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Nursing aspects of segregation policy

M. van Hattem RN; S. Weldam MscN, RN; F. Teding van Berkhout MD. University Medical Centre Utrecht (UMCU) ,The Netherlands, Cystic Fibrosis Centre ,Department of Pulmonologie. Introduction .

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Nursing aspects of segregation policy

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  1. M. van Hattem RN; S. Weldam MscN, RN; F. Teding van Berkhout MD University Medical Centre Utrecht (UMCU) ,The Netherlands, Cystic Fibrosis Centre ,Department of Pulmonologie Introduction. In order to provide safe care for Cystic Fibrosis patients and to prevent cross infection with clonal/epidemic strains of pseudomonas aeruginosa , a policy of segregation was introduced in the University Medical Centre Utrecht Department of Pulmonology Nursing aspects of segregation policy • Aim • Exploring the impact of segregation on nursing care and to share this • experience with other professionals in the field. • Methods • Describing nursing aspects that require extra attention . • Results • Segregation policy means the following measures. • Admission of Cystic Fibrosis patients is preferably in a single room. • The door of the patient room is closed. • Every one who is entering or leaving the patient’s room must use hand disinfectant. • The patient is not allowed to leave the room except if it is necessary for treatment or medical examination during daytime. • If the patient leaves his/her room he/she has to wear a nose/mouth mask in order to prevent direct and airborne transmission of pseudomonas. • The instituted segregation policy has several implications. • Because of solitary nursing communication can decrease . • This may have psychosocial consequencessuch as social isolation. • During daytime patients are confined to their room, apart from physiotherapy sessions. • This has also physical consequences. • We have to put fitness equipment in the patientroom. It requires a lot of self discipline to exercise especially when the patient is not feeling very well. • Sometimes there are no single rooms vacant and we have to admit the cystic fibrosis patient in a 2 or 4 bedded room. It means fellow patients are confronted with the segregation measures. We had to develop a way of informing every patient and their visitors of the measures.. • The professionals were facing a whole new approach of the Cystic Fibrosis patient. Conclusion A policy of strict segregation has a huge impact on both patients and nurses. Correspondence:Martha van Hattem, UMC Utrecht, B3-west, Huispost B 03.237, P.O. Box 85500, 3508 GA Utrecht, The Netherlands Internet: www.CF-CentrumUtrecht.nl E-mail:mhattem2@umcutrecht.nl.

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