Facial coverings effective?

Nurses COVID

Published

I’m sure I have an unpopular opinion but does anyone else feel like the mass push for facial coverings and masks has very little benefit? Think about it (I know this is immature, so forgive me) if a fart can go through underwear and a pair of jeans... can’t good ol’ Rona go through a piece of cotton? Not only that, the general public is not educated in how to wear PPE and are not wearing the masks or gloves correctly.

Frankly... mask and gloves provide them with a false sense of security.

As nurses, we are keenly of what’s clean or sterile so we can do a pretty good job navigating ourselves in public during this pandemic. However, not trying to be disrespectful or anything, watching the public on with their masks and gloves on is quite entertaining to say the least. I was in Whole Foods recently and you can see who’s a medical professional from a mile away as it’s obvious to see which hand they’ve designated as their “dirty hand” and how they hold they hand in resting position while grocery shopping! If I can smell my coffee through my mask as I pick up a new bag from the shelf and toss it into the cart, then Rona ain’t going to be fooled by my mask. I’m not willing to waste an N95 for grocery shopping.
I just don’t see the need for a mask out in public unless you have a new or sudden change in cough or are immune compromised. We will always have rouge individuals who will defy advice and not wear a mask when sick, but I’m talking about the general public. I do see the benefit when you have a cough as it will stop the droplets from traveling further. But just breathing in and out can transfer this virus... I don’t know how a mask will provide protection from this.
I live in a fairly wealthy area where almost EVERYONE is wearing a mask in public. For those who are not wearing a mask, is it because of a conscious decision, typically unrelated to financial reasons.

My case is: I don’t see the efficacy of surgical/homemade masks against coronavirus for healthy individuals.

Thoughts?

Specializes in SCRN.

" When will people stop wearing masks?"

" C'mon, man, serious people have invested big money. Whenever they get their many back and make some profit, people will be told to stop wearing masks."

But really, masks should be a recommendation , not a requirement.

On 5/12/2020 at 6:38 AM, FolksBtrippin said:

Yes, masks are effective at slowing down the spread. This is a droplet illness. Your mask protects others from your droplets. How is it that nurses don't know this? Hopeless.

Yes, I agree. The point of wearing a mask is so the virus droplets are directed downward and not in someone’s face.

3 hours ago, Wuzzie said:

So I'm guessing you don't cover your mouth when you cough or sneeze either? Have you seen the videos? Why bother? It doesn't really do that much and you don't owe anybody any consideration anyway because you "don't do things to make others feel good". Besides you saw your neighbor cough without doing it so why should you? Now before you think I'm getting all snarky I want you to understand I am just following your logic. 1. You aren't convinced that masks do anything. 2. You don't feel the need to do something you feel is stupid just to appease anyone else. 3. If other people aren't going to do it right why should I do it at all.

I really hope nobody you love catches this wretched disease because you can be certain that if they do it's because somebody else thinks the same way you do. Carry on...I need to make a few more masks for my fashion show.

Yeah, that was the snarky part.?‍♀️

Yeah, me too. Just finished making 40 for my brother’s daycare workers. They come with vacuum cleaner filters. Oh and they’re cute because I used my own personal stash of quilting fabric.

Specializes in Emergency.
3 hours ago, E Non Imus, RN said:

If people who had coronavirus would turn neon pink the second they are infected, you might have a point. But people are contagious and shedding the virus when they speak or just breathe (not just cough) for many days before they develop a cough or a fever. Once you self-quarantine because you have symptoms, it is already too late.

How many people did you come into contact with in just the last 7 days? If you suddenly develop a fever, cough, and shortness of breath today an pop positive, will you be able to notify or even remember them all?

THIS. In my ed we see a steady stream of folks who are now coming in for non-covid related complaints but when their labs come back we’re seeing na & k down a hair, just below normal values & lymphs are way down. Hmmm, sometimes, depending on the complaint, we’ll add the covid labs on & are never surprised when the results are consistent with being infected. Yet these folks are asymptomatic. So, wear a mask in public.

I like the neon pink thing. That would be convenient.

37 minutes ago, jobellestarr said:

Yeah, me too. Just finished making 40 for my brother’s daycare workers. They come with vacuum cleaner filters. Oh and they’re cute because I used my own personal stash of quilting fabric.

There is a huge difference between the wonderful random almost "hippie chic" cuteness of masks obviously made by a quilter looking at their hardest-to-stitch-through fabric and saying "Heck yeah, these would go well together", and commercial masks with political statements printed on them.

The retired GP who made the batch sent to me for one made them properly, as I'm sure you are. There are many different patterns out there to fit different faces, and yeah I'd probably want to replace the filter between uses so am looking at buying some of the cutouts a few places are selling -- but I think I'd only trust my wallet to Etsy (aka other home sewers after looking critically at the pattern/material/reviews) for the masks themselves if I wanted a second to alternate.

