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MULTI-DRUG-RESISTANT ORGANISMS
          MDRO                                 Common MDRO:                            Prevention:                             Hospital Falls                       Prevention:                             Pressure Ulcers


          Multi-drug-resistant organisms       MRSA                                    If you are the caretaker for an         The Agency for Healthcare            •  USE CALL BUTTON to ask for help      A Hospital-Acquired Pressure
          (MDRO) are common bacteria                                                   infected person, prevent the            Research and Quality estimates        if you feel unsteady or weak.          Ulcer, (sometimes called a
          (germs) that have become             METHICILLIN RESISTANT                   spread of MDRO by following             that 700,000 to 1 million patients                                           bedsore) is an injury to the
          resistant (not killed by) to         STAPHLYCOCCUS AUREUS is                 these steps at home:                    fall in U.S. Hospitals each year.    •  ASK FOR HELP getting to the          skin or underlying tissue
          multiple types of antibiotics.       carried on the skin or in the noses                                                                                   bathroom or walking around the         caused by pressure, friction
                                               of healthy people and is a common       •  After contact with infected          At least 30% of falls result in       room or in the hallways.               and moisture.
          For most healthy people, these       cause of minor skin infections.           person, before leaving                moderate to severe injury. Falls in                                          Ulcers may occur when             PREVENT FALLS, PRESSURE ULCERS
          bacteria don’t cause a problem.      MRSA can also cause surgical wound        home, WASH                            the hospital not only increase       •  ALWAYS USE HANDRAILS in the          patients have limited mobility
                                               infections, bloodstream infections        YOUR HANDS                            overall healthcare costs,             bathroom and hallways.                 and can't change positions in
          Antibiotic resistance can happen     and pneumonia.                            with plenty of                        but can add more days                                                        bed on their own.
          as a result of:                                                                lather for 15                         to the average length                •  WEAR NON-SLIP FOOTWEAR.
                                               VRE                                       to 20 seconds                         of a patient's stay.                                                         Prevention:
          •  Frequent antibiotic use           VANCOMYCIN RESISTANT                      and dry hands                                                              •  DON'T LET YOUR ROBE OR
            or frequent exposure to a          ENTEROCOCCUS is normally                  completely.                           •  Falls may occur when               PAJAMAS DRAG THE FLOOR.                REPOSITIONING:
            healthcare setting                 found in the intestines and in the                                                a patient tries to get out                                                 •  Frequent turning and
                                               female genital tract. Vancomycin        •  WEAR disposable gloves when            of bed to go to the bathroom       •  PLACE CALL BUTTON and items           repositioning
          •  The person has a weak             is an antibiotic that is often used to    exposed to patient’s bodily fluids.     or walk around the room.            you need within easy reach.            •  Use of support cushions
            immune system                      treat infections caused by enterococci.                                                                                                                      SKIN CARE
                                               When enterococci become resistant       •  USE hand towels only ONCE.           •  Patients may be weak or           •  LOWER THE BED HEIGHT and side        •  Frequent skin examination
          •  There is an open wound            to vancomycin (not killed by it) it is                                            unsteady due to illness,            rails to reach items you need.         •  Keep skin clean and dry
            in the skin                        called VRE, which can cause infections   •  CHANGE and WASH LINENS                inactivity, or the side-effects of                                         •  Keep dry skin moisturized
                                               of wounds, the urinary tract or the       (towels, wash cloths, bed sheets)       medications.                       •  TALK TO YOUR DOCTOR if your          NUTRITION
          •  There is an IV, catheter or       bloodstream.                              regularly.                                                                  medicine makes you light-headed,       •  Maintain your healthy diet
            other invasive device in place                                                                                     •  Patients with altered mental       sleepy, sluggish or confused and ask
                                                                                       •  TELL healthcare providers              state are also at risk for falling.  how to reduce these side-effects.     •  Drink plenty of water
                                                                                         about patient’s MDRO.
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