Present on admission
I have patient that was admitted with aspiration pneumonia with secondary bacterial pneumonia sputum culture MRSA. Attending and consultants documentation both in agreement on diagnosis. Subsequent sputum cultures completed 4 days into stay which returned as MRSA. Sputum culture repeated again on the 10th hospital day with findings of pseudomonas. I am having hard time with POA on this one since patient was admitted with pneumonia but pseudomonas was not on cultures until 10 days into stay. I am thinking has to be no on POA, uncertain on querying for present on admission status. If someone could please give thoughts.