From Elaine.Briggs at maine.gov Wed Sep 16 08:06:04 2009 From: Elaine.Briggs at maine.gov (Briggs, Elaine) Date: Wed, 16 Sep 2009 08:06:04 -0400 Subject: [healthoccs] REMINDER: 180-hour curriculum and skill sheets Message-ID: <32E5C6B0B949584D9B6168C5F727916B0741D12B@SOM-TEAQASMAIL1.som.w2k.state.me.us> Please remember that ALL CNA classes must use the 180-hour curriculum and skill sheets. You can download these documents and other CNA-related information from our web site at: http://www.maine.gov/education/it/directory/hoes/tttmanual/index.htm. Elaine Briggs Office Specialist I Career and Technical Education 23 State House Station Augusta ME 04333-0023 207-624-6711 fax 207-624-6731 -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090916/581a2f03/attachment.html From dhapgood at biddschools.org Mon Sep 21 11:52:20 2009 From: dhapgood at biddschools.org (Debra Hapgood) Date: Mon, 21 Sep 2009 11:52:20 -0400 Subject: [healthoccs] Pass Assure pharmacy technician program In-Reply-To: <32E5C6B0B949584D9B6168C5F727916B05E266CB@SOM-TEAQASMAIL1.som.w2k.state.me.us> References: <32E5C6B0B949584D9B6168C5F727916B05E266CB@SOM-TEAQASMAIL1.som.w2k.state.me.us> Message-ID: Hello, The Pass Assured pharmacy technician program was presented a couple of years ago at our MHOEA summer conference. Has anyone used the system? If so, what are your thoughts? I have a student who is interested in completing the program. Any feedback would be greatly appreciated. Deb Hapgood Health Science Careers Biddeford Regional Center of Technoloy 10 Maplewood Avenue Biddeford, ME 04005 (207) 282-1501 -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090921/13d63dde/attachment.html From eliotc at westbrookschools.org Mon Sep 21 15:04:59 2009 From: eliotc at westbrookschools.org (Catherine B. Eliot) Date: Mon, 21 Sep 2009 15:04:59 -0400 Subject: [healthoccs] Physical Therapy Career Night at MMC In-Reply-To: References: <32E5C6B0B949584D9B6168C5F727916B05E266CB@SOM-TEAQASMAIL1.som.w2k.state.me.us> Message-ID: <813F1B775BF7AD40BF1F897DD608D49C071696E8@mail.wsd.westbrookschools.org> Hi there, Maine Medical Center is sponsoring a Career Night for students interested in the field of Physical Therapy. The event is Oct. 22 from 6:30-8:30 at Dana Center. Details are on the attached flyer. This is a great opportunity for students in Southern Maine! Let me know if there are any problems with the attachment. Catherine Catherine B. Eliot, RN Medical Occupations Instructor Westbrook Regional Vocational Center 125 Stroudwater St. Westbrook, ME 04092 (207) 854-0820 ext.547 eliotc at westbrookschools.org ________________________________ From: healthoccs-bounces at informe.org [mailto:healthoccs-bounces at informe.org] On Behalf Of Debra Hapgood Sent: Monday, September 21, 2009 11:52 AM Cc: healthoccs at lists.maine.gov Subject: Re: [healthoccs] Pass Assure pharmacy technician program Hello, The Pass Assured pharmacy technician program was presented a couple of years ago at our MHOEA summer conference. Has anyone used the system? If so, what are your thoughts? I have a student who is interested in completing the program. Any feedback would be greatly appreciated. Deb Hapgood Health Science Careers Biddeford Regional Center of Technoloy 10 Maplewood Avenue Biddeford, ME 04005 (207) 282-1501 -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090921/e468735b/attachment-0001.html -------------- next part -------------- A non-text attachment was scrubbed... Name: Career Night Flyer 1.pdf Type: application/octet-stream Size: 341084 bytes Desc: Career Night Flyer 1.pdf Url : http://mailman.informe.org/pipermail/healthoccs/attachments/20090921/e468735b/CareerNightFlyer1-0001.obj From Elaine.Briggs at maine.gov Mon Sep 28 08:06:27 2009 From: Elaine.Briggs at maine.gov (Briggs, Elaine) Date: Mon, 28 Sep 2009 08:06:27 -0400 Subject: [healthoccs] FW: Procedure question Message-ID: <32E5C6B0B949584D9B6168C5F727916B074B06D4@SOM-TEAQASMAIL1.som.w2k.state.me.us> Please send responses to the list so that all can share. Elaine Briggs Office Specialist I Career and Technical Education 23 State House Station Augusta ME 04333-0023 207-624-6711 fax 207-624-6731 ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/a45e28ca/attachment.html From Elaine.Briggs at maine.gov Mon Sep 28 08:27:53 2009 From: Elaine.Briggs at maine.gov (Briggs, Elaine) Date: Mon, 28 Sep 2009 08:27:53 -0400 Subject: [healthoccs] Procedure question Message-ID: <32E5C6B0B949584D9B6168C5F727916B074B06F8@SOM-TEAQASMAIL1.som.w2k.state.me.us> From: Mary Evan [mailto:evan at mvr10.org] Sent: Monday, September 28, 2009 8:20 AM To: Briggs, Elaine Subject: RE: [healthoccs] FW: Procedure question [Scanned][Spam score:8%] Most definitely. Mary Evan HS and Adult Ed Instructor Maine Vocational Region Ten ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/719d59df/attachment.html From jharlow at sad17.k12.me.us Mon Sep 28 08:32:26 2009 From: jharlow at sad17.k12.me.us (Julie Harlow) Date: Mon, 28 Sep 2009 08:32:26 -0400 Subject: [healthoccs] FW: Procedure question In-Reply-To: <32E5C6B0B949584D9B6168C5F727916B074B06D4@SOM-TEAQASMAIL1.som.w2k.state.me.us> References: <32E5C6B0B949584D9B6168C5F727916B074B06D4@SOM-TEAQASMAIL1.som.w2k.state.me.us> Message-ID: Yes, I teach my students to wear gloves when giving bed baths, showers, tub baths, etc., anytime they may come in contact with any body fluids. Julie Harlow, RN, BSN Allied Health Instructor Oxford Hills Technical School 207-743-8914 ext 2091 From mlyoung at emh.org Mon Sep 28 08:37:19 2009 From: mlyoung at emh.org (Young, Marcia) Date: Mon, 28 Sep 2009 08:37:19 -0400 Subject: [healthoccs] Procedure question In-Reply-To: <32E5C6B0B949584D9B6168C5F727916B074B06F8@SOM-TEAQASMAIL1.som.w2k.state.me.us> References: <32E5C6B0B949584D9B6168C5F727916B074B06F8@SOM-TEAQASMAIL1.som.w2k.state.me.us> Message-ID: <6720BFA999C41C42B09C3198C967DA8156D6D0@brunner.me.emh.org> Most definitely- for a full bed bath- however if you are just having the patient wash their hands before a meal- and there is no potential of body fluid contact- than at that time no Marcia L Young RN Tri County Technical Dexter Adult Ed Program 942-3020 Audix 973-8823 ________________________________ From: healthoccs-bounces at informe.org [mailto:healthoccs-bounces at informe.org] On Behalf Of Briggs, Elaine Sent: Monday, September 28, 2009 8:28 AM To: healthoccs at lists.maine.gov Subject: [healthoccs] Procedure question From: Mary Evan [mailto:evan at mvr10.org] Sent: Monday, September 28, 2009 8:20 AM To: Briggs, Elaine Subject: RE: [healthoccs] FW: Procedure question [Scanned][Spam score:8%] Most definitely. Mary Evan HS and Adult Ed Instructor Maine Vocational Region Ten ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/4be56dae/attachment-0001.html From Walton.Meredith at jobcorps.org Mon Sep 28 08:41:44 2009 From: Walton.Meredith at jobcorps.org (Meredith Walton) Date: Mon, 28 Sep 2009 08:41:44 -0400 Subject: [healthoccs] FW: Procedure question In-Reply-To: References: <32E5C6B0B949584D9B6168C5F727916B074B06D4@SOM-TEAQASMAIL1.som.w2k.state.me.us> Message-ID: <200909281253.IAA05953@www.informe.org> Hi, yes, we teach our students to wear gloves during bed baths, showers etc. Meredith Walton Penobscot Job Corps -----Original Message----- From: healthoccs-bounces at informe.org [mailto:healthoccs-bounces at informe.org] On Behalf Of Julie Harlow Sent: Monday, September 28, 2009 8:32 AM To: Briggs, Elaine Cc: healthoccs at lists.maine.gov Subject: Re: [healthoccs] FW: Procedure question Yes, I teach my students to wear gloves when giving bed baths, showers, tub baths, etc., anytime they may come in contact with any body fluids. Julie Harlow, RN, BSN Allied Health Instructor Oxford Hills Technical School 207-743-8914 ext 2091 _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs From wlow at region9school.org Mon Sep 28 08:56:01 2009 From: wlow at region9school.org (Wendy Low) Date: Mon, 28 Sep 2009 08:56:01 -0400 Subject: [healthoccs] Procedure question In-Reply-To: <32E5C6B0B949584D9B6168C5F727916B074B06F8@SOM-TEAQASMAIL1.som.w2k.state.me.us> References: <32E5C6B0B949584D9B6168C5F727916B074B06F8@SOM-TEAQASMAIL1.som.w2k.state.me.us> Message-ID: <000901ca403b$0b602960$22207c20$@org> I also teach my students to wear gloves during the bathing procedure and you truly cannot be sure that you would not come into contact with body fluids (outside of oral and perineal cares) during the normal bathing process. Wendy Low RN Region 9 School From: healthoccs-bounces at informe.org [mailto:healthoccs-bounces at informe.org] On Behalf Of Briggs, Elaine Sent: Monday, September 28, 2009 8:28 AM To: healthoccs at lists.maine.gov Subject: [healthoccs] Procedure question From: Mary