Jump to content
2019 Nursing Salary Survey Read more... ×

CDIFF

Geriatric   (492 Views 5 Comments)
by CapeCodMermaid CapeCodMermaid (Member)

CapeCodMermaid has 30+ years experience and works as a DNS.

18 Likes; 1 Follower; 59,170 Visitors; 6,003 Posts

advertisement

If someone has CDIFF, we've usually put them in a private room. The new 'thing' seems to be to cohort with someone without CDIFF. We're having a discussion at work....the policy states the person WITH CDIFF uses the commode and the other person uses the bathroom. I don't think that makes sense since you now have to empty the commode somewhere. You either empty it in the bathroom and contaminate it or you carry the nasty CDIFF down the hall to the dirty utility room and empty it there.

I think, logically speaking, the person with the CDIFF should use the bathroom. Everything flushes and there is less chance of cross contamination.

Anyone want to comment?

Share this post


Link to post
Share on other sites

River&MountainRN has 3 years experience.

141 Likes; 1,617 Visitors; 157 Posts

Having worked LTC, I'd agree with you that if the CDiff resident absolutely couldn't have their own private room for whatever reason, then they should at least be the one to have access to the bathroom. The non-CDiff resident could either use a commode or use a "common"/public one off the hall (if your facility is laid out that way).

Edited by River&MountainRN

Share this post


Link to post
Share on other sites

kbrn2002 has 25 years experience as a ADN, RN and works as a RN Supervisor.

268 Likes; 28,447 Visitors; 2,760 Posts

Well that depends on how your building is set up.  In my facility most of the rooms are double occupancy with a bathroom shared between 2 rooms so there are potentially 4 residents using the same bathroom.  To minimize risk of cross contamination we have the C-diff + resident using a commode instead of the bathroom. How we handle clean up is by lining the commode with a biohazard garbage bag, pulling the bag out after use and then double bagging to dispose of it. Then the commode itself stays relatively clean and can just be wiped down with bleach wipes after  use.  It's actually easier and faster than cleaning a toilet after each use plus it contains that C-diff  resident in their own space better.

Edited by kbrn2002

Share this post


Link to post
Share on other sites

2 Likes; 7,459 Visitors; 539 Posts

IF they are going to share a room you might as well treat the other person for cdiff as well because they are going to get it. They should have private room with staff using contact isolation

Share this post


Link to post
Share on other sites

kbrn2002 has 25 years experience as a ADN, RN and works as a RN Supervisor.

268 Likes; 28,447 Visitors; 2,760 Posts

9 hours ago, litbitblack said:

IF they are going to share a room you might as well treat the other person for cdiff as well because they are going to get it. They should have private room with staff using contact isolation

In a perfect world I'd totally agree. However in some settings that just isn't an option.  My SNF is at almost full census, we simply don't have a private room to move a c-diff positive resident to so we do the best we can with what we have to minimize risk of cross contamination as much as possible.

Share this post


Link to post
Share on other sites
×