Pregnant nurse working with isolation patients

Nurses General Nursing

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I was wondering what everyone thinks about this situation. I am 31 weeks pregnant and work on a med/surg floor as an RN. For at least the last 8 years, general conscensus amoung co-workers on my floor has been once a female nurse is pregnant she no longer will take patients on pre-cautions....MRSA, VRE, CDiff etc. We also ensure that these nurses dont take patients with chicken pox, shingles, necrotizing facitis, head lice, scabies. Basically nothing too contagious or too nasty.

Things have been going fine with this during my entire pregnancy-as well as for a few of my pregnant co-workers until recently I was floated to another unit (the icu). Here I was expected to take on two isolation patients. They presently have a pregnant nurse who will take any and all patients regardless of their diagnosis. But I refused as my floor had already let them know 3 hours before my shift began that a pregnant nurse would be floating and therefore the assignment needed to be 'clean'.

Well my refusal created a big stink I guess and now infection control is saying that there is NO reason why we cant care for any patient including shingles, chicken pox, menigitis and CMV. Im just upset and with so little time being left for my pregnancy (9 weeks) i hate to expose myself and my baby to something now. Am I being too cautious? Do you think my OBGYN would give me a doctors note to avoid isolation patients?

Specializes in ICU.

I worked in the ICU through my pregnancy. Actually our ICU was baby central as there was usually atleast 3 nurses pregnant at any given time.

My cowrkers were soooo good to me, because they knew the hell I went through to get pregnant. They gave me the cleanest patients they could, but in the ICu a clean patient is rare, really. I took care of MRSA, C-diff, VRE, you name it. I think I also took care of Shingles once, but it was healing over.

I even had MRSA myself a few months before coming pregnant. Nice fat MRSA wound on my right shin, it was awful.

I would refuse CMV, very active Shingles, TB, so on and so forth. Always prtect yourself extra from head to to toe. I would gown glove and mask any iso patient.

Congrats by the way!

If there was a pregnant co-worker on my unit, and she was assigned an iso patient I would offer to switch assignments if it was ok with our charge nurse. Especially if it was shingles/chicken pox, CMV, or TB. I would also hope if I were pregnant my co-workers would offer the same. Although I would do it for them either way.

No Matter what it is nice to offer to help out each other. It makes for a better enviroment to work in. We should try and support one another.

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