Thank you, thank you, thank you!! This has caused a great division in the family. The two of us that are connected with the healhcare field have gathered articles and talked to the others. Unfortunately, they choose not to listen. Her doctor has told her what precautions she should take and she has chosen not to take them. It is a difficult position to be in; we warn those who are most at risk (those with young babies, sick children, etc) who visit with her. She even refused to inform her cleaning lady (who does her laundry, cleans the bathroom, etc)...so one of our family members had to. Like I said, it is a difficult position to be in because she has COPD (close to end stage) and we know she won't be around much longer. However, we are obligated to protect our own children and do what we know is right. Thank you...not so much for agreeing with me, but for sharing what precautions are taken on a day to day basis in long term facilities.. I wish the CDC would hurry up and publish some updated information on this rapidly spreading, dangerous infection. There's plenty "out there" about other sites of MRSA infections, but precious little on infections of the respiratory tract.
Another good reason for routine swabs being done in patients with s&s of respiratory infection is the "new" law passed concerning third party payors not reimbursing for nosocomial infections. Although the cost of testing may be cumbersome, it would pay off in the long run by catching the infection upon admission and demanding full precautions be taken with each MRSA positive patient. The spread of infection would be hindered (meaning that those patients who would
have been infected won't
be...whereas if they had been, they wouldn't be able to pay out of pocket the cost of treatment). It would be a win-win situation. Lives would be saved, others protected and long term cost reduction!!
Thank you again for your reply. I am so sick of this family situation...the only good thing that has come out of it is that, as a nursing student, I know I must take every precaution I can reasonably take with every patient I see...because, to quote Dr. Gregory House, "everybody lies."