Yes, I was aware of the CDC guidelines regarding alcohol-based hand disinfectants; therefore I bought and brought my own, which I used in addition to washing my hands whenever I could. I was shown P&P as a result - and kept my disinfectant in my pocket after that (I would refill it from a large bottle I kept in my locker.)
This was at a large, national for-profit company which had always had excellent policies up to that point; it made absolutely no sense to me. The only thing I could even guess: they knew that in the rush-rush atmosphere of a dialysis clinic hand-washing is at best shortened (I know I couldn't take 30 seconds, but did the best I could) and were afraid if they provided the gels then nobody would ever wash their hands again?!
Basically, it makes no sense; I fully agree. I haven't worked there in nearly 2 years now and have no idea if things have changed since the merger.
Other than that strange policy the company's infection control P&P was fine (and hand washing should be sufficient if it's done
); the problems were individual nurses and UAPs. Why were they kept on staff? Well, that's a whole other topic - among other reasons, HD is not a very popular field for nurses to go into; turnover is a major problem (and not just between shifts
). Sometimes I thought they would rather retain the poor performers than have nobody at all to dialyze the patients? Who knows, I'm only guessing here - but I'm certainly not returning to such an environment.
P.S. If they "didn't know" who their poor performers were, then they simply didn't look. But if I knew, certainly the manager (who worked the floor before getting promoted) knew. After all, she certainly spotted the contraband - my hand disinfectant - immediately