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Dear All,
Does any hospital have a guideline for admission of patients to orthopaedic wards? More specifically, are there any criteria that you might be following, for example: no patients with MROs, wounds, ulcers, etc. to be allowed admission into orthopaedic wards, even if the presentation is related to orthopaedics?
Many thanks in advance,
Rita
Rita RoyClinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
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Hi Rita
In my opinion you are opening Pandora’s fabled box if you take this path of ‘ring-fencing’ You are basically saying that contact precautions are not sufficient. I have seen this attempted and it made no difference in a large hospital already endemic with MROs. And one of the spinoffs can be suboptimal care for orthopaedic patients who are excluded from orthopaedic wards.
In my opinion, anyway. Someone may have some studies to support either position. Just be careful the path you take, in my experience.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226P Please consider the environment before printing this email
Sent by Outlook for Android on a Galaxy S5
On Mon, May 30, 2016 at 10:14 PM -0700, “Rita Roy” <Rita.Roy@HEALTH.NSW.GOV.AU> wrote:
Dear All,
Does any hospital have a guideline for admission of patients to orthopaedic wards? More specifically, are there any criteria that you might be following, for example: no patients with MROs, wounds, ulcers, etc. to be allowed admission into orthopaedic wards, even if the presentation is related to orthopaedics?
Many thanks in advance,
Rita
Rita RoyClinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
[Description: Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-Sydney-LHD.jpg%5D[Description: 5 moments hand hygiene]
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Hi Rita,
Where possible we admit our MRO orthopaedic patients to a ‘dirty’ ward (when we have two orthopaedic wards open)otherwise they are segregated to clean end and dirty end of the ward.
Louise Teare did some research in the UK regarding the benefits of ‘ring fencing’ for orthopeadics in the late 1990s early 2000s -Have a look at – Eradication of MRSA by ‘ring fencing’ of elective orthopaedic beds 2005, it can be accessed online think its published in BMJ.
Hope this helpsKind Regards
Jayne
Jayne OConnor RN, BSc.Inf.Cont.
IPC Co ordinator
Sydney Adventist Hospital
185 Fox valley Rd,
Wahroonga 2076[Description: 5 moments hand hygiene]
Dear All,
Does any hospital have a guideline for admission of patients to orthopaedic wards? More specifically, are there any criteria that you might be following, for example: no patients with MROs, wounds, ulcers, etc. to be allowed admission into orthopaedic wards, even if the presentation is related to orthopaedics?
Many thanks in advance,
Rita
Rita RoyClinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
[Description: Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-Sydney-LHD.jpg%5D[Description: 5 moments hand hygiene]
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.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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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visit http://www.messagelabs.comMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Thanks Michael Wishart for your common sensical approach. I agree with you wholeheartedly and like you fear yet more mixed infection control messages that adopting ring-fencing would cause.
Cheers
Cathryn Murphy MPH PhD CIC
Chief Executive Officer
Infection Control Plus Pty Ltd
PO Box 3079
Burleigh Town 4220E: Cath@infectioncontrolplus.com.au
M: +61 428 154154
W: infectioncontrolplus.com.auHi Rita
In my opinion you are opening Pandora’s fabled box if you take this path of ‘ring-fencing’ You are basically saying that contact precautions are not sufficient. I have seen this attempted and it made no difference in a large hospital already endemic with MROs. And one of the spinoffs can be suboptimal care for orthopaedic patients who are excluded from orthopaedic wards.
In my opinion, anyway. Someone may have some studies to support either position. Just be careful the path you take, in my experience.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226P Please consider the environment before printing this email
Sent by Outlook for Android on a Galaxy S5
On Mon, May 30, 2016 at 10:14 PM -0700, “Rita Roy” <Rita.Roy@HEALTH.NSW.GOV.AU> wrote:
Dear All,
Does any hospital have a guideline for admission of patients to orthopaedic wards? More specifically, are there any criteria that you might be following, for example: no patients with MROs, wounds, ulcers, etc. to be allowed admission into orthopaedic wards, even if the presentation is related to orthopaedics?
Many thanks in advance,
Rita
Rita RoyClinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.auClick here to visit the Infection Prevention and Control page on the Intranet
[Description: Description: http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Northern-Sydney-LHD.jpg%5D[Description: 5 moments hand hygiene]
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.
Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
______________________________________________________________________
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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______________________________________________________________________
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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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