this morning there were more graduate and post-graduate degrees gathered around a king arthur sized conference table to discuss the implications of MRSA. this is a highly contagious and transmittable illness with more consonants than a polish dictionary. for the super nerds http://en.wikipedia.org/wiki/Methicillin-resistant_Staphylococcus_aureus will give you as much information as it takes to learn how to pronounce the bloody word.
our job, as supervisors/RN's/medical directors/OT's/respiratory therapists was to figure out a way to ensure that direct care staff were following our tediously scripted and re-scripted policies and procedures regarding handwashing and wearing PPE (personal protective "equipment", more commonly recognized as "gloves" and "gowns").
"well, over on our residential house we tend to have a lot of ringworm, lice, scabies, runny noses and leaky bottoms" (i talk to keep myself awake).
president of QI for the agency: "so when YOU wipe a resident's nose, you obviously go and wash your hands right away."
"uhm. well, how am i supposed to build up any immunity to bacteria if i do that?"