Elkhart nursing home employee contracts bacterial infection
Elkhart nursing home employee contracts bacterial infection Save Email Print
Posted: 10:38 PM Dec 3, 2008
Last Updated: 12:21 AM Dec 4, 2008
Reporter: Sarah Platt
Email Address: sarah.platt@wndu.com

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For those who work in healthcare, illness in the workplace can be a bigger concern than many other jobs. And one nursing home employee in Elkhart had quite a scare this week.

On Sunday, a certified nursing assistant, or CNA, at Golden Living Center was diagnosed with C-DIF, that’s short for clostridium difficile.

C-DIF is a serious bacterial infection which had the employee hospitalized for several days. After three nights in the hospital, that 26-year-old employee is home recovering.

What he thought was a bad case of the flu, turned out to be something much more serious. A family member says he dropped about 20 pounds in the last four weeks. The family thinks the illness could have been prevented.

According to the Centers for Disease Control and Prevention (CDC), clostridium difficile, or C-DIF is most common in the elderly or people with weakened immune systems. So when a healthy, 26-year-old CNA was diagnosed with C-DIF, those closest to him asked questions.

The employee is home recovering now and Newscenter 16 spoke with a family member, who asked not to be identified. “This could have been a lot worse and it could get a lot worse,” says a family member of the employee, who asked to remain anonymous. “I think it was general working on the patients, it coulda been as simple as the resident went to the bathroom, didn't wash her hands, touched something else.”

C-DIF is spread through bacteria in the feces of infected people. The family believes a patient at Golden Living Center may have passed on C-DIF. They feel that patient was not properly quarantined at the time of their illness.

“My biggest concern is that I know some of the people that work at the nursing home. I know that the young adults have been exposed to this, I know that they were told that there wasn't any of this, you don't expect a young adult to get something like this,” explains the family member.

Newscenter 16 went to Golden Living Center for a comment. Officials asked not to go on camera, but gave a phone interview. The executive director admits one of their patients had C-DIF months ago, but says the situation was handled appropriately

“At this point, I have no active cases [C-DIF] in my building. I did have one resident that had been previously treated, but in last six months we have had no active cases of C-DIF in our facility,” says Carol Simmons, Executive Director of the Golden Living Center.

“I feel really bad for this employee and certainly if it is a result of something that happened in our facility, obviously we're going to be prudent in helping take care of that,” adds Simmons.

The employee's family says they’ve notified the Indiana State Health Department. As of Wednesday night, the health department has not returned Newscenter 16’s calls for a comment on this story.

“He's just hoping for the best, he's really young and he doesn't need this,” adds the family member.

Simmons says they’re not required to report this incident to the state. She says they're only required to report these situations if it's considered an "outbreak,” which is defined as 10% of the nursing home population.

Officials say now is a good time to remind everyone about the importance of washing your hands well and often.

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Posted by: Friend of the girlfriend Location: USA on Dec 11, 2008 at 11:46 AM
Check all your facts WNDU. Check into the CNA's personal life. Better yet talk to his girlfriend. Ask her about her statements to her co-workers and friends. I think you will find this is all about money. "We're going to own this place", "We're gonna shut this place down", and my favorite, "I am going to call state everyday until they shut this place down". All the nursing home can do is go through inspection after inspection and fight a false report causing them to lose admits to a facility that is full of caring people who actually help people get better and back home! Good work WNDU. Be proud that you have joined the ranks of the National Enquirer. You have affected the employment of EVERY staff member at Golden Living. What the CNA is doing is called black mail.

Posted by: nurse Location: elkhart on Dec 9, 2008 at 06:19 PM
The state did come into the building and they didn't find anything wrong. We don't have an epidemic of c-diff. That CNA should have washed his hands. I heard the hospital he was at has 8 cases of this bug in their hospital. THE BUG IS EVERYWHERE! Nursing homes are not all bad, just an easy target. People should take responsibility for themselves, and the news should verify the truth behind the story before putting it on the news. Some of us take pride in our jobs and I am proud to work in a nursing home. Somebody is after some money and that is the bottom line. The CDC says you can get it from not washing your hands and from taking a lot of antibiotics. Which issue did this CNA have? Did he not wash his hands or was he on a lot of antibiotics? He was either not a "healthy 26 year old man" as the news stated or he did not wash his hands. Those are the only 2 choices. Nobody reported a Goshen facility for their "outbreak" ? Sounds like circumstantial/prejudice reporting.

