A client is newly diagnosed with MRSA (methicillin-resistant Staphylococcus aureus) in a wound. What precautions are required?

MRSA — CONTACT PRECAUTIONS: TRANSMISSION: Direct contact (touch) with infected wounds, skin, or colonised areas; indirect contact (contaminated surfaces and equipment); MRSA DOES NOT require special respiratory precautions (unless the patient has pneumonia with productive cough — then droplet may be added for respiratory secretion management, per facility protocol); CONTACT PRECAUTIONS: PPE: Gown + gloves upon ROOM ENTRY (not just when touching patient — MRSA contamination on all surfaces in the room); Private room or cohorted with another MRSA patient; Dedicated equipment stays in the room; HAND HYGIENE: On entry and exit from the room; EDUCATION: Family and visitors need teaching; DECOLONISATION: In some cases, mupirocin nasal ointment and chlorhexidine washes ordered to reduce MRSA colonisation; SIGNAGE: Contact precautions sign outside the door; document in medical record; notify receiving facility on transfer; REMOVAL OF PRECAUTIONS: Per facility protocol; typically requires negative culture results; some patients remain MRSA-colonised indefinitely.