Template:Harbor Respiratory Isolation Patient Protocol: Difference between revisions
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===21.3 Respiratory Isolation Patient Protocol<ref>Approved June 2015, Chappell 2/22/16</ref>=== | ===21.3 Respiratory Isolation Patient Protocol<ref>Approved June 2015, Chappell 2/22/16</ref>=== | ||
''All adult patients presenting to the DEM will be screened at the time of triage by a RN for risk factors, symptoms or complaints of respiratory/tuberculosis (TB) using the RIPT criteria in the EHR; five points or greater indicates the need for immediate initiation of the RIPT procedure. '' | ''All adult patients presenting to the DEM will be screened at the time of triage by a RN for risk factors, symptoms or complaints of respiratory/tuberculosis (TB) using the RIPT criteria in the EHR; five points or greater indicates the need for immediate initiation of the RIPT procedure. '' | ||
#A mask will be placed on the patient and PA/Lateral chest x-ray will be ordered by the triage nurse with a DEM Attending on duty as ordering physician | #A mask will be placed on the patient and PA/Lateral chest x-ray will be ordered by the triage provider or nurse (with a DEM Attending on duty as ordering physician) | ||
#The patient will be escorted to the radiology waiting area, and the triage nurse will hand off communication to the Area Charge Nurse (ACN). | #The patient will be escorted to the radiology waiting area, and the triage nurse will hand off communication to the Area Charge Nurse (ACN). | ||
#On completion of the chest x-ray, the ACN will follow-up with the R-3 or Attending Physician for interpretation of the chest x-ray. The decision to release the patient back to the waiting area or continue isolation in a designated isolation room will be made by the provider at that time. | #On completion of the chest x-ray, the ACN will follow-up with the R-3 or Attending Physician for interpretation of the chest x-ray. The decision to release the patient back to the waiting area or continue isolation in a designated isolation room will be made by the provider at that time. | ||
<https://www.ncbi.nlm.nih.gov/pubmed/10736118> | |||
<http://www.currytbcenter.ucsf.edu/sites/default/files/ic_book_2011.pdf> | |||
Revision as of 23:10, 4 August 2017
21.3 Respiratory Isolation Patient Protocol[1]
All adult patients presenting to the DEM will be screened at the time of triage by a RN for risk factors, symptoms or complaints of respiratory/tuberculosis (TB) using the RIPT criteria in the EHR; five points or greater indicates the need for immediate initiation of the RIPT procedure.
- A mask will be placed on the patient and PA/Lateral chest x-ray will be ordered by the triage provider or nurse (with a DEM Attending on duty as ordering physician)
- The patient will be escorted to the radiology waiting area, and the triage nurse will hand off communication to the Area Charge Nurse (ACN).
- On completion of the chest x-ray, the ACN will follow-up with the R-3 or Attending Physician for interpretation of the chest x-ray. The decision to release the patient back to the waiting area or continue isolation in a designated isolation room will be made by the provider at that time.
<https://www.ncbi.nlm.nih.gov/pubmed/10736118>
<http://www.currytbcenter.ucsf.edu/sites/default/files/ic_book_2011.pdf>
- ↑ Approved June 2015, Chappell 2/22/16