" HAND WASHING IN PATIENT CARE" 1962 NURSE INSTRUCTIONAL FILM -- THAT'S VERY RELEVANT TODAY! 22214
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- čas přidán 21. 08. 2024
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Here's a film everyone should watch! "Handwashing in Patient Care" is a 1962 U.S. Department of Health, Education and Welfare movie that was intended to instruct nurses and physicians about how to "scrub up." In the era of Covid19, the simple protocols described in this 58-year-old film are still relevant.
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She is wasting like 10 gallons of water when she is lathering up. But this was also the days where you could smoke in the hospital, your desk had more steel than a new car and we still had copper door knobs to kill germs, and asbestos was a wonder material.
Would it have been more sanitary to keep turning the water on and on off?
@@richardnottelmann58 No, I was just pointing out that she was wasting water. I just thought it was funny how much was being used. Remember that she is supposed to be doing the whole process before and after every patient and that was before crazy water restriction devices like 1 gal per min flow restrictors. But she could have turned it off and then rewash hands like she did after doing her arms.
That copper really works... Too bad it's too expensive.
The whole process involves the best attempt at keeping hands from touching "unclean" surfaces during the hand Washing process, and by turning the faucets off only after finishing by using paper towels, not your just washed hands. However, I pointed out to my nursing instructors, during nursing school in the late 70's, that doing so with WET paper towels would create a problem called "strike through" which we had also learned about in classes on sterile technique. The premise is that wet fabrics conduct contamination through them during even very short periods of contact, and only dry ones should be considered uncontaminated. They all gathered together to discuss this, and decided I definitely had a legitimate point. From that point on, only dry paper towels were to be used.
Also, all things being done properly, leaving the room should be done by using a dry paper towel to open the door by the handle, after which the paper towel should then be discarded into a nearby trash receptacle.
The continuous water running problem was somewhat solved by redesigning sink faucets to be activated by foot pedals, so the water will not run constantly, but only by pressure from a foot. The same as scrub sinks outside surgical suites, which have used either knee or foot activated devices. I have used both in my 15+ years as a Surgical Technologist, and much prefer the foot activated type. It's difficult to place knee activated faucet devices at one single location that is generally accessible and comfortable for all heights, where the foot pedals are all in the same accessible point for all - on the floor.
VERY HELPFUL THIS VIDEO.
Bummer I was asleep when this was posted. Might've been a fun live-chat. Wash up and stay healthy people.
Reminds me of Nursing School...
I use the saliva of a komodo followed by toilet water from a Vietnamese cathouse.
Periscope over here low key calling us dirty and is taking it upon themselves to show us how to properly wash our hands
Someone needs to. LOL.
The procedure shown at 6:40 onwards does apply thoroughly for most third world country households. It could even apply to manual liquid soap dispensers.
It amazes me how back then they suggested using 70° alcohol as an emergency disinfectant, yet it looks funny to me seeing the guy pull out the flask instead of disinfecting gel.
I use a spray bottle with alcohol in it.
In the Philippines, for instance, “alcohol” is much more common than gel. It has additives to moisturize, and often a mild fragrance, but liquid 70% alcohol is the common hand sanitizer there.
Dang guys, you are on point with this film.
LoL I feel this is ironic considering what's going on right now, and it's needed too. People nowadays barely wash their hands....
How is this ironic? Irony means the EXACT opposite outcome of what you would expect. No, I would expect to see more videos like this now...even if they are old ones.
Even though this is almost 60 years old, this is still relevant, especially with what is happening today.
5:40 the nurse takes the last paper towel....6:04 the paper towel dispenser is magically refilled.. 😁
My precious nurse, let us slay the polio.
Whatever happened to the good ol' daze when nurses wore really goofy looking hats?
Changes in fashion aren't always for the better.
Those "really goofy looking hats" were very much treasured signs of very hard work done successfully. They were more a badge of honor, and nurses in uniform were generally accorded a great deal of respect and courtesy.
Nurses for the vast part did not find them "goofy" with the exception of a very few that practically nobody could figure out where/why they came to exist! However, since many nurse's cap styles were designed based on the Religious habits of the nuns/nurses who ran the nursing schools they attended, there was also a great deal of respect accorded to them.
And they were/are "caps" not hats! The difference being that nurses everywhere (in the States, anyway) were awarded theirs in a "Capping Ceremony," NOT a "Hatting Ceremony!"
The reasons you don't see them being worn are manifold - firstly, nursing education that formerly took place in hospital-owned and run schools of Nursing which awarded 3 year Diplomas, were replaced by collegiate programs awarding Baccalaureate degrees (BSNs) and the true spirit of the 3 year program where all students were shepherded along together from day to day, month to month, and year to year, was lost in the college programs that were run for the education of the individual instead of the group. Caps and capping didn't seem to follow along in that whole program structure.
