Came up with a positive MRSA surveillance culture, what would your unit do? I'm asking because we had this happen, they NP's freaked and wanted the kid to go to NICU....which was refused because they didn't have any MRSA kids to co-hort this kid with and also the insurance wouldn't pay for the NICU stay as this is not a reason to send the kid to NICU. So now they have to come up with a game plan, such as keep the kid in mom's room until d/c and if detained, then moved to the ped floor for a private room.
Just curious if any nurseries have a game plan.
Aug 19, '08
Here is what happened....mom had a little pimple thing on her leg, so the NP popped it and cultured it, then they cultured the baby. Both mom and baby were positive with a "rare organisms detected". NP's freaked and wanted the baby out of the nursery pronto. What resulted was that baby was sent to mom's room, then they tried to send the kid to us...okay, we sure don't want MRSA in our unit, thanks, but no. The whole nursery got swabbed (before they consulted with ID) and 3 more kids came back positive, most likely from mom.
So, now they are trying to get a protocol set in place in case this happens again. Our case managers did call several insurance carriers to see if this would have been covered and they said no, since the baby was not sick enough to be in ICU. Interesting to see how this plays out.
That being said, we culture all new admits to our unit since hospital acquired infections will no longer be covered by Medicare/Medicaid and we have to show if the kid comes in with it. And if they swabbed most of us, yes we would be colonized just from working in the hospital setting, so we are out in public without precautions, no difference
Last edit by BittyBabyGrower on Aug 19, '08
: Reason: add