with that.鈥�
In looking at future infection control projects, Abou-Chacra is hoping to implement a fire-drill type of exercise for health care and long-term care facilities 鈥淏ut it鈥檚 going to be very 2020. Those who are most knowledgeable about how to manage will stay home,鈥� she says, saying facilities in an outbreak need practice being run by unfamiliar staff. 鈥淏ecause this is what really happened. Managers got COVID-19.鈥� She is also designing an infection control certification program.
Abou-Chacra鈥檚 specialists returned to their respective practices and students took over coaching in the summer. The program has since ended and frontline workers across her city of Laval are well versed in how to limit the spread of this disease. Her work is done for now, but this one nurse, the pied piper of infection control coaching, is continuing on her path to keep the system safe.
Artwork by Caroline Plouffe,听芦 J鈥檃i surv茅cu 脿 la Covid-19 禄听(I survived through COVID-19).听
听