Hand Hygiene

Nurses Safety

Published

I am posting this from " the other side"

I am a nursing student. I was hospitalized for about 3 weeks. I contracted a c. Diff infection while in the hospital ( prophylactic iv antibiotics).

I was put on contact precautions and a very clear sign outside my door and on the Purell dispenser clearly stated that hands needed to be washed with soap and water along with the need to wear gloves and gowns. I understand that nurses are busy but it made me very upset when they did not follow protocol. But the Patient techs were infuriating for the most part. They didn't just avoid the wash with soap and water but hardly gloved up. Many didn't even take

Purell. I thought it was just that hospital. But I was transferred to another hospital due to complications and needing a higher level of care. The staff in this internationally acclaimed medical center also failed to follow protocol.

what makes me scared is that I had a relatively minor and difficult to catch contagion. What if the patient next to me had Mrsa or worse and I am on chemotherapy? my immune system is very weak and an infection like Mrsa could prove fatal or at least incredibly debilitating. Sure enough, I got a nosocomial infection that turned into a very bad respiratory tract infection. I can't say it was caused by the lack of hygiene but it may have been a contributing factor.

What I am really asking is that you please enforce the rules that have been put in place for both the staff and patients safety.

Please ensure your patient care technicians do the same.

Thanks for reading

Specializes in Pediatric Hematology/Oncology.
C-diff is NOT "relatively minor", for one. It's hard to catch only for those who are not immunocompromised in some way. (Antibiotics, illness, infection, etc. ) For those who ARE, it's quite easy to catch. Which is why there are such contact precautions in place and why the infection is so prevalent.

Yeah, C. diff can basically ruin a person's insides d/t complications (e.g. kidney failure, toxic megacolon, perforated colon, etc.).

What I don't get is why a nurse would not only put their patients at risk but themselves too? I'm sorry but I don't want c -diff. You best believe I'm going to wash my hands.

Specializes in HH, Peds, Rehab, Clinical.

You started an account here to lecture us but never brought up your concerns to the staff treating you?

Specializes in critical care.

It is quite likely that their hands were being washed out of the room. After removing PPE, I go for the sink at our nurse's station, which requires no touching of anything.

For respiratory infections, either you breathed it in, which may very well happen days and days before you or the staff member knows a "bug" has been caught by you or them, OR, you picked it up from a surface you touched, which could have been anything anywhere, and the failing was on your part for not washing your hands before touching food or your face.

I'm very sorry for your recent illness. I hope you're doing better now. If you are truly immunocompromised, you may want to delay nursing school until you no longer are. Patient care exposes you to everything under the sun, even when you do make every effort to avoid catching anything.

I work in an old facility, where the rooms weren't designed how they would have been had it been built more recently.

The sinks are across the room from the door and have separate hot and cold handles. The physical layout makes it impossible to follow proper protocol.

Instead of using the sink in the room, I doff my gown and then gloves into the trash can next to the door, then walk- without touching anything- to the motion activated sink outside the room where the patient can't see that I am washing my hands with soap and water.

It would be easy for the patient to think that I am not performing hand hygiene, unless they were to ask me, and then I'd be happy to explain.

You started an account here to lecture us but never brought up your concerns to the staff treating you?

Sorry I am posting a reply so late. I just saw this now.

I don't know if you will see it but worth a shot.

I didn't mean to come across as lecturing, I was just reminding but I see how it can be read that way.

I mentioned it to a nurse manager when I left the hospital. I hope that corrective measures were taken.

Thankfully I am doing just fine now.

I'm glad you are better. Proper hand hygiene is a serious issue. It is well known that many healthcare providers do not clean their hands correctly. This goes from MD's to Nurses, Techs, Housekeeping, and Food Prep.

If you see an issue it's important to speak up in the moment not at D/C. It could very well be that your providers were washing their hands in a sink outside of your room. It is also possible they weren't washing at all. It's just helpful to remember your experience when you are a nurse. Maybe write a research paper about hand hygiene in school.

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