Albert Einstein defines insanity as doing the same thing over again but expecting different results. Although the United States claims to reduce antibiotic abuse, practice strict isolation, and clean meticulously, the burden of Clostridium difficile outpaces goals. Unless innovative approaches are tried, we risk culling elderly, immunosuppressed, and otherwise debilitated populations. Emergency departments are a primary access point for patients who are unable to wait for primary care. As a result, many patients with diarrhea are seen in emergency departments.
Author: Molly Bridget DelaneyPhD, MSN, MBA, RN, CEN, CPEN, Member, Twin Cities Chapter 155, is East Bank ED Nurse Manager, University of Minnesota Medical Center, Fairview, Minneapolis, MN.