Home > Uncategorized > MRSA colonization, in Healthcare workers and patients.

MRSA colonization, in Healthcare workers and patients.

nursewithmaskhttp://www.fiercehealthcare.com/story/four-percent-healthcare-workers-mrsa-positive/2010-04-07

 

The link above reveals results of a study of MRSA prevalence in healthcare workers.  Very few studies have been done regarding this subject.

Amost every nurse I spoke with at the recent MSNA convention said “all of us probably have MRSA colonization”.  One nurse in particular was very upset at the prospect of ever being screened for MRSA, because of her constant exposure to it and because if she turned up positive, it might cost her the job that she needs to support her family. 

I was surprised that only 4% of healthcare workers, both direct caregivers and remote workers were infected in this study.  That is much lower than I expected.  But, at the same time it is encouraging.  My concern is what recommendation comes from this.

As a potential Healthcare consumer , I would not want a nurse who is actively colonized with MRSA caring for me, or for a vulnerable loved one……not unless a special effective precautions are taken.     Were the HC workers who tested positive in this study decolonized or not?  The article does not tell it all.  Even if they were decolonized, we know that MRSA is transient and many of these employees may turn up positive again 3 months after decolonization. Do we retest?  Maybe more than Standard and Universal precautions are necessary when a HC worker is colonized with MRSA.  Education is absolutely necessary.  The colonized HCW should be educated about not only using meticulous Standard and Universal precautions, but also using reverse precautions at all times.  They should be told not to work when they are actively infected with a respiratory illness (or an open MRSA lesion), especially while actively coughing, sneezing and blowing their nose.   MRSA can be coughed about 4 feet into the environment. There should be paid sick leave for this, since it is work acquired.  Also, a known colonized HC worker should always wear a mask while doing invasive sterile procedures, like dressing changes and catheterizations.    So, are these the answers to this dilemma…….. to use decolonization and education about extra precautions?  I’m not 100% sure, but I do know SOMETHING definitive needs to be done and the things I have suggested here may be a start. Why doesn’t OSHA take a stand on MRSA and other work related and acquired infections.   One thing I know for sure is that we can’t continue to ignore the problem.

Now as a nurse, I have to wonder if my job is jeopardized if I am diagnosed.  Is it?  If my employer finds that I am colonized, will it affect my job.  Will I be put out of work?  Will it affect job promotions or transfers into other departments?   These are legitimate and serious concerns.  MRSA now becomes not only a threat to my health and possibly my family’s health, but it is also a threat to my livelihood!  As a member of MSNA and the NNU and a long time supporter of Nurses Unions, I am proud to say that nurses represented by a union will have some protections in place regarding employment.  My chronically colonized friend, whom I have written about a few months ago on my blog, is a non union nurse.  She was exposed at work.  Since her MRSA pneumonia and sepsis, followed by a lengthy recovery and lingering disability, she has been unable to find work as an ICU nurse.  She feels that the places who will not hire her discriminate because they know her MRSA status.  Another nurse I know tested positive in an investigation for an outbreak in her hospital.  Her employment was not affected, but the records of her MRSA colonization and her decolonization treatment for it were buried………..she was told there was no record of it.  Healthcare facilities get the right to ignore the elephant in the room regarding the risk of infectious disease to employees.  They get to decide on policy that is either good and effective or lax and ineffective.  Unfortunately, very few organizations come to the plate with the safety of their nurses in mind. 

I see many problems at many levels with all of the above.  Nobody is recognizing the fact that Healthcare workers in hospitals become colonized with MRSA.  The problem is not acknowledged or addressed.  If someone is discovered to be colonized, the records are “unavailable”.  This may be because of fear on the part of the hospitals. They fear liability for their employees, because they have become colonized (and sometimes actively infected)  on the job.  And they fear liability from patients who become infected while hospitalized.  So, the usual reaction to that fear is to keep it all a secret or sweep it under the carpet???  News alert…these problems are not going away unless the hospitals get on board with prevention. These unresolved problems feed on each other!   We cannot fix what we do not acknowledge and measure.

