Patients may have a semi-private room when both roommates have
good personal hygiene. This requires that:
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The patients practice thorough handwashing either independently or with the assistance of the staff.
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The patients not contaminate the environment or share infective materials with other patients.
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The patient or the staff are able to properly contain the patient's blood and/or body substances.
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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.