Pondering a puzzling photo.
THANK YOU for dedicating an entire issue of Kai Tiaki Nursing New Zealand to infection prevention and control, an area of health care that is underrated and too often dismissed.
I enjoyed the article that quizzed nurses on their knowledge of managing indwelling urinary catheters and CAUTI prevention (Managing indwelling urinary catheters, pp14-15). But the picture of clinical nurse specialist (and article author) Monina Gesmundo left me puzzled. I had to read the article twice to ensure the photo was not part of the quiz on what not to do when handling catheters.
Perhaps a picture of Monina in an apron, her hair tied back and wearing sterile gloves, while not handling the sterile part of the catheter, would have been more convincing.
Dennis de Visser, RN, BA PGCert, Christchurch
Monina Gesmundo replies: Thank you for your appraisal of the photo. I agree that, in the clinical setting with an actual patient and a nurse working at the bedside, it would be best if the nurse's hair was tied back and the arms and hands should be free of anything that would act as a fomite or that would make hand hygiene difficult.
However, standard precautions, ie infection control practices which include hand hygiene, use of personal protective equipment, proper waste disposal and others, are recommended during catheter removal. Sterile technique and use of sterile equipment is recommended during catheter insertion. When I write another article, I will make sure a more realistic picture will accompany it.