I wouldn't be out there buying ones from commercial retailers with slogans, and that's different from the effort from the actual seamstresses of this country to supply something that could be worn by the worried well (and in retail shops that require it in case someone doesn't know they're unwell yet) to conserve supplies of tested, lab-approved surgical masks and N95s.

Specializes in Community health.

As long as the mask wearing is temporary, I am okay with it. I do accept that it provides SOME protection if the infected person is wearing one.
I do worry about the effect of this if it becomes a permanent thing. I think about infants whose teachers are now wearing masks. For 8 hours a day, or 10. That is a huge amount of time for a baby or toddler to not see a smile.

Specializes in Advanced Practice Critical Care and Family Nursing.

The authors of this BMJ article, published in 2015, have written a recent response to their work in light of the COVID-19 pandemic.

article. https://bmjopen.bmj.com/content/5/4/e006577.responses#covid-19-shortages-of-masks-and-the-use-of-cloth-masks-as-a-last-resort

Current CDC statement hopefully most here are aware of;

https://www.CDC.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover.html

I'm going to go out on a limb here and keep trusting the empirical data. However many entertaining ideas, especially the COVID positive-negative color system.

18 minutes ago, CommunityRNBSN said:

As long as the mask wearing is temporary, I am okay with it. I do accept that it provides SOME protection if the infected person is wearing one.
I do worry about the effect of this if it becomes a permanent thing. I think about infants whose teachers are now wearing masks. For 8 hours a day, or 10. That is a huge amount of time for a baby or toddler to not see a smile.

Very true, and I am sure there are no studies (and probably won't be very many) regarding this issue. I have a 3 month old and I do not like that he cannot see me face with the mask on. His eyes are usually GLUED to my face as he watches me around the house. He learns by seeing me face. Imagine in settings where providers for children had to wear masks 8hr+ a day. I think the impact would be profoundly negative.

4 hours ago, RN-to- BSN said:

" When will people stop wearing masks?"

" C'mon, man, serious people have invested big money. Whenever they get their many back and make some profit, people will be told to stop wearing masks."

But really, masks should be a recommendation , not a requirement.

Agreed! Recommended but NOT required.

1 hour ago, moriahcat said:

There is a huge difference between the wonderful random almost "hippie chic" cuteness of masks obviously made by a quilter looking at their hardest-to-stitch-through fabric and saying "Heck yeah, these would go well together", and commercial masks with political statements printed on them.

The retired GP who made the batch sent to me for one made them properly, as I'm sure you are. There are many different patterns out there to fit different faces, and yeah I'd probably want to replace the filter between uses so am looking at buying some of the cutouts a few places are selling -- but I think I'd only trust my wallet to Etsy (aka other home sewers after looking critically at the pattern/material/reviews) for the masks themselves if I wanted a second to alternate.

I wouldn't be out there buying ones from commercial retailers with slogans, and that's different from the effort from the actual seamstresses of this country to supply something that could be worn by the worried well (and in retail shops that require it in case someone doesn't know they're unwell yet) to conserve supplies of tested, lab-approved surgical masks and N95s.

And I think you’re missing the point of the public’s wearing masks. It’s so the virus is shed downward and not towards someone’s face when you’re speaking, coughing, etc. It’s for protecting others around you and that’s the point of everyone wearing a mask.

4 minutes ago, Thanksforthedonuts said:

Very true, and I am sure there are no studies (and probably won't be very many) regarding this issue. I have a 3 month old and I do not like that he cannot see me face with the mask on. His eyes are usually GLUED to my face as he watches me around the house. He learns by seeing me face. Imagine in settings where providers for children had to wear masks 8hr+ a day. I think the impact would be profoundly negative.

Well, what do infectious peds patients do when their providers wear masks for 24/7?

6 hours ago, Wuzzie said:

So I'm guessing you don't cover your mouth when you cough or sneeze either? Have you seen the videos? Why bother? It doesn't really do that much and you don't owe anybody any consideration anyway because you "don't do things to make others feel good". Besides you saw your neighbor cough without doing it so why should you? Now before you think I'm getting all snarky I want you to understand I am just following your logic. 1. You aren't convinced that masks do anything. 2. You don't feel the need to do something you feel is stupid just to appease anyone else. 3. If other people aren't going to do it right why should I do it at all.

I really hope nobody you love catches this wretched disease because you can be certain that if they do it's because somebody else thinks the same way you do. Carry on...I need to make a few more masks for my fashion show.

Yeah, that was the snarky part.?‍♀️

I don't think you're being snarky. I feel we are having a good, stimulating, but respectful conversation. I am teachable. I proposed this questions/statement to learn from my fellow nursing community, that is all.

I am aware that coughing into my elbow is good practice. As is washing your hands thoroughly. However, if I work from home, and shelter in place like Washington state currently is ordered, then my spread risk is quite low. I feel that for healthy individuals, coughing in your elbow and washing your hands correctly and routinely, is the best way to go. Sick people should wear masks, as was always the expectation even before this pandemic.

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