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Can Surgeons Have Long Nails

author
Elaine Sutton
• Saturday, 02 January, 2021
• 9 min read

Polished nails are not allowed for anyone who scrubs into surgical cases. Small chips in the polish harbor bacteria, and even though surgeons wear gloves, they still wash their hands and get them as sterile as possible before putting the gloves on.

surgeons nail hair
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Contents

My aunt is a doctor, and she is very fond of long fingernails and spends a lot on artificial nails. If a doctor is in actually physical contact they could gouge you and also bacteria would love to take up residence under long nail.

Source(s): Medical Consultations Via Phone : http://onlinephysician.neatprim.com/? CasC These disorders are marked by brief episodes of vasospasm (narrowing of the blood vessels).

Vasospasm causes decreased blood flow to the fingers and toes, and rarely to the nose, ears, nipples, and lips. When you have primary or secondary Maynard's, cold temperatures or stressful emotions can trigger attacks.

During these attacks, there is a brief lack of blood flow to the affected body part(s), and the skin can temporarily become white then bluish. As blood flow returns to the area, the skin turns red.

The affected areas can throb or feel numb and tingly. With severe Maynard's, prolonged or repeated episodes can cause sores or tissue death (gangrene).

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As doctors and executives learn more about how infectious diseases are transmitted, many hospital administrators have begun to look at the way the hospital itself operates for ways to better protect both patients and staff from possibly harmful bacteria that can cause infections. Good Samaritan is considering banning acrylic nails in its oper­ating rooms because of the concern over the potential for nurses to pass nail-bound bacteria to patients.

Passe emphasizes, ‘We have to do what’s best for the good of the patient, and that certainly means clean, intact nails.” Infection control is not the only issue that affects doctors and nurses who wear acrylic nails in the OR.

To answer these questions, NAILS talked with dermatologists, surgeons, and other medical experts across the country. While most said hospitals in their area did not have a formal policy regarding acrylics in the operating room, they agreed that the subject deserves attention.

“Anything that makes the scrub process less effective needs to be viewed with concern and suspi­cion,” says Michael B. Mayer M.D., professor of surgery in or­thopedics at Dartmouth Hitchcock Medical Center in Lebanon, N.H. “One needs to be able to thorough­ly cleanse the surface of the hands to the elbows, removing all scales and other that may cling,” he adds. Mayer says that the process is made more difficult if the person is wearing artificial nails or overly long nails.

Richard Escher, M.D., a dermatologist who practices in New York, says, “OR nurses are certainly more susceptible to infections because of their exposure to water.” Because of this increased chance of infection, the possibility of lifting, and the L1Ct that artificial nail scan more easily harbor microorganisms, the Association of Operating Room Nurses, Inc. (BORN), has recommended that, artificial nails not be worn in the operating room.

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No one in the medical field wants to put unnecessary limits on nurses’ personal freedom, Passe emphasizes. I'm a female physician and I generally don't keep my fingernails super short.

Lately I've been cutting them shorter because I have a baby, and I'm worried about scratching her, but this has been a topic that I've gone back and forth on. I'm a female physician and I generally don't keep my fingernails super short.

Lately I've been cutting them shorter because I have a baby, and I'm worried about scratching her, but this has been a topic that I've gone back and forth on. The big risks are (1) long fingernails often puncture gloves, and render them useless, and (2) the bigger your nails, the more space there is under them for stuff to hide and not get killed by the alcohol wash used in hospitals.

Meaning you will recolonize MRSA far faster if you give it a place to hide under long nails. ALADI: Thanks! Law2Doc: I agree with you that MRSA etc is the greater risk, but I wonder if the chances of getting MRSA under my nails is so much greater if my nails are a couple of millimeters longer.

Our hospital just updated its dress code and the kind of stuff that's in it is pretty ridiculous. It includes nail length and acceptable colors as well as rules about visible tats and piercings too.

nail surgery procedure
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MMM...a little different in my world (surgery) where everyone keeps their nails short in order to be able to effectively scrub. Are there actual written policies outside the OR for people's nails (other than the usual “keep them clean”)? Most require them to be kept short (for the same reason) and absolutely forbid acrylic nails.

Reason: You're only allowed one link to your blog in your SIG, not again in your text I was just complimenting the Ops blog.OP- Don't post multiple links to your blog, just know that I enjoy it.

Except I think the photo of my nails is relevant to the discussion, and now I can 't show it for fear of being banned. Just as well, considering the original discussion resulted in people dissing on my nails.

Except I think the photo of my nails is relevant to the discussion, and now I can 't show it for fear of being banned. Just as well, considering the original discussion resulted in people dissing on my nails.

I keep mine short...because having them long as a man tends to look a little odd. Look at the palm of your hand, if you can see the nails over the tops of your fingers they are too long.

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The thing is, I've watched, and most people skip that step of the scrub. That said, plenty of things in medicine seem to make sense until studies find them to be incorrect. I've looked, and the only study involving fingernail length showed no difference in the effectiveness of the surgical scrub.

It also showed no effect from fresh, unclipped nail polish (<4 days old). Chipped and older polish showed increased bacterial carriage rates.

With regard to regular handwashing, the closest I've found is a study of fingernail length (>2 mm) on S. aureus carriage in an unspecified group of healthcare workers in Norway. This study also found a significant increase in bacterial colonization from wearing a wristwatch or a wedding ring, two practices that are not prohibited or disapproved of in any way.

There was another study of critical care nurses, where these same factors were identified. ... With regard to regular handwashing, the closest I've found is a study of fingernail length (>2 mm) on S. aureus carriage in an unspecified group of healthcare workers in Norway.

This study also found a significant increase in bacterial colonization from wearing a wristwatch or a wedding ring, two practices that are not prohibited or disapproved of in any way. There was another study of critical care nurses, where these same factors were identified.

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Neckties and white coats are the real problem on the wards in terms of spreading infection. FWIW, there are likely no bugs in Norway as aggressive as the form of MRSA cultivated in the US hospitals.

Otherwise, the surgery techs and OR nurses won't hit on me. Our hospital just updated its dress code and the kind of stuff that's in it is pretty ridiculous.

It includes nail length and acceptable colors as well as rules about visible tats and piercings too. Written policies must be in place to prevent misunderstandings and needless distractions.

But since wedding rings are some times excluded from such policies, I'm still curious to know the position of Jane doe's hospital. This lead to a slippery slope of endless discussions about how many frills/ridges/inlaid diamonds were too much, so it ended up with a total ban.

I think it looks ridiculous to have my engagement and wedding rings on a chain around my neck every day, so I just leave them at home. When we got married, we selected a very simple ring design with this type of rule in mind.

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