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Hi all
How do you manage bed charts under contact precautions?
Looking for some advice, as this has been an ongoing issue here for many years, and the recommendation in the guidelines has not changed in the latest version (2019), viz:
Other points relevant to patient placement include the following:
* keep patient notes outside the room
* keep patient bedside charts outside the room
* disinfect hands upon leaving room and after writing in the chart
The issue is that many of our nurse unit managers (NUMs) require the medication and observation records to be at the bedside when medications are given or observations are taken. I know in some hospitals this will involve a second staff member standing at the door recording or verifying medication orders, but in reality in the private sector this is not resourced, so is not possible. The NUMs argue that there is a higher clinical risk of medication or documentation error than there is from infection transmission risk.
Has this been identified in other facilities, and if so, how do you manage this? We have been allowing nursing staff to take the bed chart into the room for medications and observations, then wipe it over on taking it back out of the room. Obviously the paper charts themselves cannot be wiped over. Generally we try to keep the bed charts outside of the rooms outside of these activities.
Any help or advice would be gratefully accepted.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
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Hi Michael,
We place a infection control locker outside the precaution room. (They used to be the patients bedside lockers but we upgrade and kept the old ones for infection control)
It has 5 drawers in it.
We place all the PPE in the bottom drawers and medication are locked inside the top two drawer.
Medications are placed in medication cup outside room.
Nurse places a patient identification label on her blue gown so that she can still do her medication checks on entry into patients room.
Nurse carries the key.
This help solve the issues that you have outlined below.Hope this helps,
Kind regards,
HelenHelen Roberts
Infection Control
P: 07 4646 3106 |
F: 07 4633 7602
E: robertsh@sath.org.au |
W: http://www.sath.org.auHi all
How do you manage bed charts under contact precautions?
Looking for some advice, as this has been an ongoing issue here for many years, and the recommendation in the guidelines has not changed in the latest version (2019), viz:
Other points relevant to patient placement include the following:
* keep patient notes outside the room
* keep patient bedside charts outside the room
* disinfect hands upon leaving room and after writing in the chart
The issue is that many of our nurse unit managers (NUMs) require the medication and observation records to be at the bedside when medications are given or observations are taken. I know in some hospitals this will involve a second staff member standing at the door recording or verifying medication orders, but in reality in the private sector this is not resourced, so is not possible. The NUMs argue that there is a higher clinical risk of medication or documentation error than there is from infection transmission risk.
Has this been identified in other facilities, and if so, how do you manage this? We have been allowing nursing staff to take the bed chart into the room for medications and observations, then wipe it over on taking it back out of the room. Obviously the paper charts themselves cannot be wiped over. Generally we try to keep the bed charts outside of the rooms outside of these activities.
Any help or advice would be gratefully accepted.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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Hello Michael
We insist bed charts stay outside the actual patient room in this instance
Liz Vanderlinde
Infection Prevention Control Co-ordinator
North West Private Hospital
[Description: hca_luye_logo]
Brickport Road, Burnie TAS 7320, Australia
T +61 3 6432 6005 F +61 3 6431 5766
E liz.vanderlinde@healthecare.com.au W
Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
[Description: achs][Description: equip]
QIC Standards
[Description: qic]Hi all
How do you manage bed charts under contact precautions?
Looking for some advice, as this has been an ongoing issue here for many years, and the recommendation in the guidelines has not changed in the latest version (2019), viz:
Other points relevant to patient placement include the following:
* keep patient notes outside the room
* keep patient bedside charts outside the room
* disinfect hands upon leaving room and after writing in the chart
The issue is that many of our nurse unit managers (NUMs) require the medication and observation records to be at the bedside when medications are given or observations are taken. I know in some hospitals this will involve a second staff member standing at the door recording or verifying medication orders, but in reality in the private sector this is not resourced, so is not possible. The NUMs argue that there is a higher clinical risk of medication or documentation error than there is from infection transmission risk.
Has this been identified in other facilities, and if so, how do you manage this? We have been allowing nursing staff to take the bed chart into the room for medications and observations, then wipe it over on taking it back out of the room. Obviously the paper charts themselves cannot be wiped over. Generally we try to keep the bed charts outside of the rooms outside of these activities.
Any help or advice would be gratefully accepted.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
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Thanks Helen
We cant place lockers outside the rooms, as it creates traffic issues in our corridors. We had to move away from trolleys in the corridors for this reason (we use door hangers for PPE now).
