Enterococcus -vancomycin-resistant (VRE): Difference between revisions
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Change | Change to hospital procedure: Feb 8.16 [http://www.wrha.mb.ca/extranet/ipc/index.php stop screening for VRE & [[ESBL]]. | ||
*We won't code in DX if patient is ''colonized with VRE or [[ESBL]] (no clinical signs or symptoms of infection). Only code if showing clinical signs & symptoms of an infection related to having VRE or [[ESBL]].--[[User:TOstryzniuk|Trish Ostryzniuk]] 16:22, 2016 February 8 (CST) | |||
*Also see; [http://www.wrha.mb.ca/extranet/ipc/files/StaffFAQ-VRE.pdf Staff FAQ RE VRE]] | *Also see; [http://www.wrha.mb.ca/extranet/ipc/files/StaffFAQ-VRE.pdf Staff FAQ RE VRE]] | ||
*We will continue to track VRE '''bloodstream infections''' in the '''DX code''', when they are ID'd. Hospitals will no longer be "screening" specific patient's if they are carriers of this pathogen nor will they be putting these patients on Contact Precaution. | *We will continue to track VRE '''bloodstream infections''' in the '''DX code''', when they are ID'd and causing symptoms. Hospitals will no longer be "screening" specific patient's if they are carriers (colonizers) of this pathogen nor will they be putting these patients on Contact Precaution. | ||
Collector will still track as a DX if VRE | Collector will still track as a DX if VRE or [[ESBL]] is causing of symptoms of infection, but won't mark in TASK if contact precaution/isolation if they are not applied. | ||
* at SBGH we are still isolating VRE positive pts and are still doing the screening for VRE, should we continue to fill this out in the tasks? in addition to coding? | **at SBGH we are still isolating VRE positive pts and are still doing the screening for VRE, should we continue to fill this out in the tasks? in addition to coding? | ||
They are no longer screening or isolating VRE pts at GGH. [[User:Lkaita|Lisa Kaita]] 14:50, 2016 February 8 (CST) | **Yes, until there is memo for stop date at your site.[[User:TOstryzniuk|Trish Ostryzniuk]] 16:46, 2016 February 8 (CST) | ||
* The term "Surveillance " is no longer in effect for VRE either as patients will no longer have swabs done on admission.HSC has D/Cd this effective Feb 8th including Isolation precautions as described above.ID has stated all WRHA sites will follow these changes over next week or 2.--[[User:Llemoine|Llemoine]] 15:02, 2016 February 8 (CST) | *They are no longer screening or isolating VRE pts at GGH.--[[User:Lkaita|Lisa Kaita]] 14:50, 2016 February 8 (CST) | ||
*Further to VRE changes-we will not change all previous data/codes/tasks entered prior to Feb 8th.--[[User:Llemoine|Llemoine]] 15:09, 2016 February 8 (CST) | *The term "Surveillance " is no longer in effect for VRE either as patients will no longer have swabs done on admission. HSC has D/Cd this effective Feb 8th including Isolation precautions as described above.ID has stated all WRHA sites will follow these changes over next week or 2.--[[User:Llemoine|Llemoine]] 15:02, 2016 February 8 (CST) | ||
**Further to VRE changes-we will not change all previous data/codes/tasks entered prior to Feb 8th.--[[User:Llemoine|Llemoine]] 15:09, 2016 February 8 (CST) | |||
[[22 - Enterococcus -vancomycin-resistant (VRE)]] | [[22 - Enterococcus -vancomycin-resistant (VRE)]] | ||
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{{Discussion}} | {{Discussion}} | ||
Regarding coding of MRSA and VRE colonization. As has been pointed out before, this is problematic. Allan reported that Dr. Kumar has said he has no need for that information, and that Dr. Olafson indicated that MRSA colonization is needed for the national Vital Signs project. Julie reported that in the past 2 years there were 2 requests for data related to these variables. It was decided that Allan with contact Dr. Embil and see if we can obtain this data from Infection Control. If so, we could import it into the database, and have our data collectors cease obtaining it.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:50, 2013 November 7 (CST) | Regarding coding of MRSA and VRE colonization. As has been pointed out before, this is problematic. Allan reported that Dr. Kumar has said he has no need for that information, and that Dr. Olafson indicated that MRSA colonization is needed for the national Vital Signs project. Julie reported that in the past 2 years there were 2 requests for data related to these variables. It was decided that Allan with contact Dr. Embil and see if we can obtain this data from Infection Control. If so, we could import it into the database, and have our data collectors cease obtaining it.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:50, 2013 November 7 (CST) | ||
[[Template:Discuss@task]] | [[Template:Discuss@task]] | ||
Revision as of 17:46, 8 February 2016
Change to hospital procedure: Feb 8.16 [http://www.wrha.mb.ca/extranet/ipc/index.php stop screening for VRE & ESBL.
- We won't code in DX if patient is colonized with VRE or ESBL (no clinical signs or symptoms of infection). Only code if showing clinical signs & symptoms of an infection related to having VRE or ESBL.--Trish Ostryzniuk 16:22, 2016 February 8 (CST)
- Also see; Staff FAQ RE VRE]
- We will continue to track VRE bloodstream infections in the DX code, when they are ID'd and causing symptoms. Hospitals will no longer be "screening" specific patient's if they are carriers (colonizers) of this pathogen nor will they be putting these patients on Contact Precaution.
Collector will still track as a DX if VRE or ESBL is causing of symptoms of infection, but won't mark in TASK if contact precaution/isolation if they are not applied.
- at SBGH we are still isolating VRE positive pts and are still doing the screening for VRE, should we continue to fill this out in the tasks? in addition to coding?
- Yes, until there is memo for stop date at your site.Trish Ostryzniuk 16:46, 2016 February 8 (CST)
- They are no longer screening or isolating VRE pts at GGH.--Lisa Kaita 14:50, 2016 February 8 (CST)
- The term "Surveillance " is no longer in effect for VRE either as patients will no longer have swabs done on admission. HSC has D/Cd this effective Feb 8th including Isolation precautions as described above.ID has stated all WRHA sites will follow these changes over next week or 2.--Llemoine 15:02, 2016 February 8 (CST)
- Further to VRE changes-we will not change all previous data/codes/tasks entered prior to Feb 8th.--Llemoine 15:09, 2016 February 8 (CST)
22 - Enterococcus -vancomycin-resistant (VRE)
NOTE: Database Task team meeting Nov 7.13
Template:Discussion Regarding coding of MRSA and VRE colonization. As has been pointed out before, this is problematic. Allan reported that Dr. Kumar has said he has no need for that information, and that Dr. Olafson indicated that MRSA colonization is needed for the national Vital Signs project. Julie reported that in the past 2 years there were 2 requests for data related to these variables. It was decided that Allan with contact Dr. Embil and see if we can obtain this data from Infection Control. If so, we could import it into the database, and have our data collectors cease obtaining it.Trish Ostryzniuk 17:50, 2013 November 7 (CST)