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Precautions for same day surgery patients with MROs

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  • #71679
    Margaret Davidson
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    Margaret Davidson

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    Dear Colleagues,

    I am reviewing the management of our same day surgery patients colonised with MROs.

    We do not have a dedicated same day surgery ward, so these patients are admitted to a medical/surgical ward. The majority are admitted for cataract surgery under local anaesthetic, so often admitted and discharged within four hours. We only have one single room with ensuite on the ward. We try to admit MRO patients to this room, but this is not always possible due to other clinical demands. All other rooms on the ward have either two or four beds and no ensuite bathroom. Precautions are based on risk assessment and type of MRO.
    I am interested how other facilities manage these type of patients. Do you manage patients differently based on type of MRO colonisation? Do you risk assess patients individually?

    Many thanks,

    Margaret Davidson
    CNC Infection Control
    Bentley Health Service
    BENTLEY WA 6102

    Sent from my iPad

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    #71681
    Barbara Elliott
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    Barbara Elliott

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    Hi Margaret,
    We work on the principle of standard precautions for all patients at all times, regardless on known or perceived infectious status. We look at risk factors for dissemination and base any additional precautions on that assessment. As a general rule we do not do anything different for our day cases and make no changes to the op list order – as per the HDWA OP directive for MRSA in WA Healthcare Facilities.

    We also reinforce with staff that for every one patient known to be colonised with MRSA, there may well be others on the lists.

    Happy to discuss further off line if you wish.

    Kind regards,

    Barbara Elliott | Manager Infection Control
    St John of God Subiaco Hospital
    T: (08) 9382 6871 | M: 0413 706 384 | F: (08) 9382 6785 | E: Barbara.Elliott@sjog.org.au
    12 Salvado Road Subiaco WA 6008 | PO Box 14, Subiaco WA 6904
    http://sjog.org.au/subiaco | http://twitter.com/sjog_healthcare | LinkedIn | http://facebook.com/StJohnOfGodSubiacoHospital

    —–Original Message—–

    Dear Colleagues,

    I am reviewing the management of our same day surgery patients colonised with MROs.

    We do not have a dedicated same day surgery ward, so these patients are admitted to a medical/surgical ward. The majority are admitted for cataract surgery under local anaesthetic, so often admitted and discharged within four hours. We only have one single room with ensuite on the ward. We try to admit MRO patients to this room, but this is not always possible due to other clinical demands. All other rooms on the ward have either two or four beds and no ensuite bathroom. Precautions are based on risk assessment and type of MRO.

    I am interested how other facilities manage these type of patients. Do you manage patients differently based on type of MRO colonisation? Do you risk assess patients individually?

    Many thanks,

    Margaret Davidson
    CNC Infection Control
    Bentley Health Service
    BENTLEY WA 6102

    Sent from my iPad

    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

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