Isolation-Task: Difference between revisions

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*QUESTION: what would be a reason that Task Isolation (glove, gown) is not marked when an admit or acquired diagnosis is MSRA or VRE +ve? Thank you for your input on this.--[[User:TOstryzniuk|TOstryzniuk]] 11:26, 19 October 2010 (CDT)

**'''HSC-H4''' - Yes I have had admissions that had swabs taken during their stay on the unit and then were found to be MRSA or VRE positive but got transfered before isolation was established.[[Gail Hall | Gail Hall]]

***On my 2 units @'''HSC B3&D5''' MRSA will always be isolated, VRE will be isolated if the pt is having diarrhea and is confused, but if the pt is Oriented x3 and up and about and no isolation rooms around they will not isolate and ID is ok with this--[[User:PStein|PStein]] 07:48, 20 October 2010 (CDT)

**On my 2 units @'''HSC B3&D5''' MRSA will always be isolated, VRE will be isolated if the pt is having diarrhea and is confused, but if the pt is Oriented x3 and up and about and no isolation rooms around they will not isolate and ID is ok with this--[[User:PStein|PStein]] 07:48, 20 October 2010 (CDT)

****'''HSC A4''' isolates these patients (glove & gown). If they are up & about they wear isolation gowns & gloves themselves.--[[User:CMarks|CMarks]] 08:05, 20 October 2010 (CDT)

**'''HSC A4''' isolates these patients (glove & gown). If they are up & about they wear isolation gowns & gloves themselves.--[[User:CMarks|CMarks]] 08:05, 20 October 2010 (CDT)

~~***~~**'''STB.5B''' will always isolate MRSA and VRE +ve.

**'''STB.5B''' will always isolate MRSA and VRE +ve.

~~****~~**'''STB E6''' does not isolate if...Patient Alert and oriented 3 and ad lib., or both patients in the room are +ve. Sometimes task is missed for gown and glove as culture results are not back before the patient is discharged/transfered. Lack of isolation carts in the hallway and a list of isolation patients does not help.[[User:ENagy|ENagy]] 13:01, 20 October 2010 (CDT)

**'''STB E6''' does not isolate if...Patient Alert and oriented 3 and ad lib., or both patients in the room are +ve. Sometimes task is missed for gown and glove as culture results are not back before the patient is discharged/transfered. Lack of isolation carts in the hallway and a list of isolation patients does not help.[[User:ENagy|ENagy]] 13:01, 20 October 2010 (CDT)

~~****~~**'''SBGH E5''' According to the crn on my ward, there is not a simple answer to the question. In regards to isolating MRSA or VRE positive patients, each case on this ward is determined with infection control input. If they are culture proven positive, they are generally put on "contact" precautions. Having said that, there are many factors that they consider when deciding whether or not to isolate someone. Some of those factors are strain of MRSA/VRE, whether or not they are going to be eradicated, and whether they are culture positive, or just suspect. The short answer would be, not every MRSA/VRE positive patient is put on isolation.[[User:DPageNewton|DPageNewton]]

**'''SBGH E5''' According to the crn on my ward, there is not a simple answer to the question. In regards to isolating MRSA or VRE positive patients, each case on this ward is determined with infection control input. If they are culture proven positive, they are generally put on "contact" precautions. Having said that, there are many factors that they consider when deciding whether or not to isolate someone. Some of those factors are strain of MRSA/VRE, whether or not they are going to be eradicated, and whether they are culture positive, or just suspect. The short answer would be, not every MRSA/VRE positive patient is put on isolation.[[User:DPageNewton|DPageNewton]]

~~*****~~**'''HSC D4''' - Does gown and glove isolation for MRSA and VRE, so I mark this isolation all the time--[[User:FLindell|FLindell]] 14:37, 20 October 2010 (CDT)

**'''HSC D4''' - Does gown and glove isolation for MRSA and VRE, so I mark this isolation all the time--[[User:FLindell|FLindell]] 14:37, 20 October 2010 (CDT)

*Just to clarify - the table attached below are the frequency for HSC only. In 2007 and 2008, we are only collecting TOTAL Isolation, is 3 out of 159 cases in 2007 and 1 out of 163 cases in 2008 be possible? I find it really very very low. Before 2007, when we have the ITISS form, total isolation cases were 52, 87 and 48 respectively in 2004, 2005 and 2006. There is a study which aims to find if isolation at HSC is effective in reducing the risk of infection specifically MRSA/VRE - can the database helps in answering the goal of this study with the data we have? What are the other diagnoses that requires isolation? I would really like to have a data quality check for isolation (i.e. able to distinguish the missed entry from incorrect value). [[User:JMojica|JMojica]] 10:31, 26 October 2010 (CDT)

