Develop and implement policies and procedures to limit patient visitation by persons with signs or symptoms of a communicable infection. These safety measures are called neutropenic precautions. Patients with neutropenic fever are usually admitted to the hospital for cultures and … Standard Precautions Recommendations, Table 5. Wear disposable medical examination gloves or reusable utility gloves for cleaning the environment or medical equipment. Target all healthcare personnel for education and training, including but not limited to medical, nursing, clinical technicians, laboratory staff; property service (housekeeping), laundry, maintenance and dietary workers; students, contract staff and volunteers. neutropenia (CIN) includes recommendations that patients practice good hand hygiene with soap and water or alcohol-based hand rubs, that healthcare providers wear gowns when patients have respiratory secretions, and that visits from indi-viduals with respiratory symptoms be avoided. endstream endobj startxref For specific recommendations for use of Contact Precautions for colonization or infection with MDROs, go to, In acute care hospitals, place patients who require Contact Precautions in a single-patient room when available. These cells are the body’s main defense against infection. Don gloves upon entry into the room or cubicle. If it is not possible to exhaust air from an AIIR directly to the outside, the air may be returned to the air-handling system or adjacent spaces if all air is directed through HEPA filters. The environmental recommendations in these guidelines may be applied to patients with other infections that require Airborne Precautions. Once in an AIIR, the mask may be removed; the mask should remain on if the patient is not in an AIIR. Do not wash gloves for the purpose of reuse since this practice has been associated with transmission of pathogens. Ensure that rooms of patients on Contact Precautions are prioritized for frequent cleaning and disinfection (e.g., at least daily) with a focus on frequently-touched surfaces (e.g., bed rails, overbed table, bedside commode, lavatory surfaces in patient bathrooms, doorknobs) and equipment in the immediate vicinity of the patient. Develop a system to ensure that healthcare personnel employed by outside agencies meet these education and training requirements through programs offered by the agencies or by participation in the healthcare facility’s program designed for full-time personnel, Include in education and training programs, information concerning use of vaccines as an adjunctive infection control measure, Enhance education and training by applying principles of adult learning, using reading level and language appropriate material for the target audience, and using online educational tools available to the institution, Provide instructional materials for patients and visitors on recommended hand hygiene and Respiratory Hygiene/Cough Etiquette practices and the application of Transmission-Based Precautions, Monitor the incidence of epidemiologically-important organisms and targeted HAIs that have substantial impact on outcome and for which effective preventive interventions are available; use information collected through surveillance of high-risk populations, procedures, devices and highly transmissible infectious agents to detect transmission of infectious agents in the healthcare facility, Develop and implement strategies to reduce risks for transmission and evaluate effectiveness, When transmission of epidemiologically-important organisms continues despite implementation and documented adherence to infection prevention and control strategies, obtain consultation from persons knowledgeable in infection control and healthcare epidemiology to review the situation and recommend additional measures for control, Review periodically information on community or regional trends in the incidence and prevalence of epidemiologically-important organisms (e.g., influenza, RSV, pertussis, invasive group A streptococcal disease, MRSA, VRE) (including in other healthcare facilities) that may impact transmission of organisms within the facility, During the delivery of healthcare, avoid unnecessary touching of surfaces in close proximity to the patient to prevent both contamination of clean hands from environmental surfaces and transmission of pathogens from contaminated hands to surfaces, When hands are visibly dirty, contaminated with proteinaceous material, or visibly soiled with blood or body fluids, wash hands with either a nonantimicrobial soap and water or an antimicrobial soap and water. Discontinue Droplet Precautions after signs and symptoms have resolved or according to pathogen-specific recommendations in Appendix A. Some facilities may find it logistically easier to institute this recommendation year-round as a standard of practice. Place together in the same room (cohort) patients who are infected or colonized with the same pathogen and are suitable roommates. Finally, we all have to remember that hand hygiene is the optimal prevention, and it’s the most … If you have If hands are not visibly soiled, or after removing visible material with nonantimicrobial soap and water, decontaminate hands in the clinical situations described in IV.A.4.a-f. Wash hands with non-antimicrobial soap and water or with antimicrobial soap and water if contact with spores (e.g., Do not wear artificial fingernails or extenders if duties include direct contact with patients at high risk for infection and associated adverse outcomes (e.g., those in ICUs or operating rooms), Develop an organizational policy on the wearing of non-natural nails by healthcare personnel who have direct contact with patients outside of the groups specified above, Wear PPE, as described in IV.B.2-4,when the nature of the anticipated patient interaction indicates that contact with blood or body fluids may occur, Prevent contamination of clothing and skin during the process of removing PPE (see, Before leaving the patient’s room or cubicle, remove and discard PPE, Wear gloves when it can be reasonably anticipated that contact with blood or other potentially infectious materials, mucous membranes, nonintact skin, or potentially contaminated intact skin (e.g., of a patient incontinent of stool or urine) could occur, Remove gloves after contact with a patient and/or the surrounding environment (including medical equipment) using proper technique to prevent hand contamination (see Figure).
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