Re: Hepatitis May Be TransmittedOn Apr 23, 7:45 am, ironjustice <teamtan...@hotmail,com > wrote:
> On Apr 23, 7:36 am, ironjustice <teamtan...@hotmail,com > wrote:Doctors
> self-reported their hand-washing rate at 73 percent, whereas
> when these same doctors were observed, their actual rate was a paltry
> 9 percent <<
>
> Public beatings .. ?
>
> They’d try to “catch” a doctor who was washing up, giving him a $10
> Starbucks card as reward. You might think that the highest earners in
> a hospital wouldn’t much care about a $10 incentive — “but none of
> them turned down the card,” Silka says. When the nurse spies reported
> back the latest data, it was clear that the hospital’s efforts were
> working — but not nearly enough. Compliance had risen to about 80
> percent from 65 percent, but the Joint Commission required 90 percent
> compliance.
> --------------------------------------------------------------------------------
> These results were delivered to the hospital’s leadership by Rekha
> Murthy, the hospital’s epidemiologist, during a meeting of the Chief
> of Staff Advisory Committee. The committee’s roughly 20 members,
> mostly top doctors, were openly discouraged by Murthy’s report. Then,
> after they finished their lunch, Murthy handed each of them an agar
> plate — a sterile petri dish loaded with a spongy layer of agar. “I
> would love to culture your hand,” she told them. They pressed their
> palms into the plates, and Murthy sent them to the lab to be cultured
> and photographed. The resulting images, Silka says, “were disgusting
> and striking, with gobs of colonies of bacteria.” The administration
> then decided to harness the power of such a disgusting image. One
> photograph was made into a screen saver that haunted every computer in
> Cedars-Sinai. Whatever reasons the doctors may have had for not
> complying in the past, they vanished in the face of such vivid
> evidence. “With people who have been in practice 25 or 30 or 40 years,
> it’s hard to change their behavior,” Leon Bender says. “But when you
> present them with good data, they change their behavior very rapidly.”
> Some forms of data, of course, are more compelling than others, and in
> this case an image was worth 1,000 statistical tables. Hand-hygiene
> compliance shot up to nearly 100 percent and, according to the
> hospital, it has pretty much remained there ever since. Cedars-Sinai’s
> clever application of incentives is certainly encouraging to anyone
> who opposes the wanton proliferation of bacterial infections. But it
> also highlights how much effort can be required to solve a simple
> problem — and, in this case, the problem is but one of many. Craig
> Feied, a physician and technologist in Washington who is designing a
> federally financed “hospital of the future,” says that hand hygiene,
> while important, will never be sufficient to stop the spread of
> bacteria. That’s why he is working with a technology company that
> infuses hospital equipment with silver ion particles, which serve as
> an antimicrobial shield. Microbes can thrive on just about any surface
> in a hospital room, Feied notes, citing an old National Institutes of
> Health campaign to promote hand-washing in pediatric wards. The
> campaign used a stuffed teddy bear, called T. Bear, as a promotional
> giveaway. Kids and doctors alike apparently loved T. Bear — but they
> weren’t the only ones. When, after a week, a few dozen T. Bears were
> pulled from the wards to be cultured, every one of them was found to
> have acquired a host of new friends: Staphylococcus aureus, E. coli,
> Pseudomonas, Klebsiella.. . .
>
> Who loves ya.
> Tom
>
> Jesus Was A Vegetarian! http :// tinyurl,com /2r2nkh
>
> Man Is A Herbivore! http :// tinyurl,com /a3cc3
>
> DEAD PEOPLE WALKING http :// tinyurl,com /zk9fk
>
> > "Blood on cupboard handles, telephones, computer keyboards, side
> > tables and the floor"
>
> > 'Crime Scene Investigation' Methods Could Help In The Battle Against
> > Hospital Infections
> > ScienceDaily (Apr. 23, 2008) — Inspired by the popular television
> > drama CSI, investigators in the Netherlands have trialed methods used
> > by forensic scientists at crime scenes to highlight infection risks in
> > their hospital. Researchers at Deventer Hospital used Luminol, a
> > chemical used by crime scene investigators, to detect traces of blood
> > in their haemodialysis unit. Luminol reacts with microscopic amounts
> > of blood to produce bright blue luminescence, which allows
> > investigators to track invisible blood splashes in the environment.
