RE: Re: Medscape C-Diff-Hand Sanitizers - where have I been?

[Guest guest]

Sorry to break the bad news to whoever blasted you Jan, but, I still work in

SNF almost every day, and have managed huge companies' nutrition services

for the last 3 decades at the national level. Hand sanitizers are not

allowed to be used for sanitizing purposes in the kitchens. Period. As a

topping after handwashing that's one thing, but mainly it's a feel-good

thing. At the kitchen door so that stray visitors crossing the red-line use

it, that's also another thing. But even during complete kitchen renos the

alternate meal prep/service sites must have portable running hot/cold water

sources for soap and water handwashing to be performed as required.

I don't' have time to look for the resources and food codes - that's why I

memorized most of them and use as rough guidelines now. Those that challenge

this can send their sources bc they're going to be needed during a DHS

inspection whether state or federal.

The use of hand sanitizers IS allowed in nursing practice and very common.

They are allowed to use specific sanitizer gels (has to do w the specific

ppm) a max of 3X bw residents, then regular handwashing is required before

the next 3 are touched. This applies even w gloves which have to be changed

bw each resident. Again, I'm not looking this up, I see it daily in my

practice (or rather every other day).

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Consulting Services

PO Box 581

La Habra, CA 90633

From: rd-usa [mailto:rd-usa ] On Behalf Of

Dineright4@...

Sent: Friday, March 30, 2012 11:34 AM

To: rd-usa

Subject: Re: Medscape C-Diff-Hand Sanitizers - where have I been?

Hi ,

LOL - Where have I been? Mostly working via Telecommute (for over 10 years)

from high in the Colorado Rockies, unless I'm out traveling or speaking at

state and national meetings! I've barely stepped foot (except as a

visitor on a rare occasion) in a hospital or nursing home in 10 years.

But, I thought I recalled a discussion on this listserv in the past that I

mentioned that hand sanitizers WERE NOT EFFECTIVE to control disease

spread and I was blasted for my comments by a number of RDs, saying they

were

effective.

I DO see that in 2007 this was discussed here.

Jan Patenaude, RD, CLT

Director of Medical Nutrition

Signet Diagnostic Corp.

Telecommuting Nationwide

(Mountain Time)

Fax:

DineRight4@... <mailto:DineRight4%40aol.com>

Certified LEAP Therapist and specialist in food sensitivity for IBS,

migraine, fibromyalgia and multiple inflammatory conditions. Co-author of

the

Certified LEAP Therapist (CLT) Training Course.

Your email is important to me. If you send me an important email, and I

don't respond in 2 business days, PLEASE give me a call. Some weeks, I get

buried in email and I do not mean to ignore your email.

In a message dated 3/30/2012 5:39:47 A.M. Mountain Daylight Time,

rd-usa <mailto:rd-usa%40yahoogroups.com> writes:

_Re: Medscape C-Diff - Hand Sanitizers do not get rid of spores _

(http://groups.ya

hoo.com/group/rd-usa/message/28206;_ylc=X3oDMTJzZ2c2cXRiBF9TAzk3MzU5NzE1BGdy

cElkAzEwMDM1NTQ3BGdycHNwSWQDMTcwNTA2MTIwOQRtc2dJZAMyODIwNgRzZWMDZG1z

ZwRzbGsDdm1zZwRzdGltZQMxMzMzMTA3NTY5)

Posted by: " Rambo " _rambomsrdld@...

<mailto:_rambomsrdld%40yahoo.com> _

(mailto:rambomsrdld@... <mailto:rambomsrdld%40yahoo.com> ?Subject=

Re:%20Medscape%20C-Diff%20-%20Hand%20Sanitizers%20do%20not%20get%20rid%20of%

20spores) _rambomsrdld _

(http://profiles.yahoo.com/rambomsrdld)

Thu Mar 29, 2012 6:21 am (PDT)

Where have you been? Handwashing has been standard practice for C Diff for

at least 10 years!

Sent from my iPhone

On Mar 28, 2012, at 4:49 PM, _Dineright4@...

<mailto:_Dineright4%40aol.Din> _

(mailto:Dineright4@... <mailto:Dineright4%40aol.com> ) wrote:

> This is news to me. Hand sanitizers are NOT effective against CDiff.

(And,

> c-diff kills 14,000 people annually in the US.)

>

> From Medscape - you have to have a subscription/ From Medscape - you ha

> full article. Google the title plus medscape and you should probably get

there

> for the full article.