Secondly, nurses became much more highly educated "partners" in healthcare, with much greater autonomy, especially after WWII, with the doctors, instead of the "doctors handmaidens" they had started out to be, and such traditional symbols didn't seem to fit in with such a highly scientifically educated career.
Thirdly, more men, again after WWII, entered nursing, as many former medics sought nursing education and beyond following the War, and men of course never wore Caps.
Fourth, and most importantly, since caps were handled a great deal, putting them on, reapplying them after being knocked off in tangles with bedside equipment and curtains, patients, (pediatric patients especially,) and just general activity throughout a busier and busier workday, while they rarely got washed, like uniforms did get washed, it was finally discovered in the 1970s that they had been identified as "breeding farms" for bacteria, particularly after the beginnings of the "Super bugs" and antibiotic resistant strains. Since uniforms were washed after each wearing, but caps no more than monthly, and frequently much less, they began to lose their charm as they could become vectors, or aforementioned breeding grounds for serious strains of bacteria. All these factors gathered together to spell the demise of the cap.
There were nursing schools that still had Capping Ceremonies for their probationary students, to mark that transition from probationary to full fledged student nurses, but the caps were held as a keepsake, as were caps with the traditional graduate bands worn at graduation and pinning ceremonies, but again held as keepsakes. They disappeared all together for awhile, except worn only for some graduation photographs, but have made a minor comeback in terms of capping and/or graduation ceremonies. It seems the newer students find it desirable to recapture some of the older traditions, and have done so with caps.
Other countries, particularly the more patriarchal Asian countries, have maintained traditional uniforms and caps for their nurses, just as they have maintained their more traditional "places" for women versus the higher male societal roles in their culture.
Disposable caps have become somewhat more of a "thing" in some places in light of the bacterial growth factors.
So, now you know more about what happened to the cap!
they wern't goofy, but a source of pride. However, they also collected germs, so are no longer worn in clinical settings.
Good to know during these trying times...
Before we started caring about water conservation. Now todays hand washing vids all show turning the water off while you scrub until its time to rinse.
That was pretty cool.
“Hexichoridine” = Benzene
@@bobbythecajun7869 --- We stopped using Phisohex in Labor and Delivery/ Newborn Nursery in the late 70s when it was discovered it is readily absorbed through the skin of newborns. Then it was pretty much phased out.
It is great for acne.
So is Sulphur soap.
Dr. John Campbell has a channel here on CZcams with a recent handwashing tutorial. Highly recommend it.
Alton brown has a good one too
@@Goldi-Luc --- Thank you, I'll check it out! : )
It’s ok to post a link ;)
The soap at work is the foaming kind that I like, but it leaves my hands so dried out. I never once thought of applying lotion after washing my hands.
Unfortunately some chapters were skipped or sliced
Shouldn’t this video be just 20 seconds long?
While singing "The Birthday Song"?
By this time, the patient awaiting surgery has died & been transferred to the morgue.
Never! I would never allow such a thing to happen in *MY OR!* The patient has already been anesthetized before the surgeon generally shows up to start scrubbing in!
Before the invention of
latex and nitrile gloves....
Washing after glove use is still recommended, and in some instances required, as even those gloves can still have microscopic pores in them, larger than viruses. Always washed up after every surgery, especially for that reason.
@Apple Tree - Having spent a goodly portion of my working life in Surgery, up to my elbows in...whatever we were in at the time...some days even hand washing isn't enough. Only autoclaving would create a sense of "uncontaminating" oneself!
Coronavirus brought me here!
Still valid today, try using that much water today though and get chastised by the PC police!
and a metric ton of water.
how topical! thank you!
cheers!
Topical?? Why would you choose that word?
@@Goldi-Luc Cause no one could stop me from doing it. (:
@@7177YT where are you from? In america we use topical to mean something applied to the surface of the body, like lotion. But when i looked it up it said it had other meanings that made your sentence make sense, but I have never heard it used that way. The way you used it meant like saying it was relevant?
@@Goldi-Luc It's a somewhat poor pun with both meanings in mind. Something presented related to pressing matters of the time and 'topical' as applying material to zhe skin in some form. Evidently my attempt at levity is more confusing than entertaining. Cheers! (:
You only have five fingers on your hands?
Well, that's weird. And a distracting and unsettling deformity.
Usually, i try to pretend that i don't notice the deformities of others. But i'm not always entirely successful.
Eight fingers on a hand would usually be considered the usual normal.
In the meantime, i'm trying not stare and be horrified. Yeesh. Only five fingers?
Not much has changed
Um, yes, it has! Please consult modern asepsis methods. Please!
Yikes! This is outdated, especially the lotion! Please, consult an up to date video on this. Please!
No, it's still is the same.
Nope. It’s as relevant today as it was when it was produced. Besides the fashion, the only substantial changes are we use less water and the soap products and alcohol sanitizers have moisturizers incorporated into them.
Wasteful of water
Where does the water go?