Evan [mailto:evan at mvr10.org] Sent: Monday, September 28, 2009 8:20 AM To: Briggs, Elaine Subject: RE: [healthoccs] FW: Procedure question [Scanned][Spam score:8%] Most definitely. Mary Evan HS and Adult Ed Instructor Maine Vocational Region Ten _____ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/0022e6ba/attachment.html From Elaine.Briggs at maine.gov Mon Sep 28 09:28:51 2009 From: Elaine.Briggs at maine.gov (Briggs, Elaine) Date: Mon, 28 Sep 2009 09:28:51 -0400 Subject: [healthoccs] FW: Procedure question Message-ID: <32E5C6B0B949584D9B6168C5F727916B074B077E@SOM-TEAQASMAIL1.som.w2k.state.me.us> We glove for bathing and showering. As has been noted - you can't always tell what you'll encounter in the course of those procedures. Ann Curtis R.N. Health Occupations Instructor Lake Region Vocational Center 1879 Roosevelt Trail Naples, ME 04055 acurtis at sad61.k12.me.us 207 693 3864 x 246 From hhenderson at augustaschools.org Mon Sep 28 10:59:11 2009 From: hhenderson at augustaschools.org (Hazel Henderson) Date: Mon, 28 Sep 2009 10:59:11 -0400 Subject: [healthoccs] FW: Procedure question In-Reply-To: <32E5C6B0B949584D9B6168C5F727916B074B06D4@SOM-TEAQASMAIL1.som.w2k.state.me.us> Message-ID: YES WEAR GLOVES.. On 9/28/09 8:06 AM, "Briggs, Elaine" wrote: > Please send responses to the list so that all can share. > > > Elaine Briggs > Office Specialist I > Career and Technical Education > 23 State House Station > Augusta ME 04333-0023 > 207-624-6711 > fax 207-624-6731 > > > From: Isabelle Markley [mailto:imarkley at roadrunner.com] > Sent: Friday, September 25, 2009 10:13 PM > To: Briggs, Elaine; 'Jayne Champagne' > Subject: Procedure question > > Elaine- > > Would you put this question to the Health Occs. List? There has been some > discussion on the following and I?d like some feedback and references for > evidence based responses. > > Except for oral and perineal care, Do you teach your CNA students to wear > gloves when giving bed baths, showers and tub baths in the healthcare setting? > > The texts I have used and will use say yes. CDC references in one ppt slide > show (PPE in health care setting slide # 45) says ?Giving a bed bath? > Generally none?? in response to the question What type of PPE Would You Wear. > And yet in another article states?Because a health worker cannot always know > when a patient?s body fluids are infectious, Standard Precautions should be > used with all patients in the health care setting, regardless of their > infection status? > > Thank you, > > Isabelle Markley, CNA instructor MidMaine Adult Community Education, > Waterville > > > _______________________________________________ > healthoccs mailing list > healthoccs at lists.maine.gov > http://mailman.informe.org/mailman/listinfo/healthoccs -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/286ca81e/attachment-0001.html From donross at firstatlantic.com Mon Sep 28 10:55:27 2009 From: donross at firstatlantic.com (Rosemary Turgeon) Date: Mon, 28 Sep 2009 10:55:27 -0400 Subject: [healthoccs] FW: Procedure question Message-ID: Absolutely! Rosemary >>> "Briggs, Elaine" 09/28/09 8:06 AM >>> Please send responses to the list so that all can share. Elaine Briggs Office Specialist I Career and Technical Education 23 State House Station Augusta ME 04333-0023 207-624-6711 fax 207-624-6731 ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville From Elaine.Briggs at maine.gov Mon Sep 28 12:59:39 2009 From: Elaine.Briggs at maine.gov (Briggs, Elaine) Date: Mon, 28 Sep 2009 12:59:39 -0400 Subject: [healthoccs] Procedure question Message-ID: <32E5C6B0B949584D9B6168C5F727916B07574B57@SOM-TEAQASMAIL1.som.w2k.state.me.us> From: Amberhwk at aol.com [mailto:Amberhwk at aol.com] Sent: Monday, September 28, 2009 12:41 PM To: Briggs, Elaine Subject: Re: [healthoccs] FW: Procedure question Hello, In my practice and in teaching students we always use gloves. This has been the practice for years since CDC came out with the infection control guidelines regarding HIV and Aides and since then VRE ,Cdiff and MERSA. I don't understand why there would be a question about this considering the possible consequences of putting yourself in the position of contracting these diseases. I hope this helps. Sincerely, Marsha Morgan RN,BS Nursing Instructor -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/b81648ea/attachment.html From Elaine.Briggs at maine.gov Mon Sep 28 13:01:22 2009 From: Elaine.Briggs at maine.gov (Briggs, Elaine) Date: Mon, 28 Sep 2009 13:01:22 -0400 Subject: [healthoccs] Procedure question Message-ID: <32E5C6B0B949584D9B6168C5F727916B07574B58@SOM-TEAQASMAIL1.som.w2k.state.me.us> In response to your question about using gloves for a bed bath, I teach my students to always wear them for a bed bath & shower. For the whirlpool, they put them on for pericare after the whirlpool is done and as it empties. I, too, have seen a video that teaches only to use gloves during a bed bath for peri care only, but I do not teach it that way. I know that Patti Feda also teaches the same way that I do, to use them for the whole bath so you don't get "caught" Kathy Bickford, Rn Biddeford Adult Education CNA Instructor -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/2b69041f/attachment.html From tyeaton at mtbluersd.org Mon Sep 28 12:11:20 2009 From: tyeaton at mtbluersd.org (Traci Yeaton) Date: Mon, 28 Sep 2009 12:11:20 -0400 Subject: [healthoccs] response to procedure question Message-ID: definately teach wearing gloves while giving a bath Traci Yeaton FRATC-Farmington -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/c0e9a813/attachment.html From Elaine.Briggs at maine.gov Mon Sep 28 13:19:09 2009 From: Elaine.Briggs at maine.gov (Briggs, Elaine) Date: Mon, 28 Sep 2009 13:19:09 -0400 Subject: [healthoccs] Procedure question Message-ID: <32E5C6B0B949584D9B6168C5F727916B07574B6E@SOM-TEAQASMAIL1.som.w2k.state.me.us> -----Original Message----- From: Martha Watson [mailto:mwatson at rsu10.org] Sent: Monday, September 28, 2009 1:12 PM To: Briggs, Elaine Subject: Re: [healthoccs] FW: Procedure question Yes- I teach gloves to my students but when you go to do Clinicals the CNAs in the sites we use do not always wear them!!!!!! MARTHA From DIFIOG at mmc.org Mon Sep 28 16:33:41 2009 From: DIFIOG at mmc.org (Gail DiFiore) Date: Mon, 28 Sep 2009 16:33:41 -0400 Subject: [healthoccs] healthoccs Digest, Vol 24, Issue 4 In-Reply-To: References: Message-ID: <4AC0E564.01A4.0031.0@mmc.org> Hi In the hospital, I teach that standard precautions require gloves for mucous membranes,body fluids, and non intact skin. For bed baths, a chart I have from Delmar shows when one does and does not need to use gloves. One example is washing an abdomen with intact skin-no gloves needed. I called the CDC for information. They said for bathing a patient with intact skin, health care workers do not need to wear gloves for intact skin- when they get to peri care, standard precautions require gloves. Standard precautions protect us and we can rest assured the CDC researches carefully. When I go out in clinical, some workers wear gloves throughout the bath-this necessitates thinking about changing gloves when necessary, being careful not to contaminate the environment, and loss of human contact and the therapeutic effects of touch for the patient. I read some interesting research on overgloving last summer. One needs to assess the patient and risks, and their own skin integrity, The Power point slide referred to standard precautions-- wearing gloves when dealing with nonintact skin, or mucous membranes. I do not like email for explanations but hope I expressed what I learned clearly enough. Mohammed at the CDC gave me a link for the PPT-- cdc.gov./ncidod/dhqp/pdf/ppe/ppeslides6-29-04.ppt Thank you Gail DiFiore >>> 9/28/2009 08:39 >>> Send healthoccs mailing list submissions to healthoccs at lists.maine.gov To subscribe or unsubscribe via the World Wide Web, visit http://mailman.informe.org/mailman/listinfo/healthoccs or, via email, send a message with subject or body 'help' to healthoccs-request at lists.maine.gov You can reach the person managing the list at healthoccs-owner at lists.maine.gov When replying, please edit your Subject line so it is more specific than "Re: Contents of healthoccs digest..." Today's Topics: 1. FW: Procedure question (Briggs, Elaine) 2. Procedure question (Briggs, Elaine) 3. Re: FW: Procedure question (Julie Harlow) 4. Re: Procedure question (Young, Marcia) ---------------------------------------------------------------------- Message: 1 Date: Mon, 28 Sep 2009 08:06:27 -0400 From: "Briggs, Elaine" Subject: [healthoccs] FW: Procedure question To: Message-ID: <32E5C6B0B949584D9B6168C5F727916B074B06D4 at