Isolation Guidelines

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  • How to Discharge Patient on Isolation

    Upon discharge of the patient, isolation rooms occupied by patients with Vancomycin Resistant Enterococcus (VRE) will receive terminal cleaning. Patient(s) placed in room(s) previously housing VRE infected/colonized patient(s) should be immuno-competent. Non-critical items (i.e., stethoscope, rectal thermometer, etc.) should be dedicated to a single patient (or cohort of patients) infected/colonized with VRE.  Stethoscopes, BP cuffs, etc. should be decontaminated with alcohol upon patient discharge. Disposable thermometers are to be utilized.

    A terminal cleaning will be conducted by Hosptial Housekeeping Services. A terminal cleaning consists of:

    • All surfaces thoroughly disinfected at the time of patient discharge. 
    • Environmental cultures may be performed following this cleaning. 
    • Cleaning will include replacement of bedside curtains. 
    • Rooms will be available immediately for occupancy after terminal cleaning is completed.
    • If the patient being discharged was on Airborne Precautions, the negative pressure or portable HEPA filter will need to remain running for a minimum of one hour before a new patient can be admitted into that room. Anyone entering the room during this one-hour period will need to wear an N-95 mask for protection. Fit testing is required prior to wearing an N-95 mask. Employee Health does the fit testing.