Anybody waiting for RSV or rotovirus results before sending a peds pt to the unit?

ERNurse678 · Mar 10, 2005

We are looking for community standard regarding children who come into the ED with R/O RSV or Rotovirus. Is anyone keeping patients in the ED until the results are confirmed, in order to give the pediatric unit a "heads-up" for room placement/co-horting or sending them to the unit without results? Thanks!!

For our ED that depends on how bad the patient is. We don't admit all of our RSV patients.

needsmore$ · Mar 10, 2005

We do not admit all our RSV patients as well- admission is based on degree of resp distress, history, VS, underlying issues, etc. Some can be very sick while others perk up with some neb use, fever control, etc. The little ones-less than 1 yr-tend to be admitted more frequently-

ernurse728, LPN · Mar 11, 2005

We always have to wait until we get the results of the RSV swab. Our peds unit houses 3 kids in a room...so we wait to get that back before sending them up so they can plan accordingly.

mommatrauma, RN · Mar 11, 2005

We always have to wait until we get the results of the RSV swab. Our peds unit houses 3 kids in a room...so we wait to get that back before sending them up so they can plan accordingly.

We don't admit all of ours either, we also transfer all of our peds admissions out, so usually our receiving hospitals like to know the results, so they know if they need isolation or not ahead of time...

suzanne4, RN · Mar 11, 2005

By the time that the work-up is completed, you should have the results back for the RSV swab. Usually one of the first things that are done because it helps greatly in diagnosis as well as treatment.

Vicki_RN · Mar 11, 2005

We always have to wait until we get the results of the RSV swab. Our peds unit houses 3 kids in a room...so we wait to get that back before sending them up so they can plan accordingly.

I appreciate your feedback. It is very helpful. Thanks!

rjflyn, ASN, RN · Mar 11, 2005

No because it is typically back long before the patients gets admitted. But lately the internal med and family practice docs have been ordering flu swabs on our adult pts and since they have to go into airborne isolation until proven negative we have been waiting on those.

Rj