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Good morning,
I would love some feedback regarding restrictions of visitors to Special care nurseries.
Who do you restrict? Other siblings?
I feel as long as Hand hygiene is performed and the visitor is well I personal feel that there is no real significant risk.
Some of our staff feel that in the case of twins, one goes home and one stays in the nursery then the well twin shouldn’t visit as the baby might pose a threat to the babies in Special care (perhaps from a whooping cough point of view).
Thanks,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.—
WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.http://www.mailguard.com.au/mg
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HI Rebecca
Great question, I guess the risk lies with the capability for the
department for screening of children who may be visiting the nursery to
exclude signs of droplet or gastrointestinal infection? As you know
influenza is infectious for two days prior to symptoms.Here at the RCH Bris we have see several cases of ‘hospital acquired’
infection in at risk patients brought in by siblings, children will
randomly vomit when they have norovirus and have limited personal
hygiene.In fact 3 years ago we excluded all children under 14yrs from visiting
in the inpatient baby area due to the repeated infections brought in
this way. Yes this is difficult logistically for parents and siblings
and less family centred care but we felt protecting the already
compromised infants had to be foremost in our recommendations. We find
that visitors/siblings minimise their infections and potential risks as
they are so keen to visit with the sick patient and they don’t well
understand the consequences to the sick patient.It is left up to the nurse in charge of the ward in special
circumstances to adjust this on a case by case basis such as for those
with multiple births.
Also our baby room has ‘viewing’ windows for siblings to see the baby
rather than directly visit.In my experience working at NICU and SCN who did not allow any visits
from children under 14yrs this screening and control of visitors would
then conceivably fall to the nurse at bedside and could potentially
create some quite challenging interpersonal situations.Being creative I would wonder if you could incorporate a infectious
symptoms screening tool for use at the bedside, could this require some
discussion and or documentation with each group of visitors.regards
JaneJane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South TowerHerston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RNClinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South TowerHerston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RNClinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South TowerHerston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RNClinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South TowerHerston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RNClinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South TowerHerston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RNClinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South TowerHerston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth>>> “Rebecca O’Donnell” 7/08/12
11:23 >>>Good morning,
I would love some feedback regarding restrictions of visitors to
Special care nurseries.Who do you restrict? Other siblings?
I feel as long as Hand hygiene is performed and the visitor is well I
personal feel that there is no real significant risk.Some of our staff feel that in the case of twins, one goes home and one
stays in the nursery then the well twin shouldnt visit as the baby
might pose a threat to the babies in Special care (perhaps from a
whooping cough point of view).Thanks,
Rebecca ODonnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T07 4690 4042|F 07 46904400
Erebecca.odonnell@stvincents.org.au (
http://rebecca.o’donnell@stvincents.org.au )|W http://www.stvincents.org.au (
http://www.stvincents.org.au/ )P Please consider the environment beforeprinting this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St
Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities
or of third parties. If you are not the intended recipient of the
Communication, please notify the sender immediately by return e-mail,
delete the Communication, and do not read, copy, print, retransmit,
store or act in reliance on the Communication. Any views expressed in
the Communication are those of the individual sender only, unless
expressly stated to be those of SVHAC. SVHAC does not guarantee the
integrity of the Communication, or that it is free from errors, viruses
or interference.WARNING : This email contains information, which is CONFIDENTIAL, and
that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments
to it (the “Communication”) is confidential and is for the use only of
the intended recipient, and may not duplicated or used by any other
party without the express consent of the sender. The Communication may
contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”),
or any of its related entities or of third parties. If you are not the
intended recipient of the Communication, please notify the sender
immediately by return e-mail, delete the Communication, and do not read,
copy, print, retransmit, store or act in reliance on the Communication.
Any views expressed in the Communication are those of the individual
sender only, unless expressly stated to be those of SVHAC. SVHAC does
not guarantee the integrity of the Communication, or that it is free
from errors, viruses or interference. Thank-you.Message protected by MailGuard: e-mail anti-virus, anti-spam and
content filtering.
http://www.mailguard.com.au/mgMessages posted to this list are solely the opinion of the authors, and
do not represent the opinion of ACIPC.
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
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This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
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Jane I appreciate your input. You have certainly bought up some great points to discuss further. Yes a screening tool may be something to consider. Thank you for sharing your experiences and information.
