Download Isolation Policy And Protocol

Outline
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Definition of isolation
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Principles of Isolation
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Isolation Policy
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Policy implementation
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Personnel Roles & Responsibilities
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Visitation
Definition of Isolation
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Isolation refers to the precautions that
are taken in the hospital or department
to prevent the spread of an infectious
agent from an infected or colonized
patient to susceptible or uninfected
patient.
Principles of Isolation
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The main purpose of isolation is to control and
prevent the nosocomial infection.
Isolation principles in Neonates are the same
as those used in adult isolation, in addition to
extra rules and recommendations.
Isolation room should be available at all
times, which may care for infants having
multiple infections.
Neonates with the following conditions
should be kept in a separate isolated
room:
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Nosocomial infections, e.g. klebsiella.
Babies who have positive culture for ESBL
producer, pseudomonas or other gram negative
bacteria.
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Infants born to mothers with High vaginal swab
for group B Strep.
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Newborns who are susceptible to be infected
with Tetanus or Gonorrhea
Neonates with the following conditions should
be kept in a separate isolated room:
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Congenital infections (syphilis, CMV,
neonates with rubella), toxoplasmosis
need not to be isolation.
Neonates admitted from outside the
hospital regardless of age and history
until proven by cultures and other lab
tests the free of sepsis.
Isolation Policy
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Apply comprehensive standard precautions to
all babies admitted to isolation room in NICU.
Ensure utilizing effective communication
channels between all levels of care providers.
Use single disposable items for each baby
admitted to isolation room.
Always label the isolation room with the type
of isolation, and necessary instructions.
Isolation Policy
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For airborne precautions, use extra measures beside
standard precaution measures, especially for those
patients known or suspected to be infected with any
microorganisms transmitted by the airborne route.
For droplet precautions, use extra measures in addition
to standard precautions for a patient known or
suspected of being infected with microorganisms
transmitted by large-particle droplets.
For contact precautions: use extra measures in addition
to standard precautions for a patient known or
suspected of being infected or colonized with
microorganisms transmitted by direct contact with the
patient, or indirect contact with environmental surfaces,
or patient care items.
Isolation Policy
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No rings, watches or other ornaments should be
worn when entering to isolation room or NICU.
No other clothes accepted in the isolation room
except the uniform that should be changed daily.
Clean Gown for each baby should be worn over the
uniform when handling the baby and do not forget
to change gown when handling other baby.
No food or beverage should enter to the isolation
room under no circumstances.
Isolation Policy
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Avoid unnecessary circulation in the isolation room.
Nurse scheduled to work in the isolation room should
not work with any other baby outside the isolation
room.
Strict adherence to hygienic rules when performing
any invasive procedure such as cannula, handling the
UVC or obtaining lab tests.
Incubators should be changed at least weekly and
cleaning should be done in a special area outside the
isolation room.
Oxygen & suction equipments should be changed daily.
Policy implementation
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Consider every person (patient or staff) as
potentially infectious and susceptible to infection.
Wash your hands – which is the most important
procedure for preventing cross-contamination
Wear gloves on both hands before performing any
invasive procedures or touching the patient.
Use an alcohol-based antiseptic product, For
cleansing the skin prior to any invasive procedure.
Policy implementation
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Use physical protective barriers such as gloves,
gowns, or masks if splashes and spills of any body
fluids are expected.
Use safe work practices such as not recapping or
bending needles, and safely pass sharp instruments.
Safely dispose of infectious waste materials to
protect those who handle them and prevent injury or
spread of infection to the community.
Personnel Roles & Responsibilities
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Should comply with the pre-employment health
requirements.
Should not work in the isolation area if they have skin,
eye, respiratory, gastrointestinal or other active
infections.
Women employees with child-bearing potential should be
advised regarding the importance of rubella antibody
determination.
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All personnel should be competent and qualified in using
all types of standard precautions.
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Cover coats (closed) should be worn whenever leaving the
isolation.
Personnel Roles & Responsibilities
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All personnel from other departments should scrub hands
and wear long-sleeved gowns over their clothes whenever
they enter the NICU.
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Nails should be kept short and clean.
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Jewelry should not be worn in the isolation.
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No one with an infection is allowed to work in the
ISOLATION.
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In situations where a physician or nurse with a mild
upper respiratory infection needs to handle a baby, a
double mask should be worn and changed frequently as
needed.
Personnel Roles & Responsibilities
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Assist in the formulation of infection control guidelines,
policies and procedures.
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Review status of infants daily to detect occurrence of
transmissible infections.
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Observe, assess, and enforce adherence to infection
control policies and procedures.
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Periodically review and revise as necessary the infection
control policies and procedures.
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Notify Infection Control Committee of all reportable
diseases.
Visitation
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Only parents are accepted to visit in the
isolation.
Parents with any signs of infection should not
visit in the isolation.
Parents should comply with the hospital
infection control and procedures (hand washing
and gowning).
Parents should be taught the infection control
guidelines, polices and procedures for infection
control to visit the isolation.