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

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  • #70204
    Tim Spencer
    Participant

    Author:
    Tim Spencer

    Email:
    Tim.Spencer@SSWAHS.NSW.GOV.AU

    Organisation:

    State:

    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

    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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    #70210
    Wilson, Fiona (TIPCU)
    Participant

    Author:
    Wilson, Fiona (TIPCU)

    Email:
    fiona.wilson1@DHHS.TAS.GOV.AU

    Organisation:

    State:

    Hi Timothy, maybe get them to count the seconds while they clean the IV hub instead of specifically timing them with a watch.

    Fiona Wilson I CNC, Infection Control, TIPCU
    Population Health I Department of Health and Human Services
    Post GPO Box 125 Hobart Tas 7001 | Email tipcu@dhhs.tas.gov.au
    Phone (03) 6222 7684 | Fax (03) 6233 0553
    A fair and healthy Tasmania

    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]

    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

    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]

    _____________________________________________________________________
    This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
    Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.
    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

    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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    Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised
    by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
    _____________________________________________________________________
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    visit http://www.messagelabs.com

    _____________________________________________________________________
    This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
    Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.
    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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    This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
    Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.
    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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