Hope This Never Happens Here: Scandel over hygiene standards related to c. diff.

  1. Scandel over hygiene standards related to c. diff. at 3 Kent hopsptals.

    ...A report published today said crowded wards, a shortage of nurses and financial problems led to 1,176 people contracting Clostridium difficile over two and half years at three Kent hospitals. The infections may have contributed to the deaths of 331 people, according to watchdog the Healthcare Commission.

    Mr Johnson promised to send the damning assessment to all hospital bosses in Britain so lessons would be learned.


    Though the superbug was rife on the wards, managers have been accused of failing to act. Isolation units were not set up, nurses were so rushed they did not have time to wash their hands and patients were left in soiled beds.

    Bedpans were not decontaminated properly and beds were not cleaned as well as they should have been.

    The Healthcare Commission's report concluded that the infection probably or definitely killed at least 90 patients and was a factor in the deaths of a further 241.

    Interesting readers' responses follows @
    http://www.telegraph.co.uk/news/main.../ncdiff111.xml
    Last edit by NRSKarenRN on Oct 12, '07 : Reason: added article content...delay in loading at site
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  2. 13 Comments

  3. by   ohmeowzer RN
    i can't open that site.. dang...
  4. by   annmariern
    I read an article in the London standard and the reader comments depressed me. Basically the "nurse" is the fall guy, blamed for not cleaning commodes or being too "educated" ie above being a nurse. This when a BSN is required, and recruitment is hard enough. The public seem to want their hands held, their tea made and their extensively& expensively educated nurse, not to actually think. Good God, get scrubbling instead.
  5. by   nyapa
    I hate the comparison used between nursing 30yrs ago and nursing today. What ppl don't realise is that the statistics of diseases were not published for people to read. Heck, some weren't even given a name then! How many versions of hepatitis for example have now been identified! Also, microbiology techniques and diagnostic tools are so different and more precise these days! It's not just a matter of poor nursing...
  6. by   oramar
    This is exactly what you can expect if cost cutting is to sever.
  7. by   StNeotser
    It's just horrible. That it happened in the first place, and then all those awful "30 years ago" comments.

    30 years ago I doubt "the nurse" had even half the responsibility s/he has today.
  8. by   sharona97
    I've been working as a nurse for 29 years, and I ran my butt 0ff, no CNA's, could only miss 3 days work a year (nursing shortage), did treatments, did lots of cardio versionswith the Dr at bedside, had Cardiac ICU patients being sent up to telemetry by the truck loads all with current CP, ICU needed beds for incoming. So I have to disagree with that statement, we worked and still work hard.
  9. by   cmo421
    Quote from StNeotser
    It's just horrible. That it happened in the first place, and then all those awful "30 years ago" comments.

    30 years ago I doubt "the nurse" had even half the responsibility s/he has today.



    Careful with this one. Apples and oranges. 30 yrs ago many thing were different as they will be in thrity years. No unions either, or limits on hours worked. One RN could be in charge of a 45 bed unit with just aides to help. She was moved from unit to unit without hesitation and expected to function. Labs were hand written and filed. No electric vital sign machines. Total hips,knees,etc stayed in bed for weeks. Total care on everyone. Attitudes were different also. HMMMMMMMMM maybe some things should never change.
  10. by   leslymill
    Well I am subscribed to this thread http://allnurses.com/forums/f124/cle...ml#post2422733

    and encourage you to read all the comments In Libby Purves article http://www.timesonline.co.uk/tol/com...cle2253546.ece
    Send in the storm-trooper nurses . . .<H2 class="sub-heading padding-top-5 padding-bottom-15">How to end mucky hospitals in one clean sweep </H2>Libby Purves



    Seems the discussion from the British public points out old Trooper diploma nurses kept hospitals cleaner than the new academic minded BSN University nurses. If you read it all the big issue how cleanliness is gone is because the hospitals are contracting outside cleaners. A big issue not addressed in the spread of C-DIFF is plain old GOOD HAND WASHING.
  11. by   Noahm
    The labour government mandated targets for NHS hospitals that ran them into the ground financially. In order to meet targets cleaning staff and nursing staff were cut. Patients were moved in and out of beds so fast that they were not cleaned. Many of the wards and bays hold 10 plus patients with a 35 bed floor only having one private room. Because of the targets, the staff were ordered to cram as many patients in as possible even into supply cupboards. It became a matter of deciding which c-diff patient got the only side room.

    This is happening all over the country. Doctors and nurses are being scapegoated for government failings. This is what happens when politicians run the hospitals. People are calling for Patricia Hewitt the former health secretary to be charged with corporate manslaughter.


    It's a mess.

    http://www.drrant.net/

    http://iaindale.blogspot.com/2007/10...tter-from.html
  12. by   leslymill
    The source was a particularly virulent strain of C. Diff. known as 027. It cannot be eradicated by hand gels. Prevention requires hand washing. Patients need to be nursed in isolation and wards and rooms vacated and cleansed to get rid of the 027 spores.

    Interesting 027..sounds like a job for 007.
    Seriously though ...
    It is a mess.
  13. by   dcampbell
    Could patients sharing toilets and bathrooms have had any effect on the transmission of c-diff? How could nurses be expected to sterilize the bathrooms right after each patient uses it? Why doesn't anyone blame overcrowding and too few housekeeping personel and not enough bathrooms as major contributors to this problem?
  14. by   Silverdragon102
    probably because it is easier to blame nurses than admit issues with staff and also employing outside cleaning contractors who gave a low price to get accepted and then can't provide adequate service

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