Re Infection Control in Rehabilitation wards and hospitals

[Anonymous]

Hi everyone,

I found this little gem see atached.

However the reference / source has been lost in the bowels of my computer
but I think it was from a NSW or QLD document. Apologies to the original
owners of the material – but this was the most reasoned approach I could find
for managing MRO patients in rehabilitation settings.

Regards

Terry McAuley

Sterilisation & Infection Prevention and Control Consultant

STEAM Consulting

E: terry@steamconsulting.com.au

W: http://www.steamconsulting.com.au

A: PO BOX 779

Endeavour Hills

VIC Australia 3802

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Of Rita Roy

Dear All,

I am fielding this question on behalf of a colleague. How are infection
control precautions for MROs to be maintained in a rehab setting when
patients are doing group therapy? Especially in a private hospital where
isolation signs are not allowed to be put up outside the patient’s room as
it “might upset” the patient. Some of these patients have MRSA or VRE and
even MRPA. They are incontinent, have weeping wounds, etc. How can minimise
risk for the other patients in such conditions?

Rita Roy

Clinical Nurse Consultant | Infection Control

Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 | Mob 0422 930 370 |
Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.au

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[Joanna Harris]

Hello Rita,
I believe that we need to be very aware of the need for our IC precaution not to challenge or interfere with a person’s identified health (and in this case, rehabilitation) needs. Where does necessary precaution end, and unnecessary discrimination begin?

In rehab settings, all clients ought to be asked to perform hand hygiene before and during participation in group activities. The equipment should be cleaned before and after each and every use by any client – not just those we ‘know’ to be colonised with an MRO.
Wounds need to be covered whether the client has an MRO or not.. incontinence needs to be managed effectively…… Hydrotherapy pools activities require particular attention to clear exclusions such as wounds etc.
Standard Precautions in essence… it is incredibly important to remember that each person with an MRO is just that.. a person with particular heath requirements that need to be effectively addressed; by doing so we can hopefully reduce their ‘length of stay’ and thereby minimise transmission risk.

Joanna Harris, Manager ISLHD Infection Management and Control Service, NSW

________________________________________

Dear All,
I am fielding this question on behalf of a colleague. How are infection control precautions for MROs to be maintained in a rehab setting when patients are doing group therapy? Especially in a private hospital where isolation signs are not allowed to be put up outside the patients room as it might upset the patient. Some of these patients have MRSA or VRE and even MRPA. They are incontinent, have weeping wounds, etc. How can minimise risk for the other patients in such conditions?

Rita Roy

Clinical Nurse Consultant | Infection Control
Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
Tel (02) 9477 9232 | Fax (02) 9477 9013 | Mob 0422 930 370 | Rita.Roy@health.nsw.gov.au
http://www.health.nsw.gov.au

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[cid:image002.jpg@01D01B78.BC4490E0]

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[Anonymous]

Hi Terry

Don’t worry re my request regarding CSSD
Education modules CHRISP have replied.

Kind regards
Helen

Sent from my iPhone

> On 19 Dec 2014, at 1:45 pm, Terry McAuley wrote:
>
>
> Hi everyone,
>
> I found this little gem see atached.
>
> However the reference / source has been lost in the bowels of my computer but I think it was from a NSW or QLD document. Apologies to the original owners of the material – but this was the most reasoned approach I could find for managing MRO patients in rehabilitation settings.
>
> Regards
> Terry McAuley
> Sterilisation & Infection Prevention and Control Consultant
> STEAM Consulting
> Mob: +61 (0)438 109 692
> E: terry@steamconsulting.com.au
> W: http://www.steamconsulting.com.au
> A: PO BOX 779
> Endeavour Hills
> VIC Australia 3802
>
>
> CONFIDENTIAL COMMUNICATION: The information contained in this message may contain confidential information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or duplication of this transmission is strictly prohibited. If you have received this communication in error, please notify us by telephone or email immediately and return the original message to us or destroy all printed and electronic copies. Nothing in this transmission constitutes an agreement of any kind unless otherwise expressly indicated.
>
> From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Rita Roy
> Sent: Friday, 19 December 2014 11:16 AM
> To: AICALIST@AICALIST.ORG.AU
> Subject: Re Infection Control in Rehabilitation wards and hospitals
>
> Dear All,
> I am fielding this question on behalf of a colleague. How are infection control precautions for MROs to be maintained in a rehab setting when patients are doing group therapy? Especially in a private hospital where isolation signs are not allowed to be put up outside the patients room as it might upset the patient. Some of these patients have MRSA or VRE and even MRPA. They are incontinent, have weeping wounds, etc. How can minimise risk for the other patients in such conditions?
>
> Rita Roy
>
> Clinical Nurse Consultant | Infection Control
> Hornsby Ku ring gai Health Service, Palmerston Road, Hornsby NSW 2076
> Tel (02) 9477 9232 | Fax (02) 9477 9013 | Mob 0422 930 370 | Rita.Roy@health.nsw.gov.au
> http://www.health.nsw.gov.au
>
>
>
>
>
>
> 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.
>
> 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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