Hand Hygiene Saves Lives, But Is It Realistic For All Nurses? - page 2

As healthcare workers, we all know that proper hand hygiene saves lives because it greatly helps to prevent the spread of microbes that cause lethal diseases. Reputable entities such as the Centers... Read More

  1. Visit  NurseDirtyBird} profile page
    2
    My SNF DON abhors hand sanitizer and won't allow it to be installed in pt. rooms. I don't think she gets that it's not possible for us to wash our hands 250 times a day. If I washed in and out and every room, that's all I would do all day. Most of us keep our own hand sanitizers with us, in pockets or on the carts.

    As far as moisturizers are concerned, before I found Gold Bond Healing cream, I could effectively scratch an itch with the back of my hand. That stuff is the only thing that worked. I tried bringing my own soap to work, changing sanitizers, every cream or lotion I could find. I tried hand protectants like Silicone Glove, and nothing ever worked. Gold Bond worked over-freaking-night. And no, they're not paying me to say this (although if they wanted to, I wouldn't turn it down!).
    RNfaster and wooh like this.
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  3. Visit  timmedico} profile page
    1
    Florence Nightingale seemed to think so. It would be neat if some grand new technology could someday come into play and make hand hygiene as we know it obsolete...but for now, hand hygiene is realistic, necessary, and crucial to the profession.
    BostonTerrierLoverRN likes this.
  4. Visit  wooh} profile page
    2
    Quote from BostonTerrierLoverRN
    Vinyl powdered ones,
    Powdered gloves? I had no idea they still made those! How horrible!
  5. Visit  DanidelionRN} profile page
    1
    Quote from NurseDirtyBird
    My SNF DON abhors hand sanitizer and won't allow it to be installed in pt. rooms. I don't think she gets that it's not possible for us to wash our hands 250 times a day. If I washed in and out and every room, that's all I would do all day. Most of us keep our own hand sanitizers with us, in pockets or on the carts.
    Perhaps if you found some actual studies concerning its effectiveness, it would help? http://whqlibdoc.who.int/publication...597906_eng.pdf WHO Guidelines

    Hand Hygiene Resource Center
    tewdles likes this.
  6. Visit  samadams8} profile page
    0
    Quote from nursel56
    I just wanted to comment on the HH/private-duty nurse thing, because in my experience you usually do find the "bar soap from hell" in people's bathrooms. Yes, complete with grimy fingerprints, embedded in a gelatinous funk. Most of us bring pump soap and paper towels. In a pinch, there is dish soap and air/shake drying. I think statistically, there are fewer infections in homecare settings but you are so right about the "variety" out there!
    I believe CDC guidelines are to scrub with soap for at least a ful 15 seconds, dry with a clean paper towel, and, especially if the soap that was used (dishwashing liquid or whatever) was not antibacterial soap, you are to f/u by using at least 70% alcohol, rubbing vigorously.
  7. Visit  BrandonLPN} profile page
    2
    If the LTC facility has ample hand sanitizer available, I think it is viable. I have up to 49 residents on 3-11. I manage to sanitize my hands after each med administration, finger stick, vitals check, etc. But that's only because we have a sanitizer dispenser on the med cart and in each room.


    If a LTC facility expects it's nurses to wash hands in a sink, proper "by the book" hand hygiene is 100% impossible. It would be stupid to even try to sink-wash your hands every time during a 50 resident med pass. You'd be setting yourself up for a total fail.
    NRSKarenRN and morte like this.
  8. Visit  samadams8} profile page
    0
    Quote from NurseDirtyBird
    My SNF DON abhors hand sanitizer and won't allow it to be installed in pt. rooms. I don't think she gets that it's not possible for us to wash our hands 250 times a day. If I washed in and out and every room, that's all I would do all day. Most of us keep our own hand sanitizers with us, in pockets or on the carts.

    As far as moisturizers are concerned, before I found Gold Bond Healing cream, I could effectively scratch an itch with the back of my hand. That stuff is the only thing that worked. I tried bringing my own soap to work, changing sanitizers, every cream or lotion I could find. I tried hand protectants like Silicone Glove, and nothing ever worked. Gold Bond worked over-freaking-night. And no, they're not paying me to say this (although if they wanted to, I wouldn't turn it down!).
    Yes, this is what I use too; but I wash and gel so often, I wonder if I am wasting money.
  9. Visit  samadams8} profile page
    0
    Quote from NurseDirtyBird
    My SNF DON abhors hand sanitizer and won't allow it to be installed in pt. rooms. I don't think she gets that it's not possible for us to wash our hands 250 times a day. If I washed in and out and every room, that's all I would do all day. Most of us keep our own hand sanitizers with us, in pockets or on the carts.

    This is ridiculous. They have hand sanitizer devices in convenience stores, movie theaters, and you can't eat or go anywhere without using them on a cruise ship. For good cause, there are people on cruises that literally take the initiative to squirt your hands with alcohol if they see you bypassing the gel delivery devices upon entry into a dining area.
  10. Visit  amygarside} profile page
    0
    This article made me stop and consider about this dilemma, well I think that it should really become a habit because this simple process could save many lives.
  11. Visit  Pheebz777} profile page
    1
    It's definitely difficult to keep up with proper hand hygiene in the workplace with out the proper mindset. I have a 4 yr old daughter at home. And everytime I enter or exit a patients room, I have her in my mind.

    Yes for me.
    tewdles likes this.
  12. Visit  crazy oldnurse} profile page
    1
    well for myself...my hands look horrible. I do the required 3 uses of sanitizer and then a thorough hand washing on entering a pt's room and proper cleansing upon exiting the room. I am a peds RN. I deal with medically fragile infants on some kind of life support.Trachs,drsgs,g-tubes vents. I have yet to have my primary babies have trach or some kind of infection. My babes do not have diaper rashes unless they were d/ced with one.I use gloves as needed. my clients are in home and will need progressive care changes as they grow and thrive. I have my hands in soapy water all the time and now despite skin care for myself I am afraid that there WILL be a study about nurses who look like they have ocd. I have small bottles of "nu-skin" with me at all times and bandaide that look nand act like hydrocollodial dressings.
    samadams8 likes this.
  13. Visit  multi10} profile page
    2
    My hands look much older than my face because of years of being a nurse and washing my hands before and after each patient.
    tewdles and AnonRNC like this.
  14. Visit  multi10} profile page
    0
    I just returned from my first cruise. There were folks outside each restaurant offering hand sanitizer. Question: Does hand sanitizer make one more vulnerable to disease in the long run? Does it set you up to make you more susceptible to resistant bacteria?


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