[Naijoko]

"Responding to the request below for a specific example. Hand washing, you wash your hands when medically appropriate to prevent facility acquired infections. If you don't you are progressively warned ultimately leading to termination and/or loss of license. If instituted nationally this alone would save at least 5,000 lives a year. Good luck getting it instituted at most facilities."

Sad thing is most staff in hospital doesnt wash hands. Reality is it would cost so much time. Handwashing is like a minute and staff has to go in an out of rooms where hand washing is needed so many times an hour it would slow everything down. And then trying to fire staff about this is not real because this would kick out half of it and it isnt replaceble. The problem is more why has staff to get in and out of stations so frequently. And multiresitence bacteria.

[kurthr]

I'm always terrified to see surgical caps and such on doctors in a hospital cafeteria. Also a nurse or surgeon wearing scrubs on public transit. Whether they're coming into work and carrying unknown filth into the facility, or leaving with deadly resistant hospital pathogens on high density transport... they're both terrible. Unless you're outpatient, don't wear scrubs to/from work. Don't be Dr Oz wearing your status on your shirt sleave for giggles while risking patients and public.

[duffpkg]

Specifically with handwashing which is a problem I have been very successful at solving, time is not the main factor. It is wear and tear on the hands and this comes down to the soap used and water quality, really. If you get those too things right people mostly find it no problem to wash their hands when appropriate. Also for non-medical people this is not washing your hands before surgery washing, this is routine washing between patients, bathrooms, and duties.

Regarding gloves, gloves don't solve disease transmission from dirty hands. You need both hand washing and gloves.

[naasking]

> Handwashing is like a minute and staff has to go in an out of rooms where hand washing is needed so many times an hour it would slow everything down.

Sounds like the workflow is poorly designed then. Use gloves instead of hand washing.