Originally Posted by SillyStudent
I recently had a patient's family insist that I use soap and water at the sink as opposed to the hand sanitizer at the door. It went like this:
Family: You need to wash your hands before you touch Mom.
Nurse: *still rubbing hands* I always use the sanitizer that we keep at the door before I touch a patient. If my hands become visibly soiled, and many times throughout the day, I use soap and water.
Family: We would prefer you use soap and water.
Nurse: Why?
Family: *Flustered, but still righteous* Because it's better!
Nurse: Actually, as long as the alcohol content of the sanitizer is high enough, it is as effective, or more effective than handwashing. It depends on the person's handwashing technique.
Family: What do you mean?
Nurse: Let me get you something I have printed out
*nurse runs off and gets an article about hand sanitizer and soap and water studies that cite no discernable difference between handwashing and sanitizer, as published by the CDC*
Family: *scans the page for 3 seconds* We want you to use soap and water.
Nurse: Ok
*headdesk*
So much for education.
I heard that hand sanitizers even kill organisms that just soap and water don't! I don't have the literature to quote to back myself up... But its true from what I understand.
HOWEVER
To be completely fair... I know when we have a patient in contact isolation for Cdiff.. we have to use soap and water, not just the sanitizer...because it doesn't remove the cdiff....