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Isolation
According to the Isolation Precautions and Standard (Universal) Precautions policy, if there is evidence for
the need of special precautions, nursing can initiate the precautions/Isolation PowerPlan.
1. Open the patient’s chart to Orders, look to see if the Isolation PowerPlan has been initiated, if not,
Click Add.
2. Search for Isolation, select
a. Click link to access isolation signs
b. Additional references within the Isolation PowerPlan include: MRSA, VRE, C. Diff Algorithms and
the Dermatome Guide.
3. Select the desired subphase, such as MRSA Contact Precautions
4. Read the instructions and select the appropriate cultures
5. According to the MRSA Algorhym nursing can initiate decolinization orders. Read the instructions and
make the appropriate selections. Be sure to notify the provider of the decolinization orders being entered.
6. Select
7. Select
8. When entering orders that contain medications the provider’s
name who is caring for the patient that day and POE Cosign must be
used for the communication type.
9. Select
10. Select
11. Select Refresh
Note: When entering remaining Precautions such as VRE, C-diff,
etc. use the communication type of Nurse, Per Protocol. Only the
MRSA subphase contains medication orders that would require the
provider’s name/POE CoSign.
Placing Additional Orders to an Initiated PowerPlan
1. Click the Initiated phase of the
Isolation PowerPlan
2. Click the View Excluded Components icon
to expand/view the orders that are still available
for selection.
3. Place a check in the desired order/orders
4. Click Orders for Signature
5. Click Sign and Refresh
Nursing Documentation
Once the PowerPlan has been initiated nursing will receive two tasks to update:
1. Patient Care Alerts-update the patient’s
precautions
2. Patient Education-document patient/family education. Include the specifics of your education
a. Isolation educational materials are available on the Intranet. Go to Departments and select
Infection Prevention
3. Update the patient’s Plan of Care to include Infection Plan Of Care.
For additional details view the Isolation PowerPlan tutorial located on the Clinical EHR Website.