Healthcare Workers

Is it safe to wash your anus with water and your (ungloved) hand after pooping, assuming (of course) that you don't touch anything with your hand until you wash it with soap and water?

I'm currently traveling in India. It's common here, instead of using toilet paper after deification, to pour water down your back and use your left hand to wipe your anus clean of feces. I googled to find information from medical professionals to understand if this is safe or not, but I (surprisingly) couldn't find any information on the Internet about this.

Of course, let's assume that we're doing this properly:

1. You only use one hand (typically your left hand), so feces only contaminates one hand.
2. You don't touch anything in the bathroom (eg pitcher, faucet, door knob, etc) with your soiled left hand until after you wash your hands
3. You wash your hands properly, following best-practices: using soap and water, scrubbing vigorously for at least 20 seconds.

I'm less interested in your personal opinion, and more interested if any studies have been done analyzing the efficacy of safety in this scenario, using a proper scientific study.

Have any studies been done to analyze if it's safe to wipe your ass with your hand (and wash your hands properly with soap and water after)?

What are the differences between the different types of Alkaline Phosphatase (ALP) tests for laboratory blood work?

I went to a medical laboratory to get yearly blood work done. In addition to testing for some specific "me" things that I'm monitoring, I want to get a CMP (Comprehensive Metabolic Panel).

I'm in a foreign country where I don't really speak the language. When I said that I wanted blood work done at the lab, the agent at the front desk handed me a form with a lot of boxes to choose what I wanted to get. There is no "CMP" option, so I tried to tick the boxes for the 14 blood tests that compose a CMP, but I got stuck when I tried to check the box for the ALP (Alkaline Phosphatase) test – because there were 3 boxes (it's in spanish):

1. Fost. Alcalina
2. Fost. Ácida Total
3. Fost. Ac. Prostatica

What are each of these, and which of these three is the "normal" ALP test that should be included in a CMP?

The technician I was training was checking his phone ALL. NIGHT. And not in a way that was disruptive or dangerous at all. It wasn't even unprofessional imo. It dinged while we were cleaning up my 1:1 and I could see him get excitedly tense but he waited until we got our dirty gloves off to even look at it then asked if he could take a quick five minute break. Honestly he was so obviously lovesick how could I even say no.

Whole night went on like that he was polite, professional, attentive, everything he needed to be. He kept the patients as safe as he needed to. But damn if he didn't smile every time that phone dinged and run to check it the second we had downtime.

Around 1am I asked what her name was and he was SHOOK. "Is it that obvious?" Yes, honey. You don't actually have to tell me her name, and you are doing the job I'm training you for JUST. FINE. but YES, YOU ARE OBVIOUSLY SMITTEN, LOL.

Ah, young love.

The symbol of healers is NOT the Caduceus (two snakes around a staff). The Caduceus is a symbol of mercantile, both honest merchants and thieves. The true symbol of healers is the Rod of Asclepius, the single-snake you see in our community icon.

I consider this a massively important (although symbolic) statement to make in an era of privatized, for-profit medical care.

"The Caduceus is a symbol of Hermes or Mercury in Greek and Roman mythology. Caduceus symbol is identified with thieves, merchants, and messengers, and Mercury is said to be a patron of thieves and outlaws, not a desirable protector of physicians."

"The modern use of staff of Aesculapius started when The American Medical Association had the staff of Aesculapius as its symbol in 1910. The Royal Army Medical Corp, French Military Service, and other medical organizations had done the same. Even today the World Health Organization, Medical Council of India symbols have the staff of Aesculapius in them."

"In 1990, a survey was done in the US and it was found that 62% of the professional associations used the Rod of Aesculapius while 37% used the Caduceus and 76% of commercial organizations used the Caduceus."

Not a promotion or anything This app just saved me so much time as a student. And it’s free- basically unheard of in the med sphere. IIRC it’s creation was a love-job thing, made by a US doctor who wanted an easy way to make his notes accessible. I paid so much money I didn’t have for subscription crap like Davis drug guide etc. I still use it today if I come across some obscure disease I’m not familiar with. Hope it’s useful! Here’s the play store link for droidies: https://play.google.com/store/apps/details?id=com.pocketmednotes2014.secondapp&hl=en_AU&gl=US

Management doing its hand written postal propaganda. I love my residents dearly but fuck you, pay me.

Obviously I’m not the only commie nurse out there but damn, it really feels like it sometimes. Going to try post things as much as possible in the hopes I can get to know some new HC comrades. Feel free to DM me if you want to vent or talk.

From my work. Considering there’s been 6 falls in 30 days JUST in my wing, I’m 99% sure 2017 was definitely the last time we had a fall free month…and it was probably before they opened if I know my work😂🥲

From r/nursing.

A quick summary of the core issues:

HR 1195 Workplace Violence Prevention for Health Care and Social Service Workers Act - violence has been on the rise in Healthcare since even before the pandemic. It's a combination of factors encompassing everything from people who are sick and confused to drug related violence and violence because people just don't like nurses telling them what to do (for instance, no eating before surgery), and many other reasons. Here's a good article on that: https://www.ajmc.com/view/violence-against-healthcare-workers-a-rising-epidemic

HR 3165 Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2021 - ratios are a commonly discussed topic in nursing because a higher ratio of nurses to patients means that we have more time to spend with each individual patient and ensure that they receive adequate attention to assess and treat them. Unfortunately nurses are constantly pressured to take on more and more patients at a time so that the hospital makes as much money as possible. Often these ratios are wildly unsafe and don't allow nurses time to check for and treat basic complications that would otherwise be no problem. That's why there's laws being proposed to limit the amount of patients each nurse can have in various settings. Here's a good article on that: https://www.nationalnursesunited.org/ratios

HR 666 Anti-Racism in Public Health Act of 2021 - race is well-known to have profound and wide reaching effects on health, here's the CDC's article on that: https://www.cdc.gov/healthequity/racism-disparities/index.html

Bring Awareness of the Implications of Pay Caps - recently a huge group of congressional representatives signed a letter proposing to cap the wages of travel nurses. They're trying to spin this as just being about the cut that the travel agencies are getting, but the truth is that the high rates of pay that travel nurses have been getting these past two years had the power to finally make it worthwhile to fairly pay regular staff nurses. Suppressing travel nurse wages is just a move to try and keep nurse wages low across the board. https://www.wwno.org/public-health/2022-02-09/travel-nurse-salaries-are-rising-due-to-demand-some-hospitals-say-its-price-gouging

Support All Frontline Healthcare Workers (MD, NP, RN, LPN, CNA, RT, EMT, & FireFighters) - as nurses we understand we're part of a larger Healthcare team. We're in this together and we can't do it without our fellow Healthcare workers.

Quick reminder that when they say they're going to replace American workers with foreign ones who are less familiar with US labor laws and willing to accept less pay and less safe conditions, that's called human trafficking.