Published Mar 1, 2017
Barbieanna
4 Posts
So I have done a two week stna course we have a 2 day clinical.
Today was my first day on the floor for clinicals
My question is should I have cared for a person with MRSA On my first day?
The instructor just left my friend and myself alone with this woman? I thought we would be doing feedings changing briefs and so on
Should we have had this patient to care for so soon? And she just left us hanging? I'm really upset!
jennylee321
412 Posts
Why would her having MRSA be a problem ? I'm sure you know how to use PPE, other than that care for her like any other patient
Sour Lemon
5,016 Posts
That doesn't sound like a problem, to me. There's usually even a sign on the door that tells you exactly what to wear and when.
Been there,done that, ASN, RN
7,241 Posts
There are patients with MRSA that required contact isolation, some do not.
If you were not yet trained in maintaining contact isolation, the assignment was inappropriate.
If your patient WAS in contact isolation, there would be a sign on the door with isolation instructions and a cart stocked with PPE.
This question should have been asked, before you took care of the patient. Either way, you are smart to ask.
The only sign on the door
was nurse needs to knock....
The instructor made one girl give the patient her breakfast she went in there without gloves..
She walks out and the instructor said oh she has MRSA this instructor is a 73 year old woman who has had a stroke
she never checked on us one time...
Then I had to take a quiz and she failed me so I asked could you please go over it with me she said sure she goes through the quiz and says oh I made a mistake you passed....I'm mean what is that???And yes I'm alittle concerned I have come in contact with a person with MRSA and I haven't even passed the class yet or even been paid so yes I'm alittle concerned,so if I don't pass this class and I get mrsa it's all for nothing so yeah I'm alittle miffed!we have had 7 days of classroom training... She's not even our teacher she was brought in for our clincals it's not like she was busy there are only 4 of us.....
And by contact isolation trained what do you mean? I'm confused? I've studied a book.....and have had 7 days of classroom training....
Anyways thank you (been there done that)
And by contact isolation trained what do you mean? I'm confused? I've studied a book.....
roser13, ASN, RN
6,504 Posts
Are you unfamiliar with the term contact isolation?
mrsboots87
1,761 Posts
I'm am doubting the quality of education you received in your program. Basic contact precautions should be taught in your program. Also, you have likely come in contact with MRSA while at the grocery store at some point and lived to not even know about it. A large amount of healthcare professionals are colonized with MRSA as it it. The gowning is so that you can reduce the risk of passing an active MRSA infection to another patient and just in case you have an open wound so you don't get MRSA in it.
You seriously shouldn't be this upset about this. The fact that you are means your training program could use some work.
NotMyProblem MSN, ASN, BSN, MSN, LPN, RN
2,690 Posts
And by contact isolation trained what do you mean? I'm confused? I've studied a book.....and have had 7 days of classroom training....Anyways thank you (been there done that)
This is really nothing to be upset about. I can't tell you the number of times I've cared for patients and then mid-shift, Bam!!! The physician enters orders for a particular patient to be placed on contact isolation. Meanwhile, everyone has entered the room; the patient has usually been hospitalized for a few days and has been to procedures, walked the halls, had visitors who come and go and could care less about using precautions....you name it. That's why it's best to use standard precautions at all times anyway.
I even use gloves when feeding patients because for one, I would not want anyone handling my food with bare hands, and secondly, if a person is in need of assistance with being fed, you never know when they may begin to choke, cough, and spit the food back out. I do not want anything containing saliva on my hands...it's the only body fluid that I just can NOT deal with.
What you don't know, you don't know. I'm no instructor but I would have thought safety and air/blood-borne pathogens, and personal protective equipment (all OSHA requirements) would have been reviewed with a vengeance before the point of allowing students into clinicals. But now you know.
Purple_roses
1,763 Posts
The only sign on the door was nurse needs to knock....The instructor made one girl give the patient her breakfast she went in there without gloves..She walks out and the instructor said oh she has MRSA this instructor is a 73 year old woman who has had a strokeshe never checked on us one time...Then I had to take a quiz and she failed me so I asked could you please go over it with me she said sure she goes through the quiz and says oh I made a mistake you passed....I'm mean what is that???And yes I'm alittle concerned I have come in contact with a person with MRSA and I haven't even passed the class yet or even been paid so yes I'm alittle concerned,so if I don't pass this class and I get mrsa it's all for nothing so yeah I'm alittle miffed!we have had 7 days of classroom training... She's not even our teacher she was brought in for our clincals it's not like she was busy there are only 4 of us.....
It sounds like you're assuming your instructor is incompetent because she's had a stroke? My instructors have made lots of grading errors, and it's not because they've had strokes. Simple human errors that are easily corrected. During my second week of nursing clinicals, I cleaned a MRSA infected wound, and I was so excited to do it! Just use PPE, and you'll be good to go. If you're nervous about it, ask your instructor if she wouldn't mind applying PPE with you the first few times, just to make sure you've got it right.