Universal/standard precautions do not always protect you and your patients; they are precautions, not guarantees. How many patients do we care for using only universal precautions before we find they have a bad bug needing strict isolation? Lean on the siderails of a patient with this infection, this bug will go with you on your belly to the next set of siderails. In fact, it lives for days on equipment, clothing, whatever. And the mortality rate is pretty high for immunocompromised people. We shouldn't get too cocky or complacent using standard precautions or assume other nurses aren't using them because the standards aren't the be-all end-all you may want to believe they are.