HANDWASHING: Male hospital staff lax - page 2

Male hospital staff lax on handwashing: study NEW YORK, Jan 16 (Reuters Health) - Studies have found that men are less strict about handwashing than women are, and new research suggests that the... Read More

  1. by   mark_LD_RN
    Well I always wash before and after and use a paper towel to turn off the water and open the door. Our infection control team has found that the door handles are the most contaminated area in there.
    And as far as the technique you grab your waist band kinda far out over thigh area pull down until the equipment comes out ,relax and go then you can even shake the with the wasit band if you must. the simply raise your wasit band and you are done, ta da. by grabbing far enough out and from the outside you dont gran any part that touched mister happy. hope that helps for you curious folk.
  2. by   3651bht
    How did we get this far with our dirty hands.............

  3. by   KRVRN
    While I was typing my earlier post, my fiance walked in and read over my shoulder. He then went ahead and demonstrated Mario's described technique, including the wigglying on tippy toes at the end. While I could pretty much picture it from the description, the demonstration is kinda funny.
  4. by   Stargazer
    Just wanted to point out for all the guys getting defensive here, that, according to the article NRSKaren posted, male nurses have handwashing rates equivalent to female nurses. It's just all the other male healthcare workers in the hospital who are bad, dirty, icky boys.

    This thread keeps making me think of that scene in Lethal Weapon 3, when Lorna Cole (Rene Russo) follows Riggs (Mel Gibson) into the guys' bathroom and they proceed to have a discussion while he whizzes, shakes off, and zips up, all with his back to the camera. He finally turns to agree with her and attempts to shake hands. She looks down at his unwashed appendage (not THAT one--his hand,you perverts!), smirks, and says pointedly, "Wash your hands, Riggs," before turning and walking out of the bathroom.

    My point? Um...I forget, exactly. Something about Mel Gibson having a nice butt, I think...
  5. by   Mijourney
    Hi colleagues... naughteeee. LOL. I have to admit that in my personal experiences as working around and with mostly male physicians in the hospital setting, I've only notice two in my entire career that either washed their hands before going in the patient's room, while in the patient's room or after coming out of the room. I've seen many a doctor walk in a room with blatant isolation signs all over the place as if germs can't touch them and they don't carry them.
  6. by   teeituptom
    Sounds like a bunch of male bashing to me. Coupled with some weird thinking, Definitely more than I wanted to hear.
    Ive been around a long time, cants say where ive seen men wash their hands less than women,or doctors of either gender. particularly in todays enviroment where you are exposed to everything continously.
  7. by   canoehead
    OK so some guys think they can go without touching any critical body parts, but the first question that came to my mind was that their aim must be awful- and who gets to clean THAT up?
  8. by   mario_ragucci
    Aim!! What's up with that? Urinating in the standing position for a guy is NOT like throwing a basketball, or something, where you hafta aim. This is absurd Do you aim your hands into your face when you drink a glass of juice? It's adduction, right? Well, for us guys, it automatic abduction.
    Perhaps women stereotype all men (sweeping generalizations) based on Mel Gibson movies. :roll
  9. by   mjamesRN
    LOL @ Stargazer!
    This all makes it sound as if male genitals are the filthiest thing around. Relatively, genitals are probably cleaner than hands even AFTER they've been washed.
    I REALLY wanna say something naughty here, but know it would be edited.....DAMN!
  10. by   Russ Dowling
    I'm afraid I have to agree with mjamesRN. My hands touch doorknobs, money, and everything else, while my...well, never mind. Anyway, as far as bathroom habits, I wash my hands after, use paper towels to turn off the water and open the door. In public bathrooms, if the toilet or urinal isn't an automatic flusher, I use my foot or elbow to flush. Does anyone here do that? Needless to say it's my elbow for the urinal. If I tried to use my foot, I'd wind up in the E.R.!
  11. by   Russ Dowling
    :chuckle So, Mario, you've never seen the results of a male's bad aim? I didn't there was anyone who hasn't! I just figured there are an awful lot of men with either bad eyesight, or really shaky hands!
  12. by   canoehead
    I use my foot to flush and some of those thingies can be pretty stiff.

