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We just today had a discussion with our infection control nurses to review this notification process. These IC nurses have access to the VIP screen and use the comment field to identify these patients. They get a VIP report twice a week that they review for positive patients and make adjustments based on their expertise and culture review. They update the VIP comment . During registration, the admissions person, who makes the bed assignments, has the responsibility of notifying the admitting unit so the room can be properly assigned and prepared. We could find no other way to alert the nurse PRIOR TO ARRIVAL other than a phone call... there is nothing that takes the nurse to the computer prior to patient arrival and that is when the room arrangements need to be made. And, our nurses are restricted to patients on their unit so would never be able see them in advance anyway. We talked through putting a demo recall query on the discharge intervention (and the admission interventions) but came up with the scenario that patients would be isolated on admission TOO much... because there is no way for the nurse to determine how long ago the diagnosis was done and if the patient was still positive. It was decided that it was not realistic for the nurse to go over to Micro in PCI and interpret the culture results and make a decision (when the IC nurses may need to discuss to figure it out. Putting the patient in isolation unnecessarily is a dissatisfier and expensive in terms of equipment and supplies and extra time by the staff. We will probably go the CCI at some point but are in the middle of eMAR/BMV heading toward 5.5 and PCM/POM so have no time. They already get a follow-up report daily based on IC questions in the admission assessment Hope this helps, Janice B Lisee, RNC BSN Senior Systems Analyst Frederick Memorial Hospital Frederick, Maryland 21701 240-566-3437 mailto:[EMAIL PROTECTED] -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of [EMAIL PROTECTED] Sent: Tuesday, April 04, 2006 2:35 PM To: [email protected] Subject: [MEDITECH-L] MRSA Patients All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