The other thing to consider is at least some of our NUMs claim there is a clinical risk of not having the actual order at the bedside when administering the medication, and so they require their staff to take the medication chart into the room. Wouldnt matter where we dispensed it then, the chart would still need to go into the room.
In my mind this is a bit of a MY risk is bigger that YOUR risk situation, and I have to say as long as we reinforce good hand hygiene and cleaning of items removed from the room, they are possibly correct.
Has anyone faced this argument previously? How did you overcome it?
Thanks
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]From: ACIPC Infexion Connexion On Behalf Of Helen Roberts
Sent: Tuesday, 13 August 2019 9:26 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Bed charts and contact precautionsHi Michael,
We place a infection control locker outside the precaution room. (They used to be the patients bedside lockers but we upgrade and kept the old ones for infection control)
It has 5 drawers in it.
We place all the PPE in the bottom drawers and medication are locked inside the top two drawer.
Medications are placed in medication cup outside room.
Nurse places a patient identification label on her blue gown so that she can still do her medication checks on entry into patients room.
Nurse carries the key.
This help solve the issues that you have outlined below.Hope this helps,
Kind regards,
HelenHelen Roberts
Infection Control
P:
07 4646 3106
|
F:
07 4633 7602
E:
robertsh@sath.org.au
|
W:
http://www.sath.org.au
Post:
PO Box 263, Toowoomba, QLD 4350
Address:
280 North St, Toowoomba, QLD 4350
[cid:image362010.jpg@ECC143CA.89E25C7A]From: ACIPC Infexion Connexion <ACIPCLIST@ACIPC.ORG.AU> On Behalf Of Michael Wishart
Sent: Tuesday, 13 August 2019 8:56 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Bed charts and contact precautionsHi all
How do you manage bed charts under contact precautions?
Looking for some advice, as this has been an ongoing issue here for many years, and the recommendation in the guidelines has not changed in the latest version (2019), viz:
Other points relevant to patient placement include the following:
keep patient notes outside the room
keep patient bedside charts outside the room
disinfect hands upon leaving room and after writing in the chart
The issue is that many of our nurse unit managers (NUMs) require the medication and observation records to be at the bedside when medications are given or observations are taken. I know in some hospitals this will involve a second staff member standing at the door recording or verifying medication orders, but in reality in the private sector this is not resourced, so is not possible. The NUMs argue that there is a higher clinical risk of medication or documentation error than there is from infection transmission risk.
Has this been identified in other facilities, and if so, how do you manage this? We have been allowing nursing staff to take the bed chart into the room for medications and observations, then wipe it over on taking it back out of the room. Obviously the paper charts themselves cannot be wiped over. Generally we try to keep the bed charts outside of the rooms outside of these activities.
Any help or advice would be gratefully accepted.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return https://clicktime.symantec.com/3GAyBJsfiPYjdenmZ3x2gRG7Vc?u=email%2C%20delete%20the%20Email%2C%20and%20do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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Hi Michael,
I was just about to ask everyone something similar. I wanted to know how others are transferring notes with patients to theatre or other departments when they have a known MRO.Regards Karen Smith
Infection Control Coordinator
Western Hospital
168 Cudmore Tce Henley Beach SA 5015On 13 Aug 2019, at 8:17 am, Michael Wishart <Michael.Wishart@svha.org.au> wrote:
Hi all
How do you manage bed charts under contact precautions?
Looking for some advice, as this has been an ongoing issue here for many years, and the recommendation in the guidelines has not changed in the latest version (2019), viz:
Other points relevant to patient placement include the following:
* keep patient notes outside the room
* keep patient bedside charts outside the room
* disinfect hands upon leaving room and after writing in the chart
The issue is that many of our nurse unit managers (NUMs) require the medication and observation records to be at the bedside when medications are given or observations are taken. I know in some hospitals this will involve a second staff member standing at the door recording or verifying medication orders, but in reality in the private sector this is not resourced, so is not possible. The NUMs argue that there is a higher clinical risk of medication or documentation error than there is from infection transmission risk.
Has this been identified in other facilities, and if so, how do you manage this? We have been allowing nursing staff to take the bed chart into the room for medications and observations, then wipe it over on taking it back out of the room. Obviously the paper charts themselves cannot be wiped over. Generally we try to keep the bed charts outside of the rooms outside of these activities.
Any help or advice would be gratefully accepted.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au[cid:image001.jpg@01D46C86.4CDB6090]
[2019 conference email signature]______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
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MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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