I believe MRSA needs to be put out there, as an issue and a problem within healthcare facilities, for both patients and employees.  Preventing spread of MRSA by screening and Isolating patients is the first step to “getting to ZERO” with MRSA infections.  Addressing employees concerns by recognizing MRSA as a work related infection and doing appropriate and timely testing, treatment and education for it is the best approach. 

Trying to hide/bury the problem, or ignoring the huge population of patients who come in the door colonized,  and who subsequently become infected is no longer acceptable.  Too many times, it takes days or weeks to diagnose an active MRSA infection in a patient.  Most of the time, the earlier causitive problem, MRSA colonization, is never even detected because there has been no screening.   By the time infection is diagnosed dozens of HC workers and family members are all exposed.  Active Detection and Isolation will prevent this from happening.

Early detection of colonization or infection, isolation of affected patients, decolonization when appropriate and education are all necessary steps toward stopping MRSA.

NO NURSE should feel that their job or their health are  jeopardized by MRSA colonization.  It is job related and should be addressed as such, but it should not be ignored.   And NO PATIENT should have the worry that proper MRSA detection and prevention of MRSA is not being used in their hospitals or that their HC giver may spread MRSA to them. 

  1. January 3rd, 2015 at 12:47 | #1

    They wznt their wedding being highly luxurious, hassle-free and
    impeccable. Just don’t off-highhandedly overlook an approkach or syrategy that fels oddd for your
    requirements or perhaps apparently challenging. Who should walk you along the
    aisle inn case you father has died away.

  2. January 4th, 2015 at 22:45 | #2

    Wonderful, what a website it is! This weblog gives valuable facts to us, keep it up.

  3. January 7th, 2015 at 02:57 | #3

    I read this post completely concerning the resemblance of latest and
    earlier technologies, it’s remarkable article.

  4. January 7th, 2015 at 04:14 | #4

    The latest fad in earning college credits and even a university degree is using
    the power of taking courses immediately on-line
    with a faculty or university as well as the Internet.
    To stay competitive most schools and universities now offer levels, and for pupils of most ages to generate college credit, and less pricey bestcollegecourses on-line to allow it to be easy, convenient.
    You’ll find taking best college course online is very well-known or earning a college degree online.
    The total registration of any specified college may reach up to 50 per cent on the web.
    Within recent years the increase of degrees and on-line best college course has increased immensely
    and continues to develop in numbers.

  5. January 7th, 2015 at 10:59 | #5

    There are three kinds of homebuilders nowadays.
    There’s the “top quality custom new home builders”, the “generation builder”, along with the “little, hands on contractor”.
    While there are hybrid vehicles and variations within these three classes,
    these are the fundamental kinds at function today.
    The trick for the would-be buyer is to spot which may be the best fit for home style
    demands and their budget.

  6. January 9th, 2015 at 20:22 | #6

    The capitol, Port-Au-Prince, has never noticed this kind of devastation. Fiverr is a great website where you can hire people for
    five dollars per project and Easy Outsource and Odesk are
    other websites where you can hire employees. This could be a good way to document
    your online presence, show your audience your featured blog
    posts or create a guide to assist customers as they order your products.

  7. January 14th, 2015 at 18:26 | #7

    What’s up friends, good paragraph and good arguments commented at
    this place, I am truly enjoying by these.

  8. January 15th, 2015 at 16:56 | #8

    Undeniably, the best How To Make Ice Cream Without An Ice Cream Maker,
    is the one that you’ll often use. The worst one is one that gathers
    dust and keeps in the garage.

  9. January 17th, 2015 at 04:58 | #9

    At present, sure Haynes Manuals are revealed in 15 completely different languages.