    Mario I would hope you aim....love the hunky new pic.
  13. by   NRSKarenRN
    handwashing gains respect with new guideline

    ruth kleinpell, rn, phd
    nursing spectrum, masthead date february 11, 2002

    it is part of basic nurse training-washing your hands before contact with a patient. yet many of us do not do it often enough or thoroughly enough, to the detriment of our patients. handwashing, or hand hygiene, as it is currently known, is an important part of everyday nursing care. this is especially true in the critical care setting, where patients are often predisposed to infection or are already infected.

    the centers for disease control and prevention (cdc) recently issued a draft guideline on hand hygiene to reduce transmission of pathogenic microorganisms in healthcare settings and to promote new strategies for improving hand-hygiene practices among healthcare workers.

    the cdc says convincing evidence proves hand antisepsis can reduce the transmission of healthcare-acquired microorganisms. yet many healthcare personnel fail to adhere to current recommended handwashing practices, according to the cdc. current guidelines stress healthcare personnel wash their hands for 30 seconds to one minute with hand hygiene products intended for healthcare facilities. but studies have shown the average duration of handwashing by healthcare personnel is less than 15 seconds.

    some waterless antiseptic agents in antiseptic handrubs require 3 ml of alcohol be rubbed into the hands for 30 seconds, followed by a repeat application. this protocol does not reflect actual usage patterns among healthcare personnel. in addition, some products are neutralized by over-the-counter hand lotions. this means special lotions that do not interfere with the effects of the antiseptic wash should be used instead.

    the final guidelines, which will be titled hand hygiene guideline for healthcare settings, will be released early this year. the guideline will stress healthcare personnel make a more conscious effort to adhere to hand-hygiene practices. the major change will be the recommendation that traditional antiseptic washes be replaced by soap products for washing and that alcohol-based gels be used for degerming.

    "alcohol-based handrubs reduce bacterial counts on the hands of personnel more effectively than plain or antimicrobial soaps, can be made more accessible than sinks or other handwashing facilities, require less time to use, and cause less skin irritation and dryness than washing hands with soap and water," the guideline states.

    the importance of such simple steps cannot be minimized, says elaine larson, rn, phd, faan, professor of pharmaceutical and therapeutic research and editor of the american journal of infection control, at the columbia university school of nursing in new york. "nosocomial infections are one of the most serious complications of healthcare, costing more than $1 billion a year, and they are the fifth leading cause of death in acute care hospitals."

    larson recently published the results of research comparing the use of traditional antiseptic wash to use of plain, mild soap and an alcohol-based product among 50 icu staff members (physicians, nurses, housekeepers, and respiratory therapists). the research demonstrated the use of alcohol-based products resulted in significant improvements in hand-skin assessment scores, required significantly less washing time, and resulted in a 50% reduction in material costs. the research reinforces the recommendation that traditional antiseptic washes be replaced by mild soap for cleaning and that an alcohol-based product be used for degerming.

    larson says the cdc's other recommendations include --

    provision of lotion by healthcare facilities that doesn't reduce the effects of antiseptic-based gel
    prohibition against artificial fingernails
    removal of brushes for surgical scrub
    institutional mandates for providing staff education
    development of a multidisciplinary program to monitor compliance with the recommendations
    "all recommendations are based on sound evidence from clinical trials and other research," says larson. it will be exciting and also challenging to make such major changes in a very universal practice-hand hygiene."

    jolynn zeller, rn, bs, coordinator of infection control and performance improvement at avera st. luke's hospital in aberdeen, sd, also served on the hand-hygiene task force that developed the new guideline. "i really believe this document will be helpful to bedside nurses and infection control practitioners," she says. "the key issues are how we can facilitate hand hygiene, increase safety to our patients, and do so in a way that enhances the condition of employees' hands."

    for further information on the proposed cdc guideline, visit the cdc website at www.cdc.gov/ncidod/hip/hand/ hhfedreg.htm.


    ruth kleinpell, rn, phd, is a contributing writer for nursing spectrum.

    didn't think this was such a "hot" topic, lol...except that i live with three men and 13yo with poor aim!