Ever take care of a patient for a while to later find out...

Nurses General Nursing

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They had some sort of disease/illness you could have transmitted from them but nobody realized they had the condition until later on?

I had a patient from prison this last week and I took care of him for a total of 6 nights (12 hour shifts) to find out on my last night that the day nurse looked at the results of his sputum culture and saw he has respiratory MRSA. He had really been coughing pretty badly for the past few nights which makes me paranoid about the whole situation. Myself and the CNAs who had been caring for him are frustrated about it and wish we would have known sooner, especially since many of us have small children at home.

The sputum culture was taken from the day of 5/17 and no one realized he had respiratory MRSA until the morning of 5/20 and at that point he was placed in airborne isolation. I know it can take a couple days for cultures to come back, but I'm guessing the results were back for atleast a day without anyone checking the microbiology report to see what type of culture was growing. Could this place the nurses that were caring for him who should have checked the report (and subsequently initiated isolation precautions) under any liability if someone were to be infected with respiratory MRSA and push the case?

This is a part of nursing, being subjected to all kinds of diseases whether it has been diagnosed already or not. I say that being a nurse is more risky than being a construction worker lol

Specializes in ICU/CCU.

Once while I was getting report the call light in a nearby room was going off, and nobody was answering it. I looked around for whose patient it might be, but no one else was paying attention. Then, after a minute, I thought I heard someone in there call out feebly for help. I stopped the nurse giving me report and ran into the room. A young woman looked at me from the bed and then gestured and tried to speak. I couldn't understand what she was saying so I stepped right up next to her. That's when she coughed a crapload of blood all over me and the floor. I called for help while suctioning her. An MD walked into the room then and said, "Oh, I guess we should have put her on TB precautions. She's been coughing blood at home for a week." !!!

Thank God, she did not actually turn out to have TB, but it really sucked waiting to find out.

I took care of an antenatalpt. in L/D with MR who was dropped off by the family. They disappeared w/o leaving contact info. She had a terrible cough. I had to stay in the room w/ her just about all day as she was removing IV, monitor, etc. After about 9 hours, I was told to wear a mask..."She might have tb." I had three little kids at home, including one on high doses of prednisone for JRA. I never found out iwhat she had as she was transeferred out for mechanical ventilation.

Specializes in M/S, MICU, CVICU, SICU, ER, Trauma, NICU.

What do you do about the MRSA in the general community?

Or the TB patient who doesn't know he has TB when you meet him in the grocery store?

Everyone I know has small kids, big kids, family.

Please educate yourself well on the disease processes of MRSA and the like before you get yourself upset.

Specializes in Med/Surg, LTAC, Critical Care.

I helped another floor transfer a pt to ICU last night. When we got over there I noticed the ICU nurses gowning up and putting on the bouffant caps.....

Me (with only gloves on): Why are they gowning up like that....?

Other nurses: Oh he has lice.

Me (thought): ....And you didn't *******tell me! !#*&%!$!@@#$!!!!!

Me (actual words):Oh....thanks...

Specializes in Hospital, med-surg, hospice.

If you have a pt coughing and sneezing, you can always wear a mask and place this pt in a private room until you find out what he has; I agree with JoPaCURN, we probably encounter TB and everything else in the grocery store

Specializes in Home Care, Peds, Public Health, DD Health.

oh yes! that is why I treat EVERY patient as if they have something highly contagious. Had one recently with Hep A and NOTHING in any records but the pt said she had it...have a lot coming from the nursing homes now with MRSA but the worst one was the one I was taking care of that had SCABIES and they didnt tell me muntil after I had been taking care of her half the day and I am new and I mentioned it to another nurse and she said I had to get the protocol and I was getting a different answer from everyone I talked to so I got my supervisor ans that I wanted the treatment because I didnt want to take it home to MY family...then the hospital wasnt quite so sure...and they decided to treat her without doing a skin scraping so I could never get 100% confirmation but the doc said she is a regular at the hospital and has it every time she comes in because no one has bothered to educate her on how to treat it and rid her house of it, and when I mentioned it to her, she said that she didnt even know that was what she had and that she thinks her dog might have it too! so then they had to get infection control and the insurance departmentas all involved just to pay for the 25.00 tube! when I mentioned it to the nurse coming on, she said she had been treating her the night before and no one told her either! so finally I got the medication and went home and did my treatment, with my kids saying, "mommy why are taking all your clothes off in the garage?" lol! I still itch just thinking about it!!

anangelsmommy:eek::eek::eek:

Specializes in MS, LTC, Post Op.

I took care of a guy that they suspected had TB...that was nice.

My dad is on a vent at home, he had MRSA in his lungs and nose for a while. Got pneumonia and developed septacemia. Spent 3 weeks in the hospital.

My mom blames me for the MRSA....

i agree with Hagatha...any pts admitted to my facilty who is suspected of anything is immediateley put on the necessary precautions...i dont understand y ur facilitly doesnt practice this as well...sorry to hear about that but mayb u should speak with ur manager r QA about situations like this

Specializes in O.R., ED, M/S.

I have been working in the OR for 33 years and before the scare of HIV years ago, I can't tell how many patients I took care that had problems never diagnosed. This was even before universal precautions. Blood, sputum, who knows what on your hands, mouth to mouth recusitation without protection. Get the picture? Now a days everyone has these diseases in their mind and take extreme precautions to avoid being contaminated. I know I have worked on patients with HIV, Hep-C, MRSA(before it was labeled) and never knew until much later. Patients would tell me if I questioned them about problems, especially prisoners and open gays. Some were right out front about it because they realized the dangers associated with it. Even today, patients aren't honest and some institutions don't want labels put on charts to alert staff to potential problems. Take all precautions and pretty much treat ALL of your patients as if they DID have something. Protect yourself and your loved ones at home, because no one else will. Good luck!

Years back, before universal precautions, HIV info, I cared for a "junky" newborn-with a deLee suction trap-(remember them?)-co-workers caring for mom, peri-care, etc s/o gloves-we later found out mom had active herpes-her doc had not wanted to violate her privacy, by sharing this info withstaff

Specializes in Med/Surge, Psych, LTC, Home Health.

One unique thing that you learn in child psych, and probably on any pediatric unit, is that lice aren't THAT easy to catch unless your head comes in contact with the patient's head, or in contact with an object that has been on their head. They can't jump or fly. :) Universal precautions should be sufficient.

I helped another floor transfer a pt to ICU last night. When we got over there I noticed the ICU nurses gowning up and putting on the bouffant caps.....

Me (with only gloves on): Why are they gowning up like that....?

Other nurses: Oh he has lice.

Me (thought): ....And you didn't *******tell me! !#*&%!$!@@#$!!!!!

Me (actual words):Oh....thanks...

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