MRSA sputum precautions ??

[xmaxiex]

We have two residents on MRSA sputum precautions. Today they were both in the dining room eating with other residents . I refused to sign the spot on the MAR where it says "MRSA precautions maintained " . I was the med nurse today ,the charge nurse when I brought this up said " Well their floors are getting waxed what do you want me to do ?" UGHHHHHH What would you have done?

[UM Review RN, ASN, RN]

What would you have done?

I would've changed their rooms or rescheduled the wax job.

But no dining room. And precautions were not maintained, so no, I wouldn't have signed it either.

[Tweety, BSN, RN]

If the precautions weren't maintained, then you shouldn't have signed it. If your facilities policy is that they aren't in the dining room, the policy was broken. (Incident report time.)

Honesty in charting, even if it makes the institution or yourself look bad, is always the best policy.

Perhaps there should be a policy in place what to do when the floors are being waxed.

[barefootlady, ADN, RN]

If the charge nurse wants to sign it then let her, you are right not to sign if all precautions were not in effect. The patients would have been moved to another room or no wax job. The charge nurse was clearly wrong here and wanted to put the monkey on your back. Good thinking.