Mrs. Doctor, I don't care what he does

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We have a very needy patient on our unit. They have been there for over a week. They also happen to be in isolation. The issue our staff has been having is. The daughter who refuses to wear any isolation gown, nor will make her school age children wear isolation gowns when visiting granny.

So my co-worker approaches me, and asks do you have any ideas on how we can get the family to comply? So we talk about it for awhile, meanwhile the patient's call light goes go. I follow with the patient's nurse to go help her, as it takes two people to turn her or assist her into the bathroom.

As we are in the patient's room with our gowns and gloves on. In walks the daughter and grand daughters. I look up and matter of factly say. You need to have gowns and gloves on . Daughter say, no I won't do it .Meanwhile her children are whining they also do not want to put gowns on either. To which I reply reminding them of hospital policy etc. Her reply " My husband is head of Trauma Services here and I don't have to"

cool, and god knows this impresses me to no end.

I look her dead in the eye and say. " I have one at home just like him and I do not get to break the rules either. "

So for one day she complied, now she is back to no gowns no gloves. A part of me wanted to call her husband requesting him to talk with his wife,as none of us has seen him on the unit to discuss this with him. Then I thought heck, not my battleground.

my vent is,, who in the heck does she think she is.... I have seen this attitude with some of the older wives, I had hoped younger wives had some self esteem beyond what their husband's did for a living.

And what's your story?

Specializes in Med/Surg.
So your C.Diff patients aren't on isolation precautions? Ours are on contact isolation and we have bleach wipes at the bedside. Isolation signs posted and family gown and glove to visit.

We test all on admit with a nasal swab for MRSA and if + modified contact isolation.

We use contact precautions for C. Diff but use soap and water to wash with,no wipes ,That has been what our infection control dept. says the CCD says to use. Soap for C. Diff, wipes for MRSA

Specializes in Neuro ICU and Med Surg.

The bleach wipes I mentioned are for surfaces. We wash with soap and water.

Specializes in heme oncology, critical care.
We're a bone marrow transplant unit, and with the exception of VRE, have quite low rates of things that will get you put on precautions. We've had 3 cases of c. diff in the last 2 months, and one of those came from another hospital with it. We've had two cases of MRSA in the last 6 months.

We don't let people "lean" on the nurses station, they're not going to transmit anything just walking down the hall, and we disinfect surfaces like counters and the nurses' stations qshift.

Yes, that's really our policy.

I'm surprised at your hospital policy. i also work on BMT and EVERYONE wears isolation gowns (staff, family members, etc).Our unit is a locked unit, and before anyone can be let in, they need to put on an isolation gown. They are also required to scrub their hands. The reasoning behind this is to protect the patients from germs visitors may be carrying from the outside. Doctors are not even allowed to wear their white lab coats, they have to leave them at the door. We deal with high risk immunocompromised pts, and the last thing we want to do is set them back, so we take extra precautions. The yellow gowns stay on until they leave the unit. Some family members complain because the gowns are not comfortable, but they know that if they are not compliant, they will not be allowed onto the unit

Specializes in Oncology.
So your C.Diff patients aren't on isolation precautions? Ours are on contact isolation and we have bleach wipes at the bedside. Isolation signs posted and family gown and glove to visit.

We test all on admit with a nasal swab for MRSA and if + modified contact isolation.

Of course they are. Both of them we've had in the last six months were on contact+ precautions. Our regular disinfectant wipes kill c diff, and we instruct visitors to wash hands with soap and water.

Specializes in Oncology.
I'm surprised at your hospital policy. i also work on BMT and EVERYONE wears isolation gowns (staff, family members, etc).Our unit is a locked unit, and before anyone can be let in, they need to put on an isolation gown. They are also required to scrub their hands. The reasoning behind this is to protect the patients from germs visitors may be carrying from the outside. Doctors are not even allowed to wear their white lab coats, they have to leave them at the door. We deal with high risk immunocompromised pts, and the last thing we want to do is set them back, so we take extra precautions. The yellow gowns stay on until they leave the unit. Some family members complain because the gowns are not comfortable, but they know that if they are not compliant, they will not be allowed onto the unit

We used to make all visitors gown, but according to the "higher ups" recent research has shown this makes no difference in infection rates. Taking off outer clothes, like coats and boats, and strict hand washing (which we absolutely enforce) is sufficient. They have since changed the policy and we have not seen an increase in infection.

Our entire unit is HEPA filtered, everyone has a private room, visitors are limited to 2 at a time, all of our patients follow a low microbial diet, we only use filtered waster, isolation patients wear gowns when outside their room, and we disinfect surfaces qshift. This is sufficient according to our infection control department. We don't have a higher rate of infection (we actually have lower rates of infection) according to statistics of all BMTUs in our state, so we must be doing okay.

Specializes in Community Health, Med-Surg, Home Health.

The bottom line to me is that this family is breaking this particular facility's policy and procedure. I would get my supervisor involved and document. And, it may be wrong on my part, but after receiving a response like that, my head (but, not my mouth) would say that this family gets what they get, then...illness, cooties and all.

Specializes in Oncology.
The bottom line to me is that this family is breaking this particular facility's policy and procedure. I would get my supervisor involved and document. And, it may be wrong on my part, but after receiving a response like that, my head (but, not my mouth) would say that this family gets what they get, then...illness, cooties and all.

Yes, I agree completely. You need to be following your hospital's policy and documenting it if they refuse. I'd even go so far as to call security to kick them out, especially if they were being snotty.

Hope granny had something symptomatic in normal people ;)

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