Posted by: Anonynous Location: Goshen on Dec 6, 2008 at 12:24 PM
I am a nurse employed at a LTC facility in Goshen with 4 diagnosed cases of c-diff and 1 recently sent to the hospital with it. No one can say where this CNA contracted c-diff, since it remains on objects at least 6 months. I say administration needs to isolate these patients since they can spread it throughout the facility. Last year we had even more cases and also 2 nurses (who did use precautions)also diagnosed. Nursing staff expressed their concerns to administration but at times we couldn't even find a gown when needed. Patients should be isolated until negative labs come back. Until then employees should not be totally blamed for spreading it. Patients can be reminded to wash their hands but many can not remember to do so. Administration likes to keep c-diff hush hush and I'm really tired of it. We do have signs on the doors of infected patients to inform visitors to talk to the nurse, but I've never had anyone ask me why. I feel enough is not done by administration.

Posted by: john doe Location: usa on Dec 5, 2008 at 06:15 PM
i am glad to see you all talking about hand washing, but have we talked about other ways to get c-diff. how about taking antibiotics, of which this cna was on. oh yes and this cna did not go to the hospital with c-diff, he went and was dyignosed with something else and then was tested for c-diff. dont forget that the cases of c-diff are brought to the nursing home from the hospital. so it is safe to say the cna could have got it from them also. it is bad that the cna got sick but more then the nursing home is at fault. we also need to look at his life style. more then just bad hand washing skills are to blame.

Posted by: chopper Location: LaPorte on Dec 4, 2008 at 11:30 PM
It's too bad that there always seems to be misinformed news about nursing facilites. I would be more concerned with the CNAs family at this point. It's seems pretty clear that the CNA did not use proper procedure, so are precautions being taken at his home???? or is his just passing it on to them as well....funny how some people are "sue happy" when it seems clear that it's his own fault!!!

Posted by: kurty Location: mishawaka on Dec 4, 2008 at 11:21 PM
Well, I am not a nurse, or health professional or anything like that, but I just wanted to say it makes me happy to see such informed comments on this website for once. Thanks for all your hard work!

Posted by: Anonymous on Dec 4, 2008 at 09:10 PM
AMEN, MIKE at 7:10 p.m. on 12/ 4!!!!!

Posted by: Mike on Dec 4, 2008 at 07:10 PM
I work in a nursing facility. I agree washing hands is important and the number one precaution in prevention for infection control. Its the first thing you do before and after resident care. You can not blame the facility for a cna not practicing proper infection control precedures. So does this mean if I go out in the public and catch the flu or a cold I can call Contact 16? Or should I blame the restaurant, grocery store, or where ever it is I went for the day? What a waste of a report. Everybody in healthcare we should report to the State Board of Health every time we get sick. Sounds pretty stupid huh? get well cna just don't blame anyone but yourself!!!!!!!!!!!!!!!!!!!!!!

Posted by: Anonymous on Dec 4, 2008 at 06:25 PM
I'm glad to see that at least one poster also mentioned washing the patient's hands. When I care for infected patients, I immediately provide them a warm, soapy washcloth when I enter the room for hand hygiene. Also, alcohol rubs are NOT effective hand hygiene protocols for C-Diff. If an employee observes ongoing violations of standard precautions and patient safety and disease transmission, and administration does not do anything about it, file a report with the state. When these facilities are fined and face medicare/medicaid funding implications, they will comply...trust me.

Posted by: Joe Location: Elkhart on Dec 4, 2008 at 06:20 PM
I worked as a cna/cmt in another state whee there was a ward with 3-4 c.diff patients. I worked with them day in and day out. Slowly, they would have their infections cured and not 1, not 1 employee ever contracted the disease. Why? Proper infection control, including wearing gloves, washing hands properly, not carrying clothing or bedding against the body. Simple precautions that were taught to us from day 1. Accept the responsibility, and stop blaming "the facility". Gee, sick people in a nursing facility. Go figure.

Posted by: anonymous Location: Florida on Dec 4, 2008 at 05:45 PM
I used to be a CNA. The 1st place I worked at, it had the illusion of being a very nice facility. But when the resident's families were gone or out of earshot, those universal precautions went right out the window. I was to take care of a resident who had MRSA in the lungs and throat...coughting everywhere. I wanted to wear a gown, face mask, booties, and of course gloves. I was told that it costs too much to gown up every time I had to go in there, and that I was only allowed to wear gloves. Another patient a couple of doors down, had syphillis. She was only 24 yrs old, had MS, and was bedridden. She would coax the older residents who were mobile, to come into her room and have sex. We were not permitted to tell the men that she had a DANGEROUS sexual transmitted disease. Even when we told the admins, they wouldn't do anything about it as far as new policies for letting residents mingle like that. Its pretty sad when you wonder how many people she infected cuz of HER privacy.

