Policy defining sub acute versus acute in caring for MRO’s

[Beckingham, Wendy]

Dear Colleagues

I am wondering does anyone have a policy in the way you care for patients with MRO’s in a acute versus subacute unit.

In saying this a definition to cover sub acute has also been difficult to come by and am wondering if anyone can help this as well.

Wendy Beckingham
CNC Infection Control
The Canberra Hospital
pager 50390 or phone 43695

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[Prue Wright]

Dear Wendy,

We have only recently closed our medical ward, which I assume you would
have defined as “sub-acute”. We have an acute surgical ward and post
natal also. As post caesarian section patients are nursed on post
natal, they need to be classified as surgical.

When the medical ward was still open; patients with confirmed MROs were
treated with full precautions; just as they are in the surgical ward. We
could not risk HAIs in any of our patients, and are very aware of our
higher risk surgical areas.

So – in a nutshell – our policy for MRO management is across the board.

Hope this is some help

Regards

Prue Wright

Infection Control Coordinator
Hurstville Private

—–Original Message—–
Behalf Of Beckingham, Wendy

Dear Colleagues

I am wondering does anyone have a policy in the way you care for
patients with MRO’s in a acute versus subacute unit.

In saying this a definition to cover sub acute has also been difficult
to come by and am wondering if anyone can help this as well.

Wendy Beckingham
CNC Infection Control
The Canberra Hospital
pager 50390 or phone 43695

———————————————————————–
This email, and any attachments, may be confidential and also
privileged. If you are not the intended recipient, please notify the
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[Wishart, Michael]

Hi Wendy

In many ways I agree with Prue here, although I am not sure her medical
ward would be considered sub-acute, as by definition they would have an
acute illness (unless it was a convalescent medical ward or something).
In my view, it all depends on where your sub-acute area is, and how it
is staffed. We often have this discussion with rural and remote
facilities that have attached residential care areas to their acute
treatment facilities. What we normally advise is that if staff are
shared commonly between areas, and patients at risk of actual infection
(versus colonisation) may be managed by the same staff as handling
patients in a sub-acute care during the same shift, then we would be
concerned about potential for cross transmission.

We treat our rehab unit in this way, as even though it is in a separate
building it shares staff with acute wards, so they use the same
precautions for MRO’s as the acute wards do.

If a sub-acute or non-acute setting is stand alone and no staff sharing
to acute occurs for the same shift, it is all about actual risk of
infection for that patient group, and can often be managed without
routine contact precautions for colonised patients.

Cheers
Michael

Michael Wishart | GPH – Infection Control Coordinator
Infection Prevention is everyone’s business!

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.
—–Original Message—–
Behalf Of Prue Wright
acute in caring for MRO’s

Dear Wendy,

We have only recently closed our medical ward, which I assume you would
have defined as “sub-acute”. We have an acute surgical ward and post
natal also. As post caesarian section patients are nursed on post
natal, they need to be classified as surgical.

When the medical ward was still open; patients with confirmed MROs were
treated with full precautions; just as they are in the surgical ward. We
could not risk HAIs in any of our patients, and are very aware of our
higher risk surgical areas.

So – in a nutshell – our policy for MRO management is across the board.

Hope this is some help

Regards

Prue Wright

Infection Control Coordinator
Hurstville Private

—–Original Message—–
Behalf Of Beckingham, Wendy

Dear Colleagues

I am wondering does anyone have a policy in the way you care for
patients with MRO’s in a acute versus subacute unit.

In saying this a definition to cover sub acute has also been difficult
to come by and am wondering if anyone can help this as well.

Wendy Beckingham
CNC Infection Control
The Canberra Hospital
pager 50390 or phone 43695

———————————————————————–
This email, and any attachments, may be confidential and also
privileged. If you are not the intended recipient, please notify the
sender and delete all copies of this transmission along with any
attachments immediately. You should not copy or use it for any purpose,
nor disclose its contents to any other person.
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do not represent the opinion of AICA.

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