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  1. #1
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    Only 40% of doctors and nurses wash their hands?

    Turns out installing alcohol-based handwashing gel dispensers in hospitals and encouraging staff to use them isnít enough to prevent infections. Rings and long fingernails keep hands and dirty and other problems, such as non-sanitized treatment areas and improper handling of catheters are a problem, too. The issue was studied at a hospital in Nebraska, where gel use doubled but infection rates didnít budge. Itís not surprising to learn that one tactic isnít sufficient to control infections. Still, whenever I read about the poor record of hospital safety and quality it makes me mad. From the AP:
    More gel dispensers were put in the units, and usage rose from 37 percent to 68 percent in one unit and from 38 percent to 69 percent in the other. Compliance for hand washing of any kind in most hospitals is estimated to be about 40 percent, according to experts, although some hospitals do better.
    Can you imagine a 40 percent compliance rate in any other business besides health care?
    • Pilots going through their pre-flight checklists completely 40 percent of the time?
    • Accountants calculating profit and loss correctly 40 percent of the time?
    • Hamburger flippers putting all the ingredients on a Whopper 40 percent of the time?


    Link:
    Health Business Blog Ľ Blog Archive Ľ Hospital dangers


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    Re: Only 40% of doctors and nurses wash their hands?

    Quote Originally Posted by alaskaguy View Post
    • Hamburger flippers putting all the ingredients on a Whopper 40 percent of the time?

    That's about the rate they get my order correct.


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    Re: Only 40% of doctors and nurses wash their hands?

    It is no secret that part of the problem with hospital infection rates is lack of systematic application of prophylactic cleansing of the hands. I do believe that there is a study out there that shows that Doctors ties (you know, the colorful thing they wear around their neck, yet is only rarely if ever laundered) are one of the leading causes of the spread of Staph infections.

    Hospitals are rapidly becoming similar to medieval "sickhouses".


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    Re: Only 40% of doctors and nurses wash their hands?

    Nastiness!

    I am obsessive about washing and Purell-ing my hands at work. Hell, I even put Purell all over my pen that I use to write in charts.



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    Re: Only 40% of doctors and nurses wash their hands?

    That sounds about right. Back when I worked in a doctors office, I would say the percentage that washed there hands there after "using it" was about 25%. It was gross, but it had nothing to do with why I was fired.



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    Re: Only 40% of doctors and nurses wash their hands?

    Quote Originally Posted by mrsbrianhos View Post
    Nastiness!

    I am obsessive about washing and Purell-ing my hands at work. Hell, I even put Purell all over my pen that I use to write in charts.

    Living with Brian probably makes you this way. He's just filthy.

    This kind of stuff scares me. Surgeries and such are hard enough but, having an infection on top of it would be horrible. Its not hard to keep yourself clean and it should be a persons top priority in a health environment. Hence the "health" part of it. Im glad to hear you are obsessive about it. Hope others can live by your example.



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    Re: Only 40% of doctors and nurses wash their hands?

    One of the PA's (physican assistant) at the office, takes alcohol pads and wipes his face off a few times a day during flu season! I am not quite ready to take it to that level just yet. Although, I did consider it. I got the Flu, after working 2 weekends ago. Being exposed nearly constantly for 2 days straight, was apparently too much for my system. I haven't been that sick in many, many years.



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    Re: Only 40% of doctors and nurses wash their hands?

    Does anyone think that we are causing things like the flu to get worse?



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    Re: Only 40% of doctors and nurses wash their hands?

    Quote Originally Posted by bostinelosd View Post
    Does anyone think that we are causing things like the flu to get worse?
    Yes and no.

    I think that there is definately some antibiotic resistance out there. Just look at MRSA (Methicillin-resistant Staphylococcus aureus) . It used to be a hospital acquired infection. Now it is much more community acquired. You could pick it up at the gym, on your shopping cart at the store, a door handle at the mall, pretty much anywhere. And yet, some Dr.'s still 'reward' people with an antibiotic prescription when they don't need it.

    As far as influenza goes. This year has been particularly bad, because the flu shot is only covering around 40% of the cases. They try to predict which strains will be most prevalent and that is what goes into the vaccine. This year they guessed wrong. Hopefully next year's shot, which they should be putting the final touches on now and start producing in a few months, will cover more strains like in years past.



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    Re: Only 40% of doctors and nurses wash their hands?

    If used alcohol-based hand sanitizers are much more effective then washing hands. In addition, because a sink is not needed they are more convienant.

    I think 40% compliance is only a result of them doing the study in Nebraska.



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    Re: Only 40% of doctors and nurses wash their hands?

    Quote Originally Posted by mrsbrianhos View Post
    One of the PA's (physican assistant) at the office, takes alcohol pads and wipes his face off a few times a day during flu season! I am not quite ready to take it to that level just yet. Although, I did consider it. I got the Flu, after working 2 weekends ago. Being exposed nearly constantly for 2 days straight, was apparently too much for my system. I haven't been that sick in many, many years.
    Quite honestly, who HASN'T been this sick in many, many years? My wife has been coughing her little lungs out for 2-3 weeks straight...


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    Re: Only 40% of doctors and nurses wash their hands?

    Quote Originally Posted by mrsbrianhos View Post
    Yes and no.

    I think that there is definately some antibiotic resistance out there. Just look at MRSA (Methicillin-resistant Staphylococcus aureus) . It used to be a hospital acquired infection. Now it is much more community acquired. You could pick it up at the gym, on your shopping cart at the store, a door handle at the mall, pretty much anywhere. And yet, some Dr.'s still 'reward' people with an antibiotic prescription when they don't need it.

    As far as influenza goes. This year has been particularly bad, because the flu shot is only covering around 40% of the cases. They try to predict which strains will be most prevalent and that is what goes into the vaccine. This year they guessed wrong. Hopefully next year's shot, which they should be putting the final touches on now and start producing in a few months, will cover more strains like in years past.
    OK, I took your advise and looked at MRSA.



    It looks pretty cute to me

    GIANTmicrobes | MRSA (Multiple-Resistant staphylococcus aureus)



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    Re: Only 40% of doctors and nurses wash their hands?

    Quote Originally Posted by mrsbrianhos View Post
    Yes and no.

    I think that there is definately some antibiotic resistance out there. Just look at MRSA (Methicillin-resistant Staphylococcus aureus) . It used to be a hospital acquired infection. Now it is much more community acquired. You could pick it up at the gym, on your shopping cart at the store, a door handle at the mall, pretty much anywhere. And yet, some Dr.'s still 'reward' people with an antibiotic prescription when they don't need it.

    As far as influenza goes. This year has been particularly bad, because the flu shot is only covering around 40% of the cases. They try to predict which strains will be most prevalent and that is what goes into the vaccine. This year they guessed wrong. Hopefully next year's shot, which they should be putting the final touches on now and start producing in a few months, will cover more strains like in years past.
    There is a doctor at my moms office who loves to prescribe antibiotics. It drives me nuts. I remember when I was in Ames, student health would pass out antibiotics alot as well. Im sure that has changed, but good grief.



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    Re: Only 40% of doctors and nurses wash their hands?

    Quote Originally Posted by bostinelosd View Post
    There is a doctor at my moms office who loves to prescribe antibiotics. It drives me nuts. I remember when I was in Ames, student health would pass out antibiotics alot as well. Im sure that has changed, but good grief.
    I think it took doctors realizing that prescribing antibiotics for every little thing causes all those little things to become resistant to the antibiotics for them to decide that handing out antibiotics as if it was aspirin was not the wisest idea...


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