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VI_a

VIEWS: 7 PAGES: 4

									                                      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.

								
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