thanks for sharing this videos ,i am very interested by Colombia University School of Nursing and your advice which faculty can i apply for? please help me
Amazing! Thank you for sharing. Your video is very inspiring. I looking forward to visiting your school. P.S. God loves the world so much that he gave his only begotten son, Jesus Christ. Anyone who believes on him shall have everlasting life.
Apparently the finest Nursing University in the US doesn't teach basic hygienic principles, such as: rings and watches are bacterial cesspools that spread nosocomial infections. Embarrassing.
indiesthlm While it is sad and unfortunate whenever patients get ill from hospital environment, am I to understand that you are blaming an educational institution for this? You cannot be a thinking person and actually conclude that hygiene is not taught in all nursing schools across America yet alone at Columbia. This doesn't strike you as personal oversight/neglect at all?
Nicole McPherson Of course you're right; I couldn't possibly know what is and isn't taught at the school. But you would assume that Columbia would make a promotional video that would capture the "perfect" hospital, if you know what I mean. When I see medical videos from, let's say pakistan, where the doctors practice cowboy medicine (Change out of your civilian clothes prior to treating patients? Why bother. Sterile gloves? Sure!), I laugh. Not because I think it's funny that many of those patients will succumb to avoidable infections, but because it's just tragic. When I see a video from Columbia School of Nursing (though to be honest most videos that are filmed within the US show the exact same problem) advertising an EXTREMELY lax attitude towards the use of rings, watches, long-armed shirts etc. it just makes me cringe. Jesus christ, I don't think ANYBODY in the whole video got the basic hygienic standards right.
Nicole McPherson I must add this though: obviously there are different rules/regulations between our countries. But you would think that basic fucking common sense would advocate the use of non-civilian clothes in a hospital setting (if I had my heart operated on and the nurse who came to check the wound a few days afterwards was wearing a long-sleeved tshirt under her scrubs would not get to touch me). The same goes for rings and watches. What the fuck are "your" people thinking, Nicole? That bacteria don't thrive under them? Are they special rings and watches that are hourly doused in alcohol? If you look at the statistics of nosocomial infections in your country, perhaps here is a clue as to why you're paddling up shit creek. Fuck it, I'm done.
indiesthlm Wow you were making really good points that I could agree with and then you followed them up with something less than smart with the whole "your" people comment. first of all I'm Jamaican but I will say that America is a diverse country of native born, immigrants and descendants of immigrants and is therefore not a monolith so suffice it to say they are not "one" people with one mind. So who the fuck knows what they are thinking? ever. The country is so large and so diverse that it could be divided into different countries...well, they actually tried and I'm guessing you know how that turned out. But I digress. Now to address the more worthwhile points.There is no such thing as the "perfect" hospital, anywhere on the face of this earth, it just does not exist. I agree with you that healthcare-related infections are a problem, they contribute to mortality and financial loss (read law -suits) to many hospitals in America and worldwide. With that said there is that no institution or country on this earth that has ever solved the occurrence of nosocomial infections. But it doesn't mean they shouldn't try. When I watch the video I see them trying, I see nurses wearing gloves, scrubs and head ties. I see hand sanitizers mounted in the rooms. However, I also see street clothes and jewelry which makes me think that your point is valid. Maybe hospitals should insist that nurses and doctors wear full scrubs at all times. When I visit hospitals in New York like Mount Sinai for example It is very sanitary, I see nurses in uniforms and doctors wearing full scrubs, and coats but I also see them wearing watches and if they need to touch a patient then they put on gloves. I think that there a plethora of reasons why the healthcare system in America is going up as you say "Shit Creek", but to discuss nosocomial infections as if it is somehow an "American problem" and does not exist in developed countries in the world such as parts of Asia, Europe ,UK, Australia well, That's just ignorant.
Nicole McPherson Thank you for a well formulated response, an occurrence that is rare on youtube. First off, I want to be crystal clear in saying that me writing "your people" was not a racial epithet, but an assumption (yeah, I know... assume makes an ass out of... haha) that you were a health care worker from the US. Secondly, you're absolutely right: it ('murica) is a very large country and it's meaningless to try and make generalisations. But you must admit (if you've seen depictions of "american" hospitals on tv or random video clips on the internet) that the issue we're discussing is not an isolated incident but rather a rampant culture within health care. Obviously nosocomial infections are ALWAYS going to be an issue, be it VAP, catheter-related infections, MRB infections etc. etc. This is not an american phenomenon, but global. The problem as I see it (if we isolate the discussion to the occurrence and the spreading of MRBs) is that if a universal standard of care is not adopted, then it doesn't matter how vigilant a certain country is in trying to combat the bacteria because... well, you get the picture. England has had (probably still has) huge problems (considering it's a modern, developed country) with the spreading of MRSA. Even though this has been known for a while, there are still hospitals with wall-to-wall carpeting, and it's not uncommon to see consulting doctors come in dressed in their street clothes. Rings, watches etc. is also not uncommon. Obviously we ultimately can't do anything to heed MRSA/ESBL/VRE (etc.) partially because of how antibiotics are used in "third world countries".. But if our goal is, not to eradicate, but to slow the spreading then you would think that we that in fact live in developed countries would do everything in our power to stop this. Do you not agree?
cool! I'm looking forward to be at the nursing program. :)
thanks for sharing this videos ,i am very interested by Colombia University School of Nursing and your advice which faculty can i apply for? please help me
Amazing! Thank you for sharing. Your video is very inspiring. I looking forward to visiting your school.
