Post by michelleml on Apr 13, 2020 8:01:28 GMT -8
CONTAINMENT & SAFETY PROCEDURES FOR HOME VISITS: For Nurses
POLICY: During the COVID-19 Pandemic face- to- face contact among staff, persons served, and collateral contacts will occur when determined to be necessary by the Program Director.
PURPOSE: The purpose of this policy is to outline the steps to be taken during home visits to minimize the risk of contagion by both persons served and staff.
1. Call the person served before the visit to determine the status of the following:
a. Does the person have a cough, fever, difficulty breathing, diarrhea?
b. Is anyone else in your household sick?
c. Have you been exposed to someone with a confirmed COVID-19 infection OR person under
investigation for COVID-19 2.
2. If you cannot reach the person before the home visit, ask the above questions as soon as you arrive and be sure to maintain at least 6 feet distance and have your N-95 securely fitted.
3. Prior to entering the home in your car do the following:
a. Tie back long hair if applicable
b. Remove jewelry
c. Consider wearing glasses instead of contact lenses
d. Use Hand sanitizer (apply 1-2 pumps to palms of hand and for 15 seconds rub front, back, in between fingers and nail bed) until dry
4. Upon entering the home do the following:
a. Use hand sanitizer and place a surgical mask on a flat surface 6 feet away from the person served
b. Ask the person served to wear the surgical mask
c. Conduct screening questions. If the persons served answers all the screening questions in the negative (no cough, no household member sick, no diarrhea, etc.) you can proceed with the visit.
5. As noted above the N-95 mask, booties, eye protection must be worn, and you should use hand sanitizer to clean your hands.
6. If the nursing visit is for an IM injection or blood draw, and the person served answers yes to any of the above questions the nurse should use their medical judgement in consultation with Bridgeway’s Medical Director and/or Medical APN to determine if the visit should proceed.
7. During these close bodily procedures—IM medications, blood pressure reading, or blood draw-- persons served must wear a surgical mask.
8. Prior to performing any procedures with person served do the following:
a. Use hand sanitizer
b. Place protective glasses, goggles, or protective shield
c. Use hand sanitizer
d. Place non-sterile gloves on
e. Ask person served to turn head opposite direction from where you will be performing a procedure
f. Perform vital signs, lab draw, IM injections and any other assessment needed
g. Once all procedures are completed remove gloves
h. Use hand sanitizer and remove protective glasses, shield, or goggles
9. Upon exiting home tell person served they can dispose of the mask
10. Once back in your vehicle:
a. Use hand sanitizer
b. Remove the N95 using proper technique and place it in a paper bag for next use and carefully follow the policy and procedures for the proper usage of the N-95 mask.
11. When you arrive home, you should remove your work shoes and sanitize your hands prior to entering. Take off your work clothes (scrubs), shower, and put on a clean set of clothes. Your work clothes should be washed in hot water.
Attribution: Bridgeway Rehabilitation Services, Inc. 615 N. Broad Street, Elizabeth, NJ 07208 | 908-355-7886 | www.bridgewayrehab.org
POLICY: During the COVID-19 Pandemic face- to- face contact among staff, persons served, and collateral contacts will occur when determined to be necessary by the Program Director.
PURPOSE: The purpose of this policy is to outline the steps to be taken during home visits to minimize the risk of contagion by both persons served and staff.
1. Call the person served before the visit to determine the status of the following:
a. Does the person have a cough, fever, difficulty breathing, diarrhea?
b. Is anyone else in your household sick?
c. Have you been exposed to someone with a confirmed COVID-19 infection OR person under
investigation for COVID-19 2.
2. If you cannot reach the person before the home visit, ask the above questions as soon as you arrive and be sure to maintain at least 6 feet distance and have your N-95 securely fitted.
3. Prior to entering the home in your car do the following:
a. Tie back long hair if applicable
b. Remove jewelry
c. Consider wearing glasses instead of contact lenses
d. Use Hand sanitizer (apply 1-2 pumps to palms of hand and for 15 seconds rub front, back, in between fingers and nail bed) until dry
4. Upon entering the home do the following:
a. Use hand sanitizer and place a surgical mask on a flat surface 6 feet away from the person served
b. Ask the person served to wear the surgical mask
c. Conduct screening questions. If the persons served answers all the screening questions in the negative (no cough, no household member sick, no diarrhea, etc.) you can proceed with the visit.
5. As noted above the N-95 mask, booties, eye protection must be worn, and you should use hand sanitizer to clean your hands.
6. If the nursing visit is for an IM injection or blood draw, and the person served answers yes to any of the above questions the nurse should use their medical judgement in consultation with Bridgeway’s Medical Director and/or Medical APN to determine if the visit should proceed.
7. During these close bodily procedures—IM medications, blood pressure reading, or blood draw-- persons served must wear a surgical mask.
8. Prior to performing any procedures with person served do the following:
a. Use hand sanitizer
b. Place protective glasses, goggles, or protective shield
c. Use hand sanitizer
d. Place non-sterile gloves on
e. Ask person served to turn head opposite direction from where you will be performing a procedure
f. Perform vital signs, lab draw, IM injections and any other assessment needed
g. Once all procedures are completed remove gloves
h. Use hand sanitizer and remove protective glasses, shield, or goggles
9. Upon exiting home tell person served they can dispose of the mask
10. Once back in your vehicle:
a. Use hand sanitizer
b. Remove the N95 using proper technique and place it in a paper bag for next use and carefully follow the policy and procedures for the proper usage of the N-95 mask.
11. When you arrive home, you should remove your work shoes and sanitize your hands prior to entering. Take off your work clothes (scrubs), shower, and put on a clean set of clothes. Your work clothes should be washed in hot water.
Attribution: Bridgeway Rehabilitation Services, Inc. 615 N. Broad Street, Elizabeth, NJ 07208 | 908-355-7886 | www.bridgewayrehab.org