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The US has the most complex and expensive medical system. Ebola transmission to health care workers has challenged the value of current methods of protocol dissemination and integration in actual practice.

When Universal Precautions were institute

The US has the most complex and expensive medical system. Ebola transmission to health care workers has challenged the value of current methods of protocol dissemination and integration in actual practice. When Universal Precautions were institute

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Carolyn commented on Back to Basics: Hand-Washing

Hi Rainer,
Thanks for your comment! The universal truth is that it's hard to wash hands. Why that is so, depends on where you are washing your hands. The solutions must be appropriate to the situation/community/resources. Effectiveness measured in context: is it working?; what would work better for us?But nevertheless, it's easier said than done.

I'm seeing news accounts of effective group compliance in an austere environment. Chlorinated water and soap before church in West Africa.

In our more abundant environments (such as an american hospital), there are many more distractions. Many team members, many tasks, more equipment, and more hurry. Is it more...but not necessarily better? Hand washing is definitely less exciting than a code!

I'm experienced with field nursing, tertiary care nursing, and taking care of people at home. Each has it's advantages and disadvantages. Each situation requires it's own plan.

How do we empower groups to create and actualize their own simple solutions?
I've heard it said that a problem's best solution lies within the owner of the problem. We have the top-down approach already, can we support the bottom-up approaches?

Thanks for allowing me to noodle this. I think it's important.
Carolyn