According to the Center for Disease Control and Prevention (2013), Methicillin-resistant Staphylococcus auerus (MRSA) is a staph infection that is resistant to many antibiotics. This bacteria can be spread in numerous ways that include but are not limited to; contact with infected wounds, or improper hand hygiene. Consequently, MRSA can be carried by individuals whom have no signs or symptoms of the bacteria, and ultimately can spread the infection to others (CDC, 2013). The increased rates of MRSA warrant aggressive measures to be taken in the hospital setting to decrease the continued spread. This writer’s leadership vision is to provide specific understanding about MRSA to colonized staff and patients upon admission to the hospital, thereby diminishing the re-occurrence of the bacteria at discharge.
Key concepts of MRSA
Methicillin-resistant Staphylococcus auerus (MRSA) is a growing concern for health the care system. At this time it is the most prevalent nosocomial pathogen in the United States (Chen & Pass, 2013). In most, if not all, inpatient settings a patient is commonly tested with a MRSA nares swab upon admission and discharge. This is frequently done because MRSA infections are associated with a significant increase in mortality, hospital readmission rates, and health care cost (Forster, Oake, Roth, Suh, Majewski, Leeder, Walraven, 2013). In addition, health care surveys have now concluded that MRSA prevalence in 2010 was higher than that reported in 2006 (R. Jarvis, A. Jarvis, 2102; & Chinn, 2012). Due to these previously stated concerns it has become imperative that hospitals not only decrease the rates of these acquired infections but find a means to alleviate the re-occurrence and transmission. To ultimately decrease the re-occurrence of the bacteria at discharge, staff must be aware that a previous admission to the hospital was the most common risk factor for patients (Forster, Oake, & Roth, 2013).
Importance to nursing
The primary means of contamination results from exposures of the organism to patients in the inpatient settings. Most facilities have now implemented and strictly utilize precautionary measures for patients colonized. By increasing the time the patient is properly isolated, it reduces the risk of contamination of the MRSA-positive patient’s environment with others (Jarvis, et.al, 2012). Disease control and hospital infection controls have set in place contact isolation measures for patients, rooms and belongings that test positive. These measures primarily consist of the following items to be worn; gown, gloves and alcohol based sanitizers or hand washing. Since nursing staff have the most consistent direct contact with patients, it is safe to affirm that we play a large role in transmission. Consequently, this writer feels that an appropriate way to reduce MRSA rates at discharge is to educate staff on the occurrence, spread and the ways to decrease. Not only does nursing play a large role but...