Reply To: Isolation Guidelines

  • Kristie Schulz

    Member
    August 12, 2015 at 5:18 pm

    We are currently looking at our Isolation Policies for the Transplant Unit and I happened upon these old posts on my exact question.  We are wondering what to do with families of children being isolated for c.diff, rsv, etc. Should they gown in the room? If they don’t gown in the room should they gown out of the room to prevent the potential of cross contamination to other patients and visitors in the hospital. Any new thoughts would be appreciated. 

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    Kristie Schulz, BSN,CPON,RN
    Cardinal Glennon Children’s Hospital
    St. Louis MO
    United States
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    Original Message:
    Sent: 09-09-2014 10:02 AM
    From: Debra Bruene
    Subject: Isolation Guidelines

    Visitors here do not wear masks. All visitors are screened before visiting. If they have a reason to wear a mask, they are not able to visit. Hand hygiene is emphasized.  Related to parents and isolation…. we ask them to comply with gowning and gloving but realistically when you are living in the room with a BMT patient, that is difficult.  So we also ask them not to go to any common/public places when they leave the room.  Realistically, we recognize we have 1000 of visitors per day in our cafeteria and other public places and so there is always a risk that others are there that, if hospitalized would also be in isolation. So all boils down to good hand hygiene again!

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    Debra Bruene
    University of Iowa Children’s Hospital
    Iowa City, IA
    United States
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    Original Message:
    Sent: 09-09-2014 09:47 AM
    From: Mary Lynn Rae
    Subject: Isolation Guidelines

    We have the same issues.  Isolation is discussed with the caregivers but not enforced.  We educate the caregivers on good handwashing and to not go to the common/public areas of the hospital. 

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    Mary Lynn Rae
    Ann & Robert H. Lurie Children’s Hospital of Chicago
    Chicago, IL
    United States
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    Original Message:
    Sent: 09-08-2014 09:31 AM
    From: Karen Wolownik
    Subject: Isolation Guidelines

    Visitors of BMT patients on protective isolation at our center are required to mask and perform hand hygiene before entering the room. However, when the patient requires isolation due to infection, such as contact or droplet precautions, we currently require all visitors INCLUDING Parents to follow the same guidelines as healthcare workers and gown/glove/mask as appropriate.  Compliance with this practice by families is very low.  What do you do at your center? Are parents required to wear gowns/gloves at all times if on contact isolation?  Do you do a reverse precaution for parents ie parents put on a gown when exiting the room?  Any tips for increasing compliance?
    Thank you in advance for your responses.
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    Karen Wolownik, MSN, RN, CPNP, CPHON
    Maria Fareri Children’s Hospital
    Valhalla, NY
    United States
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