Date: 10/11/2012 09:21:42
From: Geoff D
ID: 226655
Subject: MDRSA: An object lesson in stupid.

Wednesday, I had the pleasure (not) of being stuck in a chair at an ED for 7 hours. In the next cubicle sat a patient presenting with non-resolving boils. The young doctor did some lancing, then called the consultant to advise on treatment options. Consultant set out three possible treatment options for consideration and during the discussion of this the patient mumbled something near incoherent about MRSA. Further questioning brought out the information that it was ‘a bad one’. There was a flurry of phone calls to patient’s GP, and it transpired that the S. aureus was multiple drug resistant. There was also then some talk about “stopping earlier treatment because it wasn’t working”.

OK. The stupid bits? Why did the patient not alert the triage nurse to the MDRSA status? Patient might not have completely understood the implications, but should have mentioned it. Why did the doctors not suspect at least MRSA and have the patient’s status checked much earlier (like before lancing the boil, then moving on to examine immune-deficient me)?

At least, patient is unlikely to die. There is one treatment option available – oral something or other under close supervision.

Reply Quote

Date: 10/11/2012 09:33:44
From: Rule 303
ID: 226658
Subject: re: MDRSA: An object lesson in stupid.

Geoff D said:

Why did the patient not alert the triage nurse to the MDRSA status? Patient might not have completely understood the implications, but should have mentioned it. Why did the doctors not suspect at least MRSA and have the patient’s status checked much earlier (like before lancing the boil, then moving on to examine immune-deficient me)?

The more I learn about good clinical practice WRT cross-infection control, the more impressed I am by how astonishingly wrong some organisations get it. It seems to me that if a brief once-over from a member of the general public is detecting huge holes in your operation, you’ve got some difficult questions to ponder.

Barriers to best practice seem to survive where there is no pressure to overcome them, and the medical industry is certainly not out on its own in that regard.

Reply Quote

Date: 10/11/2012 10:44:08
From: poikilotherm
ID: 226713
Subject: re: MDRSA: An object lesson in stupid.

Geoff D said:

OK. The stupid bits? Why did the patient not alert the triage nurse to the MDRSA status? Patient might not have completely understood the implications, but should have mentioned it. Why did the doctors not suspect at least MRSA and have the patient’s status checked much earlier (like before lancing the boil, then moving on to examine immune-deficient me)?

At least, patient is unlikely to die. There is one treatment option available – oral something or other under close supervision.

re patient – generally don’t tell you anything unless you ask, and even when you do, questioning has to be repeated (change wording etc etc).
re doctor – intern, lack of training/tiredness

Public health I’m guessing GD?

Reply Quote

Date: 10/11/2012 12:36:26
From: Geoff D
ID: 226838
Subject: re: MDRSA: An object lesson in stupid.

Yes, public. Must admit, the ED couldn’t be faulted on handling of trauma cases.

Don’t get me started on the casual attitude to mobile phones in and out of treatment areas.

Reply Quote

Date: 10/11/2012 14:31:44
From: Geoff D
ID: 226887
Subject: re: MDRSA: An object lesson in stupid.

Anyway, bring on the medical-history-onna-chip, I say. That would have, in this case, set off so many alarms that nobody could have ignored them.

Reply Quote

Date: 10/11/2012 14:42:56
From: poikilotherm
ID: 226895
Subject: re: MDRSA: An object lesson in stupid.

Geoff D said:


Anyway, bring on the medical-history-onna-chip, I say. That would have, in this case, set off so many alarms that nobody could have ignored them.

They have the PCEHR

Reply Quote

Date: 10/11/2012 14:47:14
From: poikilotherm
ID: 226896
Subject: re: MDRSA: An object lesson in stupid.

poikilotherm said:


Geoff D said:

Anyway, bring on the medical-history-onna-chip, I say. That would have, in this case, set off so many alarms that nobody could have ignored them.

They have the PCEHR

http://www.ehealth.gov.au/internet/ehealth/publishing.nsf/content/home#.UJ3OKYekqaU

Opt-in.

Reply Quote

Date: 10/11/2012 15:06:22
From: Geoff D
ID: 226899
Subject: re: MDRSA: An object lesson in stupid.

poikilotherm said:


poikilotherm said:

Geoff D said:

Anyway, bring on the medical-history-onna-chip, I say. That would have, in this case, set off so many alarms that nobody could have ignored them.

They have the PCEHR

http://www.ehealth.gov.au/internet/ehealth/publishing.nsf/content/home#.UJ3OKYekqaU

Opt-in.

Well, the patient in question wouldn’t have had the smarts to do that, so all academic. (I think it was one of those people who go to Viet Nam etc. for cheap elective surgery.)

Reply Quote

Date: 10/11/2012 16:03:15
From: poikilotherm
ID: 226926
Subject: re: MDRSA: An object lesson in stupid.

Geoff D said:


poikilotherm said:

poikilotherm said:

They have the PCEHR

http://www.ehealth.gov.au/internet/ehealth/publishing.nsf/content/home#.UJ3OKYekqaU

Opt-in.

Well, the patient in question wouldn’t have had the smarts to do that, so all academic. (I think it was one of those people who go to Viet Nam etc. for cheap elective surgery.)

Yea, bit of a joke of a system, most of those that really need it, ain’t got no smats to do it.

Reply Quote