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Re: TBP signage – evidence of “MUST HAVE”=

Home Forums Infexion Connexion TBP signage – evidence of “MUST HAVE”= Re: TBP signage – evidence of “MUST HAVE”=

#79288
Michael Wishart
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Author:
Michael Wishart

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State:
NSW

Hi Vanessa

This is a difficult one to make a recommendation on that fits all settings, hence the should rather than must.

It is about risk management in the setting at hand. So, if you have a resident with an infection that can be either transmitted to others directly on entering a room, or others could potentially carry =organisms of concern out of the room to expose others, then there needs to be a way to alert anyone entering the room to take certain steps, either to protect themselves or to protect others.

In some settings, the patients may have a known infectious disease, but there is no need for door signage because everyone entering will already have the appropriate PPE on. An example of this is a COVID-19 ward, where there may be restrictions for anyone entering the area to don certain PPE, and this a sign on each patient door is not necessary.

That is one of the reasons why should is used here. In each setting, you need to do a risk assessment to see if a door sign or some type of alert in necessary.

As an aside, Ive had discussions with administrators in aged care facilities and private hospitals who dont want to label patients with a diagnosis as they feel it could breach privacy requirements. But the safety of others needs to be considered, as it could well become a liability for the organisation if not addressed. So the door signs used in the Commonwealth guidelines do not identify specific infections by name, but rather mechanisms of transmission and how they can be prevented.

Hope my rambling helps. Stick to promoting best practice, even though it is not mandated. Think about liability for the organisation if you do not have a risk mitigation strategy like door signs in place.

Cheers
Michael

Michael Wishart | Infection Control Coordinator, CICP-E

St Vincents Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.au

St Vincents Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au

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From: ACIPC Infexion Connexion On Behalf Of Vanessa Davis
Sent: Friday, 11 February 2022 10:26 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] TBP signage – evidence of MUST HAVE

Dear Clever People
I work in a residential aged care and am trying to convince my boss that having clear signage outside a potentially infectious or confirmed infectious residents room (ie on the door) is best practice.

All I can find is SHOULD on page 120 of the Aust Guidelines for Prevention & Control of Infection in Healthcare.

I appreciate any assistance re using any other information to support my argument.

Many thanks in advance

Vanessa Watkins
RN, QM & IPC Lead
Donwood Community Aged Care
Croydon Vic
(03) 9845 8500
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