>
> > Bergervoet et al tested their apparently clean unit with Luminol. They
> > found traces of blood on many surfaces including cupboard handles,
> > telephones, computer keyboards, side tables and the floor, even though
> > some of these surfaces had been cleaned. They expect that these
> > results can be reproduced in other hospitals that plan to use Luminol
> > in the future as described in their paper.
>
> > The group of researchers suggests that following on from their
> > research, Luminol could be used as part of a hospital infection
> > control regimen, in order to highlight risks associated with the
> > contamination of the hospital environment with blood. Bergervoet et al
> > specifically discuss the possibility that the hepatitis C virus may be
> > transmitted via such environmental contamination.
>
> > Corresponding author Dr Paul Bergervoet of Deventer Ziekenhuis
> > commented: "The aim of this article is to introduce this method to the
> > infection control professionals so it can be used to monitor cleaning
> > and disinfection procedures and alert healthcare workers to the
> > possibility of contamination of the hospital environment with blood."
>
> > Journal reference: "Application of the forensic Luminol for blood and
> > infection control" by PWM Bergervoet, N van Riessen, FW Sebens and WC
> > van der Zwet,appears in the Journal of Hospital Infection, doi:10.1016/
> > j.jhin.2008.01.026, published by Elsevier on behalf of the Hospital
> > Infection Society.
>
> > Adapted from materials provided by Elsevier.
> > ----------------------------------- http :// tinyurl,com /4w6sfr
>
> > "Doctors self-reported their hand-washing rate at 73 percent, whereas
> > when these same doctors were observed, their actual rate was a paltry
> > 9 percent."
>
> > ---------------------------------------------------------------
>
> > Who loves ya.
> > Tom
>
> > Jesus Was A Vegetarian! http :// tinyurl,com /2r2nkh
>
> > Man Is A Herbivore! http :// tinyurl,com /a3cc3
>
> > DEAD PEOPLE WALKING http :// tinyurl,com /zk9fk
Hi-Last June as I waited with 4-5 other people in a small room on
uncomfortable chairs waiting for our lovely colonoscopy exams; the
nurse came and went; in and out and from one patient to another; to
the cupboard taking out needles and IV bags...opening them, draining
out some of the fluid, attaching lines..putting four or five pieces of
tape on the leg of her scrubs..then going to a patient to swab their
arm, inset the needle/IV and secure with the pieces of tape she had
put on her pants..ALL with NEVER washing her hands or put on gloves
ONCE during the entire time...in and out of the room and repeating
everything from one patient to the next. I could not believe what I
was witnessing. Not ONE hand sanitizing or washing or glove and the
tape continuously put on and pulled from her pants.
Impressive sugery center! and the exam was like a nightmare.
I waited so long nearly 2 hours -I had to use the restroom and they
had me carry my IV bag in my hand, holding it up over my head...all
and the floors were dirty. man walked into my dressing room while I
was getting into a gown.
The anesthisia nurse left the room before administering my meds...she
was upset saying 'You can do it! I;m leaving!
The remaining nurse said oh-ok and I don't think I got any medication
and the Dr did not wait for it to take affect if I even GOT the
medication. I know I NEVER gave him consent to start.
I screamed the entire time for him to STOP and the nurse held me down
so all I could do was SCREAM and pray Oh Lord Please help me over and
over between screams for himi to stop. Needless to say I was awake and
aware the entire procedure and the Dr just had a dumb silent look on
his face afterwards when I asked him WHY he didn't stop.
The medicine 'kicked in' after it was all over.
When I called him the next day to ask him again 'why' He just repeated
'I'm sorry'
NEVER go to Banner Surgi center-in PHX.