P.S. God loves the world so much that he gave his only begotten son, Jesus Christ. Anyone who believes on him shall have everlasting life.
Apparently the finest Nursing University in the US doesn't teach basic hygienic principles, such as: rings and watches are bacterial cesspools that spread nosocomial infections. Embarrassing.
indiesthlm While it is sad and unfortunate whenever patients get ill from hospital environment, am I to understand that you are blaming an educational institution for this? You cannot be a thinking person and actually conclude that hygiene is not taught in all nursing schools across America yet alone at Columbia. This doesn't strike you as personal oversight/neglect at all?
Nicole McPherson Of course you're right; I couldn't possibly know what is and isn't taught at the school. But you would assume that Columbia would make a promotional video that would capture the "perfect" hospital, if you know what I mean.
When I see medical videos from, let's say pakistan, where the doctors practice cowboy medicine (Change out of your civilian clothes prior to treating patients? Why bother. Sterile gloves? Sure!), I laugh. Not because I think it's funny that many of those patients will succumb to avoidable infections, but because it's just tragic.
When I see a video from Columbia School of Nursing (though to be honest most videos that are filmed within the US show the exact same problem) advertising an EXTREMELY lax attitude towards the use of rings, watches, long-armed shirts etc. it just makes me cringe. Jesus christ, I don't think ANYBODY in the whole video got the basic hygienic standards right.
Nicole McPherson I must add this though: obviously there are different rules/regulations between our countries. But you would think that basic fucking common sense would advocate the use of non-civilian clothes in a hospital setting (if I had my heart operated on and the nurse who came to check the wound a few days afterwards was wearing a long-sleeved tshirt under her scrubs would not get to touch me). The same goes for rings and watches. What the fuck are "your" people thinking, Nicole? That bacteria don't thrive under them? Are they special rings and watches that are hourly doused in alcohol? If you look at the statistics of nosocomial infections in your country, perhaps here is a clue as to why you're paddling up shit creek.
Fuck it, I'm done.
indiesthlm Wow you were making really good points that I could agree with and then you followed them up with something less than smart with the whole "your" people comment. first of all I'm Jamaican but I will say that America is a diverse country of native born, immigrants and descendants of immigrants and is therefore not a monolith so suffice it to say they are not "one" people with one mind. So who the fuck knows what they are thinking? ever. The country is so large and so diverse that it could be divided into different countries...well, they actually tried and I'm guessing you know how that turned out. But I digress.
Now to address the more worthwhile points.There is no such thing as the "perfect" hospital, anywhere on the face of this earth, it just does not exist. I agree with you that healthcare-related infections are a problem, they contribute to mortality and financial loss (read law -suits) to many hospitals in America and worldwide. With that said there is that no institution or country on this earth that has ever solved the occurrence of nosocomial infections. But it doesn't mean they shouldn't try. When I watch the video I see them trying, I see nurses wearing gloves, scrubs and head ties. I see hand sanitizers mounted in the rooms. However, I also see street clothes and jewelry which makes me think that your point is valid. Maybe hospitals should insist that nurses and doctors wear full scrubs at all times. When I visit hospitals in New York like Mount Sinai for example It is very sanitary, I see nurses in uniforms and doctors wearing full scrubs, and coats but I also see them wearing watches and if they need to touch a patient then they put on gloves. I think that there a plethora of reasons why the healthcare system in America is going up as you say "Shit Creek", but to discuss nosocomial infections as if it is somehow an "American problem" and does not exist in developed countries in the world such as parts of Asia, Europe ,UK, Australia well, That's just ignorant.
Nicole McPherson Thank you for a well formulated response, an occurrence that is rare on youtube.
First off, I want to be crystal clear in saying that me writing "your people" was not a racial epithet, but an assumption (yeah, I know... assume makes an ass out of... haha) that you were a health care worker from the US.
Secondly, you're absolutely right: it ('murica) is a very large country and it's meaningless to try and make generalisations. But you must admit (if you've seen depictions of "american" hospitals on tv or random video clips on the internet) that the issue we're discussing is not an isolated incident but rather a rampant culture within health care.
Obviously nosocomial infections are ALWAYS going to be an issue, be it VAP, catheter-related infections, MRB infections etc. etc. This is not an american phenomenon, but global. The problem as I see it (if we isolate the discussion to the occurrence and the spreading of MRBs) is that if a universal standard of care is not adopted, then it doesn't matter how vigilant a certain country is in trying to combat the bacteria because... well, you get the picture.
England has had (probably still has) huge problems (considering it's a modern, developed country) with the spreading of MRSA. Even though this has been known for a while, there are still hospitals with wall-to-wall carpeting, and it's not uncommon to see consulting doctors come in dressed in their street clothes. Rings, watches etc. is also not uncommon.
Obviously we ultimately can't do anything to heed MRSA/ESBL/VRE (etc.) partially because of how antibiotics are used in "third world countries".. But if our goal is, not to eradicate, but to slow the spreading then you would think that we that in fact live in developed countries would do everything in our power to stop this. Do you not agree?