Just entered the world of bureaucratic pain by accepting a job to start the Podiatry service for a Large Non for Profit community aged care provider.
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Currently foot care is provided by Nurses with no additional training...this stresses some of them. They restrict treatment to nail debridement.
My concern is that they use non sterile clippers on patients with obvious compromised immune systems since they regularly deal with elderly and patients undergoing Chemo.
They believe since each patient is given there own set of clippers to be kept on site and that they are swabbing them with alcohol swabs prior to use that they are meeting adequate standards.
Questions: Are they meeting standards for the provision of Foot care in a community setting.
The only documentation that I have been able to support my claim that they are not meeting standards is a podiatry document that states if the instrument "May penetrate intact tissue it should be sterile prior to use".
Any guidelines from other community services that you can point me to would be appreciated.
They are setting me up very nicely re: autoclave, podiatry chair etc with only a bit of head bashing with the nurses regarding turf war but my concern is that they wish me to upskill the RN's using non sterile instruments.
I'm going well with only 1 official reprimand within the first 3 wks:boxing:
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