SOM-TEAQASMAIL1.som.w2k.state.me.us> Content-Type: text/plain; charset="us-ascii" Please send responses to the list so that all can share. Elaine Briggs Office Specialist I Career and Technical Education 23 State House Station Augusta ME 04333-0023 207-624-6711 fax 207-624-6731 ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/a45e28ca/attachment-0001.html ------------------------------ Message: 2 Date: Mon, 28 Sep 2009 08:27:53 -0400 From: "Briggs, Elaine" Subject: [healthoccs] Procedure question To: Message-ID: <32E5C6B0B949584D9B6168C5F727916B074B06F8 at SOM-TEAQASMAIL1.som.w2k.state.me.us> Content-Type: text/plain; charset="us-ascii" From: Mary Evan [mailto:evan at mvr10.org] Sent: Monday, September 28, 2009 8:20 AM To: Briggs, Elaine Subject: RE: [healthoccs] FW: Procedure question [Scanned][Spam score:8%] Most definitely. Mary Evan HS and Adult Ed Instructor Maine Vocational Region Ten ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/719d59df/attachment-0001.html ------------------------------ Message: 3 Date: Mon, 28 Sep 2009 08:32:26 -0400 From: "Julie Harlow" Subject: Re: [healthoccs] FW: Procedure question To: "Briggs, Elaine" Cc: healthoccs at lists.maine.gov Message-ID: Content-Type: text/plain; charset=ISO-8859-1 Yes, I teach my students to wear gloves when giving bed baths, showers, tub baths, etc., anytime they may come in contact with any body fluids. Julie Harlow, RN, BSN Allied Health Instructor Oxford Hills Technical School 207-743-8914 ext 2091 ------------------------------ Message: 4 Date: Mon, 28 Sep 2009 08:37:19 -0400 From: "Young, Marcia" Subject: Re: [healthoccs] Procedure question To: "Briggs, Elaine" , Message-ID: <6720BFA999C41C42B09C3198C967DA8156D6D0 at brunner.me.emh.org> Content-Type: text/plain; charset="us-ascii" Most definitely- for a full bed bath- however if you are just having the patient wash their hands before a meal- and there is no potential of body fluid contact- than at that time no Marcia L Young RN Tri County Technical Dexter Adult Ed Program 942-3020 Audix 973-8823 ________________________________ From: healthoccs-bounces at informe.org [mailto:healthoccs-bounces at informe.org] On Behalf Of Briggs, Elaine Sent: Monday, September 28, 2009 8:28 AM To: healthoccs at lists.maine.gov Subject: [healthoccs] Procedure question From: Mary Evan [mailto:evan at mvr10.org] Sent: Monday, September 28, 2009 8:20 AM To: Briggs, Elaine Subject: RE: [healthoccs] FW: Procedure question [Scanned][Spam score:8%] Most definitely. Mary Evan HS and Adult Ed Instructor Maine Vocational Region Ten ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/4be56dae/attachment.html ------------------------------ _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs End of healthoccs Digest, Vol 24, Issue 4 ***************************************** CONFIDENTIALITY NOTICE: This email message, including any attachments, is for the use of the intended recipient(s) only and may contain information that is privileged, confidential, and prohibited from unauthorized disclosure under applicable law. If you are not the intended recipient of this message, any dissemination, distribution, or copying of this message is strictly prohibited. If you received this message in error, please notify the sender by reply email and destroy all copies of the original message and attachments. From DIFIOG at mmc.org Mon Sep 28 16:33:41 2009 From: DIFIOG at mmc.org (Gail DiFiore) Date: Mon, 28 Sep 2009 16:33:41 -0400 Subject: [healthoccs] healthoccs Digest, Vol 24, Issue 4 In-Reply-To: References: Message-ID: <4AC0E564.01A4.0031.0@mmc.org> Hi In the hospital, I teach that standard precautions require gloves for mucous membranes,body fluids, and non intact skin. For bed baths, a chart I have from Delmar shows when one does and does not need to use gloves. One example is washing an abdomen with intact skin-no gloves needed. I called the CDC for information. They said for bathing a patient with intact skin, health care workers do not need to wear gloves for intact skin- when they get to peri care, standard precautions require gloves. Standard precautions protect us and we can rest assured the CDC researches carefully. When I go out in clinical, some workers wear gloves throughout the bath-this necessitates thinking about changing gloves when necessary, being careful not to contaminate the environment, and loss of human contact and the therapeutic effects of touch for the patient. I read some interesting research on overgloving last summer. One needs to assess the patient and risks, and their own skin integrity, The Power point slide referred to standard precautions-- wearing gloves when dealing with nonintact skin, or mucous membranes. I do not like email for explanations but hope I expressed what I learned clearly enough. Mohammed at the CDC gave me a link for the PPT-- cdc.gov./ncidod/dhqp/pdf/ppe/ppeslides6-29-04.ppt Thank you Gail DiFiore >>> 9/28/2009 08:39 >>> Send healthoccs mailing list submissions to healthoccs at lists.maine.gov To subscribe or unsubscribe via the World Wide Web, visit http://mailman.informe.org/mailman/listinfo/healthoccs or, via email, send a message with subject or body 'help' to healthoccs-request at lists.maine.gov You can reach the person managing the list at healthoccs-owner at lists.maine.gov When replying, please edit your Subject line so it is more specific than "Re: Contents of healthoccs digest..." Today's Topics: 1. FW: Procedure question (Briggs, Elaine) 2. Procedure question (Briggs, Elaine) 3. Re: FW: Procedure question (Julie Harlow) 4. Re: Procedure question (Young, Marcia) ---------------------------------------------------------------------- Message: 1 Date: Mon, 28 Sep 2009 08:06:27 -0400 From: "Briggs, Elaine" Subject: [healthoccs] FW: Procedure question To: Message-ID: <32E5C6B0B949584D9B6168C5F727916B074B06D4 at SOM-TEAQASMAIL1.som.w2k.state.me.us> Content-Type: text/plain; charset="us-ascii" Please send responses to the list so that all can share. Elaine Briggs Office Specialist I Career and Technical Education 23 State House Station Augusta ME 04333-0023 207-624-6711 fax 207-624-6731 ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/a45e28ca/attachment-0001.html ------------------------------ Message: 2 Date: Mon, 28 Sep 2009 08:27:53 -0400 From: "Briggs, Elaine" Subject: [healthoccs] Procedure question To: Message-ID: <32E5C6B0B949584D9B6168C5F727916B074B06F8 at SOM-TEAQASMAIL1.som.w2k.state.me.us> Content-Type: text/plain; charset="us-ascii" From: Mary Evan [mailto:evan at mvr10.org] Sent: Monday, September 28, 2009 8:20 AM To: Briggs, Elaine Subject: RE: [healthoccs] FW: Procedure question [Scanned][Spam score:8%] Most definitely. Mary Evan HS and Adult Ed Instructor Maine Vocational Region Ten ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/719d59df/attachment-0001.html ------------------------------ Message: 3 Date: Mon, 28 Sep 2009 08:32:26 -0400 From: "Julie Harlow" Subject: Re: [healthoccs] FW: Procedure question To: "Briggs, Elaine" Cc: healthoccs at lists.maine.gov Message-ID: Content-Type: text/plain; charset=ISO-8859-1 Yes, I teach my students to wear gloves when giving bed baths, showers, tub baths, etc., anytime they may come in contact with any body fluids. Julie Harlow, RN, BSN Allied Health Instructor Oxford Hills Technical School 207-743-8914 ext 2091 ------------------------------ Message: 4 Date: Mon, 28 Sep 2009 08:37:19 -0400 From: "Young, Marcia" Subject: Re: [healthoccs] Procedure question To: "Briggs, Elaine" , Message-ID: <6720BFA999C41C42B09C3198C967DA8156D6D0 at brunner.me.emh.org> Content-Type: text/plain; charset="us-ascii" Most definitely- for a full bed bath- however if you are just having the patient wash their hands before a meal- and there is no potential of body fluid contact- than at that time no Marcia L Young RN Tri County Technical Dexter Adult Ed Program 942-3020 Audix 973-8823 ________________________________ From: healthoccs-bounces at informe.org [mailto:healthoccs-bounces at informe.org] On Behalf Of Briggs, Elaine Sent: Monday, September 28, 2009 8:28 AM To: healthoccs at lists.maine.gov Subject: [healthoccs] Procedure question From: Mary Evan [mailto:evan at mvr10.org] Sent: Monday, September 28, 2009 8:20 AM To: Briggs, Elaine Subject: RE: [healthoccs] FW: Procedure question [Scanned][Spam score:8%] Most definitely. Mary Evan HS and Adult Ed Instructor Maine Vocational Region Ten ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/4be56dae/attachment.html ------------------------------ _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs End of healthoccs Digest, Vol 24, Issue 4 ***************************************** CONFIDENTIALITY NOTICE: This email message, including