Again your time is very much appreciated.
Kind regards,
Rebecca ODonnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.odonnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jane Tomlinson
Sent: Tuesday, 7 August 2012 1:18 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Special care nurseryHI Rebecca
Great question, I guess the risk lies with the capability for the department for screening of children who may be visiting the nursery to exclude signs of droplet or gastrointestinal infection? As you know influenza is infectious for two days prior to symptoms.Here at the RCH Bris we have see several cases of ‘hospital acquired’ infection in at risk patients brought in by siblings, children will randomly vomit when they have norovirus and have limited personal hygiene.
In fact 3 years ago we excluded all children under 14yrs from visiting in the inpatient baby area due to the repeated infections brought in this way. Yes this is difficult logistically for parents and siblings and less family centred care but we felt protecting the already compromised infants had to be foremost in our recommendations. We find that visitors/siblings minimise their infections and potential risks as they are so keen to visit with the sick patient and they don’t well understand the consequences to the sick patient.
It is left up to the nurse in charge of the ward in special circumstances to adjust this on a case by case basis such as for those with multiple births.
Also our baby room has ‘viewing’ windows for siblings to see the baby rather than directly visit.In my experience working at NICU and SCN who did not allow any visits from children under 14yrs this screening and control of visitors would then conceivably fall to the nurse at bedside and could potentially create some quite challenging interpersonal situations.
Being creative I would wonder if you could incorporate a infectious symptoms screening tool for use at the bedside, could this require some discussion and or documentation with each group of visitors.
regards
JaneJane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s HealthQueensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth>>> “Rebecca O’Donnell” 7/08/12 11:23 >>>
Good morning,I would love some feedback regarding restrictions of visitors to Special care nurseries.
Who do you restrict? Other siblings?
I feel as long as Hand hygiene is performed and the visitor is well I personal feel that there is no real significant risk.
Some of our staff feel that in the case of twins, one goes home and one stays in the nursery then the well twin shouldnt visit as the baby might pose a threat to the babies in Special care (perhaps from a whooping cough point of view).
Thanks,
Rebecca ODonnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.odonnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.
Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.
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********************************************************************************
This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.
Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.
If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.
If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.
Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.
Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.
**********************************************************************************
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.http://www.mailguard.com.au/mg
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.
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Congrats your first time post worked!!
Thanks Kate for your feedback and as Jane mentioned as well, there are complexities with this issue.
My way of thinking is educate regarding illness and Hand Hygiene. Perhaps a screening tool would be helpful.
Thanks for your input, it is very much appreciated.
Kind regards,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.Hi,
Hope this post works, first time posting!
From working in paediatrics and neonatal ICU, and as an Infection Control Nurse, I see it from both sides. An additional challenge to those already mentioned is keeping young siblings from visiting other cots/ touching trolleys etc. It’s a hard ask to keep a young child contained to a cot space in a more open ICU setting, and as mentioned by Jane, hard to screen for symptoms when they will be either downplayed or infectious prior to actual symptoms presenting. I think having written guidelines that all of the staff are aware of and also information for parents explaining what is expected from the hospital (thus taking some of the “blame” away from the individual nurse at the bedside trying to restrict visiting) and the reasons why visiting of younger siblings might be restricted or not permitted can help. On the other side, it’s so important that younger siblings get to be a part of the new babies life, I’m not sure a complete ban is always necessary. Obviously during an outbreak or with ongoing issues things need to be reviewed and individual facilities face their own challenges that need individual solutions.
From an NICU/ SC environment perspective, the aim is to try and keep things calm and quiet, and this is also a challenge if younger children are spending extended lengths of time there, it does get boring! So perhaps considering the guideline in a broader context of general aims of the unit might help?
Not having worked for a few months now in the area, I can’t quite remember what is actually done in our facility however! Sorry!Kind regards
Kate Herbert, Clinical Nurse
Infection Prevention and Control
Royal Hobart HospitalOn Tue, Aug 7, 2012 at 3:00 PM, Rebecca O’Donnell <Rebecca.O'Donnell@stvincents.org.au> wrote:
Jane I appreciate your input. You have certainly bought up some great points to discuss further. Yes a screening tool may be something to consider. Thank you for sharing your experiences and information.Again your time is very much appreciated.
