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Animals in Healthcare Facilities (SHEA)

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6 Animal-Assisted Activities b. Special testing may be indicated if the animal-assisted activities animal is epidemiologically linked to an outbreak of infectious disease known to have zoonotic transmission potential. Suspension of visitation pending results is recommended in these situations. 3. Dietary guidelines for all animals a. Exclude any animal that has been fed within the past 90 days any raw or dehydrated (but otherwise raw) foods, chews, or treats of animal origin, excluding those that are high-pressure pasteurized or γ-irradiated. IV. Preparing Animals for Visits A. Require that every handler do the following: 1. Brush or comb the animal's hair coat before a visit to remove as much loose hair, dander, and other debris as possible. 2. Keep the animal's nails short and free of sharp edges. 3. If the animal is malodorous or visibly soiled, bathe it with a mild, unscented (if possible), hypoallergenic shampoo and allow the animal's coat to dry before leaving for the healthcare facility. 4. Visually inspect the animal for fleas and ticks. 5. Clean the animal carrier. 6. Maintain animal leashes, harnesses, and collars visibly clean and odor-free. 7. Use only leashes that are non-retractable and ≤1.3–2 m (≤4–6 feet) in length. 8. Do not use choke chains or prong collars, which may trap and injure patients' fingers. 9. Make an animal belonging to an animal-assisted activities program identifiable with a clean scarf, collar, harness or leash, tag, or other special identifier readily recognizable by staff. 10. Provide a dog with an opportunity to urinate and defecate immediately before entering the healthcare facility. Dispose of any feces according to the policy of the healthcare facility and practice hand hygiene immediately afterward. V. Managing Appropriate Contact Between Animals and People During Visits A. Obtain oral or written consent from the patient or his or her agent for the visit and preferably from the attending physician as well. Consider documenting consent in the patient's medical record. B. The handler should notify caregiver (eg, nurse or physician) of the animal visitation. C. The handler should be required to obtain oral permission from other individuals in the room (or their agents) before entering for visitation.

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