RE: C Diff (Full Version)

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DeviantlyD -> RE: C Diff (2/22/2011 11:27:52 PM)


quote:

ORIGINAL: sirsholly

Just an FYI...carrying gloves in the car is a good idea, but the extreme temperatures in the car will cause the latex to become brittle and unusable...and it doesnt take long for this to happen..



I know I'm going off on a tangent here, but nitrile is the component of choice in gloves these days, not latex. Nitrile gloves don't seem to suffer the same fate as latex ones in terms of ambient temperature variations.

tazzygirl makes a good point, but if gloves are kept in the car and always brought in with you, then you will know you have gloves with you, whether or not they end up being used.:)




sirsholly -> RE: C Diff (2/23/2011 3:05:44 AM)

quote:

I know I'm going off on a tangent here, but nitrile is the component of choice in gloves these days, not latex.


Depending on the institution, nitrile gloves are often used only if the employee/patent has an allergy to latex.


~~Other high-grade non-latex gloves, such as nitrile gloves, can cost over twice the price of their latex counterparts, a fact that has often prevented switching to these alternative materials in cost-sensitive environments, such as many hospitals.~~


Edited because i screwed up the link...




maybemaybenot -> RE: C Diff (2/23/2011 1:15:03 PM)

quote:

ORIGINAL: tazzygirl

~FR

I cant help but think the gloves in the car angle wouldnt have helped. Would you leave a client in vomit and poop while running out to your car?



I most likely would have. For several reasons:

1- I would have to leave the patient to go down the hall and look for gloves anyway, if there were none in the room. If there were none in the halls, I would have to go to the supply closet or worse yet... down to the supply room. So running out to my car isn't that far of a leap. I would probably run out to my car after checking the room, hall and floor supply closet. I say this given it was a group home not a large hospital that I would have to to take a 20 minute trek.

2- Most likely I would have detcted that C Diff odor and or when pulling the diaper aside seen that C Diff mucousy appearance. In which case I would have definately gone to the car. Not pointing fingers at DFB, she wasn't familiar with C Diff, and sometimes it doesn't have the classic smell and consistency.

3- I do hospice and have had many occasions when I went into a home/residence and the home did not have proper PPE for me to do procedures. Our CNA's are responsible for making sure there are adequate supplies, and like the rest of us, they forget sometimes or the caregiver blew throught them quickly. Many of my clients are in ALF, Group Homes and elderly housing, so it's not like running out to the driveway in many cases. And yes, I have gone out to the car before starting a routine procedure.

4- Leaving some one in poop for an extra 5 minutes isn't going to cause harm. Nor is leaving them in vomit, altho I would prop them on their side while I ran out to prevent aspiration.

Sooo... Maybe I'm a little funky on the PPE, but I think, barring an emergency situation, I would go get my supplies.

mbmbn

ETA: Holly: I carry vinyl gloves and I can't really tell you how long they last in cold weather, since I generally have to replenish every couple of months, but I haven't run across damage yet... with the vinyl gloves.




MercTech -> RE: C Diff (2/23/2011 4:04:46 PM)


quote:

ORIGINAL: sirsholly

quote:

I know I'm going off on a tangent here, but nitrile is the component of choice in gloves these days, not latex.


Depending on the institution, nitrile gloves are often used only if the employee/patent has an allergy to latex.


~~Other high-grade non-latex gloves, such as nitrile gloves, can cost over twice the price of their latex counterparts, a fact that has often prevented switching to these alternative materials in cost-sensitive environments, such as many hospitals.~~


Edited because i screwed up the link...



Good point about the cost but one can push the use of nitrile by citing sensitization issues.

After 25 years of wearing latex exam gloves for work, I have developed a sensitivity. After two or three days of wearing latex gloves, I get clear blisters on the back of the hands. I had to push the issue a bit and demonstrate the sensitivity but I can now get nitrile gloves and not have to pay for them out of pocket.

Stefan




DeviantlyD -> RE: C Diff (2/23/2011 9:22:11 PM)

Fisher Healthcare seems to have prices that aren't that different. In fact, it's the latex ones they price higher. *shrugs*

Nitrile Exam Gloves

Latex Exam Gloves

Every health care facility I've been at uses nitrile for general use.




windchymes -> RE: C Diff (2/24/2011 7:40:03 AM)

The medical institutions are realizing that the cost of the nitrile gloves is a lot less than the legal fees they incur from being sued by a patient or an employee who had a reaction to latex.

Not sure what's going to happen when people start becoming sensitive to nitrile, though.....





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