Artificial fingernails

[Wilson, Fiona L (Infection Control)]

As per Hand Hygiene Australia and WHO consensus recommendations, we do not recommend that HCW have artificial fingernails while working in the clinical area. I am wondering how you ‘police’ this (for want of a better term) and does anyone have a HR process for HCW’s who refuse to remove artificial fingernails.
Regards

Fiona Wilson
Manager, Infection Control
Western Health
email: fiona.wilson@wh.org.au

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[RUSSO, Philip]

Short of running a guillotine across the knuckles, I’d suggest they
would need to be removed from the clinical area until a/nails removed

Regards
Phil Russo

On 22/03/2010, at 3:35, “Wilson, Fiona L (Infection Control)” wrote:

> As per Hand Hygiene Australia and WHO consensus recommendations, we
> do not recommend that HCW have artificial fingernails while working
> in the clinical area. I am wondering how you ‘police’ this (for want
> of a better term) and does anyone have a HR process for HCW’s who
> refuse to remove artificial fingernails.
> Regards
>
> Fiona Wilson
> Manager, Infection Control
> Western Health
> Phone: 8345 6666 pager 506
> Fax: 83456973
> email: fiona.wilson@wh.org.au
>
> Messages posted to this list are solely the opinion of the authors,
> and do not represent the opinion of AICA.
> Archive of all messages are available at http://aicalist.org.au/archives
> – registration and login required.
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[Chard, Colette]

Hi Fiona,

We have had excellent support by our executive for all clinical staff to
remove jewellery and artificial finger nails in particular our CEO.
Staff were given a deadline to remove artificial nails and this was
December. The other component that supported this was that clinical
staff were supplied with the colorful silicone fob watches. So there is
no excuse for staff now to be non compliant. If staff don’t comply it
will become a performance management issue and managed in this manner so
far we haven’t had to go down this path.

The main issue for us is the visiting staff such as agency so that is my
next task to contact the agencies and inform them of our Policy but this
has been mainly for jewellery.

Good luck hope this helps a little

Kind regards

Colette Chard
Infection Control Coordinator
Clinical Nurse Day Surgery
North West Private Hospital
137 Flockton St.,
Everton Park
07 3246 3145 / 3246 3183(Tuesdays)
email:chardc@ramsayhealth.com.au

—–Original Message—–
Behalf Of RUSSO, Philip

Short of running a guillotine across the knuckles, I’d suggest they
would need to be removed from the clinical area until a/nails removed

Regards
Phil Russo

On 22/03/2010, at 3:35, “Wilson, Fiona L (Infection Control)”
wrote:

> As per Hand Hygiene Australia and WHO consensus recommendations, we
> do not recommend that HCW have artificial fingernails while working
> in the clinical area. I am wondering how you ‘police’ this (for want
> of a better term) and does anyone have a HR process for HCW’s who
> refuse to remove artificial fingernails.
> Regards
>
> Fiona Wilson
> Manager, Infection Control
> Western Health
> Phone: 8345 6666 pager 506
> Fax: 83456973
> email: fiona.wilson@wh.org.au
>
> Messages posted to this list are solely the opinion of the authors,
> and do not represent the opinion of AICA.
> Archive of all messages are available at
http://aicalist.org.au/archives
> – registration and login required.
> Replies to this message will be directed back to the list. To create
> a new message send an email to aicalist@aicalist.org.au
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aicalist-request@aicalist.org.au
> .
> You can unsubscribe from this list be sending ‘signoff
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[Glenys Harrington]

Fiona,

To support your policy/practice change or management strategies around this
issue some additional evidence relating to nail damage and use of acrylic
nails may be useful. See 2008 Shemer et al findings below:

Shemer A et al. Onycomycosis due to artificial nails. J Eur Acad Dermatology
Venereol. 2008 Aug;22(8):998-1000.
Summary of Findings:

68 pts suffering from nail changes and paronychia which appeared after
removal of artificial nails
Culture was positive in 67/68 patients (98.5%).
Candida spp. were the most common pathogen

Regards

Glenys

Glenys Harrington
Consultant
Infection Control Consultancy (ICC)

PO Box 5202
Middle Park
Victoria, 3206
Australia

H: +61 3 96902216
M: +61 404 816 434
infexion@ozemail.com.au

ABN 47533508426

—–Original Message—–
RUSSO, Philip

Short of running a guillotine across the knuckles, I’d suggest they
would need to be removed from the clinical area until a/nails removed

Regards
Phil Russo

On 22/03/2010, at 3:35, “Wilson, Fiona L (Infection Control)”
wrote:

> As per Hand Hygiene Australia and WHO consensus recommendations, we
> do not recommend that HCW have artificial fingernails while working
> in the clinical area. I am wondering how you ‘police’ this (for want
> of a better term) and does anyone have a HR process for HCW’s who
> refuse to remove artificial fingernails.
> Regards
>
> Fiona Wilson
> Manager, Infection Control
> Western Health
> Phone: 8345 6666 pager 506
> Fax: 83456973
> email: fiona.wilson@wh.org.au
>
> Messages posted to this list are solely the opinion of the authors,
> and do not represent the opinion of AICA.
> Archive of all messages are available at http://aicalist.org.au/archives
> – registration and login required.
> Replies to this message will be directed back to the list. To create
> a new message send an email to aicalist@aicalist.org.au
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> .
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[Fiona de Sousa]

At our facility staff in clinical areas were given an amnesty two years
ago to remove their artificial nails and comply with policy in relation
to nail polish, fingernail length, jewellery and sleeve length (based on
NSW Health Infection Control Policy Directive).

We have had great success with the artificial fingernails but we have
noticed that nail polish is creeping back in. Our biggest issue though
is getting engagement rings removed.

We formally audit clinical staff hands with an observation audit twice a
year and feed back results to Managers who are expected to monitor and
manage their staff non-compliance. Some Managers are better than others.

We also informally monitor staff hands when ever the IPC staff are on
the wards.

It is still a challenge.

Fiona De Sousa
Infection Prevention & Control Coordinator, SAH

—–Original Message—–
Behalf Of Wilson, Fiona L (Infection Control)

As per Hand Hygiene Australia and WHO consensus recommendations, we do
not recommend that HCW have artificial fingernails while working in the
clinical area. I am wondering how you ‘police’ this (for want of a
better term) and does anyone have a HR process for HCW’s who refuse to
remove artificial fingernails.
Regards

Fiona Wilson
Manager, Infection Control
Western Health
email: fiona.wilson@wh.org.au

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[Hobbs, Louise]

The Garling Report which was published in NSW certainly articulated a
very clear punitive approach toward healthcare workers who did not
comply with infection control guidelines.

I am not sure how successfully it has been implemented. Maybe someone
from NSW could provide some comment

Regards

Louise Hobbs

Manager
Infection Prevention and Surveillance Service
Melbourne Health
Ph 93428324

—–Original Message—–
Behalf Of Wilson, Fiona L (Infection Control)

As per Hand Hygiene Australia and WHO consensus recommendations, we do
not recommend that HCW have artificial fingernails while working in the
clinical area. I am wondering how you ‘police’ this (for want of a
better term) and does anyone have a HR process for HCW’s who refuse to
remove artificial fingernails.
Regards

Fiona Wilson
Manager, Infection Control
Western Health
email: fiona.wilson@wh.org.au

Messages posted to this list are solely the opinion of the authors, and
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