Posted by: Jim Dwyer Location: Baltimore on Dec 4, 2008 at 05:08 PM
There is a product for nursing homes that contains C-Diff in an area where there currently is no containment: in the showering area. 80% of residents are incontinent and at all times there are chucks, Depends, gloves AND hand washing, but in the shower things splatter onto shoes, shower chairs and castor wheels. C-Diff is present in both the Vegetative and in the spore phase as it comes from an infected individual. C-Diff spores can survive on surfaces for up to several weeks. This poor worker could have picked up the spore from an uncontained incontinent accident that occured months earlier! Google C-Diff to see how prevalent this is world-wide and go to www.davidstorm.com to see the Melanie bedside spa and the Lou-Lou. Both products are first and foremost for the containment of C-Diff.

Posted by: Jan Location: Elkhart on Dec 4, 2008 at 04:58 PM
This could have been avoided if the employee had washed his hands after contact with any patient. Proper hand washing, yes there is such a thing and it isn't just a quick wash, and wearing gloves would have protected this employee from contracting this illness. Most people really don't wash their hands the 'correct' way. I saw a demonstration recently where a lotion (Glo-germ)was applied to my hands and I was told to wash as usual. I thought I did a very good job...surprisingly when I held my hands under a black light my finger nails, between my fingers, and near my wrists 'glowed'. I learned I didn't wash as well as I thought.

Posted by: Healthcare Employee on Dec 4, 2008 at 04:03 PM
To Anonymous on Dec. 4 @ 1:31: Do you think it would be "gross" if one of us dressed in scrubs saved you if you suddenly became very ill while grocery shopping? Would heels and a miniskirt be more appropriate? Most of us wash our hands and follow universal precautions, or should I just say, we take responsibility for our actions! Also, when you see someone in scrubs at the grocery store, they may be a secretary or hold another job where they dress in scrubs. Don't judge everyone by what you do not know. I agree 100% with nurse in Granger, and I am not a nurse!

Posted by: Well said, all Location: LP County on Dec 4, 2008 at 02:59 PM
I think the reporters need to do their job and investigate BEFORE reporting "news" and not afterwards. They look kinda silly here, it's definitely the CNA's fault for contracting this infection. it's highly contagious, so if the facility were at fault, there WOULD be an epidemic, just as Ms. Simmons stated in the story. This young man needs to take responsibility for himself and protect himself with gloves and whatever else is provided. Shame on you WNDU and shame on the CNA for trying to shift the responsibility of cleanliness from the individual to the facility.

Posted by: Nurse Location: Granger on Dec 4, 2008 at 02:07 PM
To Anon. Your right, us healthcare workers are in it for ourselves! LOL. We should for sure go home after work, heaven forbid that we wear our scrubs to the grocery store!!! Do you think we roll around in blood and vomit all day? Learn to spell, I am embarassed for you! no-it-all. Wash your hands and you won't have any problems!

Posted by: Anonymous on Dec 4, 2008 at 01:31 PM
You health care providers are all about yourself,,gee don't you think that this could spread to the public from some of you that go outside and pass your nasty germs..no-it-alls. I see it all the time,,grocery shopping after work in the "scrubs"!! GROSS

Posted by: CNA in the same facility Location: Elkhart, IN on Dec 4, 2008 at 12:26 PM
Here is the problem - The director of the nursing home said there was no Cdif there, however one of the supervisors confirmed Dec 3 there is. According to the St Dept of Health in Indy, this germ can stay active for 6 months on a hard surface. Did any of you ever pick up a blood pressure cuff and use it without gloves? Well, there you go. Any small children ever come in to see grandma and use the remote control? Well there you go. This is the most meticulous CNA you will ever see. He goes through more gloves than the normal caregiver and washes his hands everytime he leaves a room. I know because I work with him. It's the not knowing that someone has this bacteria that can kill you. Beware - it can happen to anybody!! And just to let you know, the nursing home is paying for this thru workmen's comp. Any questions?????

Posted by: RN on Dec 4, 2008 at 12:24 PM
The employee should have practiced "univeral precautions." PROPER HANDWASHING !!! I have been a RN for over 10 years with a chronic disease I might add, have taken care of numerous patients with c-diff and have never been infected. Did someone ask the employee if she assisted the resident to wash her hands after toileting. The majority of the residents need help that is why they are living in a nursing home. Sounds like the employee needs to stop complaining and begin washing her hands in between all patients. This would protect the staff and the elderly residents.

Posted by: rn Location: michigan on Dec 4, 2008 at 10:24 AM
I have been working around pts with C-diff since 1990 and have yet to contract it. Prevention is as simple as washing your hands and treating all pts as potentially infected. Failure to do so can result in spreading and contracting the bacteria. The only person at fault here is the worker.

