I'm finatical about sterile situations. I can answer this easily, because it's happened several times. The first time, I casually mention to the nurse, "ahem..did you realize you broke sterility?" Then I discuss how and what would have prevented contamination. The second time, I'm a bit more stern, "You MUST be careful to maintain sterility." Third time, it becomes public humility time. We're all sterility finatics (post-op floor), so third time around (some coworkers are not as nice, first infraction is public humility time
) I tell them in front of coworkers, "You contaminated that foley/cvl/dsg AGAIN. These kids are infected as it is, they don't need our contribution!" Fourth time, it becomes a unit "joke". If it hasn't been corrected by then, all the nagging and joking usually makes them more conscientious.
I remember one nurse, years ago when I was in nsg school and working as a clerk. She was trash, and it showed in her physical appearance and her work. She was plain nasty. Anyhow, we had a kid, sick as everything, getting ampotericin, gent, clinda..anyhow, I looked around and she's walking with the kids hyperal and lipids thrown over her shoulder, the tubing trailing on the floor behind her. I, the clerk, dang near died. I said, "uh, I KNOW you aren't going to hook that to Anne's CVL after you just DRUG it across this nasty floor!!?? Her reply, "ohhh, she's on abx. What could possibly hurt her??" She left a few months later, thank God (we still laugh about her eating rice off the nurses station counter where she'd drop it while eating..yuck, she was gross!)