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POLICY AND PROCEDURE Title: Standard Precautions, Chickenpox Isolation in Pediatrics and Policy # Airborne Isolation for LTC Long Term Care-VI a Type: Corporate Date Page: Distribution: Infection Control Manual Issue: -1-- of --4 Pre- existing LTC policy Prepared by: Effective Date: Infection Control Practitioners and Managers 12/01 Long Term Care Department Approved by: Revision Number Infection Control Committee-10/4/01 LTC ICN Corporate ICP Reference NYS/Federal/JCAHO: Review Date 1/18/02 Revision Date 12/4 I. INTRODUCTION Standard Precautions is a blend of Universal Precautions and Body Substance Isolation. It is an approach to infection control which recognizes that all body fluids or substances, from all persons, living or dead, may contain potentially infectious organisms. Adhering to basic infection control practices to prevent transmission of these potentially infectious microorganisms is the foundation of Standard Precautions and when applied to all residents, eliminates the need for additional precautions except for those diseases transmitted by the airborne route. II. AUDIENCE All LTC Facilities of Kaleida Health. Title: Standard Precautions, Chickenpox Isolation in Pediatrics Date Page Policy # And Airborne Isolation for LTC Issued 2 of 4 Long Term Care-VI a III. COMMUNICATION AND RESPONSIBILITY Clinical and Administrative Department Heads IV. POLICY AND PROCEDURE A. Standard Precautions apply to residents’. 1. blood 2. body fluids, secretions, excretions except perspiration, regardless of whether or not they contain visible blood 3. non-intact skin 4. mucous membranes B. STANDARD PRECAUTIONS 1. Handwashing: Wash hands after touching blood, body fluids, secretions, excretions or contaminated items, whether or not gloves are worn. 2. Gloves: Wear gloves when contact with blood, body fluids, secretions, excretions or contaminated items can be anticipated. Put on clean gloves just before touching mucous membranes or non-intact skin. Change gloves between residents or between performing tasks or procedures on the same resident. 3. Mask, Face and Eye Protection: Wear a mask and goggles or mask with face shield during patient care activities that are likely to generate splashes or sprays of blood, body fluids, secretions or excretions. 4. Gown: Wear a gown to protect skin and to prevent soiling of your uniform or clothing if planned activities might result in exposure to blood, body fluids, secretions or excretions. Remove soiled gown as promptly as possible. 5. Patient Care Equipment: Dedicated patient care equipment must be cleaned and disinfected between residents. 6. Environmental Control: Cleaning and disinfection of environmental surfaces, beds, bed rails, equipment, resident rooms and frequently touched surfaces must be done routinely with an approved disinfectant detergent. 7. Linen: Handle all used linen in a manner that minimizes exposure to skin, mucous membranes, clothing or other residents and the environment. Title: Standard Precautions, Chickenpox Isolation in Pediatrics Date Page Policy # And Airborne Isolation for LTC Issued 3 of 4 Long Term Care-VI a 8. Employee Health and Bloodborne Pathogens: Prevent sharps injuries. Use a safety sharp when available. Never recap used needles. Place used disposable needles and sharps into a facility approved sharps container. Place reusable syringes and needles in a puncture-resistant container for transport to the reprocessing area. 9. Resident placement: Place residents, who contaminate their environment or who cannot assist in maintaining appropriate hygiene, in a private room. Maintain Standard Precautions during the facility stay. Hands must be washed after removing any personal protective equipment, including gloves. C. CHICKENPOX ISOLATION IN PEDIATRICS In addition to Standard Precautions, Chickenpox isolation in the pediatric setting requires a private room with the door kept closed. Immune health care workers need not wear a mask except as necessitated by Standard Precautions. Non- immune health care workers should not care for resident with chickenpox. If it is necessary for non-immune health care worker to care for the resident, a mask must be worn when entering the room. D. AIRBORNE ISOLATION In addition to Standard Precautions, Airborne isolation is indicated for residents known or suspected to be infected with microorganisms transmitted by airborne droplet (small particle residue capable of remaining suspended in air and moving long distances with air flow). Individuals requiring Airborne isolation are to be transferred to an Acute Care Facility for placement in a negative pressure room. Diseases Requiring Airborne Isolation: Active Pulmonary Tuberculosis (see TB Control Plan in Infection Control Manual and # CL.6 in Kaleida Health Corporate Manual. Chickenpox (Varicella) in the adult Measles (Rubeola) Shingles (Herpes Zoster), Disseminated Requirement for Airborne Isolation While Awaiting Transfer to an Acute Care Facility: Resident to be masked or instructed to cover nose and mouth when coughing Additional PPE as indicated by Standard Precautions V. QUALITY OF CARE-N/A VI. REFERENCES-N/A Title: Standard Precautions, Chickenpox Isolation in Pediatrics Date Page Policy # And Airborne Isolation for LTC Issued 4 of 4 Long Term Care-VI a VII. REVISIONS- Revisions shall be initiated by the individual here mentioned in the “prepared by” category of the policy header. All revisions must be taken through the approval process to be deemed valid.