any attachments, is for the use of the intended recipient(s) only and may contain information that is privileged, confidential, and prohibited from unauthorized disclosure under applicable law. If you are not the intended recipient of this message, any dissemination, distribution, or copying of this message is strictly prohibited. If you received this message in error, please notify the sender by reply email and destroy all copies of the original message and attachments. From jboynton at augustaschools.org Mon Sep 28 16:11:00 2009 From: jboynton at augustaschools.org (Jennifer Boynton) Date: Mon, 28 Sep 2009 16:11:00 -0400 Subject: [healthoccs] FW: Procedure question References: <32E5C6B0B949584D9B6168C5F727916B074B06D4@SOM-TEAQASMAIL1.som.w2k.state.me.us> Message-ID: <91586019E788A6409F00AA0744F71C2D41BCA3@humbert.augustaschools.org> I cant even imagine not teaching bathing with gloves, I believe this is also covered under "if you reasonably believe there is potential for coming into contact with fluids, etc...." I did not quote exactly but that is from the CDC. Although there is an important place for touch, back rub, manicure, etc. I think many times there is potential for contamination with baths so there for my students are taught to wear them. I think of it this way and I think most of you agree. We are trying to have people stay in the nursing profession,not leave...Gloves are a "tool" we have to protect us and our patients, why would we set up brand new students to be exposed to disease, etc if they don't need to be. Jennifer Boynton, RN, BSN Health Career Sciences Instructor Capital Area Technical Center 40 Pierce Drive Suite 1 Augusta, Maine 04330 207-626-2475 ext. 3136 -----Original Message----- From: healthoccs-bounces at informe.org on behalf of Briggs, Elaine Sent: Mon 9/28/2009 8:06 AM To: healthoccs at lists.maine.gov Subject: [healthoccs] FW: Procedure question Please send responses to the list so that all can share. Elaine Briggs Office Specialist I Career and Technical Education 23 State House Station Augusta ME 04333-0023 207-624-6711 fax 207-624-6731 ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/e7f2fc34/attachment-0001.html From jboynton at augustaschools.org Mon Sep 28 16:19:35 2009 From: jboynton at augustaschools.org (Jennifer Boynton) Date: Mon, 28 Sep 2009 16:19:35 -0400 Subject: [healthoccs] FW: Procedure question References: <32E5C6B0B949584D9B6168C5F727916B074B06D4@SOM-TEAQASMAIL1.som.w2k.state.me.us> Message-ID: <91586019E788A6409F00AA0744F71C2D41BCA4@humbert.augustaschools.org> I mentioned in my previous email manicure being good for therapeutic touch I just wanted to clarify if my students are cleaning the nails or cutting they would also have gloves on if they feel that they needed them. It is also important though that the massage with lotion is done without gloves unless there is open areas extra..... Any how hopefully everyone can see where I am going. Jennifer Boynton, RN, BSN Health Career Sciences Instructor Capital Area Technical Center 40 Pierce Drive Suite 1 Augusta, Maine 04330 207-626-2475 ext. 3136 -----Original Message----- From: healthoccs-bounces at informe.org on behalf of Briggs, Elaine Sent: Mon 9/28/2009 8:06 AM To: healthoccs at lists.maine.gov Subject: [healthoccs] FW: Procedure question Please send responses to the list so that all can share. Elaine Briggs Office Specialist I Career and Technical Education 23 State House Station Augusta ME 04333-0023 207-624-6711 fax 207-624-6731 ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/2ece26d0/attachment-0001.html From Roberta.Curtis at genesishcc.com Mon Sep 28 16:26:49 2009 From: Roberta.Curtis at genesishcc.com (Curtis, Roberta) Date: Mon, 28 Sep 2009 16:26:49 -0400 Subject: [healthoccs] FW: Procedure question In-Reply-To: References: <32E5C6B0B949584D9B6168C5F727916B074B06D4@SOM-TEAQASMAIL1.som.w2k.state.me.us> Message-ID: Gloves,gloves, gloves and more gloves. Why would anyone these days question the use of gloves? ________________________________ From: healthoccs-bounces at informe.org [mailto:healthoccs-bounces at informe.org] On Behalf Of Hazel Henderson Sent: Monday, September 28, 2009 10:59 AM To: Briggs, Elaine; healthoccs at lists.maine.gov Subject: Re: [healthoccs] FW: Procedure question YES WEAR GLOVES.. On 9/28/09 8:06 AM, "Briggs, Elaine" wrote: Please send responses to the list so that all can share. Elaine Briggs Office Specialist I Career and Technical Education 23 State House Station Augusta ME 04333-0023 207-624-6711 fax 207-624-6731 ________________________________ From: Isabelle Markley [mailto:imarkley at roadrunner.com] Sent: Friday, September 25, 2009 10:13 PM To: Briggs, Elaine; 'Jayne Champagne' Subject: Procedure question Elaine- Would you put this question to the Health Occs. List? There has been some discussion on the following and I'd like some feedback and references for evidence based responses. Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? The texts I have used and will use say yes. CDC references in one ppt slide show (PPE in health care setting slide # 45) says "Giving a bed bath? Generally none?" in response to the question What type of PPE Would You Wear. And yet in another article states"Because a health worker cannot always know when a patient's body fluids are infectious, Standard Precautions should be used with all patients in the health care setting, regardless of their infection status" Thank you, Isabelle Markley, CNA instructor MidMaine Adult Community Education, Waterville ________________________________ _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs This e-mail and any attachments may contain information which is confidential, proprietary, privileged or otherwise protected by law. The information is solely intended for the named addressee (or a person responsible for delivering it to the addressee). If you are not the intended recipient of this message, you are not authorized to read, print, retain, copy or disseminate this message or any part of it. If you have received this e-mail in error, please notify the sender immediately by return e-mail and delete it from your computer. -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090928/d28ac71a/attachment-0001.html From eliotc at westbrookschools.org Tue Sep 29 06:52:38 2009 From: eliotc at westbrookschools.org (Catherine B. Eliot) Date: Tue, 29 Sep 2009 06:52:38 -0400 Subject: [healthoccs] FW: Career Exploration Event Message-ID: <813F1B775BF7AD40BF1F897DD608D49C072696B1@mail.wsd.westbrookschools.org> Here's another career event that I just found out about. It's happening TOMORROW at Maine Medical Center (see attachment). It's being organized by Jo Ann Barstow who coordinates the summer volunteer program for students. They will have employees from 25 different departments talking about their specialty areas. Some of them will be demonstrating what they do through hands-on experiences. The Event is: Wed. September 30th from 6:00-8:00pm at the Dana Center. Catherine B. Eliot, RN Medical Occupations Instructor Westbrook Regional Vocational Center 125 Stroudwater St. Westbrook, ME 04092 (207) 854-0820 ext.547 eliotc at westbrookschools.org -------------- next part -------------- A non-text attachment was scrubbed... Name: Career Fair Invite 09.doc Type: application/msword Size: 25600 bytes Desc: Career Fair Invite 09.doc Url : http://mailman.informe.org/pipermail/healthoccs/attachments/20090929/f8cc8ef8/CareerFairInvite09-0001.doc From jchampagne at fc.wtvl.k12.me.us Tue Sep 29 07:54:26 2009 From: jchampagne at fc.wtvl.k12.me.us (Jayne Champagne) Date: Tue, 29 Sep 2009 07:54:26 -0400 Subject: [healthoccs] FW: Procedure question In-Reply-To: <91586019E788A6409F00AA0744F71C2D41BCA3@humbert.augustaschools.org> References: <91586019E788A6409F00AA0744F71C2D41BCA3@humbert.augustaschools.org> Message-ID: I thank everyone for their input. I would like to share how this question came up. I have had several students who are now in Nursing school, in Maine, who have returned to me saying, Mrs. Champagne our instructors are telling us not to wear gloves while giving a bed bath, except during oral care and perineal care or if there is non-intact skin. The students are confused as to the correct recommendations. I have always worn gloves during patient bathing. On the same note, if I were a patient, I would want my healthcare provider to wear gloves while giving me a bed bath. As a previous hospice nurse, I completly agree that therapeutic tough is a necessary component in patient care. I don't feel that bathing is the appropriate time for therapeutic touch. After I have bathed a patient and have accessed the skin condition I end the bath by applying lotion to the