POLICIES & PROCEDURES Number: 30-40 Title: Signage Authorization: SHR Regional Infection Control Committee Source: Infection Prevention & Control Date Initiated: June 5, 2001 Date Reaffirmed: March, 2007 Date Revised: December, 2010 Scope: SDH Agencies & Affiliates Any PRINTED version of this document is only accurate up to the date of printing. Saskatoon Health Region, (SHR) Infection Prevention & Control (IP&C) can not guarantee the currency or accuracy of any printed policy. Always refer to the IP&C internal website for the most current versions of documents in effect. SHR IP&C accepts no responsibility for use of this material by any person or organization not associated with SHR. No part of this document may be reproduced in any form for publication without permission of SHR IP&C. Introduction Specific signage has been developed to assist staff, patients/residents/clients and family and visitors in complying with Additional Precautions. Policy 1. Patients on Additional Precautions will have signs posted. Purpose 1. To notify staff, patients and visitors of Additional Precautions. Procedure 1. Order extra signs as needed. One time use only unless laminated. 2. Two signs maybe posted on the door, if a combined sign is not available. For example, one Airborne Precaution and one Precaution sign to replace the one Airborne and Precaution sign. 3. See table below for SHR Printing order number. Title SHR Printing Services Order Number Airborne Precautions yellow 102105 10/10 Airborne and Precautions pink 102104 10/10 Precautions orange 102106 10/08 Droplet Precautions blue 102108 11/10 Droplet and Precautions green 102107 11/10 *Protect Me! - lavender 102246 12/10 Large Stop sign - red 102069 02/01 Small Stop sign red 102070 02/01 Reminder: Wash Your Hands 102144 04/04 *Protect Me! sign - use when none of the other signs are appropriate. Examples: Stem cell transplants, neutropenic patients, varicella zoster Page 1 of 1
Private Room pdoor kept closed at all times pmonitored negative pressure recommended pafter discharge keep door closed for 1 hour Hand Cleansing pusing antimicrobial soap or alcohol gel pafter removing gloves pwhen leaving N-95 Respirator pwhen entering puse appropriate fit-tested size pperfom seal check before entering Patient Transport ponly when essential ppatient must wear regular mask pcontinue precautions pinform receiving department Quark Form # 102105 10/10 Adapted from Regina Health District
Private Room pdoor kept closed pmonitored negative pressure recommended pafter discharge keep door closed for 1 hour Hand Cleansing pusing antimicrobial soap or alcohol gel pafter removing gloves and gown pwhen leaving N-95 Respirator pwhen entering puse appropriate fit-tested size pperfom seal check before entering Gloves and Gown pif in contact with patient or environment premove before leaving Dedicate Patient Care Equipment pdisinfect all equipment removed from pdo not take patient chart into Patient Transport ponly when essential ppatient must wear regular mask pcontinue precautions pinform receiving department Quark Form # 102104 10/10 Adapted from Regina Health District
Patient Placement Door may remain open Private preferred Maintain a distance of at least 1 meter (3 feet) between patients if sharing a Hand Cleansing Using antimicrobial soap or alcohol gel After removing gloves and gown When leaving Gloves Gown If in contact with patient or environment Remove before leaving If in contact with patient or environment Remove gown before leaving Dedicate Patient Care Equipment Disinfect all equipment removed from Do not take patient chart into Patient Transport Inform receiving department QUARK Form # 102106 10/08 Adapted from Regina Health District
CONTACT PRECAUTIONS ARE REQUIRED FOR: (SEE POLICY 30-10) Disease/Organism Known or Suspected Paediatrics Adults Clostridium difficile (See Infection Control Manual policy 30-50, Reference Table) Conjunctivitis, acute viral /Droplet Standard Precautions if hygiene is good. if poor hygiene or noncompliant. Cystic Fibrosis patients with: -Burkholderia cepacia -Multidrug Resistant Pseudomonas aeruginosa /Droplet Standard Precautions if hygiene is good. /Droplet if poor hygiene or noncompliant. Diarrhea - acute infectious Extended-spectrum Beta lactamases (ESBL) Hepatitis A, E Standard Precautions if continent and hygiene is good. if incontinent, non-compliant or soiling the environment. Herpes simplex /Droplet - all neonates /Droplet - if disseminated. Herpes Zoster (shingles) /Droplet - if disseminated Standard Precautions. Do not share a with a varicella-susceptable patient. Consider adding contact precautions for cases of extensive localized zoster that can t be covered. Impetigo/Furunculosis - if not contained by dressing otherwise Standard Precautions. Influenza /Droplet /Droplet Lice (until 24 hours after appropriate therapy) Meningitis, unknown etiology (until 24 /Droplet Droplet hours after appropriate therapy) Methicillin-resistant Staphylococcus aureus (MRSA) (see Infection Control Manual policy 30-50, Reference Table) Add Droplet if MRSA is in sputum or trach secretions or in nasal carriage with upper respiratory symptoms. Standard Precautions. Do not share with a varicella-susceptable patient. Consider adding contact precautions for cases of extensive localized zoster that can t be covered. - if not contained by dressing otherwise Standard Precautions. Add Droplet if MRSA is in sputum or trach secretions or in nasal carriage with upper respiratory symptoms. Parainfluenza virus /Droplet Standard Precautions Respiratory Syncytial Virus (RSV) /Droplet Standard Precautions Rhinovirus (common cold) /Droplet Standard Precautions Scabies - (until 24 hours after appropriate therapy) Streptococcus grp A (necrotizing fasciitis) Vancomycin-resistant Enterococci (VRE) (see Infection Control Manual policy 30-50, Reference Table) Varicella (Chickenpox) Wounds until 24 hours of appropriate antibiotic therapy. if drainage not contained by dressings. Pay special attention to environmental cleaning. /Airborne Susceptible staff and visitors not to enter. if drainage not contained by dressings. For more information see Infection Control Manual policy 30-50, Reference Table. October 2008 until 24 hours of appropriate antibiotic therapy. if drainage not contained by dressings. Pay special attention to environmental cleaning. /Airborne Susceptible staff and visitors not to enter. if drainage not contained by dressings.
Droplet Precautions Patient Placement Door may remain open Maintain a distance of at least 2 metres (6 feet) between patients if sharing a Hand Cleansing Use alcohol hand sanitizer or soap and water After removing gloves and gown After removing mask and eye protection When leaving a Mask and Eye Protection Wear regular mask and eye protection or combination (face shield/mask) when working within 2 metres of the patient Patient Transport Only when essential Continue precautions Inform receiving department Patient must wear regular mask Word Form # 102108 11/10
Droplet and Precautions Patient Placement Door may remain open Maintain a distance of at least 2 metres (6 feet) between patients if sharing a Hand Cleansing Use alcohol hand sanitizer or soap and water After removing gloves and gown After removing mask and eye protection When leaving a Mask and Eye Protection Wear regular mask and eye protection or combination (face shield/mask) when working within 2 metres of the patient Gloves and Gown If in contact with patient or environment Remove before leaving Dedicate Patient Care Equipment Disinfect all equipment removed from Do not take patient chart into Patient Transport Only when essential Continue precautions Inform receiving department Patient must wear regular mask Word Form # 102107 11/10
Protect Me! I am more susceptible to infections and require extra protection. Please clean your hands before and after being in my. Remember to use Routine Practices. SHR Printing Services #102246 12/10
SHR Form #102144 Rev: 21 Apr 09
Display this sign for Clostridium difficile positive patient only