Speaking of pregnant nurses...

  1. I am 22 weeks along. Are there any patients I should avoid? My employer says there are not. I can not help but think there must be some. I certainly do not want special treatment nor shy away from certain patients. I want to carry myt full load as soon as possible. I just want to know the risks. I thought TB (or possible) patients but my work said that is fine for pregnant nurses to take.

    We really do not have a policy. I will definately ask my OB/GYN. Just wondering what everyone else thinks.
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  2. 27 Comments

  3. by   heart queen
    we don't allow pregnant nurses who do no have a titer or inoculation to the "chicken pox" or "shingles" virus to care foro that pt. population.

    all others with appropriate precautions are said to be ok.
  4. by   mittels
    TB pt's are probably OK if your mask test fitted, but I'd stay out.
    No pt's who have had a adeno-thalium stress test stay away for at least 3 days.
    MRSA is probably ok if your sure you are using contact or resp. isolation, where ever it is coming from.
    Diffenetly (sp) no shingles esp if you have never had the chicken pox and the vaccine doesnt count.
    Of course there are the MMR but those are far and few between.
    These are all I can think of.
  5. by   AuroraRN
    The only patients I know that you should avoid are those receiving chemotherapy or who have recently received chemotherapy. This can be toxic to both you and your baby. Pregnant nurses should not work on an oncology unit for this reason. Just be careful because some of these patients can end up on various floors--some chemotherapy agents are passed by bodily secretions, i.e. urine for quite some time after the last dose. That is all I know and I only know that because I've worked on an oncology unit who encouraged those of us who were of child-bearing age and attempting to become pregnant to consider transferring to another department because of these safety issues.

    Hope your pregnancy goes well!!!
  6. by   heart queen
    Don't want to stray off topic, but the vaccine doesn't count?? Even if you draw a positive titer?

    looks like our employee health need to have a re-write.

    can you elaborate?

    thanks

    oh, sorry If I provided incorrect info. just assuming our protocols were accurate:imbar
  7. by   mittels
    Originally posted by heart queen
    Don't want to stray off topic, but the vaccine doesn't count?? Even if you draw a positive titer?

    looks like our employee health need to have a re-write.

    can you elaborate?

    thanks

    oh, sorry If I provided incorrect info. just assuming our protocols were accurate:imbar
    Did you see my post abov? Your not incorrect.
  8. by   NeuroICURN
    Definately someone with chicken pox or shingles should be avoided....as well as measels. Exposure to measels at certain times can cause birth defects.

    I have to say that this is one thing that my dept. is very good about....protecting the pregnant nurse! When I was, I also did not have to take any isolation rooms, no matter what they were isolated for....just to be on the safe side!!

    What matters most is your's and your baby's health! Good luck and take care. Best wishes to you and your family!
  9. by   RNforLongTime
    I'm 28 weeks along and have refused to care for pt's in MRSA, VRE or other precautions. While there are no rules that say I cannot care for those pt's, when I asked my OB, he said "why would you want to risk anything". My unit is pretty good at NOT assigning us pregnant RN's (and there are 3 of us right now) pt's in isolation precautions. It's a common courtesy thing. It was the same at the other two hospitals that I worked at as well.

    Personally, I wouldn't want to take any unnecessary risks.
  10. by   Gompers
    In addition to the conditions mentioned above, on my unit (NICU) pregnant nurses do not care for patients suspected to have CMV - extremely dangerous for a newborn.

  11. by   NICU_Nurse
    Ditto on the CMV- stay away.
  12. by   gwenith
    There is some information on this site

    http://www.health.gov.au/pubhlth/str...view/draft.htm
  13. by   louloubell1
    Originally posted by AuroraRN
    The only patients I know that you should avoid are those receiving chemotherapy or who have recently received chemotherapy. This can be toxic to both you and your baby. Pregnant nurses should not work on an oncology unit for this reason. Just be careful because some of these patients can end up on various floors--some chemotherapy agents are passed by bodily secretions, i.e. urine for quite some time after the last dose. That is all I know and I only know that because I've worked on an oncology unit who encouraged those of us who were of child-bearing age and attempting to become pregnant to consider transferring to another department because of these safety issues.

    Hope your pregnancy goes well!!!
    Along those lines, be careful if you have transplant patients as some of the antirejection meds can cause birth defects and should not be handled by pregnant women. When I was pregnant and working and had patients with these meds my coworkers would either trade assignments with me or would handle my med pass for those particular drugs.
  14. by   Kim44
    I worked oncology while pregnant. I did not administer the chemo, but I cared for these patients. As long as you practice universal precautions with body fluids, there is no harm.

    TB patients should be avoided because you can't take the meds to treat it if you become infected.

    MRSA and VRE are OK too, with precautions.

    CMV needs to be avoided.

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