lower extremities, without gloves, and a back massage without gloves. I am confused as to why Standard Precautions have become lax in some institutions. Important discussion, I would welcome a live forum to discuss this further. Jayne Champagne, RN, BS Medical Careers Instructor, MMTC 3 Brooklyn Ave. Waterville, Maine 04901 207-873-0102 ext. 2919 From donross at firstatlantic.com Tue Sep 29 08:24:06 2009 From: donross at firstatlantic.com (donross@firstatlantic.com) Date: Tue, 29 Sep 2009 12:24:06 +0000 Subject: [healthoccs] FW: Procedure question In-Reply-To: References: <91586019E788A6409F00AA0744F71C2D41BCA3@humbert.augustaschools.org> Message-ID: <769727387-1254227026-cardhu_decombobulator_blackberry.rim.net-690598822-@bda015.bisx.prod.on.blackberry> Thank You Jane, I appreciate your input. I have always taught to wear gloves during bathing and also have applied lotion and message without gloves. As a DON, I am very concern with the lax in standard precautions. Rosemary Turgeon, RN DON Ross Manor Bangor Sent from my BlackBerry? wireless device from U.S. Cellular -----Original Message----- From: "Jayne Champagne" Date: Tue, 29 Sep 2009 07:54:26 To: Jennifer Boynton Cc: ; Briggs, Elaine Subject: Re: [healthoccs] FW: Procedure question I thank everyone for their input. I would like to share how this question came up. I have had several students who are now in Nursing school, in Maine, who have returned to me saying, Mrs. Champagne our instructors are telling us not to wear gloves while giving a bed bath, except during oral care and perineal care or if there is non-intact skin. The students are confused as to the correct recommendations. I have always worn gloves during patient bathing. On the same note, if I were a patient, I would want my healthcare provider to wear gloves while giving me a bed bath. As a previous hospice nurse, I completly agree that therapeutic tough is a necessary component in patient care. I don't feel that bathing is the appropriate time for therapeutic touch. After I have bathed a patient and have accessed the skin condition I end the bath by applying lotion to the lower extremities, without gloves, and a back massage without gloves. I am confused as to why Standard Precautions have become lax in some institutions. Important discussion, I would welcome a live forum to discuss this further. Jayne Champagne, RN, BS Medical Careers Instructor, MMTC 3 Brooklyn Ave. Waterville, Maine 04901 207-873-0102 ext. 2919 _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs From difiog at mmc.org Tue Sep 29 13:40:52 2009 From: difiog at mmc.org (Gail DiFiore) Date: Tue, 29 Sep 2009 13:40:52 -0400 Subject: [healthoccs] Procedure question In-Reply-To: References: Message-ID: <4AC20E63.54E5.0031.0@mmc.org> When I called the CDC , They said standard precautions do not call for gloves on intact skin when giving a bath. When the HCP reaches a point of mucous membranes or non-intact skin, gloves should be worn. I have looked in 2 nursing texts, which outline the bed bath the same way. I have found some CNA texts that have illustrations with gloves, while not putting glove use in their text, and some pictures of people in gowns and masks but no gloves. I will rely on the CDC information provided to this specific question over the phone. If a student wishes to use gloves more than the CDC recommends, as a personal choice they then need to be careful to change gloves appropriately and be sure not to contaminate the environment.I find students who wear gloves when not required switch their thinking from preventing infection from spreading from 1 patient to another to thinking about their own protection, which would be fine with standard precautions. Thanks Gail >>> 9/29/2009 12:00 PM >>> Send healthoccs mailing list submissions to healthoccs at lists.maine.gov To subscribe or unsubscribe via the World Wide Web, visit http://mailman.informe.org/mailman/listinfo/healthoccs or, via email, send a message with subject or body 'help' to healthoccs-request at lists.maine.gov You can reach the person managing the list at healthoccs-owner at lists.maine.gov When replying, please edit your Subject line so it is more specific than "Re: Contents of healthoccs digest..." Today's Topics: 1. Re: FW: Procedure question (Jayne Champagne) 2. Re: FW: Procedure question (donross at firstatlantic.com) ---------------------------------------------------------------------- Message: 1 Date: Tue, 29 Sep 2009 07:54:26 -0400 From: "Jayne Champagne" Subject: Re: [healthoccs] FW: Procedure question To: "Jennifer Boynton" Cc: healthoccs at lists.maine.gov, "Briggs, Elaine" Message-ID: Content-Type: text/plain; charset=ISO-8859-1 I thank everyone for their input. I would like to share how this question came up. I have had several students who are now in Nursing school, in Maine, who have returned to me saying, Mrs. Champagne our instructors are telling us not to wear gloves while giving a bed bath, except during oral care and perineal care or if there is non-intact skin. The students are confused as to the correct recommendations. I have always worn gloves during patient bathing. On the same note, if I were a patient, I would want my healthcare provider to wear gloves while giving me a bed bath. As a previous hospice nurse, I completly agree that therapeutic tough is a necessary component in patient care. I don't feel that bathing is the appropriate time for therapeutic touch. After I have bathed a patient and have accessed the skin condition I end the bath by applying lotion to the lower extremities, without gloves, and a back massage without gloves. I am confused as to why Standard Precautions have become lax in some institutions. Important discussion, I would welcome a live forum to discuss this further. Jayne Champagne, RN, BS Medical Careers Instructor, MMTC 3 Brooklyn Ave. Waterville, Maine 04901 207-873-0102 ext. 2919 ------------------------------ Message: 2 Date: Tue, 29 Sep 2009 12:24:06 +0000 From: donross at firstatlantic.com Subject: Re: [healthoccs] FW: Procedure question To: "Jayne Champagne" , healthoccs-bounces at informe.org, "Jennifer Boynton" Cc: healthoccs at lists.maine.gov, "Briggs, Elaine" Message-ID: <769727387-1254227026-cardhu_decombobulator_blackberry.rim.net-690598822- at bda015.bisx.prod.on.blackberry> Content-Type: text/plain; charset="Windows-1252" Thank You Jane, I appreciate your input. I have always taught to wear gloves during bathing and also have applied lotion and message without gloves. As a DON, I am very concern with the lax in standard precautions. Rosemary Turgeon, RN DON Ross Manor Bangor Sent from my BlackBerry? wireless device from U.S. Cellular -----Original Message----- From: "Jayne Champagne" Date: Tue, 29 Sep 2009 07:54:26 To: Jennifer Boynton Cc: ; Briggs, Elaine Subject: Re: [healthoccs] FW: Procedure question I thank everyone for their input. I would like to share how this question came up. I have had several students who are now in Nursing school, in Maine, who have returned to me saying, Mrs. Champagne our instructors are telling us not to wear gloves while giving a bed bath, except during oral care and perineal care or if there is non-intact skin. The students are confused as to the correct recommendations. I have always worn gloves during patient bathing. On the same note, if I were a patient, I would want my healthcare provider to wear gloves while giving me a bed bath. As a previous hospice nurse, I completly agree that therapeutic tough is a necessary component in patient care. I don't feel that bathing is the appropriate time for therapeutic touch. After I have bathed a patient and have accessed the skin condition I end the bath by applying lotion to the lower extremities, without gloves, and a back massage without gloves. I am confused as to why Standard Precautions have become lax in some institutions. Important discussion, I would welcome a live forum to discuss this further. Jayne Champagne, RN, BS Medical Careers Instructor, MMTC 3 Brooklyn Ave. Waterville, Maine 04901 207-873-0102 ext. 2919 _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs ------------------------------ _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs End of healthoccs Digest, Vol 24, Issue 9 ***************************************** CONFIDENTIALITY NOTICE: This email message, including any attachments, is for the use of the intended recipient(s) only and may contain information that is privileged, confidential, and prohibited from unauthorized disclosure under applicable law. If you are not the intended recipient of this message, any dissemination, distribution, or copying of this message is strictly prohibited. If you received this message in error, please