Standard Precautions

Introduction
Transmission-Based Precautions
Hand Hygiene
Barrier Protection
Sharps Disposal
Patient Placement
Patient Transport
Food and Nutrition
Lab Specimens
Housekeeping
Medical Waste
Patient/Visitor Exposures
Linen/Laundry Services
Medical Emergencies


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Yale New Haven Hospital
QISS
GB 325
New Haven, CT
06504 USA

Dr. Jeff Topal
688-4634




Patient Placement, pg 2
Patients may have a semi-private room when both roommates have good personal hygiene. This requires that:

The patients practice thorough handwashing either independently or with the assistance of the staff.
The patients not contaminate the environment or share infective materials with other patients.
The patient or the staff are able to properly contain the patient's blood and/or body substances.

Patient placement issues should be addressed by the physicians and nurses who are directly responsible for the patient's care. Roommate selection or the need for a private room must be assessed when the patient is admitted to the hospital and on an "as-needed" basis when changes in the patient's condition are noted.

The need for a private room for infection control purposes should be documented in the "History and Progress Notes" section of the patient's medical record, along with a brief explanation of the need.

If a patient is admitted with a diagnosis which requires, Airborne, Droplet or Contact Precautions, the patient should be assigned to a private room by the admitting office.

Patients who are assigned to a private room for infection control purposes should be continually assessed. When the patient's condition changes and a private room is no longer required, this fact should be documented in the "History and Progress Notes" section of the patient's medical record, including the pertinent circumstances involved.

A private room is not indicated for patients with AIDS, HIV infection, or other bloodborne pathogens, such as Hepatitis B or Hepatitis C.


Last modified: September 30, 2002.



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