cohort nursing
TRANSCRIPT
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COHORT NURSING
BY:- MR. FIROZ QURESHIDEPT. PSYCHIATRIC NURSING
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INTRODUCTION
• Control of infection is an essential part notonly of healthcare but also of everydaylife.Maintenance of high standards ofinfection control practice is the responsibilityof all health care personnel.
• Those working in health care will inevitablyhave to care for people with known orsuspected infection and infectious diseases.
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DEFINITION• Cohort nursing refers to the
grouping of patients with a sameinfection with in isolated area andit is a sort of strict isolation.
• For example, patients withtuberculosis are admitted in onebay or one ward and the designatedstaff nurses take care of thepatients.
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• Cohorting of patients as well ascohorting of nurses is recommendedto maintain strict isolation.
• ‘Cohorting’-grouping of infectiouspatients and nursing them within anarea of a hospital ward is widelyrecommended as a strategy forcontrolling transmission of healthcare acquired infection.
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• It is often recommended as an overflow strategy when single room isolation is not available.
• Cohort nursing patients with the same organism(or displaying similar signsand symptoms of infections) is an alternative form of nursing where single room capacity is exceeded.
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• If there is a dedicated isolated ward available, place all patients infected with the same organism in this ward. Cohort patient should be cared for by designated staff.
• If there is no dedicated ward consider cohorting patients in to bays with in wards.
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• If there is a dedicated isolated wardavailable, place all patients infectedwith the same organism in thisward.
• Cohort patient should be cared forby designated staff. If there is nodedicated ward consider cohortingpatients in to bays with in wards.
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• For effective isolation ,bays shouldhave doors that can be closed toprovide physical separation fromother patients.
• In areas such as critical care ,it maybe necessary to cohort patients in tospecific areas of the unit, ensuringthat these areas can be physicallyseparated from the rest of theward.
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PATIENT GUIDELINES FOR COHORTS
• Staff should
• Routinely provide affected patients andvisitors with an explanation of theirinfection,isolation procedures andtreatment.
• Ensure that rooms ,bays and areas usedfor isolated patients have dedicatedhand hygiene and toileting facilities;
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• Ensure that there is clear signage on the door or wall to alert staff and visitors to infection control precautions;and
• Ensure that doors are kept closed at all times.
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MANAGEMENT OF THE PATIENT ONCE ISOLATED
• Hand hygiene and personal protectiveequipment
• 1.High standards of handdecontamination minimize risk ofcross-infection.
• It is vital to perform hand hygienebefore and after each direct patientcontact,regardless of glove use and useof other protective measures.
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• 2.There must be adequate hand-washing facilities and hand rub/gel available for use before and after contact with the patient.
• 3.Disposable apron should be worn by all staff and visitors assisting in the care of the patient or having contact with their immediate environment.
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• 4.Disposable gloves should be worn where there is contact with bodily fluids and handling of contaminated items.
• 5.Fans should not be used to control the patient’s temperature.
• 6.Notes and charts should be kept outside the bay/ward.
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CLEANING AND DECONTAMINATION
• 1.Local policies for environmentalcleaning, equipment decontamination,waste and linen management shouldreflect required national specificationsand be applied rigorously. Compliancewith these policies should be subject toregular monitoring and audits
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• 2.Where possible ,equipment should be single patient use.
• 3.Multiple patient use equipment must be decontaminated in accordance with local policy and and the manufacture’s instructions.
• 4.Linen should be treated as infected in line with hospital policy.
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5.All waste should be categorized ashazardous waste and disposed of inline with hospital policy.
6.Cleaning procedures should berigorously applied. There should beprocedures for enhanced andterminal cleaning in place.
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• 7.It should be made clear to all staff exactly which teams and individuals are responsible for undertaking regular cleaning and those items that require cleaning.
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MOVEMENT
• 1.Transfer and movement of patientsshould be kept to a minimum to reducethe risk of infection spreading andshould only be undertaken for clinicalreasons.
• 2.If a transfer is necessary ,thereceiving area must be informed sothat effective infection controlmeasures can be put in to place.
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• 3.Hand hygiene and personalprotective equipment proceduresshould be closely followed whentransferring an infected patient.
• 4.The equipment used to transferthe patient ,e.g.trolley,should bedecontaminated after use inaccordance with local policy
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CONCLUSION
• Reducing Health Care AquiredInfections requires every member ofstaff to make their contribution toeffective infection prevention andcontrol. As a matter of urgency ,allinstitutions should review theirisolation policy in order todetermine the best possibleisolation practices.
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