[MCOH-EH] Hand dermatitis
Miehe, Julie
Julie.Miehe at ssmhealth.com
Fri Jun 8 07:04:03 PDT 2018
I have an individual that got her hands to clear up when using a non-nitrile, non-latex sterile glove. There was a product in the production of the nitrile glove that was her irritant. It was not in the gloves but a piece of the manufacturing process with how they were heated to set.
Julie Miehe RN
Sr. Workers' Compensation & Injury Management Specialist
SSM Health Wisconsin
700 S Park St,
Madison, WI 53715
Julie.miehe at ssmhealth.com
Phone: 608-258-6974
Cell: 608-320-0112
Fax: 608-259-3239
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Today's Topics:
1. guidance for hand dermatitis in operating room staff
(Grubbs, Scott)
2. Re: guidance for hand dermatitis in operating room staff
(Deborah A. Pruim)
3. Re: #ExtMail# Re: guidance for hand dermatitis in operating
room staff (Grubbs, Scott)
----------------------------------------------------------------------
Message: 1
Date: Fri, 8 Jun 2018 13:14:47 +0000
From: "Grubbs, Scott" <Scott_Grubbs at bshsi.org>
To: "MCOH/EH (mcoh-eh at mylist.net)" <mcoh-eh at mylist.net>
Subject: [MCOH-EH] guidance for hand dermatitis in operating room
staff
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An nurse in our institution who has scrubbed (uneventfully) for surgical procedures for several decades developed bilateral hand dermatitis last fall with significant cracking and peeling of her hands. Allergy testing by an allergist for all the scrub/glove components was negative. She has been using a variety of agents (and hand cleansers) prescribed by the allergist and an dermatologist and her hand will eventually clear if she doesn't scrub. She has been prohibited from scrubbing and has been accommodated thus far, but wants to scrub. My understanding from what I can find in the nursing literature (limited) is that she should not be handling operative tools, etc when she has open cracks in her skin, even with double gloving. Am I correct? Is there any guidance about how to handle this? She is near retirement, but not ready to retire yet. Also, if there are suggestions for specific remedies, I would be happy to pass them on to her.
Scott Grubbs, MD
WorkWell Occupational Health
Bon Secours St. Francis Hospital System
Greenville, SC
864-675-4632
________________________________________________________________________________________________________
The information in this communication is intended to be confidential to the Individual(s) and/or Entity to whom it is addressed.
It may contain information of a Privileged and/or Confidential nature, which is subject to Federal and/or State privacy regulations.
In the event that you are not the intended recipient or the agent of the intended recipient, do not copy or use the information contained within this communication, or allow it to be read, copied or utilized in any manner, by any other person(s). Should this communication be received in error, please notify the sender immediately either by response e-mail or by phone, and permanently delete the original e-mail, attachment(s), and any copies.
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Message: 2
Date: Fri, 8 Jun 2018 13:27:34 +0000
From: "Deborah A. Pruim" <dpruim at lcmh.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] guidance for hand dermatitis in operating room
staff
Message-ID:
<697444D27F6F654CBC2FA6417AA0D6DB95D63FB1 at ZEXCHMB1.LCMH.ORG>
Content-Type: text/plain; charset="us-ascii"
Is she allergic to the surgical scrub components? Has her skin cleared up since she has not been scrubbing? We have had nurses who were not allergic to gloves but had a high sensitivity. There are glove liners available and they have worked well for these nurses. Just a thought.
Deborah Pruim, RN, MSN, APN, CNS
Employee Health Services
Little Company of Mary Hospital
2800 W. 95th Street
Evergreen Park, IL 60805
Monday - Friday
6:30am-3pm
Phone: 708-229-5623
Fax: 708-229-6618
dpruim at lcmh.org<mailto:dpruim at lcmh.org>
[cid:image001.png at 01D2A32C.E73F4EA0]
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Grubbs, Scott
Sent: Friday, June 08, 2018 8:15 AM
To: MCOH/EH (mcoh-eh at mylist.net)
Subject: [MCOH-EH] guidance for hand dermatitis in operating room staff
An nurse in our institution who has scrubbed (uneventfully) for surgical procedures for several decades developed bilateral hand dermatitis last fall with significant cracking and peeling of her hands. Allergy testing by an allergist for all the scrub/glove components was negative. She has been using a variety of agents (and hand cleansers) prescribed by the allergist and an dermatologist and her hand will eventually clear if she doesn't scrub. She has been prohibited from scrubbing and has been accommodated thus far, but wants to scrub. My understanding from what I can find in the nursing literature (limited) is that she should not be handling operative tools, etc when she has open cracks in her skin, even with double gloving. Am I correct? Is there any guidance about how to handle this? She is near retirement, but not ready to retire yet. Also, if there are suggestions for specific remedies, I would be happy to pass them on to her.
