How do institutions assign rooms to chemotherapy patients?

Posted in Nursing Care about 1 year ago, 4 replies

What policies or guidelines are in place in your institutions for cohorting of general med/surg patients with patients receiving chemotherapy infusions?
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We will have some medical patients sharing our 4 bedded area with chemo patients and also in our single patient rooms. Our only stipulation is that the medical patients should not have a infection, being treated with antibiotics ( except prophylactic ones) or have problems such as exudating wounds or leg ulcers, if they are to be admitted to our clinical area.
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How do you maintain hazardous precautions for those patients receiving chemotherapy. We have issues with semi-private rooms and using the same bathroom. We have had to insist on private rooms only to maintain safety to all patients.
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For those patients who have to share a bathroom while on the ward we give the same advice as we give to all our patients when in hospital or when going home after chemo. We advise that men also sit on the toilet when passing urine, put the toilet seat down before flushing and also give a second flush before leaving the bathroom. While not being scientifically proven it appears a common sense activity to reduce the risk of chemo/urine from spraying on to the floor and toilet seats and in doing so should reduce the exposure chances to other bathroom users.
Sometimes practically you have to make the best of the situation you are in and in Scotland most chemo patients don't have their own bathrooms. As the majority of chemo patients are not in hospital the biggest hazardous exposure risk is to families and hence our advice covers both settings.
Hope this is of some help?
Photo of Gordon.
Our neutropenic precaution rooms are also use for negative airlflow for TB. I have concerns with the cleanliness of this. EG: Recently noted that an AML pt had the air flow turned on to negative and not neutral. As my unit is oncology and pulmonary, I am concerned when I take care of a mrsa pt and also a neutropenic patient. At least all our rooms are singles.
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