A patient was hospitalized 2 years ago with a resistant bacterial infection. The patient is admitted for an unrelated problem and placed on contact isolation. The parents question the need for this action. Which response by the nurse is best?
A.
"It is possible that your child could still contaminate the nursing staff."
B.
"It's our policy to isolate anyone who has had this infection in the past."
C.
"This seems distressing for you; would you like me to call the charge nurse?"
D.
"Your child may be colonized with the bacteria so we isolate until we know."
ANS: D
A person who had a bout with a resistant bacteria may be colonized. Many facilities require placing such patients in isolation until this has been ruled out. This is the most factual and informative answer. Contaminating the nursing staff is not really the problem; the nursing staff spreading the organism to susceptible patients is. The nurse should provide information and not just call someone else to explain. Telling the parents that this practice is policy may be true, but does not give them any information.
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