Transcript ISOLATION GUIDELINE REVIEW

Changes to Isolation
Guidelines
(effective July 1, 2005)
Why are the Guidelines
Changing?
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reduce the number of isolation patients
target patients and transmission methods with
the highest risk of transmission
promote the appropriate use of isolation
supplies
improve the quality of isolation practices at
GWUH
In Service Objectives
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Participants will be able to :
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State the color code for each isolation category
Discuss the proper selection and use of gowns , gloves and
mask for isolation precautions
List at least two methods of interdepartmental communication
of patient isolation status
Identify changes to use of gowns and mask for patient
transport
Discuss changes to isolation requirements for patients with
MRSA or VRE in the blood and patients who are colonized
with MRSA or VRE
ISOLATION COLOR CODES
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AIRBORNE (blue sign) TB, chicken pox and
measles
CONTACT (pink sign) MRSA, VRE ,C Diff,
shingles
DROPLET (green sign) influenza, bacterial
meningitis
CONTACT ISOLATION REVIEW
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Gloves are required to enter the room
Gowns required for extensive contact with patient,
( repositioning, bathing, dressing change, etc.).
Patient must have dedicated non-critical equipment
( BP cuff, stethoscope, tourniquet,etc.)
Ensure any dressings dry and intact prior to
transport
Assist patient with hand hygiene prior to
transport
AIRBORNE ISOLATION REVIEW
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Place patient in a negative pressure room
Door to the room needs to remain closed
All staff wear N95 (duckbill mask) when entering
the room
N95 mask is removed after leaving the patient room
Negative pressure in room is monitored and
recorded daily while in use (nursing)
Room must be vacant at least 30 minutes before
being used for another patient
DROPLET ISOLATION REVIEW
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Wear surgical mask for all entry into the
room
Mask may be removed at door or
immediately after leaving the patient’s
room and disposed of in the regular trash
container
Which mask should I use?
Activity
N95 Duckbill
Mask
Surgical Mask
(one with ties)
Entering a airborne
isolation room
YES
NO
Entering Droplet
Isolation Room
NO
YES
Placing a mask on a NO
patient at anytime
YES
Activity with patient NO
on standard
precautions
YES
WAYS TO COMMUNICATE
ISOLATION STATUS
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All charts should have isolation sticker on front of
chart ( nurse is responsible).
Other departments will be notified of isolation
when orders are entered into SMS placed or when
services are requested by phone.
All patient boards should identify isolation patients
by “letter” or “Color” code placed next to patient
name on board.
Information regarding resistant organisms from a
previous admission will be entered on the infection
control advisory by infection control
ADDITIONAL CHANGES
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Disposable dishes no longer required
Patients on contact isolation do not need to
wear gowns and gloves when being
transported
When mask required for patient only use
surgical mask
MRSA and VRE ISOLATION
Patients colonized with with MRSA or VRE
will not require isolation.
Patients with MRSA or VRE in blood will not
require isolation
MRSA or VRE in wounds will require isolation
MRSA or VRE in urine or stool will require
isolation if :
the patient is diapered or incontinent or
if the patient has an invasive GI or GU device is
foley or rectal tube.
ISOLATION REMINDERS
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Remove gown, gloves and mask (except N
95-duckbill mask) before leaving patient
room
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Gown, gloves, mask are not to be worn
outside the patient room.
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se proper hand hygiene before or
immediately after leaving patient’s room