  10. January 18th, 2015 at 06:31 | #10

    Virtually nothing can get the type of effect that interior design that
    is good can. However, many people lack the correct knowledge
    of layout theories to get the most out of their homes.

    By heeding advice and the guidance in the following article, you may have the tools that are necessary to create your own retreat that you never
    wish to depart.

  11. January 18th, 2015 at 07:10 | #11

    Thee Baltimore Cruies that leave the Baltimore terminal include these Baltimore Cruises.
    ” Continued Foster, “some have been stuck in my head lie
    dead birds, but I’m currently working on two in the studio that sound good,
    and I still hve loads I need to record.’ As they journey through a mysterious, ancient burial ground, their own greed threatens to tear
    them apart as the posse turns on itself.

  12. January 19th, 2015 at 09:52 | #12

    If you are an Everythng Everywhere customer you’ll bee able to
    sip this method because network has chosen not to ever
    use international bars. Although thiss sor of servcice seems to be very tempting,opt forr all possible disadvantages
    of this kind of connection. If you start out obtaining your
    nme around now, the less you must do when 4G markets become forr sale in your market as welkl ass nationwide.

  13. January 20th, 2015 at 08:08 | #13

    For a female wearing of wedding rinhg isn’t question at
    all. A couple binds all of its dreams and hopes within this symbolic representation.
    As evefybody knowes old is gold thus people like to purchase
    these antique rings.

  14. January 21st, 2015 at 14:45 | #14

    Thanks a bunch forr sharing this with all people you really realize what you’re talking approximately!
    Bookmarked. Please als consult with my website =). We could have
    a link exchange contract among us

  15. January 27th, 2015 at 19:47 | #15

    I’m not that muuch of a online reader to be honest bbut your
    ites really nice, keep it up! I’ll go ahead and bookmark your website tto comee
    baack later. All the best

  16. February 9th, 2015 at 19:56 | #16

    All thanks to you, Christina you have added spice to my life.
    Currently, there is one anti-obesity substance on the market that’s accepted for long-term use.
    A major advantage of using a natural pill or other
    supplement is that you will even acquire nutrition due to
    it.

  17. February 11th, 2015 at 07:54 | #17

    He tip bong da uy tin nuoc ngoai truc tiep signed a two-year
    deal. His mother, Margaret, was known as the announcer says, it’s more important was quinine medicine, there are tour
    boats that go with her boyfriend, his first cap at 17. In a conference call is being recorded.
    If this procedure does not lead to mark Ulloa.

  18. February 14th, 2015 at 10:09 | #18

    The Vi – Salus is not in the run ofpublicity like the other health products that excites the people and ready togo, but that die away in few weeks because they are physically very difficult tokeep up.
    This isn’t the only reason that we know Vi – Salus isn’t a scam; the product is real, and it’s backed by real research in nutrition too.

    You must know what to choose in obtaining your goals.

  19. February 18th, 2015 at 12:18 | #19

    Hello, after reading this amazing article i am as well happy to share my experience here with mates.

  20. February 28th, 2015 at 22:02 | #20

    Thanks for finally talking about >McCleary MRSA Prevention ? MRSA colonization, in Healthcare workers and patients.
    <Liked it!

  21. March 6th, 2015 at 20:13 | #21

    I do believe all of the ideas you’ve offered for your post.
    They are very convincing and will definitely work. Nonetheless, the posts
    are too short for starters. May you please extend them a bit from subsequent time?

    Thank you for the post.

  22. March 15th, 2015 at 04:03 | #22

    Make sure you stretch out frequently on a daily basis in becoming and remain adaptable.
    They contemplate that the Alex Ferguson’s squad is still capable to
    win the domestic trophies, such as the BPL trophy. Many individuals have played soccer with fantastic
    passion in recent times, which enthusiasm usually demonstrates.

  23. March 19th, 2015 at 04:24 | #23

    Great blog you have here but I was curious if you knew
    of any discussion boards that cover the same topics discussed in this article?
    I’d really like to be a part of online community where I can get suggestions from
    other experienced people that share the same interest.
    If you have any suggestions, please let me know. Thanks!

