Reverse Isolation For Neutropenic Patients

Reverse Isolation For Neutropenic Patients

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ISOLATION GUIDELINESIC 1.2Louisiana State UniversityHealth Sciences , 91, 96, 01, 03, 05FebruaryApproved byInfection Control Committee:

March 2012Clinical Board___________________ 2 Isolation ManualTable of ContentsPurpose, Scope, Policy StatementProceduresPatient AssessmentPatient PlacementResponsibility for initiating & carrying out isolationIsolation TypesStandard PrecautionsTransmissionBased PrecautionsContact PrecautionsDroplet PrecautionsAirborne PrecautionsDiscontinuation of TransmissionBased PrecautionReadmission of Infected/Colonized PrecautionsIsolation Guideline for Cystic Fibrosis InpatientsManaging Visitors of Patients in IsolationPersonnel Restrictions/Personnel Presumed ImmuneTransport of Patients in IsolationExposure Management (Measles,Varicella, Smallpox)Agents of BioterrorismPatient Care Equipment and ArticlesLinen and LaundryEating UtensilsPatient Furnishings and EquipmentUrine and FecesDiscarding Blood and Body Fluid other than Urine and FecesLaboratory SpecimensContaminated ClothingContaminated Trash/Solid Medical WastePediatric PatientsNICUPICUNurseryGeneral PediatricsRoutine and Terminal CleaningPostmortem Handling of BodiesComputers, multiuse electronic equipmentReferencesTable 1: Additional Clinical Syndromes or ConditionsTable 2: Type and Duration of Precautions Needed for Selected Infections and ConditionsAppendix A: Severe Acute Respiratory SyndromeAppendix B: Avian Influenza (Bird Flu)/Pandemic FluAppendix B2: Novel Influenza A (H1N1)Agents of BioterrorismAppendix C: Anthrax Fact SheetC1 Botulism Fact SheetC2 Smallpox Fact SheetC3 Plague Fact SheetAppendix D: State of Louisiana Sanitary CodeAppendix E: Isolation SignsRespiratory PrecautionsRespiratory Precautions Quick ReferenceContact PrecautionsContact Precautions Quick ReferenceNeutropenic PrecautionsNeutropenic Precautions Quick Reference 3

Purpose: To guide clinicians in selection and implementation of appropriate isolation guidelines that decrease the risk of transmission of infection.Scope: All healthcare workers will comply with infection prevention procedures and guidelines.Policy Statement: LSU Health Shreveport employees will practice standard precautions with all patient care activities to minimize exposure to potential pathogens.The Centers for Disease Control recommends that additional isolation precautions be utilized based on the method of transmission of various pathogens.The following outlines the implementation of Standard, Airborne, Contact, and Droplet Precautions.Procedure: Patient AssessmentThe nurse and physician assess the patient on admission and daily thereafter to determine isolation requirements.Appropriate isolation precautions are immediately implemented if the patient is known or suspected of having a transmissible disease.Patient PlacementA private room is preferred when a patient must be placed in isolation
reverse isolation for neutropenic patients
Isolation Guidelines Ic 1.2 Louisiana State University
h. Neutropenic Precautions . ... a. Isolation patients shall be placed in private rooms as outlined in the Isolation Guidelines. (
Neutropenic Precautions- Do You Wear The Mask?
Neutropenic Precautions- ... Unselected Patients (National Health and ... Definition of “reverse isolation ... (

If a private room is not available, the Infection Control Department should be consulted for advise on cohorting.

Patients may be cohorted if they have the same organism with the exact same sensitivity unless the Infection Control Department advises otherwise.Responsibility for initiating and carrying out isolationThe patient’s physician, the charge nurse, and the infection control department nursing staff have the authority to initiate isolation.When isolation is initiated by a nurse using Infection ntrol protocol, the following procedure in the electronic health record is followed: Click “Order Entry”, then enterIsolationType under New Order, then underOrdermode, select“Per Protocol Cosign Required”,Use the current attending physician as the ordering provider, and click accept.For verbal or telephone orders, follow Nursing procedure for entering orders.All personnel are responsible for complying with isolation precautions and for speaking up when infractions are observed.Repetitive infractions should be reported to the unit manager.Patients, family members, and visitors have a responsibility to comply with isolation precautions.Physicians, nurses and clinicians are responsible for teaching the patient, family and visitors how to comply with isolation precautions.

Patient teaching should be documented in the chart.Isolation Types 4

Standard Precautions All blood, body fluids, secretions, and excretions except sweat), nontact skin, and mucous membranes may harbor pathogenic organisms.Assume that every person is potentially infected or colonized with an organism that could be transmitted.

Standard Precautionsinclude infection prevention practices that are used with all patients, regardless of suspected or confirmed infection status in all healthcare settings.These include:Hand hygieneand Barriersse of gloves, gown, mask, eye protection, or face shield, depending on the anticipated exposure; and safe injection practices.See Infection Control Guideline IC 2.0 Hand Hygiene and IC 1.1 Bloodborne Pathogens Control Plan.Respiratory Hygiene/Cough Etiquette: Patients and visitors should be educated to cover their mouth/nose with a tissue when coughingor sneezing, promptly dispose of used tissues, and wash their hands.In addition, patients who present with a cough or signs of a respiratory infection should be instructed to wear a mask until they are medically evaluated.They should be spatially separated more than three (3)feet, if possible, from other patients if they are in common waiting areas.

Coughing patients who cannot or will not confine secretions should be placed in a private room.Lumbar Puncture Procedures: A face mask should be worn by the individual placing a catheter or injecting material into the spinal or epidural space.Safe Injection Practices:Use aseptic technique to avoid contamination of sterile injection equipment.Do not administer medications from a syringe to multiple patients, even if the needle r cannula on the syringe is changed.Needles, cannulaand syringes are steril
It's an isolation now reverse it PunjabiSunni-Sunni-Muslim-Human.[contd]
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