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Gloving to Avoid Hand Hygiene

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  • #75125
    Donna Schmidt
    Participant

    Author:
    Donna Schmidt

    Email:
    DonnaMarie.Schmidt@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello all, the biggest challenge I face is trying to get staff to believe in the risk.

    My latest trial is to find an innovative and practical way to make staff realise that gloves do not provide adequate protection. We all know they don’t, but how do we prove it?

    Has anyone got tips or suggestions on practical demonstrations or even simple and clear evidence I could use to convince staff that gloves are not the be all and end all?

    Kind Regards,
    Donna Schmidt
    Clinical Nurse Consultant Infection Control – Primary & Community Health
    Rosemeadow Community Health Centre
    5 Thomas Rose Drive, Rosemeadow, NSW, 2560
    Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
    donnamarie.schmidt@health.nsw.gov.au

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    #75126
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Donna

    A couple of simple things spring to mind.

    1. Have users wear disposable gloves for a while, simulating normal usage. Plate hands prior to glove wearing, then after. Note how much more growth you get from gloved hands. Washing after glove use is important.

    2. Get users to don gloves and flex their fingers, pick up objects, etc. Then dip gloved hands in coloured dye (and flex fingers in the dye) and see how much gets through onto the skin. Gloves develop holes very rapidly in use.

    These simple activities are designed to show way it is important not to trust gloves alone, and the effect glove use can have on the active flora on your hands.

    You might find a hand care product provider or glove manufacturer will have similar activities they will do with your staff.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    [cid:image001.jpg@01D46C86.4CDB6090]
    [2019 conference email signature]

    Hello all, the biggest challenge I face is trying to get staff to believe in the risk.

    My latest trial is to find an innovative and practical way to make staff realise that gloves do not provide adequate protection. We all know they don’t, but how do we prove it?

    Has anyone got tips or suggestions on practical demonstrations or even simple and clear evidence I could use to convince staff that gloves are not the be all and end all?

    Kind Regards,
    Donna Schmidt
    Clinical Nurse Consultant Infection Control – Primary & Community Health
    Rosemeadow Community Health Centre
    5 Thomas Rose Drive, Rosemeadow, NSW, 2560
    Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
    donnamarie.schmidt@health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-South-Western-Sydney-LHD.jpg]
    This message may contain confidential information and
    is intended only for the individual’s named. If you are not
    the intended recipient, please delete it and notify the sender
    immediately.
    [cid:image004.jpg@01D2A16E.34EC46A0]

    This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.

    ______________________________________________________________________
    This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return https://clicktime.symantec.com/3FQEojLKFEn5SxoFSgw8LMk7Vc?uemail%2C%20delete%20the%20Email%2C%20and%20do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
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    #75127
    Marija Juraja
    Participant

    Author:
    Marija Juraja

    Email:
    marija.juraja@sa.gov.au

    Organisation:

    State:

    Great ideas Michael.
    Another similar activity get them to place their gloves on and apply a 20cm dollop of acrylic paint onto the gloves to simulate soap.
    Ask them to pretend to wash their hands for 15 seconds then try and remove their gloves without cross contaminating themselves.
    They soon learn that its difficult and always one person has a potential hole or tears their gloves when removing.
    Its very visual and they see
    a) areas they have missed when washing with the paint and
    b) how a small hole can allow germs to remain behind even though they have worn gloves.

    Kind Regards

    Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
    Division of Acute Medicine (RN, GCNS Inf Ctrl, CICP-E)
    t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
    Adjunct Clinical Lecturer | University of South Australia | Division of Health Sciences
    [Conumers]

    Hi Donna

    A couple of simple things spring to mind.

    1. Have users wear disposable gloves for a while, simulating normal usage. Plate hands prior to glove wearing, then after. Note how much more growth you get from gloved hands. Washing after glove use is important.

    2. Get users to don gloves and flex their fingers, pick up objects, etc. Then dip gloved hands in coloured dye (and flex fingers in the dye) and see how much gets through onto the skin. Gloves develop holes very rapidly in use.

    These simple activities are designed to show way it is important not to trust gloves alone, and the effect glove use can have on the active flora on your hands.

    You might find a hand care product provider or glove manufacturer will have similar activities they will do with your staff.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    [cid:image001.jpg@01D46C86.4CDB6090]
    [2019 conference email signature]

    Hello all, the biggest challenge I face is trying to get staff to believe in the risk.

    My latest trial is to find an innovative and practical way to make staff realise that gloves do not provide adequate protection. We all know they don’t, but how do we prove it?

    Has anyone got tips or suggestions on practical demonstrations or even simple and clear evidence I could use to convince staff that gloves are not the be all and end all?

