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Morning Michael,
We have the same policy here, but am continually challenged by the units and sometimes we just find staff working on the wards with sleeves!
My argument is that if you cannot perform hand hygiene properly , you should not be delivering care to any patients. Not being able to perform hand hygiene properly is a breach of patient safety and it is difficult for them to argue this.
regards
Janine Carrucan
RN BApp Sci MPHTM GCertEd MAdv Prac (Infection Prevention & Control) CICP-E
COVID-19 Lead
Nursing Director
Infection Prevention and Control
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janine.carrucan@health.qld.gov.au
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Townsville Hospital and Health Service
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Hi Michael
I agree with you and this is the advise I have given to staff in the past.
Kind regards
Sally
[Queensland Government]
Sally Broadhurst
CN Infection Control
WBHHS | Queensland Health
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Hi all
I wonder how everyone manages healthcare workers who are required to wear lymphoedema sleeves, or braces/splints that cover the wrist and hand? My recommendations for these have always in the past been to advise that any device or garment worm below the wrist means no patient contact tasks can be performed.
That usual recommendation is being challenged currently by staff who are required to wear (long term) lymphoedema sleeves that cover the wrist and part of the hand. I am being told I am discriminating against them.
In the spirit of fairness, I have always been tolerate of garments worn below the elbow when there is a genuine reason to do so, as long as the wrists and hands are uncovered. But I draw the line at garments covering the wrist or below, due to the inability for that staff member to satisfactorily perform hand hygiene.
So, what are the thoughts of the communal infection control mind? Would you allow a lymphoedema sleeve to be worn over the wrist and hand during patient care in an acute setting? Would you limit ‘types’ of patient contact (eg no open wounds, no invasive devices)? Any other approaches?
Thanks
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
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