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Q: Clinical hygiene when performing a blood test
asked by: DS on November 22nd, 2008
Experienced User
Hi, everybody.

I am typing this post due to noticing that there seems to be a lot of clinical unprofessionalism that I have observed over the years in the healthcare sector, particularly with nurses doing invasive procedures such as blood tests which is what this post is all about.

I have gone for many blood tests due to various health related issues.

When I had these blood tests, I have noticed that on many occasions, in fact all, that the nurses performing these blood tests did not wash their hands, wear gloves or even cleanse the puncture site with an antiseptic wipe after palpating it with her bare fingers before inserting the needle. When questioned on not cleansing the area after palpating it with her bare fingers before needle insertion she just said "We don't need to do that." Why, I don't know. She never gave any reason as to why she didn't need to cleanse the area after messing with it. Basically she contaminated the area before puncture, risking a patient's life.

I seriously feel like I am and have risked my life just for a blood test! I should have just walked out without giving a reason as her practice was just unacceptable. I wished I had have walked out now as I am really worried that she's infected me with some sort of blood-borne virus. I shouldn't have to feel like this. They (well at least I used to think) should know not to expose their patients or themselves to deadly blood borne viruses which they very well do know exist but are just not following the correct protocol.

Basically I see her practice as not being the slight bit bothered about her patients' or even her own safety. There were many patients who were, like me, unfortunate enough to have an appointment with her, oblivious as to her deadly practice, which I think is awfully sad in this day and age of so-called health and hygiene protocols that these so-called healthcare professionals are supposed to follow but most often don't.

She has probably infected and made ill or even led to their death any number of patients who she's dealt with and the thought of that is just very scary and sad. She has put many patients at risk for no need. All she had to do was to wash her hands, put some gloves on and cleanse the area. How hard can that actually be? She was just too lazy to be bothered with her patients' safety which is very ignorant indeed. I would not tolerate this sort of practice from any rank of nurse but especially not a Sister Practice Nurse which is what she was but failed to act like.

Blood borne viruses could easily be transferred from that nurse's hands into the patients' blood stream and that's it they're infected, putting these patients to premature death.

It's just absolutely not acceptable. These nurses are supposed to have done clinical practice...though it seems they learnt absolutely nothing as they practice like someone who just walked off the street and even someone who did walk off the street would know more on clinical hygiene and competence than these nurses seem to. Even I know all about what should be done and what shouldn't.

It's rediculous...why hospitals and GP surgerys employ these people is beyond me. It's no wonder there are a lot of complaints related to healthcare these days. As a patient you don't want to have to end up coming out with a 'new', more deadly problem. Healthcare should be all about helping the patient to get better, not killing them by infecting them with some blood borne disease! These people should be regularly checked for clinical competence at least yearly.

I personally can't trust these so-called healthcare professionals as they are obviously not up to the job at the best of times. I'd rather do these tests and procedures myself as I know what to do and am more genned up on correct practice.

My mom came in with me on that day and watched her do it. I asked her when I got back home what she thought of the way it was done and she said that it was fine and that I wouldn't catch anything from the way she practised but I don't believe this in the slightest, reason being, she said that it doesn't matter. Basically she always seems to think they know best which she can be mistaken. Gullible may be the word I'm looking for...

The questions I still have on my mind are:

1/ Is it possible that I and other patients could have caught a blood borne disease from when she touched the area with her bare hands and didn't cleanse it before inserting the needle?

2/ Is it really necessary for these nurses to wash their hands before the procedure?

3/ Do they have to wear gloves or is that only the really careful ones that do that?

4/ Finally, do they always cleanse the area before they insert the needle or is it not always necessary?

I would be very interested to hear your opinions on this as I'm sure that quite a few of you have had the unfortunacy to have experienced it too.

I appreciate any help or advice that you can give.

Thanks Smile

DS
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killbill
replied on November 22nd, 2008
Experienced User
How do you know they didn't wash their hands? You would have to come into contact with someone elses blood in order to contract a blood borne disease because it is blood borne. It wouldn't just be sitting on the surface of your own skin. If they used a dirty needle, that would be one way of contaminating your blood. If they have washed their hands and only handled sterile equipment and then swabbed the puncture site before or after palpating it, then you should be fine. If you are concerned about them washing their hands you should just tell them you would be more comfortable if you could see them wash them.
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DS
replied on November 22nd, 2008
Experienced User
Hi, killbill. Smile

I am not entirely sure that she didn't wash her hands but she never did it whilst I was in the room. Perhaps she did?

I'm not sure about the needle as it wasn't in a sterile packet when I came into the room, it was just all laid out on the bed with no packaging in sight. It was all visible, no packaging. Basically no proof there of it being sterile...

She never swabbed the puncture site at all. She said "I don't need to do that" and just stuck the needle in after touching (contaminating) the site...

Personally I don't want any nurse touching me again as they are not clinically competent from what I've seen here...

Thanks

DS
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