Okay, what are some things that we can do
that are actually my responsibility
to do as a nurse
to minimize more of these superbugs growing,
or the spread of the superbugs
that we've already developed?
Well, you want to educate
your family members, your friends,
and your patients that,
"Listen, you don't always need an antibiotic.
I understand you don't feel good,
but if we keep treating viruses
with antibiotics --
so if you want an antibiotic for the flu,
or a cold, or a runny nose, or a sore throat,
we're going to increase our chances of making
more of these superbug villains."
When you do get an antibiotic appropriately
prescribed for you,
take the full prescription.
So when you're educating patients, these
are really important things
to keep in mind that you want to tell them,
if the doctor's written it for another 7
days,10 days, 14 days, whatever it is,
they can't stop that prescription
or taking those antibiotics every day
until all the medication is gone.
Because you don't want them to just
stop taking it when they feel better.
In fact, you can let them know that. "Hey,
when you start taking this antibiotic
and we really start changing the ads,
you are going to feel better,
but don't stop taking the medication
because it really puts us at risk
for that infection coming back stronger,
and for developing more superbugs."
Don't take anyone else's leftover
Okay, all of us are guilty
of not finishing some prescription and then
holding on to the bottle like a hoarder.
And so, if we went through most
people's medicine cabinets,
they've got this whole, like,
plethora of samples
and things that they have left over
from all the family members. Stop.
Get rid of those either -- if it's an
antibiotic and your doctor told you
to finish the prescription,
finish the prescription.
If, for some reason, your health care provider
decided that you stop in the middle,
you need to make sure that you get rid
of that medication responsibly.
So don't take someone else's prescription.
It's not a good idea for
you to tell somebody,
"Hey, I've got antibiotic for that.
Why don't you just take this?"
No, because you're probably taking
an inappropriate antibiotic
for the bug and you're just increasing
So, using combination drugs, we've
talked about a lot of those.
Just for fun, stop for just a minute
and see if you can remember
any of the combination antibiotic
drugs that we've studied --
we've even talked about some in this video --
look at some of the combination
drugs that we've studied
and write them in the margin of your notes.
Now, combination drugs are really cool,
like remember what we used
with the penicillins so they can
avoid the beta-lactamases.
We've used 2 different antibiotics together,
so you're bam, bam, it's like a 1, 2 punch.
You're coming at that bug with a couple
different directions. That's really cool.
That's why combination drugs
are usually better.
Now, urinary catheters, we talked about that.
Sometimes, though, we've been -- you know,
it's a lot of work to get a patient up,
or you're worried about them falling,
and so it seems like an easy answer
to just put a urinary catheter in,
but it really puts them at increased risk.
So, only put urinary catheters in when
we don't have any other option.
Do what you have to do to try
to avoid doing that.
And when you do use them, we have
some specially coated catheters
that do somewhat minimize the
risk of urinary tract infections,
but that's a huge problem
in a hospital setting
for someone to have a urinary catheter.
It is a direct line of infection.
I just think of it -- it's like
I see all these bugs on a little escalator
going straight up into that patient's body.
Remember, you are sharp enough to
look at culture and sensitivity reports.
You know how to read them.
We've talked about that.
If you haven't watched that video yet,
go back and check that one out
because you are more than capable
to take a look at a culture
and sensitivity report,
identify the organism based on the report,
know if it's positive or negative.
Know what the shape of the organism is.
Look at a listing of antibiotics and know
which one is going to be effective
and which one is not.
Because, remember, if you see an R on there,
That means the bug is resistant to
that medication, it won't work.
And if you see an S on that report,
it is sensitive to that and that's
what we're looking for.
You are more than capable of doing that.
So get in there, roll your sleeves up,
take a look at those reports, and
be a really effective member
of the health care team.