YNHPH VRE/MRSA Infection Control Policy

  Introduction
  Identification
Organism-Specific Precautions
    MRSA
    Level 1
    Level 2
    Level 3
    VRE
    Level 1
  Level 2
    Level 3
C. difficile
Modifications to Precautions
Precautions Checklist


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

Dr. Jeff Topal
688-4634




Organism-Specific Precautions
VRE (Vancomycin resistant Enterococcus)

LEVEL 2 VRE PRECAUTIONS:

 
Patients with symptomatic VRE colonization/infection defined as having:

VRE in a skin lesion and/or wound such that the wound or its discharge is not easily contained by a simple dressing
VRE in the sputum and cough
VRE in the urine and the patient is incontinent of urine

These patients must be placed on Level 2 VRE Precautions. Paramount to Level 2 Precautions is the ability of the patient to follow infection control measures such covering his/her mouth when coughing, using a tissue to contain respiratory secretions, etc.

Aggressive hand hygiene for both patient and staff.
Contact Precautions shall be used for direct patient care.
Use dedicated patient care equipment or clean all shared patient care equipment with an approved EPA disinfectant before use on another patient.
Placement in a private room or cohorting with another known VRE patient is required.
The patient shall use a dedicated bathroom in addition to the room guidelines above.


Last modified: October 4, 2002.



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