Policy Manual sample

MDT Home Health Care Agency, Inc. • Rashes, spots or other skin disorders • Immobility Sites of home care acquired infection include but are not limited to: · Urinary tract infection in catheterized and non-catheterized patients · Bloodstream infections in patients with indwelling urinary catheters · Respiratory tract infections in adults · Skin infections · Surgical site infections · Gastroenteritis · IV site infections in patients with indwelling intravenous catheters or subcutaneous intravenous access devices · Bloodstream infections in patients with indwelling intravenous catheters or subcutaneous intravenous access devices Although the definition of some home care acquired infections can rely upon clinical observation and judgment, others should be confirmed by laboratory test and culture. Definitions: Urinary tract infection (non-catheterized patient) • Urine culture resulting in> 1000,000 colonies/mI of bacterial growth of less that or equal to 3 organisms, or • Urinalysis results demonstrating pyuria of greater that 10 WBCs per high-power field in an uncentifuged specimen with symptoms of a UTI (e.g. dysuna- frequency, burning), or • Physician diagnosis of a urinary tract infection Urinary tract infection (catheterized patient) • Urine culture resulting in> 100,000 colonies/mi of bacterial growth of less than or equal to 3 organisms, or • Physician diagnosis of a urinary tract infection Respiratory tract infection (upper) • Onset of cough, sore throat, runny nose coryza, accompanied by a fever with no other recognized cause for the fever. Community acquired viral infection must be ruled out. • Positive throat culture for Group A streptococcus with signs and symptoms of an upper respiratory infection. • Physician diagnosis of a bacterial upper respiratory infection Respiratory tract infection (lower) • Onset of productive cough and fever with or without pleuritic chest pain, accompanied by purulent respiratory secretions. • Physician diagnosis of a bacterial lower respiratory tract infection. Skin infection • Purulent drainage from a skin lesion • Physician diagnosed cellulitis • Surgical site infection • Purulent drainage from a surgical wound or drain site Home Health Agency Nursing Care & Procedures K-86