Kind regards,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.HI Rebecca
Great question, I guess the risk lies with the capability for the department for screening of children who may be visiting the nursery to exclude signs of droplet or gastrointestinal infection? As you know influenza is infectious for two days prior to symptoms.Here at the RCH Bris we have see several cases of ‘hospital acquired’ infection in at risk patients brought in by siblings, children will randomly vomit when they have norovirus and have limited personal hygiene.
In fact 3 years ago we excluded all children under 14yrs from visiting in the inpatient baby area due to the repeated infections brought in this way. Yes this is difficult logistically for parents and siblings and less family centred care but we felt protecting the already compromised infants had to be foremost in our recommendations. We find that visitors/siblings minimise their infections and potential risks as they are so keen to visit with the sick patient and they don’t well understand the consequences to the sick patient.
It is left up to the nurse in charge of the ward in special circumstances to adjust this on a case by case basis such as for those with multiple births.
Also our baby room has ‘viewing’ windows for siblings to see the baby rather than directly visit.In my experience working at NICU and SCN who did not allow any visits from children under 14yrs this screening and control of visitors would then conceivably fall to the nurse at bedside and could potentially create some quite challenging interpersonal situations.
Being creative I would wonder if you could incorporate a infectious symptoms screening tool for use at the bedside, could this require some discussion and or documentation with each group of visitors.
regards
JaneJane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s HealthQueensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth>>> “Rebecca O’Donnell” <Rebecca.O'Donnell@STVINCENTS.ORG.AU> 7/08/12 11:23 >>>
Good morning,I would love some feedback regarding restrictions of visitors to Special care nurseries.
Who do you restrict? Other siblings?
I feel as long as Hand hygiene is performed and the visitor is well I personal feel that there is no real significant risk.
Some of our staff feel that in the case of twins, one goes home and one stays in the nursery then the well twin shouldn’t visit as the baby might pose a threat to the babies in Special care (perhaps from a whooping cough point of view).
Thanks,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
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Hi,
Having worked in Paediatrics, Special Care and Infection Control I, too, see it from both sides.
Maybe there could be a designated short visiting time for siblings to visit the new baby which would limit the time the new baby was exposed to any potential disease while keeping the family happy, after a quick screening using the tool, from the nurse caring for the baby. Hand Hygiene can always be taught to older children and encouraged at the same time. The sibling then does not feel left out but it would be short so they can’t get too bored. This would require commitment from both the family and the staff. I agree it should be seen as a hospital wide guideline, then the families know the deal to begin with and the nurse is not targeted as being too strict.
One problem I have is families wanting to bring in small babies to visit a child with an infectious disease. Not only immediate family but extended family and visitors as well. When we explain that the child in isolation is infectious and should not be visited by small babies and toddlers, they get upset. Then the staff give in and let them visit. And so the cycle of infection continues. Any tips?
Thanks,
Terri Cripps | Clinical Nurse Consultant Infection Control | Sydney Children’s Hospital
‘: (02) 9382 1876 | fax: (02) 9382 2084 |* : terri.cripps@sesiahs.health.nsw.gov.au| “:www.sch.edu.au| page: 47140[cid:image001.jpg@01CD74CB.27A60FF0]
[cid:image002.jpg@01CD74CB.27A60FF0]Congrats your first time post worked!!
Thanks Kate for your feedback and as Jane mentioned as well, there are complexities with this issue.
My way of thinking is educate regarding illness and Hand Hygiene. Perhaps a screening tool would be helpful.
Thanks for your input, it is very much appreciated.
Kind regards,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.Hi,
Hope this post works, first time posting!
From working in paediatrics and neonatal ICU, and as an Infection Control Nurse, I see it from both sides. An additional challenge to those already mentioned is keeping young siblings from visiting other cots/ touching trolleys etc. It’s a hard ask to keep a young child contained to a cot space in a more open ICU setting, and as mentioned by Jane, hard to screen for symptoms when they will be either downplayed or infectious prior to actual symptoms presenting. I think having written guidelines that all of the staff are aware of and also information for parents explaining what is expected from the hospital (thus taking some of the “blame” away from the individual nurse at the bedside trying to restrict visiting) and the reasons why visiting of younger siblings might be restricted or not permitted can help. On the other side, it’s so important that younger siblings get to be a part of the new babies life, I’m not sure a complete ban is always necessary. Obviously during an outbreak or with ongoing issues things need to be reviewed and individual facilities face their own challenges that need individual solutions.