  24. March 27th, 2015 at 05:44 | #24

    Awesome issues here. I’m very satisfied to look your article.
    Thanks a lot and I am looking ahead to touch you. Will you please
    drop me a e-mail?

  25. April 4th, 2015 at 10:06 | #25

    A chemical equation is a statement that describes
    what happens in a chemical reaction. Without the proper guidance of chemistry students cannot work on assignments alone.
    In turn, this increases the weldability, toughness,
    formability and strength of microalloyed steel. It might just
    have been in the wake of beginning a wedding, beginning a new
    career, or caring for a sick child. What strikes me the
    most is the encouragement and support I’ve received from so many women. Dopamine and Oxytocin both contribute for sexual arousal, which further fuels the fire to passionate love and signals this couple that they are clearly responding to one another.

    Heinrich Dove, a physicist, discovered that when you introduce tones into
    each ear, the brain responds to these tones by creating different brainwaves patterns.

    Not all in one sitting, of course – rushing through the book would absolutely defeat its purpose.

  26. January 28th, 2016 at 00:12 | #26

    Hurrah, that’s what I was looking for, what a data!
    present here at this weblog, thanks admin of this website.

  27. January 21st, 2017 at 19:25 | #27

    Engrossing articles helter-skelter drug and unconventional stories

  28. January 28th, 2017 at 16:46 | #28

    Attractive articles in all directions pharmaceutical and contrasting stories

  29. February 2nd, 2017 at 16:02 | #29

    Community Intelligence Around this artifact

  30. February 4th, 2017 at 20:12 | #30

    Engrossing articles recklessly medication and different stories

  31. February 6th, 2017 at 07:09 | #31

    Inclusive Intelligence Far this offering

  32. February 9th, 2017 at 16:31 | #32

    Captivating articles -away medication and in contradistinction to stories

  33. February 10th, 2017 at 18:09 | #33

    Interesting articles hither panacea and far apart from stories

  34. February 12th, 2017 at 18:44 | #34

    Engrossing facts apropos this goods

  35. February 15th, 2017 at 03:03 | #35

    Intriguing articles recklessly medication and remarkable stories

  36. February 16th, 2017 at 17:11 | #36

    Irresistible articles skilful hypnotic and unconventional stories

  37. February 19th, 2017 at 14:41 | #37

    Engrossing articles thither pharmaceutical and unconventional stories

  38. February 21st, 2017 at 18:12 | #38

    Engrossing articles recklessly pharmaceutical and unconventional stories

  39. February 22nd, 2017 at 17:31 | #39

    Vamp articles -away medication and variant stories

  40. February 25th, 2017 at 18:58 | #40

    Engrossing articles recklessly medication and assorted stories

  41. February 27th, 2017 at 07:22 | #41

    Non-specific Message Fro this product

  42. February 28th, 2017 at 07:38 | #42

    Intriguing articles approximately medication and unconventional stories

  43. March 9th, 2017 at 16:14 | #43

    Gripping articles jumbled analgesic and perfect from stories

  44. March 11th, 2017 at 11:51 | #44

    Accepted Information Upon this artifact

  45. March 20th, 2017 at 14:40 | #45

    Intriguing articles on every side medication and assorted stories

  46. March 29th, 2017 at 17:52 | #46

    Intriguing articles up pharmaceutical and different stories

  47. May 5th, 2017 at 15:35 | #47

    Pandemic Tidings Fro this outcome

  48. May 14th, 2017 at 07:20 | #48

    Non-specific Communication Fro this product

  49. May 22nd, 2017 at 18:27 | #49

    Gripping articles on every side medication and unconventional stories

  50. June 14th, 2017 at 16:49 | #50

    Pulling articles round analgesic and unlike stories

  1. No trackbacks yet.