[MCOH-EH] Hand dermatitis

[Therese Bovee-McKelvey]

Thanks Scott,
Therese

-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Grubbs, Scott
Sent: Tuesday, June 26, 2018 3:41 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Hand dermatitis

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Therese- this is what Julie forwarded to me - Hope it helps.
"The gloves we used were called DermAssist Prestige Polyisoprene Powder Free Sterile Gloves which we were able to get from Moore Medical Supply.  They do have a textured surface which can be problematic for some situations but it was okay. You may want to just google polyisoprene gloves in general to see what you can find. Thanks."

Julie Miehe RN
Sr. Workers' Compensation &  Injury Management Specialist SSM Health Wisconsin
700 S Park St,
Madison, WI 53715


-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Therese Bovee-McKelvey
Sent: Monday, June 25, 2018 11:10 AM
To: MCOH/EH
Subject: #ExtMail# Re: [MCOH-EH] Hand dermatitis



I am also interested the in the product.  Always good to have alternative's available if needed.


Therese
Therese Bovee McKelvey, MN, RN  Sr. Employee Health Nurse - Employee Health
425.899.2278 (P)  |  425.899.2277 (F)  | TMBoveeMcKelvey at evergreenhealth.com
EvergreenHealth MS-42, 12040 NE 128th St., Kirkland, WA 98034
Follow EvergreenHealth on Facebook and Twitter  |   www.evergreenhealth.com


-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+tmboveemckelvey=evergreenhealthcare.org at mylist.net] On Behalf Of Grubbs, Scott
Sent: Monday, June 25, 2018 7:51 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Hand dermatitis


Julie- do you know the make/model of the sterile gloves (non-latex/non-nitrile) that worked for the  individual you mentioned?
Scott Grubbs, MD
WorkWell Occupational Health
Bon Secours St. Francis Hospital System
Greenville, SC
864-675-4632

Message 4
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


Message 3

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

Message 2

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]



Message 1

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

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