Okay, again, as we're looking at this slide,
it's beautiful and the color is purple.
So, pause for just a minute
and see if you can remember
what type of organism this is.
Is it gram-positive
or gram-negative, just based on the color?
Okay, that beautiful purple color is brought
to you by a gram-positive organism.
This is vancomycin-resistant enterococcus.
Okay. Now, this is some bacteria that
normally live in my intestines,
in the female genital tract.
Hello, didn't see that one coming, did you?
But it can also cause infections
in your brain,
in your heart valves, in your urinary tract,
in open wounds, or even your bloodstream.
Remember, once an infection is
in your bloodstream, wow,
we're really at risk for sepsis.
The problem with sepsis is
it leads to organ failure,
septic shock, and death.
So, I know I always sound like, "Wow,
you are Debbie Downer,"
but we just always want you
to keep in mind, what is
the worst case possible scenario,
so, as a nurse, you'll recognize any symptoms
as you move toward that in
any way, shape, or form, so we can
intervene and stop that process.
So VRE, vancomycin-resistant enterococcus --
Let's have some fun. Let's see
what you already know.
What does the word "resistant" tell us?
Yeah, it tells us that this used to be --
this bug used to be killed by an
antibiotic, and now it's not.
Now, from the name,
which antibiotic did this bug
used to be killed by?
That's what we call it vancomycin-resistant.
Okay, by the way, what is this bug?
Right there in the name -- enterococcus.
So we know that enterococcus used
to be killed by vancomycin,
but now it's resistant.
And when it comes to antibiotics
and drugs and bugs,
we want to make sure that
whatever our bug is,
it is not resistant to a medication
that we're using to treat it.
You're always looking for the word "sensitive"
on those culture and sensitivity reports.
So you want to make sure that your
bug name and your drug name,
we've got the right drug for the right bug,
and we know that it's sensitive
to that medication.
So we know this is -- Remember, this
is a bug that lives in our body.
Some usually in our intestines, in
our female genital tract,
but it can cause problems in
lots of different areas,
and it's spread, like the others we've
talked about, by contact.
Okay, so what's different about this drug?
I'll hit it, but you're seeing a
really common theme here.
We have the chance, as nurses
and healthcare providers,
to stop the spread of infection,
but it really depends on us;
how we wash our hands, how
we wash our stethoscopes,
how we sanitize things, how
we care for our patients.
How careful we are with the
things that we hold
and we contact our patients with.
So, remember, you play a phenomenally
large role in stopping,
not just in how we give antibiotics,
but stopping the spread of bugs
in the hospital setting.
So, we can't really use vancomycin
to treat this, so what do we use?
Well, you use a culture and sensitivity
test, just like we did on the others.
So you're going to use an antibiotic
that it is susceptible to. We're going to
base it on some treatment protocols.
So I've listed the drug names for you there.
Now, what I want you to do is I'd like
you to star the drugs
that you've already watched the videos for,
and jot yourself some quick notes.
What do you remember about those?
And you know the drill.
Underline the ones that you have not
watched the videos for yet,
and write yourself a note to follow
up after this video.
Look up what family or category they're in,
and make sure you watch those videos.
That way, you have a better understanding.
You've got more stuff to connect it to.
It will make a happy brain and 1 that
can remember those things
when you take an exam or when
you treat your patients.