<table cellspacing="0" cellpadding="0" border="0" ><tr><td valign="top" style="font: inherit;">I am in <span class="Apple-style-span" style="font-style: italic;">complete</span> 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? <div>I would like to add, that this discussion has been good food for thought, even though we may not all agree. <br><br><span class="Apple-style-span" style="color:rgb(0, 0, 191);">Karen Burke RN MS<br>Adult Education CNA Instructor<br>PO Box 14<br>Lubec ME 04652<br>207.733.2211<br>karendowneast@yahoo.com</span><div><span class="Apple-style-span" style="color: rgb(0, 0, 191);"><br></span></div><br><br>--- On <b>Tue, 9/29/09, Gail DiFiore <i><difiog@mmc.org></i></b> wrote:<br><blockquote style="border-left: 2px solid
rgb(16, 16, 255); margin-left: 5px; padding-left: 5px;"><br>From: Gail DiFiore <difiog@mmc.org><br>Subject: [healthoccs] Procedure question<br>To: healthoccs@informe.org, healthoccs@lists.maine.gov<br>Date: Tuesday, September 29, 2009, 1:40 PM<br><br><div class="plainMail">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.<br>Thanks<br>Gail<br><br>>>> <<a ymailto="mailto:healthoccs-request@informe.org" href="/mc/compose?to=healthoccs-request@informe.org">healthoccs-request@informe.org</a>> 9/29/2009 12:00 PM >>><br>Send healthoccs mailing list submissions to<br> <a ymailto="mailto:healthoccs@lists.maine.gov" href="/mc/compose?to=healthoccs@lists.maine.gov">healthoccs@lists.maine.gov</a> <br><br>To subscribe or unsubscribe via the World Wide Web, visit<br> <a href="http://mailman.informe.org/mailman/listinfo/healthoccs" target="_blank">http://mailman.informe.org/mailman/listinfo/healthoccs</a> <br>or, via email, send a message with subject or body 'help' to<br> <a
ymailto="mailto:healthoccs-request@lists.maine.gov" href="/mc/compose?to=healthoccs-request@lists.maine.gov">healthoccs-request@lists.maine.gov</a> <br><br>You can reach the person managing the list at<br> <a ymailto="mailto:healthoccs-owner@lists.maine.gov" href="/mc/compose?to=healthoccs-owner@lists.maine.gov">healthoccs-owner@lists.maine.gov</a> <br><br>When replying, please edit your Subject line so it is more specific<br>than "Re: Contents of healthoccs digest..."<br><br><br>Today's Topics:<br><br> 1. Re: FW: Procedure question (Jayne Champagne)<br> 2. Re: FW: Procedure question (<a ymailto="mailto:donross@firstatlantic.com" href="/mc/compose?to=donross@firstatlantic.com">donross@firstatlantic.com</a>)<br><br><br>----------------------------------------------------------------------<br><br>Message: 1<br>Date: Tue, 29 Sep 2009 07:54:26 -0400<br>From: "Jayne Champagne" <<a ymailto="mailto:jchampagne@fc.wtvl.k12.me.us"
href="/mc/compose?to=jchampagne@fc.wtvl.k12.me.us">jchampagne@fc.wtvl.k12.me.us</a>><br>Subject: Re: [healthoccs] FW: Procedure question<br>To: "Jennifer Boynton" <<a ymailto="mailto:jboynton@augustaschools.org" href="/mc/compose?to=jboynton@augustaschools.org">jboynton@augustaschools.org</a>><br>Cc: <a ymailto="mailto:healthoccs@lists.maine.gov" href="/mc/compose?to=healthoccs@lists.maine.gov">healthoccs@lists.maine.gov</a>, "Briggs, Elaine"<br> <<a ymailto="mailto:Elaine.Briggs@maine.gov" href="/mc/compose?to=Elaine.Briggs@maine.gov">Elaine.Briggs@maine.gov</a>><br>Message-ID:<br> <<a ymailto="mailto:fc.004c57e10300c1803b9aca0087afc38b.300c259@fc.wtvl.k12.me.us" href="/mc/compose?to=fc.004c57e10300c1803b9aca0087afc38b.300c259@fc.wtvl.k12.me.us">fc.004c57e10300c1803b9aca0087afc38b.300c259@fc.wtvl.k12.me.us</a>><br>Content-Type: text/plain; charset=ISO-8859-1<br><br> I thank everyone for their input. I would like to share
how this<br>question came up. I have had several students who are now in Nursing<br>school, in Maine, who have returned to me saying, Mrs. Champagne our<br>instructors are telling us not to wear gloves while giving a bed bath,<br>except during oral care and perineal care or if there is non-intact skin. <br>The students are confused as to the correct recommendations. I have<br>always worn gloves during patient bathing. On the same note, if I were a<br>patient, I would want my healthcare provider to wear gloves while giving<br>me a bed bath.<br> As a previous hospice nurse, I completly agree that therapeutic tough<br>is a necessary component in patient care. I don't feel that bathing is<br>the appropriate time for therapeutic touch. After I have bathed a patient<br>and have accessed the skin condition I end the bath by applying lotion to<br>the lower extremities, without gloves, and a back massage without gloves. <br>
