Infection control becomes especially important when caring for a hospice patient at home. Their weakened immune system makes them more susceptible to infections, which can be serious or even life-threatening. Here are some key practices to minimize infection risk:
Hand Hygiene:
This is the single most important step! Wash hands thoroughly with soap and warm water for at least 20 seconds:
Before and after any patient contact, including dressing changes, toileting, or administering medication.
After removing gloves.
After contact with body fluids or contaminated surfaces.
If soap and water aren't readily available, use an alcohol-based hand sanitizer with at least 60% alcohol content.
Personal Protective Equipment (PPE):
Use disposable gloves when:
Changing dressings or wounds.
Handling bodily fluids (urine, stool, vomit, etc.).
Cleaning up spills of bodily fluids.
Wear a mask if the patient has a respiratory illness (cold, flu) to prevent airborne transmission.
Dispose of all PPE safely in a lined trash can.
Environmental Cleaning and Disinfection:
Regularly disinfect frequently touched surfaces (doorknobs, light switches, bedside tables) with a disinfectant approved by the Environmental Protection Agency (EPA).
Wash linens, clothes, and towels soiled with bodily fluids promptly with hot water and detergent. Follow specific instructions if bleach is recommended for disinfection.
Clean and disinfect medical equipment (thermometers, nebulizers) according to manufacturer's instructions.
Minimizing Exposures:
Encourage visitors to wash their hands upon entering and leaving the home.
Limit visitors if they are sick with a cold, flu, or other contagious illness.
Encourage good cough etiquette for everyone in the home (cover coughs and sneezes with a tissue or elbow).
Additional Tips:
Maintain a clean and clutter-free environment to minimize dust and potential hiding places for germs.
Ensure proper ventilation in the home by opening windows or using air purifiers.
Keep the patient's vaccinations up-to-date (if applicable and approved by their doctor).
Communicate any concerns about a possible infection to the hospice team immediately.
By following these practices, you can create a safe and healthy environment for your hospice patient at home. Remember, the Abbey Road Hospice team can provide additional guidance and support with infection control measures specific to your patient's needs.