@@ Line 34: / Line 34: @@
 *QUESTION: what would be a reason that Task Isolation (glove, gown) is not marked when an admit or acquired diagnosis is MSRA or VRE +ve?  Thank you for your input on this.--[[User:TOstryzniuk|TOstryzniuk]] 11:26, 19 October 2010 (CDT)
 **'''HSC-H4''' - Yes I have had admissions that had swabs taken during their stay on the unit and then were found to be MRSA or VRE positive but got transfered before isolation was established.[[Gail Hall | Gail Hall]]
-***On my 2 units @'''HSC B3&D5''' MRSA will always be isolated, VRE will be isolated if the pt is having diarrhea and is confused, but if the pt is Oriented x3 and up and about and no isolation rooms around they will not isolate and ID is ok with this--[[User:PStein|PStein]] 07:48, 20 October 2010 (CDT)
+**On my 2 units @'''HSC B3&D5''' MRSA will always be isolated, VRE will be isolated if the pt is having diarrhea and is confused, but if the pt is Oriented x3 and up and about and no isolation rooms around they will not isolate and ID is ok with this--[[User:PStein|PStein]] 07:48, 20 October 2010 (CDT)
-****'''HSC A4''' isolates these patients (glove & gown). If they are up & about they wear isolation gowns & gloves themselves.--[[User:CMarks|CMarks]] 08:05, 20 October 2010 (CDT)
+**'''HSC A4''' isolates these patients (glove & gown). If they are up & about they wear isolation gowns & gloves themselves.--[[User:CMarks|CMarks]] 08:05, 20 October 2010 (CDT)
-*****'''STB.5B''' will always isolate MRSA and VRE +ve.
+**'''STB.5B''' will always isolate MRSA and VRE +ve.
-******'''STB E6''' does not isolate if...Patient Alert and oriented 3 and ad lib., or both patients in the room are +ve. Sometimes task is missed for gown and glove as culture results are not back before the patient is discharged/transfered. Lack of isolation carts in the hallway and a list of isolation patients does not help.[[User:ENagy|ENagy]] 13:01, 20 October 2010 (CDT)
+**'''STB E6''' does not isolate if...Patient Alert and oriented 3 and ad lib., or both patients in the room are +ve. Sometimes task is missed for gown and glove as culture results are not back before the patient is discharged/transfered. Lack of isolation carts in the hallway and a list of isolation patients does not help.[[User:ENagy|ENagy]] 13:01, 20 October 2010 (CDT)
-******'''SBGH E5''' According to the crn on my ward, there is not a simple answer to the question. In regards to isolating MRSA or VRE positive patients, each case on this ward is determined with infection control input. If they are culture proven positive, they are generally put on "contact" precautions. Having said that, there are many factors that they consider when deciding whether or not to isolate someone. Some of those factors are strain of MRSA/VRE, whether or not they are going to be eradicated, and whether they are culture positive, or just suspect. The short answer would be, not every MRSA/VRE positive patient is put on isolation.[[User:DPageNewton|DPageNewton]]
+**'''SBGH E5''' According to the crn on my ward, there is not a simple answer to the question. In regards to isolating MRSA or VRE positive patients, each case on this ward is determined with infection control input. If they are culture proven positive, they are generally put on "contact" precautions. Having said that, there are many factors that they consider when deciding whether or not to isolate someone. Some of those factors are strain of MRSA/VRE, whether or not they are going to be eradicated, and whether they are culture positive, or just suspect. The short answer would be, not every MRSA/VRE positive patient is put on isolation.[[User:DPageNewton|DPageNewton]]
-*******'''HSC D4''' - Does gown and glove isolation for MRSA and VRE, so I mark this isolation all the time--[[User:FLindell|FLindell]] 14:37, 20 October 2010 (CDT)
+**'''HSC D4''' - Does gown and glove isolation for MRSA and VRE, so I mark this isolation all the time--[[User:FLindell|FLindell]] 14:37, 20 October 2010 (CDT)
 *Just to clarify - the table attached below are the frequency for HSC only.  In 2007 and 2008, we are only collecting TOTAL Isolation, is 3 out of 159 cases in 2007 and 1 out of 163 cases in 2008 be  possible?  I find it really very very low. Before 2007, when we have the ITISS form, total isolation cases were 52, 87 and 48 respectively in 2004, 2005 and 2006.   There is a study which aims to find if isolation at HSC is effective in reducing the risk of infection specifically MRSA/VRE - can the database helps in answering the goal of this study with the data we have? What are the other diagnoses that requires isolation? I would really like to have a data quality check for isolation (i.e. able to distinguish the missed entry from incorrect value). [[User:JMojica|JMojica]] 10:31, 26 October 2010 (CDT)