Course Access
Hi Rachel
Please see responses below in red.
Kind regards
Julie
Julie Baile I Clinical Nurse
Infection Prevention & Management
South Metropolitan Health Service
Fiona Stanley Hospital
Ground Floor, Block B, 11 Robin Warren Drive, MURDOCH WA 6150
Postal Address: Locked Bag 100, PALMYRA DC WA 6961
T: 6152 8915
E: julie.baile@health.wa.gov.au
http://www.southmetropolitan.health.wa.gov.au
http://www.fsh.health.wa.gov.au
[FSFHG_signature_block6-01]
Thank you to all those that have responded to my question in relation to meal delivery to patients under transmission-based precautions.
I would still appreciate further responses if people would be kind enough to consider my questions below. I am fundamentally interested in how acute hospitals perceive and manage the risks associated with delivery of meals and drinks to patients under transmission-based precautions.
I note with interest that the CDC have relatively recently made a clarification to when to don PPE (February 2017) by saying
One important change is the recommendation to don the indicated personal protective equipment (gowns, gloves, mask) upon entry into the patient’s room for patients who are on Contact and/or Droplet Precautions since the nature of the interaction with the patient cannot be predicted with certainty and contaminated environmental surfaces are important sources for transmission of pathogens.
Again, look forward to any further responses! My questions again below 🙂
Kind regards
Rachel
Hi all,
Our organisation has recently completed a pilot Quality project on mealtime assistance. This “Protected Meal Time” project identified a number of barriers to adequate nutrition including that those patients under transmission-based precautions are often not receiving timely access to meals and morning tea/ supper etc.
Based on this pilot project, we are considering ways to improve patient access to meals etc. To assist us in our discussions would you please consider the following questions for your organisation and respond via return email at your earliest convenience.
This project was undertaken in an Acute Tertiary facility, thus I am most interested in the practices of other Acute or Tertiary facilities.
* Do catering staff deliver meals into the rooms of patients under the following transmission-based precautions
o Contact ONLY (e.g. Clostridium difficile, MROs etc.) Yes/ No
* If Yes
* Do they wear PPE (Yes/ No)
* If no
* Who delivers the meals/ drinks etc.
o Droplet ONLY (e.g. Bordetella pertussis, Meningococcal etc.)
* If Yes
* Do they wear PPE (Yes/ No)
* If no
* Who delivers the meals/ drinks etc.
o Droplet and Contact (e.g. Viral gastroenteritis, Influenza etc.)
* If Yes
* Do they wear PPE (Yes/ No)
* If no
* Who delivers the meals/ drinks etc.
o Airborne (e.g. TB, Chickenpox, measles etc.)
* If Yes
* Do they wear PPE (Yes/ No)
* If no
* Who delivers the meals/ drinks etc.
o Airborne and Contact (e.g. Varicella zoster [chickenpox] etc.)
* If Yes
* Do they wear PPE (Yes/ No)
* If no
* Who delivers the meals/ drinks etc.
* Any other comments about strategies you have implemented to support effective nutrition for isolated patients?
……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager
Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South
*: 03 6166 7882/ 6166 8658
Level 4, H Block
48 Liverpool Street
Hobart, 7000
Hello
Answers in red .
Regards,
Glynis Tudor
Infection Control Coordinator
Holmesglen Private Hospital
http://www.holmesglenprivatehospital.com.au
[HGPH – ED Early 2017 – Email Signature]
Hi all,
Our organisation has recently completed a pilot Quality project on mealtime assistance. This “Protected Meal Time” project identified a number of barriers to adequate nutrition including that those patients under transmission-based precautions are often not receiving timely access to meals and morning tea/ supper etc.
Based on this pilot project, we are considering ways to improve patient access to meals etc. To assist us in our discussions would you please consider the following questions for your organisation and respond via return email at your earliest convenience.
This project was undertaken in an Acute Tertiary facility, thus I am most interested in the practices of other Acute or Tertiary facilities.
* Do catering staff deliver meals into the rooms of patients under the following transmission-based precautions
o Contact ONLY (e.g. Clostridium difficile, MROs etc.) Yes/ No
* If Yes
* Do they wear PPE (Yes/ No)
* If no
* Who delivers the meals/ drinks etc.
o Droplet ONLY (e.g. Bordetella pertussis, Meningococcal etc.)
* If Yes
* Do they wear PPE (Yes/ No)
* If no
* Who delivers the meals/ drinks etc.
o Droplet and Contact (e.g. Viral gastroenteritis, Influenza etc.)
* If Yes
* Do they wear PPE (Yes/ No)
* If no
* Who delivers the meals/ drinks etc.
o Airborne (e.g. TB, Chickenpox, measles etc.)
* If Yes
* Do they wear PPE (Yes/ No)
* If no
* Who delivers the meals/ drinks etc. nursing staff only allowed entry
o Airborne and Contact (e.g. Varicella zoster [chickenpox] etc.)
* If Yes
* Do they wear PPE (Yes/ No)
* If no
* Who delivers the meals/ drinks etc. nursing staff only allowed entry
* Any other comments about strategies you have implemented to support effective nutrition for isolated patients? Although catering staff are meant to deliver to patients on TBp ( excluding airborne), compliance and understanding of the PPE is patchy. Education given frequently, but remains a problematic area!
Many thanks in advance for your replies
Kind regards
Rachel
……………………………………………………………………………..
Rachel Thomson
Nurse Unit Manager
Infection Prevention & Control Unit
Royal Hobart Hospital
Tasmanian Health Organisation-South
*: 03 6166 7882/ 6166 8658
Level 4, H Block
48 Liverpool Street
Hobart, 7000
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