by kemerick

Can anyone give any info or explanation on what types of patients to put together in the same room? It always seems like I get these wrong! I know fractures go with fractures and infections go with infections, but sometimes questions and answers aren't that simple. Does anyone know of any tricks to remember??

Re: Patient's to place together in same room??

These questions can be verrrrry tricky.

If the patient is or has the potential to be immunocompromised like and AIDS, cancer, neutropenia, had surgery, or other immune impairments would you place them in the room with a patient who has an infection? Probably not. That should eliminate an answer or two. If a patient is immunocompromised and another patient is undiagnosed but has diarrhea, a fever, or vomiting would you put them together? No. Another eliminated.
Thats what I can think of now... hope it helps.

Re: Patient's to place together in same room??

I had a lot of questions as far as which pt would you move from peds to med surg to free up a bed. I had a lot of questions telling me I was the peds charge nurse. This was funny as I would NEVER choose to be that!! Just use your critical thinking. You know more than you think you do.

Re: Patient's to place together in same room??

Thought of some more... fracture patients... would you put them together

pt with fractured right tibia with fasciotomy
pt with fractured femur in skeletal traction with MRSA suspected at pin site

if only the first couple words were read this could misleading they both have fractures. One has on open wound and another has MRSA.

Patient with headache, stiff neck, and visual disturbances.
Patient admitted with hypertension.

Sounds ok, but one has menigitis.

A patient awaiting TEE for observation of damaged heart valves.
A patient scheduled for cardiac cath with stent placement who complains of a sore scratchy throat.

strep and heart valves...
read all the answers and what they represent. hope it helps...

Re: Patient's to place together in same room??

I'm not trying to seem "stupid", but I still don't really understand the rationale for those. Can you maybe just explain why they would be in the same room?

Re: Patient's to place together in same room??

The examples I gave were patients you would not put together. It was to highlight to look at the total answer. Like the example of the two fracture patients you would NOT put together. If a person did not read the entire answer someone might say, oh both patients are the same, when clearly they are not. Sorry for the confusion.

Re: Patient's to place together in same room??

the answers to those kinds of questions wer really tricky and should look further for clues. it is difficult. u really need to visualize the problem. is this patient will cause harm to the other patient? is this patient septic, infectious (airborne,droplet)? does this needs isolation? etc if al the answer is yes then these kinds of client cannot be with a client susceptible to infection like patient with anemia (all sort). an example is patient A has been having night sweats, productive coughing with purulent secretions, and a temperature of 102F and patient B is has mild cough and 2nd day post appendectomy. are u going to room them together?
it was difficult as to who is the client you will send home 1st or who the client the you will see first.... sigh....