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Dear all
A ‘ this old chestnut’ question 🙂 !
I was wondering if there might be a few people who could comment on ‘protective precautions’ for the neutropenic patient. Specifically:
* What is your workplace policy/procedure?
* If your workplace does have specific precautions, do you within your IC role monitor or have involvement with any policies relating to this?
* Do you think it is a responsibility of IC programs within a facility?
I get many questions regarding this from staff. Advice from other IC colleagues is that it doesn’t really come under infection control. Not discussed in national guidelines (that I could find) and appears good standard precautions covers risk.
Most hospitals do seem to have protective precaution posters which cover/reinforce standard precautions (Hand Hygiene, Cleaning of equipment if not single use, to not visit if have a current infection)
And then some additions i.e.:* Single room with door closed
* Advice to visitors to see nurse before entering
* Dedicated equipment
Looking forward to your feedback.
Kind regards,
Sally BrewInfection Control Clinical Nurse – Broome Regional Health Campus
WA Country Health Service Kimberley
PO Box 62 | Broome WA 6725
P (08) 9194 2353 M 0438 903 210
Email:Broome.InfectionControl@health.wa.gov.au
Working together for a healthier country WA
Our Values: Community | Compassion | Quality | Integrity | Justice
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Hi Sally
I actually think that this is one of those ‘needs common sense approach’ chestnuts.
What are we actually doing when using transmission based precautions? Trying to prevent spread of something from one patient to another. What are we trying to do if we use ‘protective precautions’? Trying to stop the immunosuppressed patients from getting an infection.
My ID and micro colleagues tell me the majority of infections neutropenic and other immunosuppressed patients actually get infected with arise from within their own body flora, or even are reactivations of previous infections. Not much will help prevent that in the way of single rooms and PPE.
There is definite benefit to reducing exposure to those with an infective illness, but this is also true of the rest of our patients (and staff!). So signage of this type is better off a hospital or ward entry level.
A single room may be of benefit in reducing exposure to people (more visitors in a multi bedded room), but the haem/onc staff tell me there are other nursing reasons for placing neutropenic patients in single rooms with dedicated ensuite apart from exposure to people. So they routinely do this, but no specific signage goes on the door.
This facility does not use any specific signage for ‘protective precautions’, although we occasionally put signage at ward entries about visiting when you are symptomatic with something.
Hope this rambling discourse gives you some idea what we do here, and what my thoughts are.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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P Please consider the environment before printing this emailDear all
A ‘ this old chestnut’ question 🙂 !
I was wondering if there might be a few people who could comment on ‘protective precautions’ for the neutropenic patient. Specifically:
* What is your workplace policy/procedure?
* If your workplace does have specific precautions, do you within your IC role monitor or have involvement with any policies relating to this?
* Do you think it is a responsibility of IC programs within a facility?
I get many questions regarding this from staff. Advice from other IC colleagues is that it doesn’t really come under infection control. Not discussed in national guidelines (that I could find) and appears good standard precautions covers risk.
Most hospitals do seem to have protective precaution posters which cover/reinforce standard precautions (Hand Hygiene, Cleaning of equipment if not single use, to not visit if have a current infection)
And then some additions i.e.:* Single room with door closed
* Advice to visitors to see nurse before entering
* Dedicated equipment
Looking forward to your feedback.
Kind regards,
Sally BrewInfection Control Clinical Nurse – Broome Regional Health Campus
WA Country Health Service Kimberley
PO Box 62 | Broome WA 6725
P (08) 9194 2353 M 0438 903 210
Email:Broome.InfectionControl@health.wa.gov.au
Working together for a healthier country WA
Our Values: Community | Compassion | Quality | Integrity | Justice
The contents of this e-mail transmission are intended solely for the named recipient(s), are confidential, and may be privileged or otherwise protected from disclosure in the public interest. The use, reproduction, disclosure or distribution of the contents of this e-mail transmission by any person other than the named recipient(s) is prohibited. If you are not a named recipient please notify the sender immediately.______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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.
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______________________________________________________________________
This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.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.
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Hi Sally,
Our IPC Service does manage the ‘protective isolation’ signage but this is mainly used on general wards as the adult and child haematology specialist wards have HEPA filtration and/or positive pressure single rooms with ensuites. So they do not always need to use the signage for the same reasons that Michael Wishart outlines. Many staff think you need to wear a droplet mask and gown when entering a protective isolation staff but anyone with an upper respiratory tract infection should not enter at all. So routine Protective isolation precautions with us is a single room, focus on hand hygiene, dedicated or cleaned shared equipment and the patient to wear a droplet mask if visiting other investigation departments. Plus the other statements about visitors reporting and not to enter if unwell etc. Happy to share our poster with you to see.Cheers
Ruth
[IPC logo for email signature]Ruth Barratt RN, BSc, MAdvPrac (Hons)
Clinical NurseSpecialist Infection Prevention and Control
Community Liaison Infection Prevention
*: ruth.barratt@cdhb.health.nz
*: + 64 3 3640 083 or ext.80083
[1098272744j4O36h]: 0275 263175
Level 5, Riverside Building
Christchurch Hospital | Private Bag 4710, Christchurch
Clean Hands Save Lives!Dear all
A ‘ this old chestnut’ question 🙂 !
I was wondering if there might be a few people who could comment on ‘protective precautions’ for the neutropenic patient. Specifically:
* What is your workplace policy/procedure?
* If your workplace does have specific precautions, do you within your IC role monitor or have involvement with any policies relating to this?
* Do you think it is a responsibility of IC programs within a facility?
I get many questions regarding this from staff. Advice from other IC colleagues is that it doesn’t really come under infection control. Not discussed in national guidelines (that I could find) and appears good standard precautions covers risk.
Most hospitals do seem to have protective precaution posters which cover/reinforce standard precautions (Hand Hygiene, Cleaning of equipment if not single use, to not visit if have a current infection)
And then some additions i.e.:* Single room with door closed
* Advice to visitors to see nurse before entering
* Dedicated equipment
Looking forward to your feedback.
Kind regards,
Sally BrewInfection Control Clinical Nurse – Broome Regional Health Campus
WA Country Health Service Kimberley
PO Box 62 | Broome WA 6725
P (08) 9194 2353 M 0438 903 210
Email:Broome.InfectionControl@health.wa.gov.au
Working together for a healthier country WA
Our Values: Community | Compassion | Quality | Integrity | Justice
The contents of this e-mail transmission are intended solely for the named recipient(s), are confidential, and may be privileged or otherwise protected from disclosure in the public interest. The use, reproduction, disclosure or distribution of the contents of this e-mail transmission by any person other than the named recipient(s) is prohibited. If you are not a named recipient please notify the sender immediately.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
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