Hand Washing, How Important Is It?

Another problem that goes with the lack of hand-hygiene compliance is the many excuses that healthcare workers use to avoid washing their hands. Hass and Larson summarize (2009) some of the barriers to adherence that healthcare workers use, “a lack of access to hand-washing sinks, insufficient time, skin irritations, and lack of accountability” (Hass & Larson, 2009). Some solutions they explain to combat the barriers are to put more alcohol-based sanitizers where sinks are not around and placing them all over the patient care areas also reduces time and can be a suitable way for proper hand hygiene if the healthcare worker’s hand is not soiled. They also describe, “Involve staff in trying several alcohol-based hand sanitizers before deciding on one, and involve employee health services in creating a plan to manage hand-skin problems among staff. Alcohol-based sanitizers that have lotion in them can be helpful for staff who have very sensitive skin” (Hass & Larson, 2009).

All areas that are being used for healthcare activities should be cleaned with either disinfectant wipes each morning and in between patients/procedures. Equipment should be all new out of the packets and clean. For things more major such as vasectomy’s, minor surgery or family planning clinics, areas should be cleaned everywhere with a disinfectant fluid and also with wipes, gloves should always be worn as well as other PPE such as aprons and hats. All equipment should be new from the packet and only touched by the person who is using

As a health care professional, I will help to ensure that work environment is safe by following the rules. Trashing materials in appropriate cans is the most important for all employees in the building. Knowing my responsibilities for my own health and safety in the workplace. If I found something unsafe condition, I will report immediately to my employer. Using personal protection equipment is important for your own safety.

My first clinical experience for this nursing program was completed at New England Rehab Hospital. I walked in with some clinical experience but no experience in the realm of nursing or certified nursing assistants (CNA). During that first semester we followed CNAs to understand their job and gain basic nursing skills like bathing patients, bed making and other daily tasks. It was useful and I’m still happy we were able to have that experience. A situation that made me uncomfortable during that semester that one particular CNA never sanitized his hands when entering and exiting a patient’s room. In most hospitals and nursing facilities there is a “pump in, pump out” rule to abide by when entering and exiting a patients room rule to ensure health care workers are not spreading bacteria to themselves and other patients. This particular CNA admitted to me that he pretends to push the hand sanitizer and rub his hands together without actually getting any sanitizer in his hands. His reasoning was that he found it overly drying to use the sanitizer so frequently despite the hospital providing lotion as well.

While shadowing my fellow upper cohorts during the clinic I had made many observations. Unfortunately I was only able to shadow one clinic, although I observed a lot. Marie was the first student that I was shadowing, she was the CA for the day. We started by stocking the cabinets with the necessities. Marie and I then took the dental tools out of the machines that cleaned, sterilized, and dried them. I was shown that there are two sides in the lab. What I mean by this is that the left side is a dirty side which you should always wear gloves so that you are always protected from the bacteria and germs that the tools carry. Everything on this side has to be handled carefully and you must always wash and sanitize your hands when you are through. The right side is the clean side where the tools and dental accessories are kept so that they stay clean and sterile. Next I was with Jennifer, although she had no patients that day due to a

They are responsible for what seems like everyone and everything. However, nurses have all the tools they need to be effective and safe nurses early on. The standards of precautions are one of those tools nurses are taught that aids them in protecting every patient they care for, including him or herself. Regardless of the patient’s health status, the nurse should use their better judgment when implementing care. In order to prevent interruption in the chain of infection, nurses are to adhere to the standards of precautions by thinking critically when providing patient care. No matter how presumably capable or experience a colleague may be, evidence-based practice proves that standard precautions are greatly impacting the nursing field. Nurses need to stick to their guns and not compromise their beliefs for fear of being the odd man out. The more the nurse implements those practices in their everyday routine the more it will become second nature. By gaining knowledge of the importance of standard precautions, the nurse will in turn become more compliant and adherent, and be better suited to provide effective quality care to all

It is preferable if you are always visible when approaching a patient. Always follow the correct procedures, and never carry out any procedure you have not been trained to do and do not use equipment you have had no training on.