I am confused as to why Standard Precautions have become lax<br>in some institutions. Important discussion, I would welcome a live forum<br>to discuss this further.<br><br>Jayne Champagne, RN, BS<br>Medical Careers Instructor, MMTC<br>3 Brooklyn Ave.<br>Waterville, Maine 04901<br>207-873-0102 ext. 2919<br><br><br><br>------------------------------<br><br>Message: 2<br>Date: Tue, 29 Sep 2009 12:24:06 +0000<br>From: <a ymailto="mailto:donross@firstatlantic.com" href="/mc/compose?to=donross@firstatlantic.com">donross@firstatlantic.com</a> <br>Subject: Re: [healthoccs] FW: Procedure question<br>To: "Jayne Champagne" <<a ymailto="mailto:jchampagne@fc.wtvl.k12.me.us" href="/mc/compose?to=jchampagne@fc.wtvl.k12.me.us">jchampagne@fc.wtvl.k12.me.us</a>>,<br> <a ymailto="mailto:healthoccs-bounces@informe.org" href="/mc/compose?to=healthoccs-bounces@informe.org">healthoccs-bounces@informe.org</a>, "Jennifer Boynton"<br> <<a
ymailto="mailto:jboynton@augustaschools.org" href="/mc/compose?to=jboynton@augustaschools.org">jboynton@augustaschools.org</a>><br>Cc: <a ymailto="mailto:healthoccs@lists.maine.gov" href="/mc/compose?to=healthoccs@lists.maine.gov">healthoccs@lists.maine.gov</a>, "Briggs, Elaine"<br> <<a ymailto="mailto:Elaine.Briggs@maine.gov" href="/mc/compose?to=Elaine.Briggs@maine.gov">Elaine.Briggs@maine.gov</a>><br>Message-ID:<br> <<a ymailto="mailto:769727387-1254227026-cardhu_decombobulator_blackberry.rim.net-690598822-@bda015.bisx.prod.on.blackberry" href="/mc/compose?to=769727387-1254227026-cardhu_decombobulator_blackberry.rim.net-690598822-@bda015.bisx.prod.on.blackberry">769727387-1254227026-cardhu_decombobulator_blackberry.rim.net-690598822-@bda015.bisx.prod.on.blackberry</a>><br> <br>Content-Type: text/plain; charset="Windows-1252"<br><br>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.<br>Rosemary Turgeon, RN DON<br>Ross Manor<br>Bangor<br>Sent from my BlackBerry? wireless device from U.S. Cellular<br><br>-----Original Message-----<br>From: "Jayne Champagne" <<a ymailto="mailto:jchampagne@fc.wtvl.k12.me.us" href="/mc/compose?to=jchampagne@fc.wtvl.k12.me.us">jchampagne@fc.wtvl.k12.me.us</a>><br><br>Date: Tue, 29 Sep 2009 07:54:26 <br>To: Jennifer Boynton<<a ymailto="mailto:jboynton@augustaschools.org" href="/mc/compose?to=jboynton@augustaschools.org">jboynton@augustaschools.org</a>><br>Cc: <<a ymailto="mailto:healthoccs@lists.maine.gov" href="/mc/compose?to=healthoccs@lists.maine.gov">healthoccs@lists.maine.gov</a>>; Briggs, Elaine<<a ymailto="mailto:Elaine.Briggs@maine.gov" href="/mc/compose?to=Elaine.Briggs@maine.gov">Elaine.Briggs@maine.gov</a>><br>Subject: Re: [healthoccs] FW: Procedure
question<br><br><br> I thank everyone for their input. I would like to share how this<br>question came up. I have had several students who are now in Nursing<br>school, in Maine, who have returned to me saying, Mrs. Champagne our<br>instructors are telling us not to wear gloves while giving a bed bath,<br>except during oral care and perineal care or if there is non-intact skin. <br>The students are confused as to the correct recommendations. I have<br>always worn gloves during patient bathing. On the same note, if I were a<br>patient, I would want my healthcare provider to wear gloves while giving<br>me a bed bath.<br> As a previous hospice nurse, I completly agree that therapeutic tough<br>is a necessary component in patient care. I don't feel that bathing is<br>the appropriate time for therapeutic touch. After I have bathed a patient<br>and have accessed the skin condition I end the bath by applying lotion to<br>the
lower extremities, without gloves, and a back massage without gloves. <br> I am confused as to why Standard Precautions have become lax<br>in some institutions. Important discussion, I would welcome a live forum<br>to discuss this further.<br><br>Jayne Champagne, RN, BS<br>Medical Careers Instructor, MMTC<br>3 Brooklyn Ave.<br>Waterville, Maine 04901<br>207-873-0102 ext. 2919<br><br>_______________________________________________<br>healthoccs mailing list<br><a ymailto="mailto:healthoccs@lists.maine.gov" href="/mc/compose?to=healthoccs@lists.maine.gov">healthoccs@lists.maine.gov</a> <br><a href="http://mailman.informe.org/mailman/listinfo/healthoccs" target="_blank">http://mailman.informe.org/mailman/listinfo/healthoccs</a> <br><br><br><br>------------------------------<br><br>_______________________________________________<br>healthoccs mailing list<br><a ymailto="mailto:healthoccs@lists.maine.gov"
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