notify the sender by reply email and destroy all copies of the original message and attachments. From karendowneast at yahoo.com Tue Sep 29 14:08:23 2009 From: karendowneast at yahoo.com (Karen Burke) Date: Tue, 29 Sep 2009 11:08:23 -0700 (PDT) Subject: [healthoccs] Procedure question In-Reply-To: <4AC20E63.54E5.0031.0@mmc.org> Message-ID: <215175.66029.qm@web57704.mail.re3.yahoo.com> I am in complete agreement with Gail. The CDC recommendations are based on science and also sensible. Getting students to think about what they are doing and why is one key component in this! ?When they touch a faucet with a gloved hand, for instance, who are they protecting??I would like to add, that this discussion has been good food for thought, even though we may not all agree.? Karen Burke RN MS Adult Education CNA Instructor PO Box 14 Lubec ME 04652 207.733.2211 karendowneast at yahoo.com --- On Tue, 9/29/09, Gail DiFiore wrote: From: Gail DiFiore Subject: [healthoccs] Procedure question To: healthoccs at informe.org, healthoccs at lists.maine.gov Date: Tuesday, September 29, 2009, 1:40 PM When I called the CDC , They said standard precautions do not call for gloves on intact skin when giving a bath. When the HCP reaches a point of mucous membranes or non-intact skin, gloves should be worn. I have looked in 2 nursing texts, which outline the bed bath the same way. I have found some CNA texts that have illustrations with gloves, while not putting glove use in their text, and some pictures of people in gowns and masks but no gloves. I will rely on the CDC information provided to this specific question over the phone. If a student wishes to use gloves more than the CDC recommends, as a personal choice they then need to be careful to change gloves appropriately and be sure not to contaminate the environment.I find students who wear gloves when not required switch their thinking from preventing infection from spreading from 1 patient to another to thinking about their own protection, which would be fine with standard precautions. Thanks Gail >>> 9/29/2009 12:00 PM >>> Send healthoccs mailing list submissions to ??? healthoccs at lists.maine.gov To subscribe or unsubscribe via the World Wide Web, visit ??? http://mailman.informe.org/mailman/listinfo/healthoccs or, via email, send a message with subject or body 'help' to ??? healthoccs-request at lists.maine.gov You can reach the person managing the list at ??? healthoccs-owner at lists.maine.gov When replying, please edit your Subject line so it is more specific than "Re: Contents of healthoccs digest..." Today's Topics: ???1. Re: FW: Procedure question (Jayne Champagne) ???2. Re: FW: Procedure question (donross at firstatlantic.com) ---------------------------------------------------------------------- Message: 1 Date: Tue, 29 Sep 2009 07:54:26 -0400 From: "Jayne Champagne" Subject: Re: [healthoccs] FW: Procedure question To: "Jennifer Boynton" Cc: healthoccs at lists.maine.gov, "Briggs, Elaine" ??? Message-ID: ??? Content-Type: text/plain; charset=ISO-8859-1 ??? I thank everyone for their input.? I would like to share how this question came up.? I have had several students who are now in Nursing school, in Maine, who have returned to me saying,? Mrs. Champagne our instructors are telling us not to wear gloves while giving a bed bath, except during oral care and perineal care or if there is non-intact skin. The students are confused as to the correct recommendations.? I have always worn gloves during patient bathing.? On the same note,? if I were a patient, I would want my healthcare provider to wear gloves while giving me a bed bath. ??? ? As a previous hospice nurse,? I completly agree that therapeutic tough is a necessary component in patient care.? I don't feel that bathing is the appropriate time for therapeutic touch.? After I have bathed a patient and have accessed the skin condition I end the bath by applying lotion to the lower extremities, without gloves, and a back massage without gloves.? ? ? ? ? ???I am confused as to why? Standard Precautions have become lax in some institutions.? Important discussion,? I would welcome a live forum to discuss this further. Jayne Champagne, RN, BS Medical Careers Instructor, MMTC 3 Brooklyn Ave. Waterville, Maine? 04901 207-873-0102? ext. 2919 ------------------------------ Message: 2 Date: Tue, 29 Sep 2009 12:24:06 +0000 From: donross at firstatlantic.com Subject: Re: [healthoccs] FW: Procedure question To: "Jayne Champagne" , ??? healthoccs-bounces at informe.org,??? "Jennifer Boynton" ??? Cc: healthoccs at lists.maine.gov, "Briggs, Elaine" ??? Message-ID: ??? <769727387-1254227026-cardhu_decombobulator_blackberry.rim.net-690598822- at bda015.bisx.prod.on.blackberry> ??? Content-Type: text/plain; charset="Windows-1252" Thank You Jane, I appreciate your input.? I have always taught to wear gloves during bathing and also have applied lotion and message without gloves.? As a DON, I am very concern with the lax in standard precautions. Rosemary Turgeon, RN DON Ross Manor Bangor Sent from my BlackBerry? wireless device from U.S. Cellular -----Original Message----- From: "Jayne Champagne" Date: Tue, 29 Sep 2009 07:54:26 To: Jennifer Boynton Cc: ; Briggs, Elaine Subject: Re: [healthoccs] FW: Procedure question ??? I thank everyone for their input.? I would like to share how this question came up.? I have had several students who are now in Nursing school, in Maine, who have returned to me saying,? Mrs. Champagne our instructors are telling us not to wear gloves while giving a bed bath, except during oral care and perineal care or if there is non-intact skin. The students are confused as to the correct recommendations.? I have always worn gloves during patient bathing.? On the same note,? if I were a patient, I would want my healthcare provider to wear gloves while giving me a bed bath. ??? ? As a previous hospice nurse,? I completly agree that therapeutic tough is a necessary component in patient care.? I don't feel that bathing is the appropriate time for therapeutic touch.? After I have bathed a patient and have accessed the skin condition I end the bath by applying lotion to the lower extremities, without gloves, and a back massage without gloves.? ? ? ? ? ???I am confused as to why? Standard Precautions have become lax in some institutions.? Important discussion,? I would welcome a live forum to discuss this further. Jayne Champagne, RN, BS Medical Careers Instructor, MMTC 3 Brooklyn Ave. Waterville, Maine? 04901 207-873-0102? ext. 2919 _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs ------------------------------ _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs End of healthoccs Digest, Vol 24, Issue 9 ***************************************** CONFIDENTIALITY NOTICE:? This email message, including any attachments, is for the use of the intended recipient(s) only and may contain information that is privileged, confidential, and prohibited from unauthorized disclosure under applicable law.? If you are not the intended recipient of this message, any dissemination, distribution, or copying of this message is strictly prohibited.? If you received this message in error, please notify the sender by reply email and destroy all copies of the original message and attachments. _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090929/3434e66e/attachment-0001.html From karendowneast at yahoo.com Tue Sep 29 14:08:23 2009 From: karendowneast at yahoo.com (Karen Burke) Date: Tue, 29 Sep 2009 11:08:23 -0700 (PDT) Subject: [healthoccs] Procedure question In-Reply-To: <4AC20E63.54E5.0031.0@mmc.org> Message-ID: <215175.66029.qm@web57704.mail.re3.yahoo.com> I am in complete agreement with Gail. The CDC recommendations are based on science and also sensible. Getting students to think about what they are doing and why is one key component in this! ?When they touch a faucet with a gloved hand, for instance, who are they protecting??I would like to add, that this discussion has been good food for thought, even though we may not all agree.? Karen Burke RN MS Adult Education CNA Instructor PO Box 14 Lubec ME 04652 207.733.2211 karendowneast at yahoo.com --- On Tue, 9/29/09, Gail DiFiore wrote: From: Gail DiFiore Subject: [healthoccs] Procedure question To: healthoccs at informe.org, healthoccs at lists.maine.gov Date: Tuesday, September 29, 2009, 1:40 PM When I called the CDC , They said standard precautions do not call for gloves on intact skin when giving a bath. When the HCP reaches a point of mucous membranes or non-intact skin, gloves should be worn. I have looked in 2 nursing texts, which outline the bed bath the same way. I have found some CNA texts that have illustrations with gloves, while not