Whattabout MRSA and C.Diff?

suzanne4, RN · Aug 25, 2005

If the patient is just staying in their room, it is not an issue, and you also have circulating air in the rooms. In the ambulance, it is essentially a closed system, the medics are only protecting themselves.............you would do the same thing also.

You usually have the paitents clustered that have MRSA in your unit. The ambulance is going to be picking up many other patients almost continuously, and some of them can be immuno-compromised.

C-diff goes away, once you get a negative screen for it, then the extra precautions are discontinued. MRSA likes to hang around..............

not now, RN · Aug 25, 2005

Someone please remind me what the full name is for C.Diff. We had a new admit today who has/had it (we aren't clear yet) and the nurse helping me got a little snotty with me "C.Diff? What is that? I don't know things by shortened names, I know the correct term." :rolleyes: She made me nervous and since I'm new I went blank.:chair:

ethelbsnrn · Aug 25, 2005

Clostridium difficile..

Tweety, BSN, RN · Aug 25, 2005

Someone please remind me what the full name is for C.Diff. We had a new admit today who has/had it (we aren't clear yet) and the nurse helping me got a little snotty with me "C.Diff? What is that? I don't know things by shortened names, I know the correct term." She made me nervous and since I'm new I went blank.:chair:

What a snot. She knew the correct term. Don't allow her to get you nervous because that's giving her the power over you she obviously wants. Her superiority complex is irritiable. Everyone uses the term "C. Diff", rather than the full term "clostridium difficile".

jmgrn65, RN · Aug 25, 2005

In my facility once they have 2 formed stools they don't have to be in isolation for c. diff because they will remain positive for a long time. MRSA in the nares alone is probable not needed to be in isolation, because most people have it in the nares, depends on colony count. Neither one of these are forever. VRE is usaully a very long time. To take out of isolation you need 2 negative stools taken a week apart.

Oh by the way everyone says c. diff no one that I know says clostridium difficile (sp)

Danianne · Aug 25, 2005

If the patient is just staying in their room, it is not an issue, and you also have circulating air in the rooms. In the ambulance, it is essentially a closed system, the medics are only protecting themselves.............you would do the same thing also.
You usually have the paitents clustered that have MRSA in your unit. The ambulance is going to be picking up many other patients almost continuously, and some of them can be immuno-compromised.
C-diff goes away, once you get a negative screen for it, then the extra precautions are discontinued. MRSA likes to hang around..............

I dunno we are required to put the residents with active MRSA "anywhere there is an available bed" and our rooms are not really that well ventilated..... so um yeah

Can staff "catch" MRSA?

Danianne · Aug 25, 2005

our facility has bedside precautions forever when the resident has c-diff but that is limited to Staff wearing gloves to change (DUH) and if the resident is ambulatory they must use their own commode for the rest of their stay at our facility. the othe residents in the room stay there

P.S. the lady who was colonized with MRSA was "active" and coughing and sneezing etc the other residents remained in the room and the staff were told it is no big deal. Th DOC sent this resident back to the hosp. because she didn't want the resident back until the colony count waas down But......

CoffeeRTC, BSN, RN · Aug 25, 2005

Um I've had MRSA in the nares since college, ten years ago (I sat front row in micro class, so of course I always got swabbed) and I havent been isolated.

EricTAMUCC-BSN, BSN, RN · Aug 25, 2005

I was wondering somthing. when a person has MRSA in their Nares and such are they contagious?
Yes, but how contagious you are depends upon the number of bacteria on yourself.
if you get MRSA / C.DIFF typre things do you have them forever? I am sooooo confused.
People with MRSA typically rid the disease within a year. MRSA can live on a skin scaling for up to 6 months. Not sure about C. diff.
I work in LTC we get people that have MRSA, when the ambulance drops them off they have the whole bio hazard suit thing goin on but it is just fine for us CNA's to care for them with basic universal precautions (gloves) what in the He#k?

People who have not been exposed to MRSA should take precaution especially when working around body fluids. Try to avoid having cuts or areas of abrasion come in contact with an infected person's skin or body fluids. Use gloves and wash your hands after working with patients with MRSA. During sex always use a condom. MRSA is virulent but not fatal in most cases.

Danianne · Aug 25, 2005

People who have not been exposed to MRSA should take precaution especially when working around body fluids. Try to avoid having cuts or areas of abrasion come in contact with an infected person's skin or body fluids. Use gloves and wash your hands after working with patients with MRSA. During sex always use a condom. MRSA is virulent but not fatal in most cases.

I had not been in contact with MRSA before starting work at my current Job I was just wondering why the hospital and ambulance thought that it was bad enough to warrant the full body suits and masks and all us poor Assistant were told gloves is all we needed was gloves

as for the sex thing I acutally don't provide that service at work so..... :imbar

UM Review RN, ASN, RN · Aug 25, 2005

as for the sex thing I acutally don't provide that service at work so..... :imbar

:lol2: Thanks for the laugh, Danianne.