No gloves ever?!? - page 8
So I'm in my last rotation of nursing school and I followed a nurse in CVICU today. Well from the getgo he mentioned he's "old school" and that's fine with me. In fact I get excited when I hear that... Read More
Feb 27, '11Now......... I DID NOT say go and call the guy an idiot. What I usually do for the record is pull a nurse aside and tell them what I saw that was unacceptable and believe me I see a lot b/c of my position. How I deal with it next depends upon the response that I receive. Some things that I have seen are so egregious that I decide to go to the supervisor immediately. Once I witnessed a very stressed male RN hit a elderly mean b/c he had soiled the bed and then the poor pt was so confused had put his hand in it. I immediately stopped the abuse and never gave that nurse a chance to correct anything. I called the house supervisor and shortly thereafter he was escorted out of the building.
In this case you can bet that nurse knows better. It is posted everywhere in hospitals..hand gel everywhere..hand foam everywhere...sinks everywhere....Joint Commission NPSGs everywhere...in staff meeting...in every nursing policy and procedure manual...NO so I do not buy it that it was just a slight little error The truth and reality of the situation is that nurse can KILL someones mother..father...brother.....son...daughter...SOMEONES LOVED ONE. All he as to do is not wash his hands and then touch a central line and oops the pt dies from overwhelming sepsis. So no I have no problem calling someone this careless with another life an idiot. Now if he was an idiot I had to deal with,,YES I would approach him..and then continue to watch him and if no changes I would then go to his supervisor. I would also write up an incident report. This student had very few options as I see it...do you really think that supposedly seasoned nurse would have listened to the student nurse? I would not care about anything that nurse had to teach me or anyone if he can not follow the most basic of nursing care standards.....As I am sure you know hand hygiene is the SINGLE MOST IMPORTANT thing a health care professional can do to prevent infection.
Feb 27, '11While rounding recently on a surgical floor, I saw a medical student remove a patient's abdominal dressing WITHOUT gloves on! I was horrified! I looked for her when I was finished seeing the patient, but she was gone. I remain stunned and will talk to her about it if I see her.
Feb 28, '11I realize that I have a lot to learn. I am about to enter nursing school. I recall something called nosocomial infections being stressed in my micro class... um yikes!?!
No matter how little one minds personally contaminating themself with pathogens... are we not legally obligated to do our best to prevent passing them around to all of the other pts in the facility?
I suppose the lax viewpoint is why there had been such a rise in this type of infection in recent years. Holy cow.
Sep 27, '11I can totally relate to the OP. I did my first rotation in LTC, and not one pair of gloves... and no hand washing between residents either. (this includes stool) And we were given the line, "some people take short cuts... YOU are to follow protocols when you are caring for the resident". There were a lot of things I saw there that I did not agree with, and struck me as upsetting.
Sep 28, '11Quote from dizzyray822You absolutely did teh right thing and it was not gossiping if it was said in the context of post conference. That's where the good the bad and the ugly is discussed! just be sure that everyone remembers confidentiality of the patient and does not discuss teh details of post conference in the elevator or anywhere else!!!Now I'm gossiping!! As a STUDENT we tell our experience at our post conference and how we felt about it. That's not gossiping. I have very strong gut feelings that what happened yesterday was completely wrong. COMPLETELY, no question about it. I didn't feel comfortable learning much from this nurse because of it. This feeling has never happened to me before but as far as I'm concerned I did that right thing by reporting to my instructor.
Sep 28, '11Quote from BabyLadyAs the use of gloves is "standard of care", touching the genitalia w/o gloves could specifically be construed as sexually oriented, and therefore sexual battery or assault. This would be without regard to patient consent, LOC, etc.. Some male OB/GYNs have been prosecuted for "unnecessary" and bare-handed exams, that while w/in standard of technique were determined to be overly frequent, or in the case of bare-handed, specifically sexually gratifying to the doc.Good Gosh..are you serious?
Do you really think that a glove vs no glove can make a difference of sexual contact?
So if a healthcare worker wanted to molest a patient with their hand, all they have to do is don a glove and call it peri-care and they are scot free?
Please let those on the abuse registry know where they went wrong.
Unwanted sexual contact is LEGALLY DEFINED as contact of any kind...glove or no glove!!!!!
I guess if you wear a condom, you are not guilty of rape either because technically, you didn't touch them.
Oct 8, '11Sometimes when we have been on the job awhile, we get a little bit lackadaisical about policies and standards. There are times that I run into an insolation patients room quickly to stop a pump without gown and gloves, and I shouldn't. Although I have gotten more comfortable doing assessments and such without gloves, working in an oncology unit has made me more diligent about good handwashing. However, gloves for things like bodily fluid or mucous membrane contact is a standard of care for a reason. The OP is right to be questioning this nurse's practice and if I were a clinical instructor I would think twice about having that nurse precept any more of my students. It is not ok. People do die from hospital (read "health care worker") acquired infections. And remember, as much as new grads and students learn from those of us that have been practicing awhile, we learn from them too. They are good reminders to us about the way things should be! Alot of hospitals are also encouraging their patients to be on the lookout for staff hand hygiene and to speak up when they don't see it. Its a growing focus and I think its only going to get more stringent in coming days.
Nov 20, '11Seriously?! You got into this profession, you need to wear gloves and wash your hands between each patient. It is not "COOL" or "NEW WAVE" or "SOLDIER" to not wear gloves and wash the hands, it's absolutely unsafe and disregarding personal and patient safety.
Nov 20, '11thats disgusting... total disregard for lets say the cancer patient down the hall bc he didnt realize the new pt had c diff
Dec 10, '11EWWWW!!!His practices are not only hazardous to himself but to the patients he takes care of!! He is a walking vector of infection!! I cannot believe he does not stop to think of the effect he is having not on himself but all the other patients and things he is touching throughout the day. A 5 second rinse is not effective at removing fecal matter and infection off your hands. I would definately report him, if IDPH was there they would have a field day with this guy. Old school is one thing but not following standard precautions is another. He may be used to practicing in his old ways but new information about diseases and transmission has been discovered since he was trained. It is his obligation as a professional to follow the rules to prevent endangerment to his patients, fellow co-workers and himself!
I wouldn't "shake his hand" either!
Dec 10, '11Quote from dizzyray822So I'm in my last rotation of nursing school and I followed a nurse in CVICU today. Well from the getgo he mentioned he's "old school" and that's fine with me. In fact I get excited when I hear that as I figure I'll learn a lot. Well... While this nurse let me do almost everything and I completely appreciate that experience, he didn't wear a pair of gloves the whole day. I watched him do peg meds, draw blood, suction, and clean a diarrhea bottom (touching testicles and all) WITHOUT gloves. I got excited at one point cause he pulled a pair of gloves out BUT THEN he handed them to me, none for him. In fact, when cleaning the poop he said "yeah, I know im being naughty." So, I thought that if he doesn't use gloves then he must scrub his hands. Nope, 5 second rinse, no lather...that's it. I was shocked....
Needless to say...didn't shake his hand at the end of the day.
When he stated, "yeah, I know im being naughty" I would have stated, "No, you're being nasty. Who is your Infection Control Nurse/Coordinator"?
Now, I totally understand that you may have felt you couldn't say that because you're a student and that may get you in trouble with your Instructor and the facility, however do not feel like you can't say that when you get your license!
Dec 13, '11Please go to cdc.gov and osha.gov for the proper recommendations for the use of PPE's (gloves). You may be very surprised.