discharging infant with MRSA

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    Curious as to how you guys discharge an infant who has been on isolation precautions prior to d/c. Currently we follow strict isolation precautions, then suddenly everything changes once the d/c order is written. We carry the infant out of the hospital (no gloves or gown) touching everything along the way (doors and elevator buttons) with the general population then return, scrub and presto--on to sick infants in the same clothes. Seems to be that if this is appropriate we could just use no precautions and just scrub between babies-which I know isn't right. I am not sure what the solution is but this seems wrong. Any suggestions??
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    Possible solution might be to have the parents carry, or have parents put baby in carrier and have them take the carrier out.

    My gut tells me you are right that if the isolation has not been discontinued, it should continue out the door. I don't have any sources for you though. Maybe your Infection Control nurses might have additional guidance?


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