Hand Hygiene Saves Lives, But Is It Realistic For All Nurses? - page 3
by TheCommuter 18,701 Views | 47 Comments Senior Moderator
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 for Disease Control and... Read More
- 0Dec 13, '12 by samadams8Quote from NurseDirtyBirdMy 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.
- 1Dec 13, '12 by crazy oldnursewell 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.
- 2Dec 13, '12 by BarleyQuote from DanidelionRN("it" being foam/alcohol)it is statistically easier on your hands, as well.
I'd be interested in a link to studies to support this idea that alcohol is statistically easier on the hands. When I went to my employee health center for red, dry cracked hands, they told me to avoid the alcohol based products and opt for soap and water (which, incidentally, is difficult at our facility since the only employee sinks are far down the hall from most of the patient rooms).
Now I do a mix of both - soap and water when I'm not far from the sink or have time to walk to the sink, and alcohol gel or foam when I'm in a rush. My hands seem to do better when I can avoid the alcohol more.
- 1Dec 13, '12 by BarleyThe original post makes me wonder about more than hand hygiene - if someone has to make two visits to 68 residents in 8 hrs, that's an average of 3.5minutes per visit - what does one reasonably expect to get accomplished in 3.5minutes? And that's assuming there are Zero activities besides these visits during the 8hr period. Sounds like unsafe conditions and ineffective care would be the norm at such a facility, regardless of whether HH were done.
- 0Dec 13, '12 by BrandonLPNQuote from BarleyI'm guessing you never worked in LTC. In a nursing home, most of the residents are relatively stable. All some residents might need from a licensed nurse in any given shift are some meds and a eyeballed once-over-lightly visual assessment. On third shift (the shift where you'd have 68 residents) you should really just let them sleep unless absolutely necessary. To do an actual full blown nursing assessment on every resident every shift is not only unnecessary, it would be a violation of the resident's right to peace and privacy.The original post makes me wonder about more than hand hygiene - if someone has to make two visits to 68 residents in 8 hrs, that's an average of 3.5minutes per visit - what does one reasonably expect to get accomplished in 3.5minutes? And that's assuming there are Zero
activities besides these visits during the 8hr period. Sounds like unsafe conditions and ineffective care would be the norm at such a facility, regardless of whether HH were done.