From an NICU/ SC environment perspective, the aim is to try and keep things calm and quiet, and this is also a challenge if younger children are spending extended lengths of time there, it does get boring! So perhaps considering the guideline in a broader context of general aims of the unit might help?
Not having worked for a few months now in the area, I can’t quite remember what is actually done in our facility however! Sorry!Kind regards
Kate Herbert, Clinical Nurse
Infection Prevention and Control
Royal Hobart HospitalOn Tue, Aug 7, 2012 at 3:00 PM, Rebecca O’Donnell <Rebecca.O'Donnell@stvincents.org.au> wrote:
Jane I appreciate your input. You have certainly bought up some great points to discuss further. Yes a screening tool may be something to consider. Thank you for sharing your experiences and information.Again your time is very much appreciated.
Kind regards,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.HI Rebecca
Great question, I guess the risk lies with the capability for the department for screening of children who may be visiting the nursery to exclude signs of droplet or gastrointestinal infection? As you know influenza is infectious for two days prior to symptoms.Here at the RCH Bris we have see several cases of ‘hospital acquired’ infection in at risk patients brought in by siblings, children will randomly vomit when they have norovirus and have limited personal hygiene.
In fact 3 years ago we excluded all children under 14yrs from visiting in the inpatient baby area due to the repeated infections brought in this way. Yes this is difficult logistically for parents and siblings and less family centred care but we felt protecting the already compromised infants had to be foremost in our recommendations. We find that visitors/siblings minimise their infections and potential risks as they are so keen to visit with the sick patient and they don’t well understand the consequences to the sick patient.
It is left up to the nurse in charge of the ward in special circumstances to adjust this on a case by case basis such as for those with multiple births.
Also our baby room has ‘viewing’ windows for siblings to see the baby rather than directly visit.In my experience working at NICU and SCN who did not allow any visits from children under 14yrs this screening and control of visitors would then conceivably fall to the nurse at bedside and could potentially create some quite challenging interpersonal situations.
Being creative I would wonder if you could incorporate a infectious symptoms screening tool for use at the bedside, could this require some discussion and or documentation with each group of visitors.
regards
JaneJane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s HealthQueensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth
Jane Tomlinson RN
Clinical Nurse Consultant
Infection Management and Prevention Service
Royal Children’s Hospital
Children’s Health Queensland
T: 07 3636 7856 | M: 0408 236 266
| F: 3636 5505
E: jane_tomlinson@health.qld.gov.au
Ground Floor, South Tower
Herston Rd, HERSTON QLD 4029
http://www.health.qld.gov.au/childrenshealth>>> “Rebecca O’Donnell” <Rebecca.O'Donnell@STVINCENTS.ORG.AU> 7/08/12 11:23 >>>
Good morning,I would love some feedback regarding restrictions of visitors to Special care nurseries.
Who do you restrict? Other siblings?
I feel as long as Hand hygiene is performed and the visitor is well I personal feel that there is no real significant risk.
Some of our staff feel that in the case of twins, one goes home and one stays in the nursery then the well twin shouldn’t visit as the baby might pose a threat to the babies in Special care (perhaps from a whooping cough point of view).
Thanks,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) 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. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.
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Hi Rebecca
I have included a couple of posters we have had for quite a number of years now. We do allow siblings to visit & do not appear to have a problem. Only once did we have RSV come into the unit but that could have been from staff or other adult visitors (this baby did not have siblings).I believe babies in NICU have more bugs of concern that those in the community. Hand hygiene can never be underestimated and parents, children or staff who are sick should be educated not to come into NICU or SCN.
Margie Evans
Infection Prevention & Control CNC
Royal Hospital for Women
LMB 2000
Randwick 2031
page 44075 or ph. 02 9382 6339Good morning,
I would love some feedback regarding restrictions of visitors to Special care nurseries.
Who do you restrict? Other siblings?
I feel as long as Hand hygiene is performed and the visitor is well I personal feel that there is no real significant risk.
Some of our staff feel that in the case of twins, one goes home and one stays in the nursery then the well twin shouldn’t visit as the baby might pose a threat to the babies in Special care (perhaps from a whooping cough point of view).
Thanks,
Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.auP Please consider the environment before printing this email.
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