Honestly: Do you wear gloves every time? - page 4
Taking a little poll here. I am work in I.D. and one of our co-workers was recently hospitalized. She said not ONE of the people who drew blood from her, etc. wore gloves. The guy who drew a blood... Read More
Jun 16, '01Occupation: RN Joined: Jun '00; Posts: 261; Likes: 4I wear gloves giving IM, sq, IV I wear gloves but tear out the tip of one finger to feel for vein.
Jun 17, '01Occupation: RN Joined: Jun '01; Posts: 2I know it seems logical to say everyone should wear gloves at all times. However, personally if I wear gloves alot my skin cracks- which actually breaks down my first line of protection. I know epidemiologists who do not always wear gloves. You need to access the risk and wear PPE as needed.
Jun 17, '01Occupation: RN Joined: Jun '01; Posts: 2Nightowl I agree with Beachnurse. You need to learn how diseases are transmitted. HIV is transmitted through blood and body fluids, you CANNOT get it from handing someone a pill.
Jun 17, '01Occupation: LTC Joined: Mar '01; Posts: 3,254; Likes: 54da42rn, If I hand him a cup of pills and he puts it up to his mouth two or three times to get the pills out then he hands me back the cup, his oral secretions are all over the top of the cup... I'm still wearing gloves to protect myself. It's either that or wash my hands before I touch anything. That means LEAVING my med cart to go to the nearest sink which could be down the hall if he's out of his room which is 99% of the time. If it doesn't bother him that I wear gloves, then it shouldn't bother anyone else right?
Jun 17, '01Joined: Jun '01; Posts: 1I wear gloves almost all the time, but please remember esp. those of you who said that when you pass meds you use gloves and then enter another pts. room with a new pair, handwashing is the best thing to prevent cross contamination between pt. Gloves protect you and also the pt. but handwashing protects the next pt. from both you and the previous pt. Gloves should not replace handwashing.
Jun 18, '01Occupation: RN-IV Therapy Joined: May '00; Posts: 5Good Question. I work in IV therapy and I wear gloves darn near all the time when doing starts. Very rarely I will have to remove a glove on my L hand to palp a vein and I get nervous doing this. I am working hard on not taking my glove off, period.
When I first started nursing gloves were only found in the BR and usually large sizes!! The first time I was told I had to start an IV with gloves I said, "yea, right!" Guess what? I learned to wear 'em.
Jun 23, '01Occupation: RN L&D Joined: May '01; Posts: 5Wow! I am very surprised by the number of posters who admit to not using gloves while starting IVs. One poster even used the rational that the "blood exposure when starting an IV is fairly minimal". ANY blood you come in contact with is potentially infectious. Whether it is a squirt on your hand from flashback during insertion, or saturation thru a cotton ball held to the site, you are putting yourself at risk. Personally, for a long time I hated the feel of gloves when starting IVs or giving shots, but now, after 10 yrs, it is second nature. I have worked L&D for 10 yrs and we all know how messy that can get, subsequently, I wear gloves for every procedure where there is risk of exposure:IV starts, giving IM meds, vag exams, AROMS(for cleaning pt up after),etc. Also I have a husband and 4 young children, and I couldn't live with myself if I contracted a blood-borne illness simply because I "didn't like the feel of the gloves during an IV insertion!". Having said that, however, I was appalled that blood and body fluid precautions is not an international issue. I had my 4th child here in France this Jan. and NO ONE wears gloves to take blood, remove staples after surgery, insert IVs, give injections. In fact, to draw blood here, the tech inserts the needle with the end open(not attached to a syringe) and the blood drips into a vacutainer (they take the lid off so the blood will drip in)! When the nurse came to remove my staples after my surgery and I INSISTED she wear gloves (to protect me!!) she became VERY angry that this American thought she was unclean! After all, they use antibacterial hand wash between patients! AGHHHH!!! My point is, protect yourselves-you are too important to your families to take this issue for granted. One drop can equal your life!
Jun 25, '01Occupation: Community Health Nurse Joined: Jun '01; Posts: 973; Likes: 39I am a senior nursing student in a BSN program. If we are seen doing any procedure such as IVs, blood glucose checks, shots, staples, ANYTHING dealing with blood or a break in the skin without gloves, we are dismissed from clinicals! No second chance, no coaching! we use a needleless system at our hospital, and we are still dismissed if we dont wear gloves!
Last year my friend drew insulin without gloves, and gave it to the patient, no accidental sticks, and she was dismissed. And i do not mean sent home for the day, so was not allowed to finish her rotation, and was not allowed to continue in the program. She is now a Psych major.
I even wear gloves when I am giving lotion backrubs. I dont do any part of patient care without gloves on. Makes my skin crawl to touch anyone without gloves.
I do not use latex gloves when doing meds though, i use the thicker plastic non latex gloves, just to keep latex powder off the meds.
Use Gloves! Please!
Jul 4, '01Occupation: RN Joined: Nov '99; Posts: 2,950; Likes: 619I heard cost mentioned at least once ( reference to using size specific steril gloves) and the old "it's my life argument you can't make me." It may be your life, but it is my pay check that is effected when worker's compensation insurance is increased for claims made because you were injured by comming in contact with a body fluid. One doesn't have to be stuck to contract hepatitis. It, unlike HIV, will live on surfaces a considerable time and is very virulent. I frequently have small microscopic skin breaks where organisms can enter. Hand washing is harsh on the skin and puts nurses at risk. (Not that I will ever stop washing) It cost a lot less to put on fitted steril gloves even double glove than to pay for the cost of treatment. I glove and wash after as well. I am latex sensitive. So I use non latex as often as possible. If none are available then I still glove up. I was once gloved and sustained a bloody large bore needle stick. partly the hospital's fault partly mine. It is no fun going through the testing for this even without the treatment. I have more than once found that I have place my hand directly in a small amt or blood or other body fluid and I was glad to be gloved. Perhaps you have been lucky so far ( or just think you have) I live in Nevada were our economy is based on the fact that people can be suckered thinking that they are lucky.
