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To: travelnurse
Nurses have a long history of fighting with administration and others who stand to lose money in the fight for good infection control. For example, hospitals insist we play "musical beds" to maximize census in units with multi-bed rooms. This involves constant moving of patients to match gender, solve roommate disputes, and prevent patients from being subjected to demented or acutely confused patients who are disruptive and upsetting to others.

Unfortunately, this is not good practice in an environment where nosocomial infections (exposure occurs while hospitalized) can be very serious, often antibiotic-resistant, and occasionally deadly. In fact, JCAHO, the institution that accredits hospitals, has issued a "sentinel event alert" about nosocomial infections, and it will result in major rules being issued that will force American hospitals to get a grip on lax infection control practices.

There are many other examples: I recall arguing with a physician about the need to place a patient in isolation because TB was suspected by the nurses based on the patient's history; the M.D. refused because he did not want to "subject" his patient to it. Hello???? He won, the nurses lost - later, the patient proved to be positive for respiratory TB and every nurse in the entire unit had to go on prophylactic TB medications.

I'm sure every nurse on FR could cite a testimonial to this issue.

28 posted on 05/28/2003 8:46:40 PM PDT by PLK
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To: PLK
Nurses, by law are required to protect themselves and others from infectious/contagious diseases in the United States... No matter what the MD or administrator says, it is the nurse's responsibility to take control of the situation to protect herself/himself and others. And hospitals/doctors and administrators are required by law to follow the protocol.



33 posted on 05/28/2003 8:56:50 PM PDT by travelnurse
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To: PLK
the M.D. refused because he did not want to "subject" his patient to it. Hello???? He won, the nurses lost

I probably wasn't very popular among the nursing staff because I was very demanding about the care of my patients; but I told the nurses on more than one occasion that their safety always came first, to call me if they needed any special orders, or even to write orders with my name and tell me about it later if the threat was urgent, like a dangerous, unruly patient.

100 posted on 05/29/2003 7:42:32 PM PDT by patriciaruth
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