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[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 thought:)
Jayne O’Connor, RN, BSc. Infection Control
CNC- IPC
Sydney Adventist Hospital
185 Fox Valley Rd
Wahroonga
NSW 2076
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
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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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
MichaelMichael 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[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 thought:)
Jayne O’Connor, RN, BSc. Infection Control
CNC- IPC
Sydney Adventist Hospital
185 Fox Valley Rd
Wahroonga
NSW 2076
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
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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by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.
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