putting glove use in their text, and some pictures of people in gowns and masks but no gloves. I will rely on the CDC information provided to this specific question over the phone. If a student wishes to use gloves more than the CDC recommends, as a personal choice they then need to be careful to change gloves appropriately and be sure not to contaminate the environment.I find students who wear gloves when not required switch their thinking from preventing infection from spreading from 1 patient to another to thinking about their own protection, which would be fine with standard precautions. Thanks Gail >>> 9/29/2009 12:00 PM >>> Send healthoccs mailing list submissions to ??? healthoccs at lists.maine.gov To subscribe or unsubscribe via the World Wide Web, visit ??? http://mailman.informe.org/mailman/listinfo/healthoccs or, via email, send a message with subject or body 'help' to ??? healthoccs-request at lists.maine.gov You can reach the person managing the list at ??? healthoccs-owner at lists.maine.gov When replying, please edit your Subject line so it is more specific than "Re: Contents of healthoccs digest..." Today's Topics: ???1. Re: FW: Procedure question (Jayne Champagne) ???2. Re: FW: Procedure question (donross at firstatlantic.com) ---------------------------------------------------------------------- Message: 1 Date: Tue, 29 Sep 2009 07:54:26 -0400 From: "Jayne Champagne" Subject: Re: [healthoccs] FW: Procedure question To: "Jennifer Boynton" Cc: healthoccs at lists.maine.gov, "Briggs, Elaine" ??? Message-ID: ??? Content-Type: text/plain; charset=ISO-8859-1 ??? I thank everyone for their input.? I would like to share how this question came up.? I have had several students who are now in Nursing school, in Maine, who have returned to me saying,? Mrs. Champagne our instructors are telling us not to wear gloves while giving a bed bath, except during oral care and perineal care or if there is non-intact skin. The students are confused as to the correct recommendations.? I have always worn gloves during patient bathing.? On the same note,? if I were a patient, I would want my healthcare provider to wear gloves while giving me a bed bath. ??? ? As a previous hospice nurse,? I completly agree that therapeutic tough is a necessary component in patient care.? I don't feel that bathing is the appropriate time for therapeutic touch.? After I have bathed a patient and have accessed the skin condition I end the bath by applying lotion to the lower extremities, without gloves, and a back massage without gloves.? ? ? ? ? ???I am confused as to why? Standard Precautions have become lax in some institutions.? Important discussion,? I would welcome a live forum to discuss this further. Jayne Champagne, RN, BS Medical Careers Instructor, MMTC 3 Brooklyn Ave. Waterville, Maine? 04901 207-873-0102? ext. 2919 ------------------------------ Message: 2 Date: Tue, 29 Sep 2009 12:24:06 +0000 From: donross at firstatlantic.com Subject: Re: [healthoccs] FW: Procedure question To: "Jayne Champagne" , ??? healthoccs-bounces at informe.org,??? "Jennifer Boynton" ??? Cc: healthoccs at lists.maine.gov, "Briggs, Elaine" ??? Message-ID: ??? <769727387-1254227026-cardhu_decombobulator_blackberry.rim.net-690598822- at bda015.bisx.prod.on.blackberry> ??? Content-Type: text/plain; charset="Windows-1252" Thank You Jane, I appreciate your input.? I have always taught to wear gloves during bathing and also have applied lotion and message without gloves.? As a DON, I am very concern with the lax in standard precautions. Rosemary Turgeon, RN DON Ross Manor Bangor Sent from my BlackBerry? wireless device from U.S. Cellular -----Original Message----- From: "Jayne Champagne" Date: Tue, 29 Sep 2009 07:54:26 To: Jennifer Boynton Cc: ; Briggs, Elaine Subject: Re: [healthoccs] FW: Procedure question ??? I thank everyone for their input.? I would like to share how this question came up.? I have had several students who are now in Nursing school, in Maine, who have returned to me saying,? Mrs. Champagne our instructors are telling us not to wear gloves while giving a bed bath, except during oral care and perineal care or if there is non-intact skin. The students are confused as to the correct recommendations.? I have always worn gloves during patient bathing.? On the same note,? if I were a patient, I would want my healthcare provider to wear gloves while giving me a bed bath. ??? ? As a previous hospice nurse,? I completly agree that therapeutic tough is a necessary component in patient care.? I don't feel that bathing is the appropriate time for therapeutic touch.? After I have bathed a patient and have accessed the skin condition I end the bath by applying lotion to the lower extremities, without gloves, and a back massage without gloves.? ? ? ? ? ???I am confused as to why? Standard Precautions have become lax in some institutions.? Important discussion,? I would welcome a live forum to discuss this further. Jayne Champagne, RN, BS Medical Careers Instructor, MMTC 3 Brooklyn Ave. Waterville, Maine? 04901 207-873-0102? ext. 2919 _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs ------------------------------ _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs End of healthoccs Digest, Vol 24, Issue 9 ***************************************** CONFIDENTIALITY NOTICE:? This email message, including any attachments, is for the use of the intended recipient(s) only and may contain information that is privileged, confidential, and prohibited from unauthorized disclosure under applicable law.? If you are not the intended recipient of this message, any dissemination, distribution, or copying of this message is strictly prohibited.? If you received this message in error, please notify the sender by reply email and destroy all copies of the original message and attachments. _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090929/3434e66e/attachment-0002.html From difiog at mmc.org Tue Sep 29 13:40:52 2009 From: difiog at mmc.org (Gail DiFiore) Date: Tue, 29 Sep 2009 13:40:52 -0400 Subject: [healthoccs] Procedure question In-Reply-To: References: Message-ID: <4AC20E63.54E5.0031.0@mmc.org> When I called the CDC , They said standard precautions do not call for gloves on intact skin when giving a bath. When the HCP reaches a point of mucous membranes or non-intact skin, gloves should be worn. I have looked in 2 nursing texts, which outline the bed bath the same way. I have found some CNA texts that have illustrations with gloves, while not putting glove use in their text, and some pictures of people in gowns and masks but no gloves. I will rely on the CDC information provided to this specific question over the phone. If a student wishes to use gloves more than the CDC recommends, as a personal choice they then need to be careful to change gloves appropriately and be sure not to contaminate the environment.I find students who wear gloves when not required switch their thinking from preventing infection from spreading from 1 patient to another to thinking about their own protection, which would be fine with standard precautions. Thanks Gail >>> 9/29/2009 12:00 PM >>> Send healthoccs mailing list submissions to healthoccs at lists.maine.gov To subscribe or unsubscribe via the World Wide Web, visit http://mailman.informe.org/mailman/listinfo/healthoccs or, via email, send a message with subject or body 'help' to healthoccs-request at lists.maine.gov You can reach the person managing the list at healthoccs-owner at lists.maine.gov When replying, please edit your Subject line so it is more specific than "Re: Contents of healthoccs digest..." Today's Topics: 1. Re: FW: Procedure question (Jayne Champagne) 2. Re: FW: Procedure question (donross at firstatlantic.com) ---------------------------------------------------------------------- Message: 1 Date: Tue, 29 Sep 2009 07:54:26 -0400 From: "Jayne Champagne" Subject: Re: [healthoccs] FW: Procedure question To: "Jennifer Boynton" Cc: healthoccs at lists.maine.gov, "Briggs, Elaine" Message-ID: Content-Type: text/plain; charset=ISO-8859-1 I thank everyone for their input. I would like to share how this question came up. I have had several students who are now in Nursing school, in Maine, who have returned to me saying, Mrs. Champagne our instructors are telling us not to wear gloves while giving a bed bath, except during oral care and perineal care or if there is non-intact skin. The students are confused as to the correct recommendations. I have always worn gloves during patient bathing. On the same note, if I were a patient, I would want my healthcare provider to wear gloves while giving me a bed bath. As a previous hospice nurse, I completly agree that therapeutic tough