    Kind Regards,
    Donna Schmidt
    Clinical Nurse Consultant Infection Control – Primary & Community Health
    Rosemeadow Community Health Centre
    5 Thomas Rose Drive, Rosemeadow, NSW, 2560
    Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
    donnamarie.schmidt@health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-South-Western-Sydney-LHD.jpg]
    This message may contain confidential information and
    is intended only for the individual’s named. If you are not
    the intended recipient, please delete it and notify the sender
    immediately.
    [cid:image004.jpg@01D2A16E.34EC46A0]

    This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.

    ______________________________________________________________________
    This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return https://clicktime.symantec.com/3FQEojLKFEn5SxoFSgw8LMk7Vc?uemail%2C%20delete%20the%20Email%2C%20and%20do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #75129
    Anonymous
    Inactive

    Author:
    Anonymous

    Organisation:

    State:

    Hi Donna,

    I recently held a training session for new staff which involved PPE donning and doffing for contact precautions. Staff put on aprons and gloves, their hands and aprons were contaminated with glow in the dark powder. Once they removed the PPE we checked their clothes and hands, most were contaminated.

    We were then able to discuss the importance of hand hygiene post glove use as well as improved technique for PPE doffing

    Kind regards,

    Fiona De Sousa CICP-E| Nurse Manager | Infection Prevention & Control Unit
    Launceston General Hospital, Level 2, Launceston TAS 7250
    phone: 6777 6715 | mobile: 0408 487 197 | fax: 6777 5170 | email: fiona.de.sousa@ths.tas.gov.au |
    intranet: http://www.dhhs.tas.gov.au/intranet/thon/infection_control

    IPCU – ‘By working together we promote a culture of safety to reduce preventable infections and transmission of multi-resistant organisms’

    Hello all, the biggest challenge I face is trying to get staff to believe in the risk.

    My latest trial is to find an innovative and practical way to make staff realise that gloves do not provide adequate protection. We all know they don’t, but how do we prove it?

    Has anyone got tips or suggestions on practical demonstrations or even simple and clear evidence I could use to convince staff that gloves are not the be all and end all?

    Kind Regards,
    Donna Schmidt
    Clinical Nurse Consultant Infection Control – Primary & Community Health
    Rosemeadow Community Health Centre
    5 Thomas Rose Drive, Rosemeadow, NSW, 2560
    Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816
    donnamarie.schmidt@health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-South-Western-Sydney-LHD.jpg]
    This message may contain confidential information and
    is intended only for the individual’s named. If you are not
    the intended recipient, please delete it and notify the sender
    immediately.
    [cid:image004.jpg@01D2A16E.34EC46A0]

    This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender.

    Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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    #75132
    marjenes@OPTUSNET.COM.AU Subject: Re: Gloving to Avoid Hand Hygiene In-Reply-To:
    Participant

    Author:
    marjenes@OPTUSNET.COM.AU Subject: Re: Gloving to Avoid Hand Hygiene In-Reply-To:

    Email:
    46cfea1ec8594450ac5d28cab147f466@SVDCMBX-MEX027.nswhealth.ne

    Organisation:

    State:

    Thursday

    Dear Donna – just reading those suggestions which are all great.

    Having done and still educating on this for over 25 years, I use one quote
    from a paper from CDC in 2003! Am sure I can copy the text below

    “Bacterial flora colonising patients may be recovered from the hands of 30%
    of HCWs who wear gloves during patient contact”(I repeat this if it hasn’t
    shocked them!). “Further, wearing gloves does not provide complete
    protection against acquisition of infection caused by HBV and herpes simplex
    virus. In such instances pathogens presumably gain access to a caregiver’s
    hands via small defects in gloves or by contamination of the hands during
    removal”

    I focus on the 30% and that staff hands become contaminated either by glove
    defects and/or during removal.

    I think that should get the message over as a conclusion to any
    demonstration

    Regards,

    Margaret Jennings
    Marjen Education Services

    website. http://www.marjenes.com.au
    email. marjenes@optusnet.com.au

    mob. 0404 088 754
    fax. 03 9439 2436

    Schmidt (South Western Sydney LHD)

    Hello all, the biggest challenge I face is trying to get staff to believe in
    the risk.

    My latest trial is to find an innovative and practical way to make staff
    realise that gloves do not provide adequate protection. We all know they
    don’t, but how do we prove it?

    Has anyone got tips or suggestions on practical demonstrations or even
    simple and clear evidence I could use to convince staff that gloves are not
    the be all and end all?

    Kind Regards,

    Donna Schmidt
    Clinical Nurse Consultant Infection Control – Primary & Community Health

    Rosemeadow Community Health Centre

    5 Thomas Rose Drive, Rosemeadow, NSW, 2560
    Tel (02) 4633 4113 | Fax (02) 4633 4111 | Mob 0438 925 816

    donnamarie.schmidt@health.nsw.gov.au

    This message may contain confidential information and

    is intended only for the individual’s named. If you are not

    the intended recipient, please delete it and notify the sender

    immediately.

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