Scott Grubbs, MD
WorkWell Occupational Health
Bon Secours St. Francis Hospital System
Greenville, SC
864-675-4632
________________________________________________________________________________________________________
The information in this communication is intended to be confidential to the Individual(s) and/or Entity to whom it is addressed.
It may contain information of a Privileged and/or Confidential nature, which is subject to Federal and/or State privacy regulations.
In the event that you are not the intended recipient or the agent of the intended recipient, do not copy or use the information contained within this communication, or allow it to be read, copied or utilized in any manner, by any other person(s). Should this communication be received in error, please notify the sender immediately either by response e-mail or by phone, and permanently delete the original e-mail, attachment(s), and any copies.
________________________________________________________________________________________________________
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Message: 3
Date: Fri, 8 Jun 2018 13:38:17 +0000
From: "Grubbs, Scott" <Scott_Grubbs at bshsi.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] #ExtMail# Re: guidance for hand dermatitis in
operating room staff
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She tested negative for gloves and scrub components. She does (eventually) clear when not scrubbing for several weeks/months. She responds nicely to a shot of steroid given by her dermatologist, but cannot do that frequently. What glove liners have you found helpful?
Thanks
Scott
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Deborah A. Pruim via MCOH-EH
Sent: Friday, June 08, 2018 9:28 AM
To: MCOH/EH
Cc: Deborah A. Pruim
Subject: #ExtMail# Re: [MCOH-EH] guidance for hand dermatitis in operating room staff
**WARNING: This email originated from outside of the Bon Secours email system. ** DO NOT CLICK links or open attachments unless you recognize the sender and know the content is safe.
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Is she allergic to the surgical scrub components? Has her skin cleared up since she has not been scrubbing? We have had nurses who were not allergic to gloves but had a high sensitivity. There are glove liners available and they have worked well for these nurses. Just a thought.
Deborah Pruim, RN, MSN, APN, CNS
Employee Health Services
Little Company of Mary Hospital
2800 W. 95th Street
Evergreen Park, IL 60805
Monday - Friday
6:30am-3pm
Phone: 708-229-5623
Fax: 708-229-6618
dpruim at lcmh.org<mailto:dpruim at lcmh.org>
[cid:image001.png at 01D2A32C.E73F4EA0]
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Grubbs, Scott
Sent: Friday, June 08, 2018 8:15 AM
To: MCOH/EH (mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>)
Subject: [MCOH-EH] guidance for hand dermatitis in operating room staff
An nurse in our institution who has scrubbed (uneventfully) for surgical procedures for several decades developed bilateral hand dermatitis last fall with significant cracking and peeling of her hands. Allergy testing by an allergist for all the scrub/glove components was negative. She has been using a variety of agents (and hand cleansers) prescribed by the allergist and an dermatologist and her hand will eventually clear if she doesn't scrub. She has been prohibited from scrubbing and has been accommodated thus far, but wants to scrub. My understanding from what I can find in the nursing literature (limited) is that she should not be handling operative tools, etc when she has open cracks in her skin, even with double gloving. Am I correct? Is there any guidance about how to handle this? She is near retirement, but not ready to retire yet. Also, if there are suggestions for specific remedies, I would be happy to pass them on to her.
Scott Grubbs, MD
WorkWell Occupational Health
Bon Secours St. Francis Hospital System
Greenville, SC
864-675-4632
________________________________________________________________________________________________________
The information in this communication is intended to be confidential to the Individual(s) and/or Entity to whom it is addressed.
It may contain information of a Privileged and/or Confidential nature, which is subject to Federal and/or State privacy regulations.
In the event that you are not the intended recipient or the agent of the intended recipient, do not copy or use the information contained within this communication, or allow it to be read, copied or utilized in any manner, by any other person(s). Should this communication be received in error, please notify the sender immediately either by response e-mail or by phone, and permanently delete the original e-mail, attachment(s), and any copies.
________________________________________________________________________________________________________
________________________________________________________________________________________________________
The information in this communication is intended to be confidential to the Individual(s) and/or Entity to whom it is addressed.
It may contain information of a Privileged and/or Confidential nature, which is subject to Federal and/or State privacy regulations.
In the event that you are not the intended recipient or the agent of the intended recipient, do not copy or use the information contained within this communication, or allow it to be read, copied or utilized in any manner, by any other person(s). Should this communication be received in error, please notify the sender immediately either by response e-mail or by phone, and permanently delete the original e-mail, attachment(s), and any copies.
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