mfshirk

Tiffany, Thanks for the reply. It is so frustrating to have such inconsistencies between the OB's, peds, neos, and infection control. None of our babies have been isolated OR cultured. How's that? I've tried researching it on the web and find that there are an increased number of community acquired MRSA cases but I haven't found solid instruction/suggestions on what to do about it. Harumph!

Hi, I work in a new hospital, we have grown to approx 60 deliveries a month. In the last 2 months we have had 3 pts with MRSA, 1 with an active lesion and 2 w/ histories of MRSA during their pregnancy. All three have been handled differently. Our infection control guru says that we only need to use universal precautions and even over-rode MD orders for nasal cultures and MRSA precautions. This is unsettling to me. The guests go in and out of the room, the nurse is assigned another pt, the baby is able to be in the nsy with other babies. Is this safe? What do you do? Thanks!

Thank you! I went to the website and sent a request for it just now via email. I hope it works!

If you have the PP sheet avail, please send it to me. If you have it, but not anything to transfer email, I can send you my address. Thanks!

If anyone has a wonderful report sheet applicable for an LDRP, please email a copy to me. My boss is interested in the type that you continue to use through-out the pt's stay. The one that we are using currently does not have enough room on it for a 3 day stay and the H&P just doesn't flow. Thank you!!! [email protected]

What do you think about this?

In one day, an incident report was written by the nurse caring for the patient and another incident report was written by another doctor. They were two separate incidents. Luckily, I am not the only one who has no respect for this man. What a mess.

We have recently experienced a very upsettting incident with a physician. He has been written up. I would say that the majority of nurses on my floor would prefer never to see him again. After such an upsetting situation, we have no respect for the man. He is part of a group of physicians, can we refuse to take to work with him? What are our options?

You're right, I needed to get it out of my system. Thanks for the support.

What do they do in your hospital? If you do both, how/where did you learn to assist?

Thanks so much! I think that an inservice would be a great idea! I'll use that in my meeting.

this is fabulous! i copied and pasted it to all my co-workers! thanks! i needed the humor! :rotfl:

Hi everyone, I had a tough night last week. I was in charge, we had a pt that needed a stat section brady to 60's after AROM with mec and blood! We had a scrub tech on call but we didn't have time to wait for him. No one else had scrub experience so I had to do it. Unfortunately, I hadn't done it in 7 years, and even then I had never assisted! The room was not set up for a stat, I guess- we have scrub techs that set up the room normally. We did not have a collection of stuff for a stat. I'll be meeting with the boss tomorrow for suggestions on how to make this situation better. What do you have in your OR's for stats? In the hospital I used to work in we had a baggy with lidocaine, syringe and needle, and 2 disposable blades. I spoke to a MD who used to do L&D and she suggested also having some instruments in peel packs as well. Please let me know what you do! Thanks, Monica

Ahh- these are good ideas! Especially the rule out sepsis. Someone's always trying to find the formula for the IT ratio! Unfortunately, we do not have a resource like yours. She sounds marvelous! Thanks for your help!