Posted by: Hmm Location: mi on Dec 4, 2008 at 09:22 AM
My MIL spent a few years in a nursing home. The people that took care of her were wonderful and caring people that hugged her, etc, and she would frequently pat their faces etc. This guy might have done everything right and still ended up being contaminated in other ways.

Posted by: former QMA/CNA/Unit Secretary Location: Goshen on Dec 4, 2008 at 08:39 AM
I was once a healthcare worker at a notable facility. I don't feel it is the nursing home's responsibility if YOU failed to wear your gloves or wash your hands. This could have been prevented if he would have washed his hands and worn gloves. How gross is it to change an adult brief (diaper) that has BM in it and not wash???? He probably went straight to lunch. YUM....look at what it got you! Who knows who else he has passed this on to. I think it would be a case for a firing. It's not the facility's fault you're and idiot!

Posted by: sue Location: here on Dec 4, 2008 at 08:17 AM
Wait a minute. Is this person trying to make the nursing facility liable for not washing their own hands? What a doofus.

Posted by: HCW Location: Niles on Dec 4, 2008 at 07:51 AM
Hello...YOU are a healthcare worker. You have the potential everyday when you go to work to contract a virus or bacteria that someone else has regardless of whether you know the person that you are caring for has it or not. It is called personal protective equipment and good handwashing. This is not a news story. This is failure by you to protect yourself.

Posted by: Diana Location: St. Joseph, Mi on Dec 4, 2008 at 07:48 AM
I to work in healthcare and if the employee would have used proper precautions he would not have gotten C-dif! I feel the nursing home isn't responsible for the illness it is the employees responsibility to use the precautions that he was taught!

Posted by: Cathy Location: Niles on Dec 4, 2008 at 07:36 AM
I have worked in the medical field for a long time now, all it takes is "one" time you forget to wash your hands, or dont wear the appropriate clothing and you can get this. You cannot hold a faucility responsible for this, when you take on this kind of work you also take on being responible to wash your hands, and be on gaurd at all times. I am sory this has happened, but it will continue all long as people dont remember hygeine.

Posted by: Andrea Location: Mishawaka on Dec 4, 2008 at 06:42 AM
I am a nurse and have been for 8 years. One of the first things I was taught in nursing was to protect yourself as if every patient you encounter is infectious. That doesn't mean extremes of gowns and gloves always but is does mean wearing gloves when you have patient contact. I am not a perfect nurse, but I will do whatever I have to do to keep myself healthy as well as my family which does include 2 children that are immuno-compromised. At this point no one in my home including myself has come down with anything more than a cold since I have become a nurse. The point is wash your hands, and wear your gloves, don't touch your face, nose or eyes with your hands.

Posted by: Matt Sanford Location: Elkhart on Dec 4, 2008 at 06:14 AM
I work at a long term care facility and I watched your report on tv and it seemed that there was more time spent on the family being upset at the facility and less time on the importance of washing your hands and wearing gloves whenever you care for a resident. In the last couple years that I've worked in nursing homes, I've seen many CNAs not wash their hands and they didn't put gloves on in between residents. This can not only harm the CNA, but it can harm the residents as well. The family needs to know that this is the risk nurses and CNAs take everyday.

Posted by: Linda Location: South Bend on Dec 4, 2008 at 05:42 AM
Three years ago, my daughter, who lives in Philadelphia, contracted c.diff. It was so severe that had she waited another hour or two, according to the specialist, he would not have been able to save her life. She, too, thought she had a severe case of gastroenteritis. I strongly urged her to go the the ER. Thank God, she did. She was in the hospital for two weeks, isolated, and she had lost several pounds. She recoveored after a few weeks. C.diff can most certainly be life threatening.

Posted by: SR Location: Mishawaka on Dec 4, 2008 at 12:01 AM
As healthcare workers, we are taught over and over to follow Universal Precautions (gloves, gowns, masks, eye gear, handwashing, etc.) at all times and especially if there is a possibility of exposure to any body fluids. That being said, one has to wonder whether or not this CNA was following these precautions when taking care of these residents. If he was, the chances are pretty good that he didn't come in contact with this bug at work. It's more likely that the bacteria became an infection d/t prior antibiotic usage (the usage of antibiotics may bring this infection on). C-diff is not airborn. It can only be contracted through direct physical contact. It is possible that he wasn't using these precautions. C-diff may be found in food, in the colon, on bed linen, etc. There is no telling where he was exposed. If I were him though, I would be looking at myself and hoping that I didn't pass this on to anyone else through my own poor judgement in not utilizing Universal Precautions.


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