Hand lotion - page 5
Our infection control nurse has told us that we are not allowed to bring in our own hand lotion for our PERSONAL use at work. We are suppose to use the stuff supplied by the facility. She says it... Read More
Apr 17, '03many moons ago when i worked neonatal, our clinical educator told us that lotions containing sugars were the infection baddies by promoting microbial growth... some lotions do not contain anything resembling sugar, so should be fine from that standpoint. however, the petroleum based ones do contribute to the breakdown of latex (remember the advice about not using vaseline for a lubricant unless you were hoping to get pg?:imbar). where i work now, the only time you can get non-latex gloves is if the patient has a latex sensitivity. i suppose if one threw oneself across the oh&s nurse's desk and cried, one might be permitted to have one's own box. when i worked in winnipeg, all our gloves were latex-free, but were powdered and caused some problems. we also had boxes of poly gloves at each bedside, and could just stroll down to the supply room and help ourselves to sterile nitrile gloves whenever the spirit moved.
Apr 17, '03our hospital does not provide lotion
i bring my own since i have such a terrible time with my hands cracking and bleeding
Apr 17, '03Originally posted by kimberle
Anyways, many lotions do break down latex which will then ultimately set you up for a potential latex allergy (not fun in nursing) as your body is exposed to it frequently. So, I follow the standards presented, and if I have a problem/reaction with I will go to employee health because it is a work-related injury at that point. (And then next week theory and standards of practice will change again, eh?! )
I use non-latex gloves most of the time, I also think that the less exposure the newborns have to latex, the better off they are.
Apr 18, '03Originally posted by janfrn
However, the petroleum based ones do contribute to the breakdown of latex (remember the advice about not using Vaseline for a lubricant unless you were hoping to get PG?:imbar).
I only put on lotion as I need it, and after I've washed my hands and think it will be awhile before I'll have to wash them again (after all, I'm buying the darn stuff, I don't want to wash it off five minutes later). I also use some that's supposed to be water resistant (Avon Silicone Gloves or Vaseline Water Resistant) so I don't have to apply it as often.
Our hospital does not have the soap with triclosan in it in most areas unless it's in the room of a patient in isolation. I do not use that particular soap even if the patient is in isolation because I would have to de-gown and de-glove to wash my hands IN THE ISOLATION PATIENT'S ROOM since we don't have little anterooms for that. So I de-gown and de-glove, throw them away in the patient's room, then go wash my hands at the nearest sink (which has the "regular" soap). The triclosan lotion tears my hands up something fierce, and I have to be on the lookout for it, because when housekeeping cleans an isolation room, they don't discard the isolation soap, and for awhile I was using it accidentally until someone pointed it out to me. My hands cleared up well after that.
Apr 18, '03We have the same policy at our hospital. Ofcourse most of the time there is no hospital provided lotion(which the stuff is terrible and leaves your hands drier it seems)...so ....you do what you have to, to keep your skin intact and with so much handwashing it can make your hands irritated, so we sometimes use our own that we stash away..It may be a good policy but the hospital should supply and it should be of good quality..And Yes i live in a dream world..
Apr 18, '03I just read something about triclosan that is a little alarming. It apparently is absorbed through the skin and suppresses thyroid function. So now I need to worry about x-rays and handwashing! Great...
Apr 18, '03At our hospital, the infection control team disapproves the use of bottles of lotion. Multi-user bottles can harbor micro-organisms, therefore the use of single use bottle are encouraged. We can bring our own lotion, as long as it does sit on a counter for other to use.
Apr 18, '03I meant as long as the bottles do not sit on the counters for others to use. The use of alcohol gel is more recommended than the use of soap. The gel apparently does not dry the hands as much as soap.
Apr 18, '03I need to see the literature on this one. At work, I, for one, do NOT slather my GLOVED hands with petroleum-based lotion and shove them in and out of a tight body orifice for 30 sec to 10 min!
Love to see the unit where that does occur! On second thought, maybe not.......
Apr 28, '03Have you also questioned the choice of handwash? The choice of active antibacterial agent can affect how harse it is on your hands - if a milder antimicrobial is used in the handwash your hands would not be as dry or likley to bleed.
Apr 28, '03Originally posted by NurseShell
I wonder if our cracked, bleeding hands would be considered an IC issue??
Exactly the reason why I bring my own SOAP!
I have sensitive skin and in hemodialysis (outpatient clinic) we're being required to put on a pair of gloves just to silence an alarm or any other time we touch the machine. Passing out the IV meds q tx also requires handwashing in between so often in a given 30-minute period of time I'm washing my hands 20 times!! If I want any skin LEFT on my hands I bring in my own hand cleanser (which contains olive oil and shea butter) and a hand cream to go along with it. Antibacterial stuff eats my hands up too...and they do and will crack and bleed.
At some point all these folks making policies based entirely on theory are going to have to concede to reality. Just because something looks good on paper doesn't mean it works.
Apr 29, '03Where I work, there are lotion dispensers put on the walls all over the units alongside the alcohol wash dispensers. The IC nurse here thinks an intact epidermis is alot more beneficial in promoting nosocomial infections rather than dry cracking skin Makes sense doesn't it?
I wonder where your IC nurse learned her infection control practices?? lol