Provision three of the American Nurse Association (ANA) Code of Ethics states that the nurse promotes, advocates for, and protects the rights, health, and safety of the patient. Within this standard, it specifies that nurses have a professional responsibility in promoting a culture of safety (American Nurse Association [ANA], 2015). As nursing students, we have the privilege of working with nurses in different departments during clinical rotations. Nursing students are able to observe the ethical application and inattention/negligence of this provision through the use of evidence based practice as well as unhealthy practices, respectively. While on clinical rotation, the most common unsafe actions I witnessed

Protecting the patient from illness and infection can by control if the staff knows the infections control procedures (wearing glows, protective clothing, washing the hands before and after a contact with a patient.

One of the main problems is hand hygiene and evidence suggests that healthcare staff including nurses do not perform this task as often as they should nor do they use the proper procedure. Even though it is

You are so correct, it is importance for us health professionals to share a common understanding of patient safety standards and practices and improve patient safety depends largely on the ways in which we; share and learn with other health professionals as well as students. We must improve the way we treat each other by using respect and compassion, and learn from one another and from patient safety events or any challenges that impact the ability for us as health professionals, to improve is to ensure better patient outcomes and patient experience in (Milstead 2015 [Power Point slide 6-10).

Atul Gawande explains the single biggest problem facing hospitals in the spread of infection in his novel, Better. This is expressed in his conversation with the infection control team, where it is said that “their greatest difficulty is getting clinicians like me to do the one thing that consistently halts the spread of infection: wash our hands. (Gawande, 2007, 14)” He notes that diligence, one of his three core requirements for success in medicine, plays a huge role in enforcing a policy like handwashing. While everyone knows hand washing is important, especially in a hospital, letting health care professionals ignore the practice and make their own decisions about its criticality harms the whole population.

Among reviewing CNAs at a long-term care facility, it was seen that some CNA’s did not take off their gloves between giving perineal care of a patient after the patient used the bathroom and the CNA reached for the patient’s attire to put on the patient for that day. The CNA put every patient at risk of contracting the infection and the patients clothes could have became a source of C-diff. There are many cases similar to the one above where health workers are in a rush and do not perform their job/skills that they have been taught correctly. Health workers being in a rush also is due to shortage of staff. The CNAs at the long term facility discussed in this paragraph work a 9:1 ratio, which causes challenges for the health workers to give quality care to the patients.

Research shows that Surgical site infections are preventable. According to the CDC, hand hygiene is the simplest approach to preventing the spread of infections and needs to be incorporated into the culture of the organization. Ensuring the use of infection control prevention is an important component of nursing care. Infection control prevention policies must be communicated undoubtedly to all employees. Staffers who do not comply must be re-educated to ensure that all are complying. Speaking up and pointing out that a nurse forgot to wash his or her hands, or notifying the surgical team that surgical instruments were not adequately cleaned may seem like small issues; but at the same time, not acknowledging a break in a sterile technique could mean the difference between life and death for a patient. One hospital that was struggling with high levels of infection related to surgical procedures, implemented a pre-procedure huddle as a team. This innovate way decreased the spread of infection and was a great way to improve the quality of care for patients. As mandated by the Joint commission, infection prevention personnel should provide multidisciplinary education on SSI prevention, to all team members, including

In the beginning of the chapter "On Washing Hands", Dr. Gawande stated that the spread of hospital-acquired infections could be stopped if the medical staffs wash their hands frequently between each patient visits. The infections are carried through the doctors and staff members and then transferred to the next patients by "having shaken hands with a sniffling patient…most of [the staff] do little more than wipe [their] hands on [their] white coats and move on--to see the next patient" (Gawande 15). The various contagions that the staff encounter is known to cause deadly infections and about ninety thousand patients die from these