Inpatient Rehabilitation - Hotbeds of Infection: Preventing Outbreaks on the Rehab Unit-Session Presentation

Video Transcription

Video Summary

In this video, the panelists discuss various infection control scenarios in an inpatient rehabilitation facility (IRF). They address cases involving head lice, COVID-19, influenza, CRE, and Candida auris. The panelists provide their opinions on how to handle each situation, taking into account the facility's resources and guidelines.<br /><br />For the head lice case, the panelists agree on isolating and treating the patient to prevent infestation spread. They recommend washing bedding and towels on hot cycles and maintaining contact precautions for at least 24 hours post-treatment.<br /><br />Regarding the COVID-19 case, the panelists discuss admitting the patient and managing their worsening symptoms. If the patient shows increased oxygen needs and respiratory compromise, they advise transferring them to a higher level of care.<br /><br />In the influenza case, the panelists discuss allowing the patient to use the gym. They agree to permit gym usage while taking precautions, such as wearing surgical masks, spacing out therapy sessions, and deep cleaning the gym afterward.<br /><br />For the CRE case, the panelists address a patient refusing a chest x-ray. Suggestions include ordering a portable x-ray, scheduling the x-ray at the end of the day for deep cleaning, or involving the radiology department director to find a solution.<br /><br />Lastly, in the Candida auris colonization case, the panelists agree to allow the patient to use the gym but emphasize additional precautions, like spacing out therapy sessions and thorough cleaning and decontamination of equipment.<br /><br />Overall, the panelists emphasize following infection control guidelines, consulting infectious disease specialists, and adapting to the facility's specific circumstances and resources.

Keywords

infection control

inpatient rehabilitation facility

IRF

head lice

COVID-19

influenza

CRE

Candida auris

isolation

treatment

bedding

contact precautions

oxygen needs