Management of MRO patients in OT

[Carien Coleman]

Hi,

We are currently looking into our practices regarding MRO patients in OT. I would like to know what other hospitals are doing re “outside scout nurses” and where and how do you recover pts post anaesthesia if they have a MRO.

Thank you,
Carien

Carien Coleman | Infection Control CNC
The Sunshine Coast Private Hospital
Syd Lingard Drive | BUDERIM QLD 4556
PO Box 5050 | Maroochydore BC QLD 4558
T: (07) 5430 3245 | F: (07) 5430 3436
E: carien.coleman@uchealth.com.au

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[Prue Wright]

Hi Carien,

We wrote a policy last year specifically for OT and put together a “kit”
for use when there is an MRO patient.

We acknowledge that more often than not, we could have a colonised
patient that we are not aware of; but when a patient is identified we
follow strict control measures.

VRE patients are put on the end of the list; and also MRSA if feasible.

We have an “outside” scout if we can, if not possible, then a stock
trolley is placed near the door and the porters help out with handing in
extra sponges etc.

The patient is recovered in OT if last on the list. Depending on the
source of the MRO, and the clinical condition of the patient, recovery
may have to be in the Recovery Unit. The bed is changed and cleaned
during the procedure, and PPE is worn by porters and nursing staff
caring for the patient.

With this policy there is no confusion as to what MRO requires special
precautions and there is full awareness of the need for extra measures
as the patient progresses through the hospital.

Prue Wright

Infection Control Co-ordinator

Hurstville Private

Behalf Of Carien Coleman

Hi,

We are currently looking into our practices regarding MRO patients in
OT. I would like to know what other hospitals are doing re “outside
scout nurses” and where and how do you recover pts post anaesthesia if
they have a MRO.

Thank you,

Carien

Carien Coleman | Infection Control CNC

The Sunshine Coast Private Hospital

Syd Lingard Drive | BUDERIM QLD 4556

PO Box 5050 | Maroochydore BC QLD 4558

T: (07) 5430 3245 | F: (07) 5430 3436

E: carien.coleman@uchealth.com.au

_________________________________________________________________

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[Helen Scott]

Hi, this is our policy taken from ACORN and HICMR:
INFECTION CONTROL RITUALS IN THE OPERATING THEATRE SUITE /
INTERVENTIONAL
PROCEDURE ROOM
Order of Patients on the Operating List, eg. Dirty/Clean Cases
The most probable route of infection transmission between
successive/sequential surgical
cases is from the air, instruments or environmental surfaces. If the
ventilation system is
effective, air will not be a source of infection transmission.
Furthermore, surfaces that do
not come into direct contact with the patient do not become
contaminated. As a
consequence, the inanimate theatre environment has a negligible
contribution to the
incident of post-operative infection. Therefore the order of patients
on an operating list
should not be determined on the basis of risk of cross infection.
Cheers,
Helen.
Helen Scott,
Infection Control Co-ordinator,
Nepean Private Hospital, Penrith, NSW.

PPlease consider the environment before printing this message

>>> Prue Wright 13/05/2011
7:13 am >>>

Hi Carien,
We wrote a policy last year specifically for OT and put together a kit
for use when there is an MRO patient.
We acknowledge that more often than not, we could have a colonised
patient that we are not aware of; but when a patient is identified we
follow strict control measures.
VRE patients are put on the end of the list; and also MRSA if
feasible.
We have an outside scout if we can, if not possible, then a stock
trolley is placed near the door and the porters help out with handing in
extra sponges etc.
The patient is recovered in OT if last on the list. Depending on the
source of the MRO, and the clinical condition of the patient, recovery
may have to be in the Recovery Unit. The bed is changed and cleaned
during the procedure, and PPE is worn by porters and nursing staff
caring for the patient.
With this policy there is no confusion as to what MRO requires special
precautions and there is full awareness of the need for extra measures
as the patient progresses through the hospital.

Prue Wright
Infection Control Co-ordinator
Hurstville Private

From:AICA Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On
Behalf Of Carien Coleman

Hi,
We are currently looking into our practices regarding MRO patients in
OT. I would like to know what other hospitals are doing re outside
scout nurses and where and how do you recover pts post anaesthesia if
they have a MRO.
Thank you,
Carien
Carien Coleman | Infection Control CNC
The Sunshine Coast Private Hospital
Syd Lingard Drive | BUDERIM QLD 4556
PO Box 5050 | Maroochydore BC QLD 4558
T: (07) 5430 3245 | F: (07) 5430 3436
E:carien.coleman@uchealth.com.au
_________________________________________________________________
Uniting Care Health Email Disclaimer:
http://www.uchealth.com.au/disclaimer
Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.
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 authors, and
do not represent the opinion of AICA.
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
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(without the quotes) to listserv@aicalist.org.au

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