bugladyrn

I work as and ICP for a 60 bed rehab facility. MRSA is a big problem in this area and as the main rehab hospital we get most of the nasty germ from other facilities. We have a very strict policy here for MRSA and VRE. I have had approx. 20 cases of MRSA sent here since january of this year. We screen all incoming patients and determine if they are at risk, then we have the sending hospital culture. This prevents spread as all but three of our rooms are semi-pirvate. Since these patients are here for rehab therapy I have made arrangements for them to be out and participate in therapy. These patients have private rooms and staff still uses appropriate PPE, but the patient may still attend therapy as longer as the drainage from the wound is contained, the cough is non-productive(patient wears a mask), and the patient is continent. I have alos created a simple to read and follow isolation guidelines book for my staff. I found the policies were never read and everyone had a different idea about how isolations were treated. The book makes it all straight and in black and white.