[Guest guest]

Sorry to break the bad news to whoever blasted you Jan, but, I still work in

SNF almost every day, and have managed huge companies' nutrition services

for the last 3 decades at the national level. Hand sanitizers are not

allowed to be used for sanitizing purposes in the kitchens. Period. As a

topping after handwashing that's one thing, but mainly it's a feel-good

thing. At the kitchen door so that stray visitors crossing the red-line use

it, that's also another thing. But even during complete kitchen renos the

alternate meal prep/service sites must have portable running hot/cold water

sources for soap and water handwashing to be performed as required.

I don't' have time to look for the resources and food codes - that's why I

memorized most of them and use as rough guidelines now. Those that challenge

this can send their sources bc they're going to be needed during a DHS

inspection whether state or federal.

The use of hand sanitizers IS allowed in nursing practice and very common.

They are allowed to use specific sanitizer gels (has to do w the specific

ppm) a max of 3X bw residents, then regular handwashing is required before

the next 3 are touched. This applies even w gloves which have to be changed

bw each resident. Again, I'm not looking this up, I see it daily in my

practice (or rather every other day).

Digna Cassens, MHA, RD

Cassens Associates - Diversified Nutrition Consulting Services

PO Box 581

La Habra, CA 90633

From: rd-usa [mailto:rd-usa ] On Behalf Of

Dineright4@...

Sent: Friday, March 30, 2012 11:34 AM

To: rd-usa

Subject: Re: Medscape C-Diff-Hand Sanitizers - where have I been?

Hi ,

LOL - Where have I been? Mostly working via Telecommute (for over 10 years)

from high in the Colorado Rockies, unless I'm out traveling or speaking at

state and national meetings! I've barely stepped foot (except as a

visitor on a rare occasion) in a hospital or nursing home in 10 years.

But, I thought I recalled a discussion on this listserv in the past that I

mentioned that hand sanitizers WERE NOT EFFECTIVE to control disease

spread and I was blasted for my comments by a number of RDs, saying they

were

effective.

I DO see that in 2007 this was discussed here.

Jan Patenaude, RD, CLT

Director of Medical Nutrition

Signet Diagnostic Corp.

Telecommuting Nationwide

(Mountain Time)

Fax:

DineRight4@... <mailto:DineRight4%40aol.com>

Certified LEAP Therapist and specialist in food sensitivity for IBS,

migraine, fibromyalgia and multiple inflammatory conditions. Co-author of

the

Certified LEAP Therapist (CLT) Training Course.

Your email is important to me. If you send me an important email, and I

don't respond in 2 business days, PLEASE give me a call. Some weeks, I get

buried in email and I do not mean to ignore your email.

In a message dated 3/30/2012 5:39:47 A.M. Mountain Daylight Time,

rd-usa <mailto:rd-usa%40yahoogroups.com> writes:

_Re: Medscape C-Diff - Hand Sanitizers do not get rid of spores _

(http://groups.ya

hoo.com/group/rd-usa/message/28206;_ylc=X3oDMTJzZ2c2cXRiBF9TAzk3MzU5NzE1BGdy

cElkAzEwMDM1NTQ3BGdycHNwSWQDMTcwNTA2MTIwOQRtc2dJZAMyODIwNgRzZWMDZG1z

ZwRzbGsDdm1zZwRzdGltZQMxMzMzMTA3NTY5)

Posted by: " Rambo " _rambomsrdld@...

<mailto:_rambomsrdld%40yahoo.com> _

(mailto:rambomsrdld@... <mailto:rambomsrdld%40yahoo.com> ?Subject=

Re:%20Medscape%20C-Diff%20-%20Hand%20Sanitizers%20do%20not%20get%20rid%20of%

20spores) _rambomsrdld _

(http://profiles.yahoo.com/rambomsrdld)

Thu Mar 29, 2012 6:21 am (PDT)

Where have you been? Handwashing has been standard practice for C Diff for

at least 10 years!

Sent from my iPhone

On Mar 28, 2012, at 4:49 PM, _Dineright4@...

<mailto:_Dineright4%40aol.Din> _

(mailto:Dineright4@... <mailto:Dineright4%40aol.com> ) wrote:

> This is news to me. Hand sanitizers are NOT effective against CDiff.

(And,

> c-diff kills 14,000 people annually in the US.)

>

> From Medscape - you have to have a subscription/ From Medscape - you ha

> full article. Google the title plus medscape and you should probably get

there

> for the full article.