Category: Healthcare

Months into the COVID-19 pandemic, many of us have become hyper-aware of the importance of proper hand hygiene. Yet, there still exist various misconceptions regarding the proper way to wash hands, while others still downplay the value of regular handwashing. In fact, the benefits of washing your hands with soap and water go beyond reducing the transmission of coronaviruses. As societies across the globe continue to promote the importance of regular handwashing in a way that leads to a sustained improvement in hand hygiene, there are many positive outcomes that this can lead to outside of the coronavirus pandemic.

Proper Handwashing: A Review

Before we delve into the possible outcomes for regular handwashing, let’s discuss what we (think) we already know: Proper handwashing. Since the beginning of the COVID-19 pandemic, there has been a flood of information educating people around the globe on proper hand hygiene in an effort to slow the virus’ spread. Government health agencies, including the WHO and the US-based CDC, provided excellent, detailed information to assist this movement. According to the CDC, the handwashing checklist is as follows:

1. Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap.
2. Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and under your nails.
3. Scrub your hands for at least 20 seconds. Need a timer? Hum the "Happy Birthday" song from beginning to end twice.
4. Rinse your hands well under clean, running water.
5. Dry your hands using a clean towel or air dry them.

Along with the various governmental promotions for hand hygiene, governments began encouraging celebrities and social media influencers to promote proper hand hygiene through the #handwashingchallenge. Before long, most of our social media feeds were overwhelmed with videos of athletes from Allison Becker of Brazil’s National soccer team, to movie stars to the likes of Hugh Jackman, encouraging hand hygiene to their millions of followers.

Take #2. You’re all absolutely right. Turn off the tap whilst washing your hands. Smart, healthy practices for you ... and the planet.
? ? ? ? #WashYourHands #SaveWater #world #HealthyLife pic.twitter.com/bygir5xjRN

— Hugh Jackman (@RealHughJackman) March 15, 2020

Before long, most of the world was stuck in a dizzying frenzy of hectic handwashing after touching any public surface, where many people began reporting severe dry hands due to excessive handwashing. Additionally, more specific questions began to arise, such as; How hard should I scrub my hands? – or – Is there such a thing as too much handwashing?

Mistakes and Misconceptions of Handwashing

As our handwashing becomes more frequent, many of us have inadvertently picked up bad habits in our hand hygiene. The most common being washing our hands too forcefully or too frequently. According to the Minnesota Department of Health, you should wash your hands at the following times:

• After arriving at home
• After coughing or blowing your nose
• Before making or eating food
• After playing with animals
• After using the toilet
• After being outdoors
• Before and after changing contact lenses

Notice that it did not mention anything about vigorously washing your hands every 5 minutes from COVID-induced paranoia? All joking aside, the age-old truth regarding moderation in everything applies to handwashing as well. According to an article from Medscape Medical News, many of us are scrubbing our hands too hard, impacting an important top layer of our skin that helps keep germs away. It goes on to detail the fine line between rubbing versus scrubbing with Carrie Kovarik, MD from the Perelman School of Medicine remarking, “You don’t want to scrub because scrubbing will damage the skin barrier and possibly let in germs.” Instead of forcefully scrubbing our hands, doctors recommend gently washing hands in “a hand-over-hand motion, from palm to palm, back of the hands, around nails and up to the wrists.”

Possible Outcomes of Regular Handwashing

Now that we have established a clear picture of what proper hand hygiene looks like, we can imagine what outcomes might arise from regular handwashing. With the world’s attention focused on proper hand hygiene, many are wondering how this might impact population health outside of the COVID-19 pandemic. We can make many assumptions based on small scale benefits to populations and extrapolating those results across larger populations. Although these benefits are only potential outcomes, it is exciting to imagine the possibilities that can come about from this increased focus in hand hygiene.

