GULF DIAGNOSTIC CENTER HOSPITAL

NURSING POLICY

Policy No: MED-NUR-P0054/12 Issue Date : November 2012 Revision No.: Original 01 Revision Date : Next Revision : November 2014 Page 1 of 4

TITLE: CARE OF IMMUNOCOMPROMISED PATIENT

Department Section Distribution : Nursing : Nursing Care : Hospital Wide

CARE OF UMMUNOCOMPROMISED PATIENT

APPROVAL SHEET Prepared by: Name Ms. Jennelyn Paderan Acting Charge Nurse, In-patient Ward Reviewed by: Name Ms. Nemesio Abuso Acting Head of Nursing Mr. Zuher Arawi Quality Manager Approved by: Name Dr Emad Yassin Al Rahmani Medical Director Mrs. Jamal Kaddoura Hospital Director and Co-Founder Signature Date Signature Date Signature Date

DOCUMENT AMENDMENT RECORD SHEET

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Appendix: Yes [ ]

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GULF DIAGNOSTIC CENTER HOSPITAL

NURSING POLICY

Policy No: MED-NUR-P0054/12 Issue Date : November 2012 Revision No.: Original 01 Revision Date : Next Revision : November 2014 Page 2 of 4 Page Effected Revision Number

TITLE: CARE OF IMMUNOCOMPROMISED PATIENT

Department Section Distribution Date : Nursing : Nursing Care : Hospital Wide Description of Change

1. PURPOSE 1.1 To ensure that procedure for the proper care of immunocompromised patients confined in Gulf Diagnostic Center Hospital is allowed.
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Appendix: Yes [ ]

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GULF DIAGNOSTIC CENTER HOSPITAL

NURSING POLICY

Policy No: MED-NUR-P0054/12 Issue Date : November 2012 Revision No.: Original 01 Revision Date : Next Revision : November 2014 Page 3 of 4

TITLE: CARE OF IMMUNOCOMPROMISED PATIENT

Department Section Distribution : Nursing : Nursing Care : Hospital Wide

2. DEFINITION OF TERMS 2.1 Immunocompromised Patient a patient who has severely impaired resistance secondary to underlying conditions or immunosuppressive drugs used as treatment of an underlying condition. 2.2 Reverse Isolation- an isolation precaution designed to protect persons who have severely impaired immunity from contact with potentially pathogenic organisms. 3. POLICY 3.1 Immunocompromised patients who are considered at high risk for acquiring potential pathogens during temporary state of impaired immunity are placed in Reverse Isolation when deemed necessary by the attending physician. 4. SCOPE 4.1 This policy applies to all patients, relatives and employees involved in patient/family interaction in Gulf Diagnostic Center Hospital. 5. RESPONSIBILITY 5.1 Physician 5.2 Registered/Practical Nurses 6. GUIDELINES: 6.1 Patients are placed in a single private room with door closed at all times. 6.2 Only persons who are free of communicable diseases may enter the unit. 6.3 Standard precautions are observed. 6.3.1 Strict hand washing with soap and water or an alcohol based hand rub is observed before and after each patient contact. 6.3.2 Gloves are worn by all personnel who have direct contact with the patient. 6.3.3 Masks are worn by all persons entering the room and discarded after each use. 6.3.4 The nurse and/or the attending physician inform the patient and/or family members regarding the reason for placement of patient in reverse isolation. 6.3.5 All reusable items remain inside the room until there is no use for it. 6.3.6 Items for which disinfection is not necessary or not disposable are placed outside the room if possible.
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Appendix: Yes [ ]

No [ ]

GULF DIAGNOSTIC CENTER HOSPITAL

NURSING POLICY

Policy No: MED-NUR-P0054/12 Issue Date : November 2012 Revision No.: Original 01 Revision Date : Next Revision : November 2014 Page 4 of 4

TITLE: CARE OF IMMUNOCOMPROMISED PATIENT

Department Section Distribution : Nursing : Nursing Care : Hospital Wide

6.3.7 Linen is cleaned and disinfected prior to contact with patient. 6.3.8 Carts for supplies are cleaned daily and replenished every shift or as needed. 6.3.9 No plant, flowers or fruit baskets are brought inside the patients room. 6.3.10 All environmental surfaces in the patients room are wiped daily with a disinfectant. 6.3.11 Walls are spot cleaned when soiled. 6.3.12 Floors are mopped daily with a disinfectant. 6. REFERENCES 6.1 JCIA Standard for Hospital

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Appendix: Yes [ ]

No [ ]