Anyone else run into this problem? Our Infection control nurse is in the process of updating all our isolation precautions. Now, for years I have thought that our hospital was about 30 years behind the times when it came to infection control. A lot of inconsistency amongst the staff of what kind of precautions we are suppose to use for different organisms (except for Universal Precautions). Anyway in a recent staff meeting, our infection control nurse was telling us about Standard Precautions, Droplet Precautions, Airborne and Contact. She said that the recommendations now are for a meningitis pt after 24 hours of antibiotic therapy the isolation precautions can be d/c (except of course universal/standard precautions that should be used on everyone). So, we have this pt who was a possible meningitis case. Put the pt in the isolation precautions, start antibiotics. After 48 hours, the nursing staff asked the MD if the isolation precautions could be d/c. The MD refused, stated the pt needed to remain in iso. So what are we suppose to do? A lot of times what the infection control nurse says is appropriate and what the MD says is appropriate conflict. And the floor staff gets caught in the middle. I don't necessarily want to tick off our infection control nurse, but I don't want to have an argument with a doc either (unless it totally justified
). What are other hospitals doing for isolation precautions? Anyone know of any websites (besides the CDC) that I could get info off of? Any help will be appreciated. Thanks.