forbabynurse

Congratulations! Deedra Keller,RN King's Daughters Medical Center NICU Ashland,Kentucky

We rarely have an infant with MRSA. Our protocol is: Every baby has a nasal culture (MRSA specific) upon admission, at 15 days of life, and at 30 days of life. Also culture prior to any transfer. If a culture is positive for MRSA,we isolate while staff and parents use gloves, gowns,strict handwashing and we use Bactoban (nasal application) for 7 days and reculture after the 7th day. Our unit has never had a baby positive for MRSA after the 7 day Bactroban Tx. Contact isolation is d/c'd after the culture is negative. The incident is reported to infection control and they do a follow-up.