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SCPA

Staying well during flu season

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Who wears a mask during encounters with flu + patients?? Thinking about going that route this year..had a rather unpleasant bout w/ the flu last season.

My exam rooms are shoe box sized, so we're up close and personal the entire time.

 

Just curious how normal (or abnormal) this is! 

 

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I wear eyepro (with +3.0 readers), fastidiously wash my hands, and got my flu shot a couple of months ago.  No masks, though. I also have my MA run rapid flu on reasonable suspicion (cough+body aches+rapid onset, etc.) so I'm mostly not seeing flu patients until I already know they do or do not have flu, so if they're positive, we skip to why Tamiflu is not (or is) a good idea and it's a pretty short encounter.

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Wash hands.  Wash hands. And wash hands.  

 

When I worked a flu clinic in ER I worn a fluid shield face mask all shift.  

When flu gets going I wear a mask if I am seeing some.  Also I NEVER stand in front of them.  Always on side or behind them.  And ask them to turn their head away from me when exam.  Seems to work.  

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35 minutes ago, ventana said:

Wash hands.  Wash hands. And wash hands.  

 

When I worked a flu clinic in ER I worn a fluid shield face mask all shift.  

When flu gets going I wear a mask if I am seeing some.  Also I NEVER stand in front of them.  Always on side or behind them.  And ask them to turn their head away from me when exam.  Seems to work.  

Except for when the not so bright patients think that turning their head to the side and openly coughing takes place in the direction of your room exit so now you get to walk through the suspended spray field that not only exists for that visit but according to the literature, up to TWO hours.

No, I don’t wear a mask,  though our NP did all flu season last year.  I am annually vaccinated.

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1 hour ago, rev ronin said:

I wear eyepro (with +3.0 readers) 

Like the tactical glasses?

 

 

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3 minutes ago, SCPA said:

Like the tactical glasses?

Yep.  Uvex Genesis 2's with readers, specifically.  $12 on Amazon, so I could really care less if they get scratched or lost. Also, there's nothing more satisfying than having I&D contents hit your eyepro instead of your face...

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I used to work with an awesome nurse who put a mask on the patient if they continuously turned towards the healthcare staff and coughed or didn’t/unable to cover their mouth when coughing. 

Edited by jennelise

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Last year when I worked a walk-in I wore a mask the entire flu season.  It probably didn't do anything except remind patients of their germs.  My biggest preventative health was to turn to a young adult (who probably didn't know better) and tell him "for crying out loud, cover your mouth!".  His daddy got upset, but that's what you get for bringing your 23 yo to the walk in for a cold. 

I would recommend a spray bottle with water, to train them like cats.  They cough, just spritz them. 

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