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Hand Hygiene 

Meaghan Jones
Meaghan Jones
Posts: 10


9/9/2019
Meaghan Jones
Meaghan Jones
Posts: 10
I have an intern who is refusing to do hand hygiene and he is communicating a fear of hand sanitizer and soap... none of which was communicated to us prior to his participation in the program. The most we have been able to do is get him to put the sanitizer on his hands, but he tries to hide it away and tosses it.

I communicated to the family last week that we need reinforcing about how important this is, but it's Monday and on our Orientation Tour (after a lengthy class chat about hand hygiene and the importance of it yet again) he would not properly clean his hands.

Has anyone had this happen before; if so, what steps did you take. I haven't ever had such a resistant student before.
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Erin Riehle
Erin Riehle
Posts: 34


9/17/2019
Erin Riehle
Erin Riehle
Posts: 34
This is a tough one Meaghan and wouldn't be allowable at our hospital. Is he willing to wear gloves that he changes frequently and when required?
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Meaghan Jones
Meaghan Jones
Posts: 10


9/17/2019
Meaghan Jones
Meaghan Jones
Posts: 10
Hi Erin. We are trying a few things: I’ve postponed his start date for now and shown him his current marks for hygiene. He knows now that he will need to wash his hands to stay in the program, and is reluctantly participating. I’ve also asked his family to purchase hand sanitizer of his choosing. Now it’s just a matter of assessing whether he complies. Gloves is a good option... I’ll have to consider that.

We are giving him 4 weeks to assess if he can comply. I have one placement I can put him in where the stakes are not high if he isn’t complying and we can enlist staff support. Then we would transition him directly to adult services when he turns 21 in February. He really doesn’t want to go back to school, and I don’t think that’d be right for him.
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Meaghan Jones
Meaghan Jones
Posts: 10


9/17/2019
Meaghan Jones
Meaghan Jones
Posts: 10
Hi Erin. We are trying a few things: I’ve postponed his start date for now and shown him his current marks for hygiene. He knows now that he will need to wash his hands to stay in the program, and is reluctantly participating. I’ve also asked his family to purchase hand sanitizer of his choosing. Now it’s just a matter of assessing whether he complies. Gloves is a good option... I’ll have to consider that.

We are giving him 4 weeks to assess if he can comply. I have one placement I can put him in where the stakes are not high if he isn’t complying and we can enlist staff support. Then we would transition him directly to adult services when he turns 21 in February. He really doesn’t want to go back to school, and I don’t think that’d be right for him.
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Erin Riehle
Erin Riehle
Posts: 34


9/18/2019
Erin Riehle
Erin Riehle
Posts: 34
Sounds like you've done brilliantly Meaghan. I really like the 4 week assessment period. Well done.
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