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I work at an nursing home and I'm a CNA there until I finished school for nursing. I was working with a patient and she was on Precautions. Well stupid me, I made a few mistakes. Ok, when I went in her room, I used a gown and gloves. I had to help with her dressings and she has so many. It takes to nurses and so I had to hold/ support her on one side of the bed while they took care of her dressings. And her body was pressing against me. Mistake. Thats when I learned she was on contact for mrsa- she said it was in her foot only. But doesn't it affect the whole body and she said that it had healed and she waiting to be retested.
Now before that, i wasn't as careful as I should have been, once while I was getting her ready for bed, I put my soiled gown in a bag and had an emergency put the bag down ( a patient was having a heart attack) then came back to the bag and picked it up with no gloves. Prior to knowing she had mrsa. She was on our rehab unit. And I set up her food and touch her without gloves because I didn't know she was even on contact until she was on our side and I have a daughter and I'm so scared and paranoid and I'm going to the doctor tomorrow and asking to be tested, but I'm so afraid thinking back on how I wasn't careful enough. Any advice?
The advice given here is excellent. I suggest you take this opportunity to review standard precautions, airborne, droplet, contact etc. and also review your chain of infection, reservoir host, susceptible host etc, and check yourself in best practices. These are things they probably gave you info on in CNA classes and also nursing classes (your in nursing school now, correct?). Take this time to speak with your professors and maybe even practice these precautions in skills lab to make sure your getting it. You seem very fearful and maybe a review would ease your mind.
Most of us have some type of irrational fear that we have nightmares about now and then. I'll admit that I truly believe that someday I'll get sick and die from a simple pneumonia because I've spent so many years inhaling antibiotics during med pass.I'll grown some never before seen funky thing and that will be the end of me...I just hope I get through most of my bucket list before it happens....It probably isn't a good idea to challenge your charge nurse.....just take comfort in the knowledge you have gained.
My advice is improve your technique, period.Interesting that you were only concerned about yourself and your daughter... nothing regarding the other patients or the community at large.
Like I said- I always thought gowns/gloves were to protect the other pts/residents (customers,lol) from getting exposed via our own clothes/self.
Which makes sense, we are going from room to room- washing hands, not washing our clothes.
Soap and water FTW :)
Esme12, ASN, BSN, RN
20,908 Posts
Some theories think the over use of anibacterial soaps and antibiotics have lad to this multi-durg resistant problem we face now. Simple cleanliness and clean clothes are fine. My only suggestion is to leave your work shoes outside of your home....or at work.