is a necessary component in patient care. I don't feel that bathing is the appropriate time for therapeutic touch. After I have bathed a patient and have accessed the skin condition I end the bath by applying lotion to the lower extremities, without gloves, and a back massage without gloves. I am confused as to why Standard Precautions have become lax in some institutions. Important discussion, I would welcome a live forum to discuss this further. Jayne Champagne, RN, BS Medical Careers Instructor, MMTC 3 Brooklyn Ave. Waterville, Maine 04901 207-873-0102 ext. 2919 ------------------------------ Message: 2 Date: Tue, 29 Sep 2009 12:24:06 +0000 From: donross at firstatlantic.com Subject: Re: [healthoccs] FW: Procedure question To: "Jayne Champagne" , healthoccs-bounces at informe.org, "Jennifer Boynton" Cc: healthoccs at lists.maine.gov, "Briggs, Elaine" Message-ID: <769727387-1254227026-cardhu_decombobulator_blackberry.rim.net-690598822- at bda015.bisx.prod.on.blackberry> Content-Type: text/plain; charset="Windows-1252" Thank You Jane, I appreciate your input. I have always taught to wear gloves during bathing and also have applied lotion and message without gloves. As a DON, I am very concern with the lax in standard precautions. Rosemary Turgeon, RN DON Ross Manor Bangor Sent from my BlackBerry? wireless device from U.S. Cellular -----Original Message----- From: "Jayne Champagne" Date: Tue, 29 Sep 2009 07:54:26 To: Jennifer Boynton Cc: ; Briggs, Elaine Subject: Re: [healthoccs] FW: Procedure question I thank everyone for their input. I would like to share how this question came up. I have had several students who are now in Nursing school, in Maine, who have returned to me saying, Mrs. Champagne our instructors are telling us not to wear gloves while giving a bed bath, except during oral care and perineal care or if there is non-intact skin. The students are confused as to the correct recommendations. I have always worn gloves during patient bathing. On the same note, if I were a patient, I would want my healthcare provider to wear gloves while giving me a bed bath. As a previous hospice nurse, I completly agree that therapeutic tough is a necessary component in patient care. I don't feel that bathing is the appropriate time for therapeutic touch. After I have bathed a patient and have accessed the skin condition I end the bath by applying lotion to the lower extremities, without gloves, and a back massage without gloves. I am confused as to why Standard Precautions have become lax in some institutions. Important discussion, I would welcome a live forum to discuss this further. Jayne Champagne, RN, BS Medical Careers Instructor, MMTC 3 Brooklyn Ave. Waterville, Maine 04901 207-873-0102 ext. 2919 _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs ------------------------------ _______________________________________________ healthoccs mailing list healthoccs at lists.maine.gov http://mailman.informe.org/mailman/listinfo/healthoccs End of healthoccs Digest, Vol 24, Issue 9 ***************************************** CONFIDENTIALITY NOTICE: This email message, including any attachments, is for the use of the intended recipient(s) only and may contain information that is privileged, confidential, and prohibited from unauthorized disclosure under applicable law. If you are not the intended recipient of this message, any dissemination, distribution, or copying of this message is strictly prohibited. If you received this message in error, please notify the sender by reply email and destroy all copies of the original message and attachments. From Elaine.Briggs at maine.gov Wed Sep 30 08:02:52 2009 From: Elaine.Briggs at maine.gov (Briggs, Elaine) Date: Wed, 30 Sep 2009 08:02:52 -0400 Subject: [healthoccs] FW: Procedure question Message-ID: <32E5C6B0B949584D9B6168C5F727916B07575087@SOM-TEAQASMAIL1.som.w2k.state.me.us> From: Ralph & Dottie LaMarre [mailto:rlamarre at maine.rr.com] Sent: Tuesday, September 29, 2009 9:46 PM To: Briggs, Elaine Subject: Re: [healthoccs] FW: Procedure question Wear gloves during the bath etc. Human contact occurs throughout the entire time you are with them; not just during the bath. -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090930/43804989/attachment.html From Elaine.Briggs at maine.gov Wed Sep 30 08:05:40 2009 From: Elaine.Briggs at maine.gov (Briggs, Elaine) Date: Wed, 30 Sep 2009 08:05:40 -0400 Subject: [healthoccs] FW: Personal Support Specialist Train the Trainer Message-ID: <32E5C6B0B949584D9B6168C5F727916B0757508B@SOM-TEAQASMAIL1.som.w2k.state.me.us> Several of you have expressed interest in the PSS Training. Elaine ________________________________ (Reminder PSS Train the Trainer applications must be submitted by October 16, 2009. At least 5 applications must be approved to hold this class.) In Cooperation with DHHS-Division of Licensing & Regulatory Services bhsi BEHAVIORAL HEALTH SCIENCES INSTITUTE A Collaboration Between Spurwink Services and University of Maine at Augusta is presenting a Personal Support Specialist (PSS) Train-the-Trainer Training Program Who Should Attend? Qualified professionals who are interested in becoming newly certified to deliver the DHHS approved Personal Support Services (PSS) course. DATES & TIMES: October 20, 21, & 22, 2009 from 9am-4pm LOCATION: Conference Room A-DHHS offices, 41 Anthony Ave, Augusta COURSE FEES: $500.00* for 3 day course** *Plus the cost of instructor's manual if applicable ** Current CNA trainers who would like to teach the full PSS curriculum need only attend Days 2 & 3 at a cost of $332.00 COURSE DESCRIPTION: This program is intended to prepare professionals to deliver the Personal Support Services (PSS) course. The Train-the-Trainer will be delivered over 3 days. Day 1 will introduce participants to the Principles of Adult Learning. Day 2 will introduce participants to the PSS curriculum content and the Paperwork process. Day 3 will focus on Curriculum delivery and a demonstration of Participant's skills in training. SPECIAL NOTES: The PSS curriculum is currently being revised by the Department. The curriculum that will be taught during this training will be the current curriculum as written in 2003. When the Department has completed the revisions, you will be required to attend a curriculum update session. The companion manual for this curriculum as it stands is no longer in print. You, as a trainer or agency, would be required to get permissions for reprints directly from the publisher. Instructions on how to do that will be provided at the training. BHSI must have 10 persons registered to run this course (applications completed, submitted & approved). For more information, an application or general PSS Trainer Questions Please contact: Faith Hauger, Program Coordinator-BHSI - Phone: 207-321-6081 x102 - Fax: 888-748-4018 Email: fhauger at bhsi.net Carol A. Davis Health Services Consultant Division of Licensing and Regulatory Services 41 Anthony Ave. Augusta, Maine 04333 207-287-9261 Fax-287-9252 1-800-791-4080 carol.a.davis at maine.gov -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090930/297aea21/attachment.html From jroberts at msad35.net Wed Sep 30 10:32:13 2009 From: jroberts at msad35.net (Joanne Roberts) Date: Wed, 30 Sep 2009 10:32:13 -0400 Subject: [healthoccs] Prosthetic Company trip Message-ID: When I attended the MHOEA conference in June I spoke to one of you and you were kind enough to email me with your contact for a prosthetic company in Portland where you had taken your class. Somehow the email was deleted and I do not remember your name or that of the company. I apologize for my intrusion but appreciate the assistance. Sincerely Joanne Joanne Roberts BSN, RN Health Occupations Instructor Marshwood High School 260 Route 236 South Berwick, ME 03908 (207) 384-4500 From jharlow at sad17.k12.me.us Wed Sep 30 11:41:09 2009 From: jharlow at sad17.k12.me.us (Julie Harlow) Date: Wed, 30 Sep 2009 11:41:09 -0400 Subject: [healthoccs] Prosthetic Company trip In-Reply-To: References: Message-ID: I don't think I am the one you spoke to. Sorry. From MaeIla54 at aol.com Wed Sep 30 22:38:55 2009 From: MaeIla54 at aol.com (MaeIla54@aol.com) Date: Wed, 30 Sep 2009 22:38:55 EDT Subject: [healthoccs] Gloves Message-ID: QUESTION Except for oral and perineal care, Do you teach your CNA students to wear gloves when giving bed baths, showers and tub baths in the healthcare setting? ANSWER Absolutely! I can't think of a reason why we wouldn't.... Thanks Ila Mae, CNA Instructor for Ellsworth Adult Education -------------- next part -------------- An HTML attachment was scrubbed... URL: http://mailman.informe.org/pipermail/healthoccs/attachments/20090930/698b75be/attachment.html