Hand Hygiene Saves Lives, But Is It Realistic For All Nurses? - pg.4 | allnurses

Hand Hygiene Saves Lives, But Is It Realistic For All Nurses? - page 4

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  SweetPEI profile page
    0
    Quote from MedChica
    If I'm playing mednurse for the day then hand sanitizer/wipes are the only way to perform hand hygiene between EVERY single pt.I
    have to put my meds away... clear my cart... locate a bathroom because the one closest to the dining hall (employee bath) is broken, etc....
    I don't have time for that.
    We have sanitizer dispensers installed...and 1/2 are usually empty because house-keeping is lazy about filling them.

    I have to pull meds as quickly as possible:
    - I usually have between 40-42 residents to administer meds to.
    - SEVERAL people (para schizo, manic) must have their medication added to their food or they won't take them and they'll start getting out of hand...before you know it, they're raging and we're having to send them out to bring them down. I have one little lady who just got back. They readjusted her meds. DC'd one and put her on a benzo (can't recall the name). It's working. She's calm. Talkative, even. Still very delusional but more...'normal'. You can almost see the REAL her peeking through sometimes. Almost.
    We need to keep her that way. She canNOT afford to be allowed to skip meds. I try my d*mndest to beat the food trays to her in order to keep that woman regulated. Etc....
    - I need to get the meds out 'on time'. I need to pass the meds at the times when the residents are most likely to congregate in one spot.

    I'd like to mention that I don't touch the meds. Since I cut corners on the hand hygiene...I try to, at least, not handle the pills with my hands.

    Other than that - if I'm just a regular nurse for the day? Yes - I wash hands between each and every pt. Its not like I'm doing in-depth assessments on all 40+ pt's. Pass a few meds. A treatment here. Some woundcare there. A little suctioning as needed.
    The time crunch comes with the paperwork/charting, mostly.
    I hate charting.
    I hear your gripe, but I don't see the problem. Hand sanitizer came about because of situations where hand washing was not feasible. If the hand sanitizer is always out, then get a hold of housekeeping... better yet get them to give you your own and stash it somewhere. I look at it this way: if it were my mother....
  2. Visit  military spouse profile page
    0
    I think it can be very challenging. I worked in a setting where the only sink with running water was out a door, down a corridor, make a left turn, unlock another door and then unlock the bathroom. Needless to say, gel was our primary means of hand hygiene. And no, time was not allotted for washing hands...
  3. Visit  tots24 profile page
    0
    I put Eucerin cream on my hands and wear gloves to bed, otherwise the skin on my hands cracks in 2 days!
  4. Visit  Firestarter_RN profile page
    0
    I am one of the few who believe washing is horrible!

    Your immune systems suffer from the constant flora changes as your skin constantly looses its oily protective abilities. I use feminine hygiene sprays to somewhat help with body odors, but I only bath 1 time per week, I haven't been sick in years now. Tremendous studies have been done on this. Europeans are far different than Americans on these "hygiene ethics."
  5. Visit  Firestarter_RN profile page
    0
    Quote from tots24
    I put Eucerin cream on my hands and wear gloves to bed, otherwise the skin on my hands cracks in 2 days!
    I have found hydrocortisone cream helps with vaginal and anal related itching secondary to reduced bathing. If you really think about the damage we are doing our skin with daily cleansing- it's a no brainer why all the lotion is needed. Why lip balm is needed.
  6. Visit  BostonTerrierLoverRN profile page
    0
    I had a college professor that preached the "evils" of bathing. If you only want to bathe weekly- let's consider daily perineal care at least
  7. Visit  PalmHarborMom profile page
    2
    Quote from Firestarter_RN
    I have found hydrocortisone cream helps with vaginal and anal related itching secondary to reduced bathing. If you really think about the damage we are doing our skin with daily cleansing- it's a no brainer why all the lotion is needed. Why lip balm is needed.
    I am all for someone doing as they please in regards to their personal care but... If you are having issues with vaginal and anal itching related to decreased bathing frequency, that may be your body sending signals that it needs more care than you are providing. Those are 2 areas that need daily cleansing.
  8. Visit  nursel56 profile page
    1
    Quote from Firestarter_RN
    I am one of the few who believe washing is horrible!

    Your immune systems suffer from the constant flora changes as your skin constantly looses its oily protective abilities. I use feminine hygiene sprays to somewhat help with body odors, but I only bath 1 time per week, I haven't been sick in years now. Tremendous studies have been done on this. Europeans are far different than Americans on these "hygiene ethics."
    I've been showering and washing my hair daily for decades and I haven't been sick in years, either. I only post that to offer the possibility that there might be some factor(s) involved other than the lack of bathing. I use mild soap and don't scrub my skin top to bottom, though. I just can't stand any type of deodorant body sprays.
    BostonTerrierLoverRN likes this.
  9. Visit  macawake profile page
    1
    Quote from Sadala
    I think in one country (Sweden maybe?) they don't even let you bring your scrubs home. The hospital launders your gear and you change AT work. And... they have lower infection rates.

    .
    You are correct, in Sweden we are not allowed to take our scrubs home or wear them outside the hospital or healthcare facility. The employer provides scrubs and you have a choice of white or lightblue. The light colours guarantee that stains are clearly visible so that you can change into clean set. The colour concept is very "pro-hygiene" but I must admit to being slightly envious of those in other countries who have a wider range of colours to choose from. The employer is responsible for laundering the scrubs (I should probably say boil , they're washed at a very high temperature).

    I guess we do have rather strict hygiene guidelines. Short sleeves only, short fingernails, no nailpolish, no wristwatch, no rings allowed (that includes wedding bands). Soap and water if hands are visibly soiled, always apply handsanitizers to hands and lower forearms (rub vigorously ) before and after contact with a patient and we also use gloves and disposable plastic aprons for every bedside visit. These rules apply to all categories of healthcare staff. Luckily the hand sanitizer has some moisturizing agent in it so I find that after my shift my hands are usually softer than before my day started.

    I consider hand hygiene an important part of healthcare and achievable in close to all healthcare settings. I do realize that if you're providing care in an environment that doesn't have running water, maintaining proper hand hygiene may be problematic. The "no-running water" scenario might the one exception, and the healthcare provider will have to make do with handsanitizer.
    Fiona59 likes this.


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