I work on an Interventional Cardiology/CCU step down unit, and every pt. has individial disposable BP cuffs, that hook up to the bedside monitor and tele packs. Each and every pt. admitted get's a brand new cuff from the supply pyxis.Each pt. also has a mounted Phillips TELEMON monitor at every bedside that can be taken down and transported with the pt. if the pt. needs to leave the floor and is remounted when the pt. returns, and is wiped down with germacide wipes.
For the isolation pt, we have disposable Stehoscopes(which I call dollar store scopes b/c you manually put them together and half the time they don't work or just fall apart), each isolation pt. gets a digital themoter(I also call the dollar store bargain b/c half of them don't work) that stays at the bedside so when doing vitals you don't have to bring in the vitals machine, we use the disposable blue plastic gowns( I call them trashbag gowns b/c you feel like you are wearing a Da** trashbag but you are covered) and my hosp uses 3 types of disposable masks but most of us use the N95 that looks like a duck bill.
So when you gear up you look like a duck wearing a trashbag using a neon blue scope that falls apart, "Hi,I am am Angie, I am going to be your nurse" as you breathe like Darth Vader through the mask, and the pt. can't understand a word you are saying b/c you voice is muffeled by the mask, and sound like the teacher from Charlie Brown Cartoons(wahhwahhwhhhaaa)and sweat like beast under the trashbag gown no matter how well your Secret/Degree clinical Protection deodorant works, and the 1 bottle of baby powder you poured down your back and pants.
No wonder the isolation pt's on my floor have poor morale, their nurse looks like a 1950's SCIFI comic strip.
Also each isolation pt. gets a bright yellow isolation cart outside the room stocked with all the supplies so you don't contaminate the supply PYXIS.
But during a CODE BLUE, for an isolation pt. the gown usually lasts all of 5 min., b/c you are sticking to everything, the mask comes flying off b/c you can't understand anything anyone is saying, even when yelling, it's sounds like (rahhrrraeeerrr).
We just had one isolation pt. code at 6:30am, right before shift change, a few weeks ago, pt. stopped breathing and pulseless v-tach, and the contact gear lasted 5 min. and everyone in the room ripped off the gowns and masks at the same time and things were able to get accomplished, granted I took bath in germacide wipes after and came right home and felt like scrubbing my skin with Ajax b/c the pt. was C-DIFF +, MRSA(blood,urine,nares,and BKA wound), ESBL(urine) , What I call the the trifecta, but with the absence of VRE and all the other demon contact strains.
But I always wonder how well was the code cart scrubbed down, was the CPR board disenfected properly, and what about all the un-used supplies in the code cart that were manhandeled by all of us, and the 2 most Important things, was the O2 tank changed to a new tank after the code, and was the defibrillator wiped down properly along with the leads?
We have RRT's and codes often, we are a critical care floor and I always think when I run the code cart over and start the process of placing things on a pt and drawing blood, ect.. how well is all of the equip. cleaned? I give ER nurses and MD's and staff alot, I mean ALOT of respect b/c they don't know what they are dealing with and gear up with 10x's the amount of gear we use.
The only thing that is uncontaminated is CODE MED tray, it is sealed, untill I rip it open and place my gloved double triple gloved contaminated hands all over the meds but then we take the opened contaminated CODE MED tray to the pharmacy after a code so they can give us a brand new sealed one..
But I think no matter what there is always going to be some cross-contamination with equiptment use and I TRY my BEST for that not to happen, and I am VERY conscious of this, hand washing(my hands are raw), and I wipe everything down with gremacide wipes every few hours, my 100 badges I have hanging off my uniform, my stethoscope(littman has anti-microbial bacterial tubing, at least that what the box said when I bought it 3 years ago), the pt's bedside charts, and even my shoes(gotta love dansko
's), and I even got to the point of wiping around my neck where my scope sitts with ETOH wipes..
I became an RN for a reason, but as an added bonus I also became alot more conscious and aware of grems in my own personal surroundings, which can be a good and bad thing, espically when you have a few days off from work..can you say CLEAN HOUSE!!