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Re: removing a wrist watch for non-sterile, non-touch procedures where timing is required.

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  • #70216
    Helen Truscott
    Participant

    Author:
    Helen Truscott

    Email:
    Helen.Truscott@CEC.HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hi Tim

    I think you have missed your forte?

    This is great; do you have any songs for hand hygiene compliance?

    Kind regards

    Helen

    Helen Truscott

    Hand Hygiene Project Officer , Healthcare Associated Infections (HAI)

    Clinical Excellence Commission | Level 14/227 Elizabeth Street, Sydney
    NSW 2000

    T: (02) 9269 5535|F: (02) 9269 5599

    Mob 0448 269 870| E: Helen.Truscott @cec.health.nsw.gov.au

    http://www.cec.health.nsw.gov.au

    Behalf Of Michael Wishart
    procedures where timing is required.

    Hi Tim

    Maybe we could get them to sing a little ditty? We tried this with
    timing hand washing (sing happy birthday to yourself 3 times!) with
    varied success. Works with no timing device if done correctly.

    So, we could invent a little ditty dependent upon how long you need.

    Here’s my effort (to the tune of Rub-a-dub-dub)

    Scrub a hub-hub

    To kill all the bugs

    The staphs and Enterobacteriaecae…

    Make sure that you scrub

    All bits of the hub
    and render that hub bug free!

    [Add verses or repeat as needed to make up to time required]

    Cheers

    Michael

    Michael Wishart

    CNC Infection Control

    Holy Spirit Northside Private Hospital

    627 Rode Road, Chermside, Qld 4032

    t: (07) 3326 3068 | f: (07) 3607 2226

    e: Michael.Wishart@hsn.org.au

    w:www.holyspiritnorthside.org.au

    Please consider the environment before printing this email

    Behalf Of Michael Wishart
    procedures where timing is required.

    [Posted on behalf of Jayne O’Connor – moderator]

    Hi Tim,

    Maybe a wall clock with a second hand could be installed in the room if
    this is a procedure that is performed on a regular basis? Just a
    thoughtJ

    Jayne O’Connor, RN, BSc. Infection Control

    CNC- IPC

    Sydney Adventist Hospital

    185 Fox Valley Rd

    Wahroonga

    NSW 2076

    Jayne.oconnor@sah.org.au

    Behalf Of Tim Spencer
    procedures where timing is required.

    I’m sure a fob watch would be very suitable Jayne.

    I know wrist watches are a problem but what do you do if that’s all you
    have?

    I have also been told that the clinician can always take their watch off
    and put it in a place where they can easily see it i.e a trolley, table,
    etc.

    If it was a patient with an MRO, I’d prefer NOT to have my watch on
    surface areas where there is something a little more sinister lurking..

    However, that said, I would also be wearing a full length disposable
    gown which the sleeves would cover my watch anyway 😉

    Hmm.. food for thought still…

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
    Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
    Service

    Conjoint Lecturer, South West Sydney Clinical School | Faculty of
    Medicine | University of NSW
    Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
    Elizabeth Street, Liverpool, 2170, NSW, Australia
    Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
    Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
    200 yeas logo white.jpg

    Behalf Of Jayne OConnor
    procedures where timing is required.

    Hi Tim,

    Why can’t a fob watch be worn? They are tax deductable and some very
    trendy looking ones available now?

    We discourage wearing of wrist watches as can impede hand hygiene. I
    know you’re referring to non touch technique but if they don’t remove
    the watch during hand hygiene how can you guarantee that hand hygiene
    has been carried out correctly, also the wrist may remain wet beneath
    the watch which poses other issues in my mind.

    However this is what NSW Health policy states for hand hygiene!

    Other hand, wrist or forearm jewellery must not be worn by healthcare
    professionals providing

    direct patient care unless required for patient care (eg. watch) or
    medically essential (eg.

    medical alert bracelet). These must be removable and able to be cleaned.

    Kind regards

    Jayne

    Jayne O’Connor, RN, BSc. Infection Control

    CNC- IPC

    Sydney Adventist Hospital

    185 Fox Valley Rd

    Wahroonga

    NSW 2076

    Jayne.oconnor@sah.org.au

    Behalf Of Tim Spencer
    where timing is required.

    Hi Infection Controllers,

    Is removing a wrist watch required for a non-sterile, non-touch
    procedure?

    If appropriate hand hygiene has been performed (hand gel or
    alcohol-based hand rub) and the clinician is wearing non-sterile gloves,
    does the wrist watch need to be removed if its required for the
    procedure i.e counting seconds for the procedure

    This is for a scrub the hub principles..

    Thoughts, recommendations or guideline quotes are welcomed.

    Regards,

    Tim..

    Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
    Clinical Nurse Consultant, Central Venous Access & Parenteral Nutrition
    Service

    Conjoint Lecturer, South West Sydney Clinical School | Faculty of
    Medicine | University of NSW
    Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital,
    Elizabeth Street, Liverpool, 2170, NSW, Australia
    Tel (+61) 2 8738 3603 | Fax (+61) 2 8738 3551 | Mob +61 (0)409 463 428 |
    Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au
    200 yeas logo white.jpg

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