So I am trying to find out others policies for surveillance swabs, particularly for MRSA, but any others you might want to chime in about feel free! At my hospital the NICU and PICU do admission VRE/MRSA swabs. The CICU does not. I do not understand this policy. I have asked my units practice council and no one can give me a really good idea why other than they used to do admission swabs but then did away with it. They have suggested I contact the hospitals ID person which I have done but I am awaiting a response. Right now we simply swab on a random day each month. Makes NO sense! So if little Johnny was admitted on December 1st and is still there on swab day December 29th and he turns up positive there is no way to know if he acquired that in the hospital or if he came in with it from home. I feel like this is a big Jcaho and insurance issue since we can't prove it was not hospital acquired, we are not responsible for it.
I can recall being admitted to an ICU last year and I was swabbed, and when I worked in an adult CICU as a tech we swabbed all admits too...remember that dearly as that was the "lucky" techs job
Thoughts? Comments? Your policy?