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Hi Lyn,
In our oncology ward we do use “neutropenic precautions” to reverse barrier nurse these patients , but only if their neutrophil count is less than 1.0. The Oncology NUM oversees all of this.
We leave it to the discretion of the senior nursing staff on the ward and the patients Dr in conjunction with the patient to balance their need for visitors and family whilst protecting the patient from potential infection. This may include the use of masks by significant others (if they are unwell) or no PPE at all for visitors or reduced visitors until the patients neutrophil count improves. All visitors are encouraged to perform hand hygiene on entry and exit to the room.
Kind regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
Fiona.Desousa@sah.org.au
185 Fox Valley Road, Wahroonga, NSW, 2076
The question has been raised. Is it best practice to reverse barrier nurse febrile neutropenic patients or not?
Staff have suggested that maybe patients are not getting the best care by being isolated as the patients feel neglected and shut off, our Oncologists feels that once antibiotics are commenced that there is no need to isolate, “standard precautions” is all that’s needed.
I’m interested, what is the current practice out there?
Regards Lyn
Lyn Golden
17 Francis Street
Echuca 3564
P 54855340
E lgolden@erh.org.au
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