By Diane M. Sosovec, RN, MS
Climate and environmental factors may increase some individual's suscepti-bility to dry skin or even chronic irritant dermatitis. In the fall and winter months, the cold, dry and windy weather may cause exposed skin to become dry, itchy and reddened. Indoor air that has been heated and lacks proper humidity may have the same effect. Combine these variables with frequent hand washing and glove use and the result may be compromised skin integrity. The practice of adhering to a simple hand care plan will minimize the effects of cold weather and low-humidified air by promoting healthy, intact skin.
Practices that may increase the risk of dermal reactions:
- Frequent hand washing Surgical scrub longer than 5 minutes
- Use of harsh antimicrobial soaps, i.e., chlorhexidine gluconate, iodophors, Dial® or Safeguard® hand soaps
- Indoor air quality; heated and dry in winter months
- Personal hand care products not approved by an infection control professional
- Use of highly fragranced, commercial hand lotions.
- Inappropriate use of topical agents
- Absence of an approved hand care protocol
Practices that may decrease the risk of dermal reactions:
- Use of powder-free gloves
- Use of a milder soap or scrub
- Use of an alcohol gel or rubReduced surgical scrub time (2 to 3 minutes is adequate) contingent on department policy
- Frequent use of an approved hand lotion/moisturizer
The practice of adhering to a simple hand-care plan will minimize the effects of cold weather and low-humidity air.
- Use tepid water.
- Use a mild soap or antimicrobial agent.
- Rinse hands thoroughly.
- Dry gently.
Hand disinfection (when hands are not visibly dirty)
- Apply an alcohol-based rub, gel or sanitizer.
- Liberally apply a water-based lotion/moisturizer or other approved hand-care product.
- Use gloves that moisturize, promote healing and soothe and protect skin from the symptoms of irritant dermatitis.
NOTE: Do not use over-the-counter hand-care products in the clinical environment. Only products that have been evaluated and approved by the Infection Control Department should be used.
If symptoms associated with a dermal reaction persist, seek advice from occupational health services. Most seasonal dermal reactions are temporary and are effectively managed through improved hand care.
Note: The information provided here is for general educational purposes and is not a substitute for specific medical advice by a physician. The information, programs and policies reviewed here are for illustrative purposes only. Each healthcare institution should tailor its policies, guidelines and approach to its unique circumstances, taking into account its facilities, employees and patient population.