Course Access
- This topic has 0 replies, 4 voices, and was last updated 10 years ago by
.
-
Posts
-
The question has been raised. Is it best practice to reverse barrier
nurse febrile neutropenic patients or not?Staff have suggested that maybe patients are not getting the best care
by being isolated as the patients feel neglected and shut off, our
Oncologists feels that once antibiotics are commenced that there is no
need to isolate, “standard precautions” is all that’s needed.I’m interested, what is the current practice out there?
Regards Lyn
Lyn Golden
17 Francis Street
Echuca 3564
P 54855340
Helping Everyone To Be And Stay Healthy
must not disclose or use the information in this e-mail if you are not
the intended recipient. If you have received this e-mail in error,
please notify us immediately and delete the e-mail and all copies.Echuca Regional Health does not guarantee that this e-mail is virus or
error free. The attached files are provided and may only be used on the
basis that the user assumes all responsibility for any loss, damage or
consequence resulting directly or indirectly from the use of the
attached files, whether caused by the negligence of the sender or not.
The content and opinions in this e-mail are not necessarily those of
Echuca Regional Health.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 aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Dear Lyn,
At our facility, we do not reverse barrier nurse (or protective isolation) patients who are neutropenic. But we do have certain measures such as we try to allocate them a bed in a two bedded bay and preferably next to a person who might have come for a straightforward reason to hospital such as an elective surgery and has no comorbidities, etc.
Rita
Rita RoyClinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2077
Tel (02) 9477 9232 | Fax (02) 9477 9013 | Mob 0422 930 370 | Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.au[Description: Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-Sydney-LHD.jpg%5D
The question has been raised. Is it best practice to reverse barrier nurse febrile neutropenic patients or not?
Staff have suggested that maybe patients are not getting the best care by being isolated as the patients feel neglected and shut off, our Oncologists feels that once antibiotics are commenced that there is no need to isolate, “standard precautions” is all that’s needed.
I’m interested, what is the current practice out there?
Regards LynLyn Golden
17 Francis Street
Echuca 3564
P 54855340
E lgolden@erh.org.au[ERH Logo – Abbreviated – CMYK]
Helping Everyone To Be And Stay HealthyEchuca Regional Health does not guarantee that this e-mail is virus or error free. The attached files are provided and may only be used on the basis that the user assumes all responsibility for any loss, damage or consequence resulting directly or indirectly from the use of the attached files, whether caused by the negligence of the sender or not. The content and opinions in this e-mail are not necessarily those of Echuca Regional Health.
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 aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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 aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hi Lyn,
In our oncology ward we do use “neutropenic precautions” to reverse barrier nurse these patients , but only if their neutrophil count is less than 1.0. The Oncology NUM oversees all of this.
We leave it to the discretion of the senior nursing staff on the ward and the patients Dr in conjunction with the patient to balance their need for visitors and family whilst protecting the patient from potential infection. This may include the use of masks by significant others (if they are unwell) or no PPE at all for visitors or reduced visitors until the patients neutrophil count improves. All visitors are encouraged to perform hand hygiene on entry and exit to the room.
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076The question has been raised. Is it best practice to reverse barrier nurse febrile neutropenic patients or not?
Staff have suggested that maybe patients are not getting the best care by being isolated as the patients feel neglected and shut off, our Oncologists feels that once antibiotics are commenced that there is no need to isolate, “standard precautions” is all that’s needed.
I’m interested, what is the current practice out there?
Regards LynLyn Golden
17 Francis Street
Echuca 3564
P 54855340
E lgolden@erh.org.au[ERH Logo – Abbreviated – CMYK]
Helping Everyone To Be And Stay HealthyEchuca Regional Health does not guarantee that this e-mail is virus or error free. The attached files are provided and may only be used on the basis that the user assumes all responsibility for any loss, damage or consequence resulting directly or indirectly from the use of the attached files, whether caused by the negligence of the sender or not. The content and opinions in this e-mail are not necessarily those of Echuca Regional Health.
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 aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message
is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services
Scanning Services – powered by MessageLabs. For further information
visit http://www.messagelabs.comMESSAGES 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 aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Hi Lyn
We no longer use ‘neutropenic precautions’ for any patient with neutropenia. The rationale for this is that they are more at risk from infection with commensals and their own flora than from others. We do place them in single rooms, and we do advise visitors who have infections not to visit, but no actual extra PPE (apart from what is needed for Standard Precautions of for cytotoxic therapy). We also try to roster staff who care for neutropenic patients to not also care for patients with overt infections during the same shift, where possible.
We have not seen a rise in neutropenic fever or associated infections in this patient group since implementing this strategy.
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@svha.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[http://www.interactivejam.com.au/images/ACIPC-conference.jpg]
The question has been raised. Is it best practice to reverse barrier nurse febrile neutropenic patients or not?
Staff have suggested that maybe patients are not getting the best care by being isolated as the patients feel neglected and shut off, our Oncologists feels that once antibiotics are commenced that there is no need to isolate, “standard precautions” is all that’s needed.
I’m interested, what is the current practice out there?
Regards LynLyn Golden
17 Francis Street
Echuca 3564
P 54855340
E lgolden@erh.org.au[ERH Logo – Abbreviated – CMYK]
Helping Everyone To Be And Stay HealthyEchuca Regional Health does not guarantee that this e-mail is virus or error free. The attached files are provided and may only be used on the basis that the user assumes all responsibility for any loss, damage or consequence resulting directly or indirectly from the use of the attached files, whether caused by the negligence of the sender or not. The content and opinions in this e-mail are not necessarily those of Echuca Regional Health.
______________________________________________________________________
For the purposes of protecting the integrity and security of the SVHA network and the information held on it, all emails to and from any email address on the “svha.org.au” domain (or any other domain of St Vincent’s Health Australia Limited or any of its related bodies corporate) (an “SVHA Email Address”) will pass through and be scanned by the Symantec.cloud anti virus and anti spam filter service. These services may be provided by Symantec from locations outside of Australia and, if so, this will involve any email you send to or receive from an SVHA Email Address being sent to and scanned in those locations.
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 aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (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 aicalist@aicalist.org.au
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
- The forum ‘Infexion Connexion’ is closed to new topics and replies.