Isolation Guidlines
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Recently I had a coworker, new grad, recently got pregnant told only a couple of nurses. Then I had her work with a preceptor caring for a pt with herpes zoster. She assessed the pt. Then later mentioned she was pregnant I FREAKED! Anyway, told her not to go into the room again. Called the supervisor wrote up and incident report and supervisor told her to contact an obgyn and explain the exposure that they may do some titer or something is what the supervisor said. I'm going to explain this to my manager b/c I feel there should be more documentation then an online incident report for this new grad, copies that she could keep. In fact she probably should have gone to the ER and workers comp work something out. I feel she's being left out to dry. She really didn't know. I was there and several witnesses so I can work it out with the manager to make sure she's covered.
Anyway, I've been searching on the forum for what types of pt's pregnant nurses should not take for an assignment. I understand each facility has it's own policy but in general what should not be appropriate? I tried online and I'm getting too much info and not the specifics or only a small amount.
I have so far pregnant nurse should not care for the following pts:
toxoplasmosis
rubella
cytomegalovirus
herpes zoster / shingles
herpes simplex
hepatitis b (this not so much caring for a pt as long as universal precaustions maintained just IF contracted harms fetus)
Now, is there not more? I thought that pregnant nurses should not care for TB patients? Any other pt's pregnant people specifically cannot take on as an assignment? I know there are certain chemo drugs pregnant nurses should not handle. And I have searched the forums I'm trying to get real specifics and I am looking up infection control policy when I go to work but I know there may be more details beyond my facilities guidlines. Thanks! If some can explain the rationale for not having pregnant nurses care for these pt's if time please explain as well. I'm finding it ridiculous searching through my med surg and ob books and can't find many details on it! Or websites in the right direction will helps thanks!