Originally posted by adnstudent
clinical unpleasant!!!! I am in the TCU and out of 15 pts, 7 are in iso with MRSA. How contagious is this bacteria? Can I bring it home? Is it normal for a hospital to have a list 30 pages long with MRSA patients? What exactly does this bacteria do to you?
Also, please tell me about your first experience changing a diaper. Mine was today and I came home and took a 1/2 hour shower and I feel very sad. Will I eventually become numb to it?
I can tell you about pages of MRSA patients. Usually if you are at a good facility they will keep an ongoing list of all resistant organisms. MRSA, VRE, are two of them. I HOPE this list is an ongoing list. For my unit we have a list of maybe 50 entries which cover the last 4 years. Each time some one is admitted with a resistant organism it is logged onto the list. One patient could be on there a few times. Each system infected is listed separately, example: MRSA of sputum, blood, wound, urine. We even once had someone come in with it in their eye! (Gross!!!) From this you can see how important it is to wash your hands after each contact with a patient or their environment. My biggest challenge of the day is to get everyone to wash their hands BEFORE they leave the patient's room. If you always do this your hands are clean once you leave the room. If you come out and wash at the nurses station you a risking the transmission of this organism to anything you may touch. They other thing to remember is to not lean you body against the bed or equipment. It is a good way to pick up these organisms. I have not ever found the life span for MRSA but I have read that VRE lives 7-10 days on a hard surface. This hard surface could be a simple as your employee badge.
The reason for the ongoing list ........ so you can check them to see if they have ever been infectious. Our policy directs us to isolate anyone who is even colonized. After 3 negetive cultures we can clear them out of isolation. The list is their to help. I just hope you don't have 30 pages of active inpatient resistant organisms.
Welcome to nursing! The diapers do get easier. Soon you will look past the poop and think of what happens to skin when it is not clean. That will be your focus. Stool & urine combined with skin makes one heck of a rash. As mentioned prior to my entry
C-Diff has an unusual smell to it even for poop. When you run into to you will never forget it.
Good luck in your career,
p.s. If anyone does run into the life span of MRSA I would love to hear from you. I have been told it is "a few" days but I have never seen anything in writting.