Handwashing is one of the best ways to prevent the spread of germs. What you need to know about handwashing: https://t.co/UyYggQjM9T pic.twitter.com/40UeHzhwg9

— CDC (@CDCgov) March 4, 2020

Lower Incidences of Respiratory Diseases

In 2016, a study published in the Baltimore Medicine Journal observed a correlation between increased hand-washing and a reduction in influenza at a statistically significant level. Participants in the study were given a handwashing score based on the availability of washing stations and the availability of soap, among other factors. They were then evaluated for their protective effect towards confirmed influenza, and the researchers observed and analyzed which behaviors correlated with the groups with the highest protective effect. The highest behaviors associated with a high protective effect were frequent handwashing, the availability of soap for handwashing, and reduced levels of hand-to-face touching.

This study is one of many that organizations like the CDC and WHO refer to when making recommendations to national/international populations during a time of a pandemic. As we are all aware of the importance of handwashing in the reduction of COVID-19, this behavior is proven to reduce the spread of influenza and other respiratory diseases as well. With this being said, it is possible that given the rapid, worldwide development in hand hygiene, we could be seeing lower levels of seasonal respiratory sicknesses in the future.

Decline in Healthcare-associated Infections

According to data from the CDC regarding healthcare-associated infections (HAIs), on a given day, about 3% of hospital patients has at minimum one HAI. Hospitals across the world are always looking for ways to reduce this statistic, as hospitalized individuals are often the most vulnerable to experience complications from infections. There are many common practices that hospitals enact to tackle this issue, with one of them being.. you guessed it, handwashing.

Healthcare workers follow strict protocols to ensure they are maintaining a clean environment for their patients and not tracking problematic pathogens throughout a facility. Handwashing is an important common practice that has been proven to reduce the risk of transmission of HAIs according to a 2002 CDC study. This is why most hospitals have sinks in patient rooms and also why we, at Lakeside, offer portable handwashing stations for areas that don’t have built-in sinks available.

If population health increases due to improved hand hygiene, hospitals could see a decrease in the number of potential illnesses entering a hospital environment. On a large scale, this could lead to an overall reduction in HAIs and improvements in patient health.

Improvement of Child Development in Developing Countries

In 2003 the CDC performed a study to monitor the effects of hygiene on child development and observed interesting results. When comparing groups who received an extensive 9 month hygiene promotion and soap against groups who did not receive the same hygiene education nor supplies, the children experienced nearly half as much diarrhea-related sicknesses than the control group in their first 2 ½ years of their lives, which is a critical time for child development. 6 years later, the children from the study were reevaluated for cognitive development. The children who received hygiene education and hygiene supplies scored higher than the control group. According to the study, the findings suggest that “handwashing promotion could be an important strategy for improving child welfare.”

Given the increased awareness around the world regarding proper hand hygiene and the increased availability of hygiene resources, it may be possible that the effects of the CDC study transfer to the real world. If this were to happen, we may see improvements in child development on a grand scale, as children in developed countries avoid illness and chronic inflammation related to diarrhea-linked diseases.

Reduction in Antibiotic Resistance

Antibiotic resistance is an issue of growing importance in the world. This takes place when bacteria evolves to overcome the intended effects of a given antibiotic. Various infections rely on antibiotics for treatment. If a bacteria develops antibiotic resistance, this has the potential to transform a curable sickness into a deadly illness.

The CDC states that the leading factor in antibiotic resistance is overuse of antibiotics. Many times, antibiotics are prescribed to individuals when they are not needed, leading to an increased risk of a bacteria developing antibiotic resistance. Research by the CDC indicates that handwashing leads to a reduction in diarrhea-related sicknesses and respiratory infections, diseases that are often unnecessarily prescribed antibiotics for treatment. Therefore, some speculate that a reduction in these diseases, due to handwashing or other factors, could impact global rates of antibiotic resistance.

The New Normal

Our world has quickly transformed into a hyper-aware, germaphobic one due to the brisk rise of the coronavirus pandemic, however, perhaps this acute awareness was long overdue. If international populations continue to emphasize hand hygiene in their COVID-19 responses and this leads to a sustained improvement in hand hygiene; we could see many beneficial outcomes that improve world populations beyond the pandemic. We have long been aware of the importance of hand hygiene in hospitals, schools and densely populated areas. Due to the sudden change in human behavior regarding hand hygiene, it is exciting to consider what possible outcomes might arise. As healthcare professionals, we will keep promoting proper hand hygiene and at Lakeside, we will continue to offer products that promote access to handwashing.

