Infection Prevention Hospital Visitors @ HCMC Pediatrics

Hey Guys,
 
I have had some questions regarding our infection prevention standards and what is actually required. I reached out to infection control to have these questions answered. Please review the policy below. It had some great information in it. However, listed below were the specific qustions that were asked of me. 
 
When we have patients admitted for infectious reasons, whether it be MRSA or RSV. Do we require all family to gown, glove, and/or mask while in the room? If we have parents that stay during the whole course of the hospital stay, do they need to sit in the room in a gown? 
 
For anyone on isolation we ask that visitors be limited.  Officially per our hospital policy below we only require visitors to practice contact precautions if they are providing patient care.  So someone who is not in contact with/caring for the patient would not need the gown and gloves.  However, the more we can ask everyone to gown and glove for contact rooms and educate them as to why we’re doing this the better.  This only applies as long as the patient is on isolation, so if isolation is discontinued before the end of the hospital stay that ends the requirements.  
VISITORS
Translated isolation signs are available through Infection Prevention
Standard Precautions
The nurse will instruct visitors on proper hand hygiene and use of barrier precautions for contact with blood and body fluids. Certain units in HCMC may have special infection prevention policies regarding visitors
Contact 
Limit Visitors. Visitors will be asked to gown and glove when providing patient care
Droplet
Limit visitors
Special Respiratory
Limit visitors to close household contacts as able. Visitors will be asked to wear a surgical mask
Airborne
Limit visitors
 
How long is a person considered contagious with a resp infection?  
 
That will depend on the type of infection.  For influenza we’d ask that patients stay on droplet isolation for one week (7 days) at minimum.  
Many respiratory illnesses call for isolation for “duration of illness” which is what will vary by disease.  One good source to look this up as needed would be the Pediatrics Red Book.  You might have a hard copy on your unit or here’s a link to it from the Infection Prevention department Info 
For example, for RSV someone can shed it 3-8 days but can be as long as 3-4 weeks in young infants and immunosuppressed individuals.
 
-For a burn patient, they are always on reverse isolation, does the same go for them as stated above? Do all family members/guests need to gown up to go in the room? Does a family member who is staying with the patient need to remain in a gown the whole time? 
 
See answer to the first question.  Officially only if caring for the patient but Burn unit does go above and beyond and ask all visitors to wear the gown and gloves.  Ideally, we’d ask all visitors to and educate them as to why we ask them to do this.
 
-Finally can these patients leave their rooms for therapy or treatments if they are wearing a mask/gown/ and/or gloves? 
 
Depends on the type of isolation:
AMBULATING: Preferred ambulation within the confines of the room. If the patient must leave the room;
Standard Precautions
Patients may ambulate in the hallway if they do not have any uncontained blood or body fluids
Contact 
Drainage must be contained, patient to have clean cover gown and wash hands as leaving room
Droplet
Patient to wear a surgical mask
Special Respiratory
Surgical mask for the patient; nothing for the health care worker
Airborne
Not Applicable. Ambulate in confines of room
 
 
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