Infection Prevention Isolation Precautions Toolkit - UI Health Care

Infection Prevention Isolation Precautions Toolkit

The toolkit provides:

Link(s) to revised Isolation Policy on The Point

Link to ICON training video and key changes to policy (NEW)

Quick Review Chart for education of staff (NEW) Available upon request from PHE ? ext. 6-1606

FAQs on Multi-drug resistant organisms

Q&A on Isolation Precautions

HOW TO FIND THE POLICY - Go the "The Point" and select Policies. 1. From the below screen select UI Hospitals and Clinics Policies and Procedures.

2. From the Policy Libraries select Infection Prevention and Control.

3. Select the Infection Control Manual. 4. Next select folder 03 ? Isolation Precautions and Precautions Needed for Resistant Organisms 5. Select Isolation Precautions ? IC-03.000

and Isolation Precautions Requirements Table ? IC-03.00C. 2

Link to Isolation Training Video (NEW): Standard and Isolation Precautions - YouTube Key Changes to Isolation Policy:

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Examples: C.Diff, MRSA, VRE

Examples: Influenza, Respiratory Infections

Examples: TB, Chicken Pox, Measles

*Gown and gloves for any contact with patient and environment, or cleaning *Remove PPE before leaving room

*Surgical mask for those within 3*6 feet *Remove PPE before leaving room

*N95 or PAPR respirator for all entering room *Remove N95 or PAPR after leaving room

* Staff notifies receiving dept. of isolation status *Patient wears clean hospital gown or robe and washes hands * If using cart/chair or Peds pt ? Use a clean sheet or blanket to cover patient *Staff does not use PPE outside of room

*Staff notifies receiving dept. of isolation status *Patient wears surgical mask *Staff does not use PPE outside of room

*Staff notifies receiving dept. of isolation status *Patient wears surgical mask *Staff does not use PPE outside of room

*Clean room with bleach wipes *Private room

*Routine cleaning *Private room

*Routine cleaning *Private, negative air pressure room

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FACTS on Multi-Drug Resistant Organisms (MDRO) and Additional Triggers used during an Outbreak

MDROs are defined as microorganisms, predominantly bacteria, that are resistant to one or

more classes of antimicrobial agents.

Although the names of certain MDROs describe resistance to only one agent (e.g., MRSA,

VRE), these pathogens are frequently resistant to most available antimicrobial agents .

In addition to MRSA and VRE, certain GNB, including those producing extended spectrum

beta*lactamases (ESBLs) and others that are resistant to multiple classes of antimicrobial agents, are of particular concern. In addition to Escherichia coli and Klebsiella pneumoniae, these include strains of Acinetobacter baumannii resistant to all antimicrobial agents, or all except imipenem.

MDRO infections have clinical manifestations that are similar to infections caused by

susceptible pathogens. However, options for treating patients with these infections are often extremely limited.

Despite some evidence that MDRO burden is greatest in adult hospital patients, MDRO require

similar control efforts in pediatric populations as well.

Patients vulnerable to colonization and infection include those with severe disease, especially

those with compromised host defenses from underlying medical conditions; recent surgery; or indwelling medical devices (e.g., urinary catheters or endotracheal tubes.

There is epidemiologic evidence to suggest that MDROs are carried from one person to

another via the hands. Hands are easily contaminated during the process of care-giving or from contact with environmental surfaces in close proximity to the patient. The latter is especially important when patients have diarrhea and the reservoir of the MDRO is the gastrointestinal tract. Enhanced environmental measures for increased transmission and/or outbreaks (These are used after consultation with Infection Preventionists)

o Intensify and reinforce training of environmental staff who work in areas targeted for

intensified MDRO control and monitor adherence to environmental cleaning policies.

o Monitor (i.e., supervise and inspect) cleaning performance to ensure consistent cleaning

and disinfection of surfaces in close proximity to the patient and those likely to be touched by the patient and HCP (e.g., bedrails, carts, bedside commodes, doorknobs, faucet handles).

o Obtain environmental cultures (e.g., surfaces, shared medical equipment) when there is

epidemiologic evidence that an environmental source is associated with ongoing transmission of the targeted MDRO.

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