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Nursing: You Wanna Know What I Think?

Eliminating HAI by Stopping Germs at the Door

Published June 10, 2013 1:32 PM by Pat Veitenthal
I know I've said I don't like EBOS (evidence-based order sets), because I don't believe that a single treatment should be used on every patient with the same diagnosis. Now having said that, I don't mean to imply that I am against the research that brings us to EBOS conclusions. I realize how important medical research is. I wonder though, if the millions of dollars designated for research are being used in the most effective way.

Let's face it, there's some pretty silly research being done. I remember a few years ago, reading a journal that described a several million dollar grant to study the effect of chocolate and salty snacks on pre-menstrual women. Seriously? Yes seriously. Listen, for $100.00 I could have told them everything they needed to know. For good measure I would have offered up the 3-11 staff in the ER as the control group.

As recently as 2 weeks ago, I read a research study that verified doubling up on Tamiflu for severe flu symptoms didn't help improve the outcome or length of illness. Duh. Didn't we know that already without a study? We tell patients all the time more isn't necessarily better with prescriptions.

But here is my all time favorite study. Someone FINALLY listened to me. I have been saying for YEARS that the passageway between the set of double doors to the ER should be like a carwash; the patient on the stretcher should be placed in the center, and then sprayed with soap, water and chlorhexidine, then rinsed, dried, gowned, and only then placed in a exam room. Hospitals aren't clean anymore because the "people we serve" are bringing all sorts of germs in! If we decontaminate them, HAIs will dramatically decrease. And again...Duh!

Clean on Admission

California hospital eliminates MRSA. One part of the process: Patients were washed head to toe upon admission. Read more.

posted by Pat Veitenthal


It is difficult enough these days just to get nurses to give a regular bath while a patient is in the hospital much less making sure all patients get one on admission. Gone are the days of the daily bath and back rub. They don't even change the sheets everyday day unless visibly soiled. Just giving a daily bath and changing linens would go a long way to prevent HAI's.

Sandy , RN-BC July 26, 2013 12:53 PM
Lakeland FL

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About this Blog

    Pat Veitenthal, BSN, RN
    Occupation: Per diem nursing supervisor and cruise ship nurse
    Setting: Community hospital and cruise ships
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