Do you think "isolation precautions" are outdated? - page 2

:smiletea: After some pondering and a lot of dressing up and back down at work tonight, I wonder, Do you ALL put people on contact iso if they have a hx. of mrsa, no matter what?? Often pts come... Read More

  1. by   jill48
    No, I don't think isolation precautions are outdated. I don't know if they are as effective as they used to be, but still very necessary. :spin:
  2. by   Epona
    I will be a new RN student in about 2 weeks. I am curious.. how often do you all garb up?? Gloves, gowns, masks, etc. on a regular basis for those working in ICU, CCU or ER?? I am curious how often a week you have to do this.

    Thanks! Epona
  3. by   kurlykay
    A new policy started at my hospital about 4-5 months ago. Anyone with active diarrhea gets put on contact precautions for C-Diff until it is ruled out. I work in an ICU that was getting alot of C-Diff. This seemed to really cut down in the number of pts with C-Diff. We also use the Purel hand santitizer which doesn't kill C-Diff., so you must wash with soap and water. Many staff didn't know this so now all of our dispensers are labeled "not for C-Diff". The rooms also have to be cleaned with bleach because the standard cleaner doesn't kill C-Diff either. So each C-Diff room get a "clean room with bleach" sign to informe housekeeping.
  4. by   Epona
    Ok. I have a question for you all then after reading the last post. Since CDIFF seems to be highly contagious and nothing really kills it but bleach, how do you all protect yourselves?? I know you are wearing the gloves and gowns and so forth, but does washing your hands not kill it?? Wow. Must be a pretty potent germ. And this topic leads me to another question... I developed a bad illness many years ago that attacked my system, especially my gut. Not CIFF or anything. Docs were never really able to pinpoint the exact virus down. Liver enzymes were elevated, I was in sweats, barely conscious... AWFUL AWFUL time. Anyway... not to be gross here, but I had loose stools for over a week and dropped to 80 pounds. Not good for a 27 year old. This terribly depleted my potassium and other electrolytes... I was in the hopsital for a week on all sorts of IV's. K dropped to 2.0. I was fairly critical. To this day, my body does not make OR retain K since this illness. I have to take 5 MEQ of KCl to keep me around the normal range and then it is still a bit low... 3.8. So having said all this, I DO NOT want to get catch an illness that could attack my intestines, stomach and deplete me of electrolytes since I am hyokalemic anyway. I am also a heart patient... so loosing all that K really exacerbated my heart condition. How would you suggest I protect myself.?? I am starting RN school in 2 weeks. Once I start clincials should I mention this to my nursing instructor??

    Thank you very much!! Epona
  5. by   Hoozdo
    Quote from Epona
    I will be a new RN student in about 2 weeks. I am curious.. how often do you all garb up?? Gloves, gowns, masks, etc. on a regular basis for those working in ICU, CCU or ER?? I am curious how often a week you have to do this.

    Thanks! Epona
    I would say given 10 ICU patients, that 2 would be isolation patients. So 20% of all ICU patients. You garb up every time you enter the room. Masks are only required for droplet precautions, (TB, rule out TB). Needless to say, you gather lots of materials and drugs for trips into that isolation room. I have had two patients that were both in isolation at the same time before....spent about 1/4 of my time garbing and disgarbing!
  6. by   talaxandra
    We also isolate all potential and actual C-Diff patients - single rooms, isolation bins, gloves and gowns.
    And veeeery meticulous handwashing! During our last gastro outbreak (not C Diff) one staff member was rolling over in bed at home to vomit into a bucket and was fecally incontinent. and a nursing student on placement rushed to the toilet to vomit and was also fecally incontinent. Poor girl had to go home in scrub pants.
  7. by   Marie_LPN, RN
    They're a good idea, but they are only as affective as the people that comply with it.
  8. by   kurlykay
    Quote from Epona
    Ok. I have a question for you all then after reading the last post. Since CDIFF seems to be highly contagious and nothing really kills it but bleach, how do you all protect yourselves?? I know you are wearing the gloves and gowns and so forth, but does washing your hands not kill it?? Wow. Must be a pretty potent germ.
    The hospital soap and water handwash does kill the C-Diff. It's the purel hand sanitizer dispensors that do not kill the C-Diff. So just make sure your washing your hands everytime you come out of a C-Diff precaution room.
  9. by   Epona
    Ok. Glad to know the hospital soap kills it. I guess I'll wash my hands with THAT everytime. Thank you kurlykay!! E :spin:

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