Posted by: Witch Doctor | October 3, 2007

Citizens’ juries – hand hygeine

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WHAT ACTIONS WOULD YOU LIKE TO SEE TO TACKLE THE SPREAD OF INFECTIONS?

To continue The Citizen Witch Doctor’s answer to the above question:

HAND HYGEINE

The appropriate use of handwashing and alcohol gels is considered to be one of the most important aspects of infection control.

There may be no sinks, not enough sinks, inadequately designed sinks.

There may be sinks that require mountaineering skills to reach them. These sinks are a “gesture.” They have been installed in wards that had too few sinks in order to tick a box. They are sometimes placed between beds. Where bed occupancy is high, beds may be too close together. Patients chairs, lockers, equipment may reside in front of the sink. The sink is effectively not there.

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A SINK NOT THERE. (THANKFULLY, NOT IN A UK WARD)

Frequent hand-washing causes dermatitis. Poor, cheaper hand products may exacerbate this. Broken skin becomes colonised or infected, increasing the reservoir of microorganisms.

Yes, this is all now being addressed, but slowly at the very beginning.

Staff need to know the proper way to wash hands. Fortunately this is not rocket science. The procedure should not be elevated into the status of a science or an art. It is neither. It is a minor competency. If staff members cannot grasp this little “competency” quickly, then question must arise whether the have the wit to be involved in patient care at all.

So, Part 2 of The Witch Doctor’s reply to your question is as follows:

1. Provide the best handcare facilities available taking into account the potential irritant effect of frequent handwashing.

2. Do not become over-focused on “hand-washing technique.” This is not difficult. It does not need a degree course. It is being laboured at the moment.

3. Focus now, not so much on “hows” of hand hygeine, but more on the “whys.” ie Why do staff, who know how to wash their hands, not do it?

And that is the really, really difficult bit.

Isn’t it, My Black Cat?

The citizen’s jury, which we were not invited to attend, probably had fun with that one.  I bet they didn’t come up with anything that would work.

Do you think we might, My Black Cat?

The Witch Doctor – Link to a random page

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LINK TO UK MISSING KIDS WEBSITE

LINK TO MISSING PERSONS WEBSITE

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