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Changing Curtains in Ambulatory Care Settings

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  • #71783
    Cath Murphy
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    Cath Murphy

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    Whilst the Australian Guidelines For The Prevention And Control of Infection in Healthcare, recommend that curtains used in the care of patients known to be colonised or infected with an MRO are routinely changed on discharge this is obviously impractical and perhaps even unnecessary in settings where hand hygiene compliance is reasonable and turnover high. Specifically I am thinking day-only, and ambulatory care services like private oncology centres and dialysis units.

    What do others think and what arguments would you offer to ill-experienced surveyors who are less flexible in their thinking and may potentially deem failure to change curtains or use disposable curtains in these types of settings as non-compliance?

    Would be grateful for opinions, insights and debate. Thanks in advance.

    Regards
    Cath

    Dr Cathryn Murphy RN MPH PhD CIC
    Executive Director
    Infection Control Plus Pty Ltd
    http://www.infectioncontrolplus.com.au
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    #71784
    Beckingham, Wendy
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    Beckingham, Wendy

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    Cath
    We have not as yet moved to disposable curtains but I like you believe that the changing of disposable bed screens could be less frequent in areas such as dialysis, outpatients, medical imaging, consult rooms and health centres just to name a few areas. I have looked at these areas leaving them for 12 months if we were using the disposable curtains. Changing between MRO patients in these settings I believe is also unnecessary. If they of course become visibly soiled of course changing is paramount.
    I have looked into moving to disposable but our health care directorate is looking at the feasibility of changing over (this is in the future for me).

    The second part of your question re accreditation I would think as the use of such items become more common place then the questions would not be raised. Evidence (which I know is mainly from the companies) supporting disposable curtains points to the longevity of such items and they visually seem to remain clean (maybe we all need to conduct research and publish). I like the idea of really knowing that the curtains have been changed as it is currently a problem that one assumes that changing has been done but don’t really know unless they hang a pink up where a blue one was hanging.

    Cheers
    Wendy Beckingham
    CNC Infection Prevention and Control
    ph. (02) 6244 3695 or mobile 0478408787 or pager 50390
    e. wendy.beckingham@act.gov.au
    Care Excellence Collaboration Integrity
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    Whilst the Australian Guidelines For The Prevention And Control of Infection in Healthcare, recommend that curtains used in the care of patients known to be colonised or infected with an MRO are routinely changed on discharge this is obviously impractical and perhaps even unnecessary in settings where hand hygiene compliance is reasonable and turnover high. Specifically I am thinking day-only, and ambulatory care services like private oncology centres and dialysis units.

    What do others think and what arguments would you offer to ill-experienced surveyors who are less flexible in their thinking and may potentially deem failure to change curtains or use disposable curtains in these types of settings as non-compliance?

    Would be grateful for opinions, insights and debate. Thanks in advance.

    Regards
    Cath

    Dr Cathryn Murphy RN MPH PhD CIC
    Executive Director
    Infection Control Plus Pty Ltd
    http://www.infectioncontrolplus.com.au
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