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Infection Control policy for rehabilitation hospitals

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  • #71356
    Anonymous
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    Anonymous

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    Dear colleagues,
    This may seem like question from a complete novice. However I am bravely asking it. Do hospitals which are purely for rehabilitation have different infection control policy and procedures from acute hospitals? I know that there will be some differences, but what about managing of patients with MROs, aseptic technique, and other infection control related matters? Is there anybody willing to share policies/procedures for rehabilitation facilities ? Any advice is welcome.
    Many thanks in anticipation,
    Rita

    Rita Roy

    Clinical 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

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    #71358
    Nicola Swindells
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    Nicola Swindells

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    Hi Rita,

    We have a rehab ward in which we still allow patients to join activities with MROs with extra precautions in place, I am happy to share our documentation pertaining to this off line if you wish.

    Kind Regards

    Nicola Swindells Clinical Nurse Consultant
    Infection Control / Skin Integrity
    Mater Hospitals Central Queensland
    Rockhampton Gladstone Yeppoon

    nswindells@mercycq.com
    tel 07 49313420

    Clean Hands are caring hands, remember the five moments of hand hygiene

    Dear colleagues,
    This may seem like question from a complete novice. However I am bravely asking it. Do hospitals which are purely for rehabilitation have different infection control policy and procedures from acute hospitals? I know that there will be some differences, but what about managing of patients with MROs, aseptic technique, and other infection control related matters? Is there anybody willing to share policies/procedures for rehabilitation facilities ? Any advice is welcome.
    Many thanks in anticipation,
    Rita

    Rita Roy

    Clinical 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

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    #71360
    Marija Juraja
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    Marija Juraja

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    Hi Rita,

    No it’s not a silly question to ask.

    Rehabilitation centres are a step down from the acute setting, and there are two in our local health network. They still have patients that require wound dressings, access of PICC lines for medications/antibiotics and they still have their MROs. Our policies for these sites are different in regards to MRO management as it is based on a risk assessment that includes clinical demographics and patient compliance) as well as location within the unit. Aseptic Technique is still the same regardless.

    If you would like a procedure I am more than happy to share, just email me directly.

    Kind Regards

    Marija Juraja |Clinical Service Coordinator (CICP) -Infection Prevention & Control Unit|
    Division of Acute Medicine
    t: +61 8 8222 7588| p: 47757|

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    Dear colleagues,
    This may seem like question from a complete novice. However I am bravely asking it. Do hospitals which are purely for rehabilitation have different infection control policy and procedures from acute hospitals? I know that there will be some differences, but what about managing of patients with MROs, aseptic technique, and other infection control related matters? Is there anybody willing to share policies/procedures for rehabilitation facilities ? Any advice is welcome.
    Many thanks in anticipation,
    Rita

    Rita Roy

    Clinical 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

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    #71362
    Michael Wishart
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    Michael Wishart

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    NSW

    Hi Rita

    No questions is a silly question. To not ask one is the silly thing! 🙂

    In my experience, the biggest problem with setting appropriate risk mitigation strategies for rehab units is not when they are standalone facilities, but when they are part of an acute facility. This is where the grey areas arise. If you have a rehab unit that shares staff and resources with acute care areas, this is where the specific policies for standalone rehab facilities may not always work best.

    It also depends on patient factors in the rehab facility. Does the facility manage patients with complex issues such as large open wounds, central lines, etc, or does the rehab facility not accept this type of patient until these things are considered controlled? This will also make a difference in risk management strategies to reduce the risk of infection transmission to these patients.

    Just something to keep in mind when discussing rehab facilities, I think. Like residential care facilities, the line between infection risk to acute facility patients and rehab facility patients is slowly becoming more burred.

    Cheers
    Michael

    Michael 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
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    Dear colleagues,
    This may seem like question from a complete novice. However I am bravely asking it. Do hospitals which are purely for rehabilitation have different infection control policy and procedures from acute hospitals? I know that there will be some differences, but what about managing of patients with MROs, aseptic technique, and other infection control related matters? Is there anybody willing to share policies/procedures for rehabilitation facilities ? Any advice is welcome.
    Many thanks in anticipation,
    Rita

    Rita Roy

    Clinical 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

    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.

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