Thursday, September 11, 2008

Reverse Barrier Nursing

First of all, been trying to search for our MPK (Manual Procedure Kerja) for this issue, and I even searched it in our Nursing Procedure Manual, its either, I was too tired sampai nda ternampak or memang inda ada tia kali.

Anyhoo, talking (blogging) from experience (honestly aku ani baru jua setahun jagung *grins*).

What? and Who?

Say, a patient's FBC was found to have LOW WBC (White Blood Cell Count), the normal count will be 4000 to 11,000 cells per microlitre, this patient, should be imediately put in an isolation room. This patient will be having increases the risk of serious infection. (http://www.mayoclinic.com/health/low-white-blood-cell-count/AN00726)

Why?

Because .. White blood cells, or leukocytes, are cells of the immune system defending the body against both infectious disease and foreign materials (http://en.wikipedia.org/wiki/White_blood_cell).

How?

This is our Reverse Barrier Nursing notice sign, which we usually put up in our ward.

Additional:

If you are having flu, cold or fever, please do not enter the room. High risk of infection, that is.
Any outside food, are not advisable.
The patient should be advised to practice a healthy and hygienic environment.
Gargle, frequently.. not too frequent lah hehe

Where?

The patient should be isolated in a clean room, where, if it's possible, it shouldn't be just a room, but a room with his private bathroom and toilet.

I will elaborate more on these, when I have ample of information on these. Any comments or suggestion are almost welcome.

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