Jul 4, '01Occupation: DOULA / NURSE LPN HIV/AIDS Educator Joined: Apr '01; Posts: 340; Likes: 9Greetings All Nurses,
I admit it I am guilty of not always following the standard of care for the sake of time and ease of the client. I have grabbed a urinial from a patient before it spilled without gloves. Or while changing a beds linen. I always use gloves while taking a accu check, D/C'ing an IV and all other activities where there is frank blood! I also always use good hand washing tech. between patients and treatments (even on the same client). I consider myself to be pretty safe. And when I do something in a hurry I always wash my hands STAT! I have actually worked as a PRN agency nurse at institutions that were under stocked or out of supplies that are basic for good care i.e. gloves, alcohol swabs, and bedside care products. It is when I need them or want to use them and they are not on site that I most consiously am aware that I am not following a standard of care or universal precautions!
Jul 4, '01Occupation: Utilization Review, prior Intake Mgr Home Care Specialty: 40 year(s) of experience in Home Care, Vents, Telemetry, Home infusion ; From: PA, US ; Joined: Oct '00; Posts: 27,559; Likes: 13,773Click here to read about the CDC's March 2000 national estimates of annual percutaneous injuries, using combined data from the CDC's NaSH database and the Center's EPINet network.
Annual Number of Occupational Percutaneous Injuries and Mucocutaneous Exposures to Blood or Potentially Infective Biological Substances (revised 6/15/98)
The following figures were calculated based on 1996 EPINet data. We do not know to what degree new HIV treatments have affected health care worker risk of HIV infection. They have probably reduced the risk somewhat since there are now fewer AIDS patients in hospitals.
We estimated percutaneous injuries and blood and body fluid exposures in one year, based on:
30 injuries per 100 occupied hospital beds reported (from our national EPINet data for 1996)
600,000 occupied hospital beds in the U.S.
180,000 injuries in one year reported in hospitals (.3 x 600,000)
39% of incidents not reported (according to surveys conducted in 6 EPINet hospitals in 1996-1997) = 295,082 injuries occurred in hospitals
double this figure because 50% of health care workers work outside of hospital settings (total = 590,164 percutaneous injuries)
according to EPINet data for 1996, an additional 1/3 of reported exposures (total = 196,721 mucocutaneous exposures) involve skin/non-intact skin or mucous membrane contact with blood or at-risk biological substances with can also transmit HIV, HBV, HCV
Total annual percutaneous and mucocutaneous exposures to blood or at-risk biological substances in the U.S. in 1996 = 786,885
Risk of Infection Following a Single HIV, HBV, or HCV-Contaminated Needlestick or Sharp Instrument Injury
HIV 0.25% - 0.4%
HBV 6% - 30%
HCV 0.4% - 1.8%
The CDC estimates that 400 new occupational HBV infections occurred in 1995 among U.S. health care workers, down from 17,000 in 1983. (Arch Intern Med 1997;157:2601-2603)(Due to Hepatitis Immunization. Karen)
Assuming that between 1% and 2% of patients are HIV-positive (and therefore that 1% to 2% of needlesticks are HIV-contaminated) between 18 to 35 new occupational HIV infections would occur from percutaneous injuries each year. Infections resulting from blood exposures to non-intact skin or mucuous membranes would add between 2 to 4 cases (based on a transmission rate of .09% for a mucous membrane exposure).
Assuming that between 2% and 10% of patients are HCV-positive (Dr. Richard Garvin, Hepatitis Branch, CDC), between 59 to 1,180 new occupational HCV infections would occur each year. Infections resulting from blood exposures to non-intact skin or mucous membranes would add between 16 to 393 cases (assuming that the transmission rate was between 0.4% and 1.8% per exposure, with lower limit from Dr. Giuseppe Ippolito, Italy, 1999).
The consequences of occupational exposure to bloodborne pathogens are not only infections. Each year, thousands of health care workers are affected by psychological trauma during months of waiting for notification of serological results. Other personal consequences can include postponement of childbearing, altering sexual practices, side effects of prophylactic drugs, infection, chronic disabilities, loss of employment, denial of worker compensation claims, liver transplant, and premature death.
YES, I always wear gloves when doing hands on care, empying emesis basins, bedpans, foley's; starting IV's and blood draws, administerring chemo, administering injections.
No, I don't wear gloves for back rubs, prefilling insulin and other syringes, passing meds, hanging IVPB using needleless systems, changing CADD cassettes etc. The risk is not in WHO you know is HIV possitive, but in those you DON't know have Hepatitis and HIV as yet to be discovered. PROTECT THYSELF AND THY FAMILY FIRST!
Nov 18, '03Occupation: RN Home Health & CNA Instructor Joined: Nov '03; Posts: 10; Likes: 8I'm a CNA instructor and am totally grossed out by all of the RN's and Tech's. that don't wash their hands or wear gloves when giving my students their TB Test Inj. And then, we come to the CNA's working out there that don't wear gloves or wash their hand giving patient care ie: changing attends!!! Alot of Caregivers are doing a great job, but doesn't take much to spread some deadly stuff around! I always wear gloves when it's possible to come in touch with body fluids, have some in my car too. Have come onto two wrecks and needed them! Didn't everyone wear gloves when learning? Isn't this just common sense? Frustrated in Idaho.