Washing your hands has always been super important in healthcare facilities in order to prevent Hospital Acquired Illnesses (HAIs) or healthcare-associated infections which affect about 1 in every 31 patients. With the outbreak of COVID-19, it’s even more important for healthcare professionals, and all of us to practice good hand hygiene.

What is good hand hygiene?

Having good hand hygiene means keeping your hands clean as much as possible. The best way to practice proper hand hygiene is to wash your hands with soap and water, or to use hand sanitizer whenever your hands may have come into contact with a dirty surface. Dirty surface doesn’t just mean visibly dirty, as many surfaces that appear to be clean could actually be covered in germs and bacteria. If you’re not sure whether you need to clean your hands, it’s always best to err on the side of caution and wash up!

Soap and water or hand sanitizer?

The best ways to clean your hands is by washing with soap and water or using hand sanitizer. While hand sanitizer removes most germs, it does not remove all germs from your hands, and studies show that soap and water are more effective at removing certain types of germs. This is why the CDC recommends washing your hands with soap and water whenever possible, and using hand sanitizer if soap and water are not available.

When to Wash your Hands

Here are some of the times when the CDC recommends that you wash your hands with soap and water.

• Before, after, or during any food preparation
• Before eating food
• Before and after caring for someone who is sick with vomiting or diarrhea
• Before and after treating a cut or wound
• After using the bathroom
• After changing diapers or cleaning up for a child who has used the bathroom
• After touching an animal or animal waste
• After handling pet treats or food
• After touching a garbage
• Anytime that your hands are visibly dirty or greasy

When to Use Hand Sanitizer

Here are a couple of instances in which the CDC believes hand sanitizer will work to remove germs and bacteria.

• Before and after visiting someone who is in a hospital or healthcare facility
• If soap and water are not readily available

Proper Hand Washing

We’ve all been taught the importance of regular hand washing from a young age, but do you know how to correctly wash your hands? According to the CDC, there are a few steps for the proper hand washing technique.

1. Wet your hands with warm water
2. Apply the amount of soap that the manufacturer recommends
3. Rub your hands together vigorously for at least 15 seconds, making sure cover all parts of your hands with soap
4. Rinse your hands with more water
5. Lastly, dry your hands with a paper towel or air dryer, and turn off the faucet with the towel to avoid any lingering germs.

Proper Hand Sanitizing

It seems like it’s obvious how to use hand sanitizer, but not everyone sanitizes their hands correctly.  Here are the steps for correctly sanitizing your hands.

1. First, you should make sure that you are using a hand sanitizer that is at least 60% alcohol in order for it to be effective
2. Put the amount of product that the manufacturer recommends on your hands and start to rub them together
3. Continue rubbing your hands together for about 20 seconds until your hands are completely covered and dry
4. Once your hands are dry, they will be sterile and you should be ready to move on to your next task

In March, the world was in the beginning phases of facing a pandemic of unknown proportions and here in the U.S., preparations were underway. Fears of shortages in the healthcare supply chain drove companies to evaluate their manufacturing capacities to identify ways in which they could leverage their facilities to prepare our nation for the first wave of the virus. Some companies started using 3D printers to print face shields, some used their resources to manufacture high-demand ventilators and companies in the healthcare business increased their operating hours to maximum capacity.

As a company already in the healthcare industry, Lakeside responded immediately to COVID-19 by increasing production on high demand items such as utility carts, handwashing stations and shelving units. Additionally, engineers at Lakeside came together to brainstorm new ways to service the healthcare industry by leveraging manufacturing facilities and raw materials on site. After hours of bouncing ideas back and forth, Lakeside engineers created a blueprint to begin the production of IV poles.

Just days later, Lakeside’s Milwaukee manufacturing facility produced and delivered its first IV stand, followed by many variations of IV poles and IV bag stands. As of the date of this publication, Lakeside proudly manufactures 15 variations of IV poles and 6 IV pole accessories, all built right here in the USA.

