Guest guest Posted January 18, 2005 Report Share Posted January 18, 2005 Hi, Maybe I've been spoiled by my college clinic, but does anyone have any good suggestionson practicing clean needle technique w/out a sink in the Tx room? My hands are usuallydry so I'm trying to avoid subjecting them to an alcohol bath. I am a newly licensed acupuncturist and I am looking for a place to practice. One clinic that I looked at had the nearest sink over 50 feet away. At least the doors were the type that you could open with your elbows. The landlord mentioned that it would cost $5000 (seemed excessive to me, but I'm not a plumber) to install one in the room. Any suggestions would be appreciated. Namaste, -tim. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2005 Report Share Posted January 18, 2005 I have the same problem with my clinic. Actually using a hand sanitizer lotion does comply with CNT as long as your hands are " clean " before hand. If you wash your hands after going to the bathroom, after directly exposing them to blood or other body fluids (which you shouldn't do anyway), or other similar exposures, you can go a whole day just using hand sanitizing lotion before and after each patient. Some research suggests that these lotions actually disinfect better than hand washing anyway. I use: http://www.purell.com/products_aloe.htm and it leaves my hands feeling soft and moisturized even after heavy use. I like the fact that they use Ethyl Alcohol instead of isopropyl alcohol (seems to cause less harm to the skin). Don't waste money on a plumber. Many acupuncturist across the country are in the same boat as us. -Chris TJ Eng [tjeng58] Tuesday, January 18, 2005 11:03 AM Chinese Medicine clean needle technique w/out a sink Hi, Maybe I've been spoiled by my college clinic, but does anyone have any good suggestionson practicing clean needle technique w/out a sink in the Tx room? My hands are usuallydry so I'm trying to avoid subjecting them to an alcohol bath. I am a newly licensed acupuncturist and I am looking for a place to practice. One clinic that I looked at had the nearest sink over 50 feet away. At least the doors were the type that you could open with your elbows. The landlord mentioned that it would cost $5000 (seemed excessive to me, but I'm not a plumber) to install one in the room. Any suggestions would be appreciated. Namaste, -tim. http://babel.altavista.com/ and adjust accordingly. Messages are the property of the author. Any duplication outside the group requires prior permission from the author. _____ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2005 Report Share Posted January 18, 2005 In the state of California, State Board regulations require Licensed Acupuncturist to wash their hands with " soap and warm water " before and between exams/treatments - so hand sanitizer lotions would not be acceptable in California. I do not know if any other state has similar regulations. I would also be interested to see the language in the CNT policy that spells out the usage of sanitizing lotions. A few years back, the CDC officially approved the use of such lotions as a substitute for hand washing but they did this only out of concern that doctors were not washing their hands between patients and it was hoped that the use of lotions would be met with better compliance. At the time the story first was publicized about CDC approval, it was stated that the lotions were not superior to hand washing, but since so many doctors weren't washing their hands, there was some pressure to make a decision about the use of lotions. I think this is an issue the acu/OM profession needs to consider in a comprehensive way. While I have no specific companies to recommend, I understand that there are such things as " portable sinks " that can be installed for reasonable rates. I would advise Tim to try to check with his state Board about any regulations and advise anyone looking for an office to find one that has hand-washing facilities. -Matt Bauer - Christopher Vedeler Chinese Medicine Tuesday, January 18, 2005 10:21 AM RE: clean needle technique w/out a sink I have the same problem with my clinic. Actually using a hand sanitizer lotion does comply with CNT as long as your hands are " clean " before hand. If you wash your hands after going to the bathroom, after directly exposing them to blood or other body fluids (which you shouldn't do anyway), or other similar exposures, you can go a whole day just using hand sanitizing lotion before and after each patient. Some research suggests that these lotions actually disinfect better than hand washing anyway. I use: http://www.purell.com/products_aloe.htm and it leaves my hands feeling soft and moisturized even after heavy use. I like the fact that they use Ethyl Alcohol instead of isopropyl alcohol (seems to cause less harm to the skin). Don't waste money on a plumber. Many acupuncturist across the country are in the same boat as us. -Chris TJ Eng [tjeng58] Tuesday, January 18, 2005 11:03 AM Chinese Medicine clean needle technique w/out a sink Hi, Maybe I've been spoiled by my college clinic, but does anyone have any good suggestionson practicing clean needle technique w/out a sink in the Tx room? My hands are usuallydry so I'm trying to avoid subjecting them to an alcohol bath. I am a newly licensed acupuncturist and I am looking for a place to practice. One clinic that I looked at had the nearest sink over 50 feet away. At least the doors were the type that you could open with your elbows. The landlord mentioned that it would cost $5000 (seemed excessive to me, but I'm not a plumber) to install one in the room. Any suggestions