Lakeside IV poles were designed specifically to be easy to use and easy to sanitize. Chrome plated or stainless steel tubing provides cleaning staff a round surface to disinfect, and no corners for dirt and grime to collect in. Further, Lakeside applied their easy-rolling casters to the IV stands to allow hospitals to effortlessly maneuver the stands throughout their facility, wherever needed. Some highlights for specific IV pole models include:

• Rapid Response IV Stands (SKUs 158331, 158371, 158495, 158496). They are all-stainless steel IV poles with a sturdy 20” diameter solid base that provides upright stability. The stainless steel medical pole has a 1 ¾” diameter that adjusts effortlessly to accommodate heights from 50” up to 90”. The product rolls easily on 5 swivel casters making it reliable for fast-paced hospital environments.
• Heavy Duty IV Stands (SKUs 4850, 4855). They are all-stainless steel IV poles with an easy twist knob that adjusts the pole height from 51 ¾” to 93 ½”. The heavy duty IV stands feature 4 easy-roll casters on an epoxy coated steel base, with rubber bumpers to protect walls and furnishings.
• The Space Saving IV Stands (SKUs 4865, 4866). They are all-stainless steel IV stands with an easy twist know that adjusts the pole to cover a height range from 54” to 90 ½”. The space saving IV pole is built with a 16” base made from epoxy coated steel. This allows this medical pole to maneuver through tight spaces and fit into tight nooks for more compact hospital environments.

With many uncertainties still remaining regarding COVID-19, Lakeside continues its commitment to the healthcare industry by maintaining its promises to produce invaluable carts and now, IV stands to hospitals and healthcare organizations. Our Milwaukee manufacturing plant continues to operate, just as our engineers continue to brainstorm to do our part to combat COVID-19, together.

The world was shocked by the outbreak of the COVID-19 pandemic.  We have all been affected in one way or another by the virus.  The global economy has been shook to it's core with increased travel restrictions, strict lock down measures, falling oil prices, and much more.  Within the United States, the pandemic has also exposed some underlying issues with our healthcare supply chain. Specifically, the healthcare system’s dependence on China and other foreign countries for the supply of essential equipment.

The media has extensively covered the shortage of PPE in the United States, but this was only the tip of the iceberg. America has experienced shortages of many medical devices and equipment due to decreased imports and increased demand for these essential products.   Supply was not able to keep up with the increased demand, largely in part, due to the amount of medical supplies manufactured in China. China was the first region struck with the pandemic and the country’s own need for these products also skyrocketed.  Suddenly, the US’s primary source of essential medical equipment was reducing supply in the moments where we needed it most.  It quickly became clear that our nation was not fully prepared for such an event.  Domestic manufacturers scrambled to pitch in and adapt to support the demands of hospitals.  Certainly COVID-19 has highlighted the shortcomings of the current healthcare supply chain in the United States.

There is no easy solution for the US’ dependence on foreign countries for medical devices, but from this adversity a movement to source domestically is growing.  Manufacturers across the nation are pushing for increased domestic sourcing in hopes of preventing future shortages of healthcare equipment in the event of a another global shock. An increase in domestic manufacturing of these essential products would significantly decrease our nation's vulnerability.  Just as our manufacturers are learning from COVID-19, our government has also taken note and introduced a bipartisan bill that would analyze the dependence of the US on critical drugs and medical devices manufactured outside of the country.

A specific example of a vital medical equipment in low supply due to the pandemic includes IV poles and IV stands. These small, yet critical devices are used to administer medicines and treatments to patients via intravenous therapy.  Countless hospitals rely on IV poles to care for patients and shortages result in stress on both healthcare facilities and patients in need of care. In response to the shortage of IV poles in the US, Lakeside Manufacturing ramped up production of the essential product in order to help meet the increased demand. Lakeside, like many other manufacturers, make all products in the US.  Domestic sourcing and manufacturing has countless advantages even when we’re not in the midst of a global health crisis.