would be appreciated. Namaste, -tim. http://babel.altavista.com/ and adjust accordingly. Messages are the property of the author. Any duplication outside the group requires prior permission from the author. If you are a TCM academic and wish to discuss TCM with other academics, _____ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2005 Report Share Posted January 19, 2005 Matt: I am looking for office space to rent or buy. On the buy decision, I would have a choice of whether to have sinks in all rooms. Do you highly recommend this? Of course, this is expensive. I would have a bathroom sink and a kitchen sink, anyway and 4 tx rooms, maybe 6. Anne Matt Bauer wrote: > I would advise Tim to try to check with his state Board about any > regulations and advise anyone looking for an office to find one that > has hand-washing facilities. -Matt Bauer > > - > Christopher Vedeler > Chinese Medicine > Tuesday, January 18, 2005 10:21 AM > RE: clean needle technique w/out a sink > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2005 Report Share Posted January 19, 2005 Hi Anne, While it is of course optimal to have a sink in every treatment room, it is not necessary in my opinion. You really should however, have at least one sink in addition to the one in the office restroom your patients/employees would use. This way you will have a sink available when you need it without having to wait for a patient with irritable bowel syndrome to finish using the facilities. The least expensive way to add an additional sink is to have it placed on the other side of the wall of the bathroom sink. Once you wash your hands in this room, use the paper towel you dry your hands with to open the door of the treatment room you are going to enter. That way, even though you have washed your hands in one room and entered through a closed door of another, you never touch anything after washing other than the paper towel. Matt - Anne Crowley Chinese Medicine Tuesday, January 18, 2005 7:18 PM Re: clean needle technique w/out a sink Matt: I am looking for office space to rent or buy. On the buy decision, I would have a choice of whether to have sinks in all rooms. Do you highly recommend this? Of course, this is expensive. I would have a bathroom sink and a kitchen sink, anyway and 4 tx rooms, maybe 6. Anne Matt Bauer wrote: > I would advise Tim to try to check with his state Board about any > regulations and advise anyone looking for an office to find one that > has hand-washing facilities. -Matt Bauer > > - > Christopher Vedeler > Chinese Medicine > Tuesday, January 18, 2005 10:21 AM > RE: clean needle technique w/out a sink > > > http://babel.altavista.com/ and adjust accordingly. If you are a TCM academic and wish to discuss TCM with other academics, click on this link Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2005 Report Share Posted January 19, 2005 TJ Eng wrote: > > Hi, > Maybe I've been spoiled by my college clinic, but does anyone have > any good suggestionson practicing clean needle technique w/out a > sink in the Tx room? My hands are usuallydry so I'm trying to avoid Hi TJ! I use wet wipes with a little lotion in the formula. Have had no infections either myself or the patient. Before I did that I had some days when I just swabbed my hands with alcohol cotton. No trouble with that either if I used lotion after treatments. Regards, Pete Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 19, 2005 Report Share Posted January 19, 2005 Yes, thanks for your reply. Anne Matt Bauer wrote: > Hi Anne, > > While it is of course optimal to have a sink in every treatment room, > it is not necessary in my opinion. You really should however, have at > least one sink in addition to the one in the office restroom your > patients/employees would use. This way you will have a sink available > when you need it without having to wait for a patient with irritable > bowel syndrome to finish using the facilities. The least expensive way > to add an additional sink is to have it placed on the other side of > the wall of the bathroom sink. Once you wash your hands in this room, > use the paper towel you dry your hands with to open the door of the > treatment room you are going to enter. That way, even though you have > washed your hands in one room and entered through a closed door of > another, you never touch anything after washing other than the paper > towel. Matt > - > Anne Crowley > Chinese Medicine > Tuesday, January 18, 2005 7:18 PM > Re: clean needle technique w/out a sink > > > Matt: > > I am looking for office space to rent or buy. On the buy decision, I > would have a choice of whether to have sinks in all rooms. Do you > highly recommend this? Of course, this is expensive. I would have a > bathroom sink and a kitchen sink, anyway and 4 tx rooms, maybe 6. > > Anne > > Matt Bauer wrote: > > > I would advise Tim to try to check with his state Board about any > > regulations and advise anyone looking for an office to find one that > > has hand-washing facilities. -Matt Bauer > > > > - > > Christopher Vedeler > > Chinese Medicine > > Tuesday, January 18, 2005 10:21 AM > > RE: clean needle technique w/out a sink > > > > > > To translate this message, copy and paste it into this web link > page, http://babel.altavista.com/ > > > and > adjust accordingly. > > Messages are the property of the author. Any duplication outside the > group requires prior permission from the author. > > If you are a TCM academic and wish to discuss TCM with other > academics, > > > > > > Quote Link to comment Share on other sites More sharing options...
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