As healthcare providers, our primary tenet is to do no harm. That should include practicing good infection control practices at all times—even when our clothes are involved.
Although the white lab coat is an ingrained part of the healthcare culture, it may carry more than pocket references and PDAs.
Nurse Rebekah: There was an article in the New York Times recently that discussed the possibility of the American Medical Association banning white coats for doctors—not because of the hypertensive possibilities of the “white coat syndrome,” but because of the risk of germ transmission. Since white coats aren’t taken home and laundered every day, these coats carry lots of really gross germs.
The AMA is also considering adopting a “naked below the elbows” policy to prevent the transmission of microbes by dangling sleeves. The majority of the bloggers out there, however, seem to disagree with this proposal. The heart of their argument? The white coat bolsters the physician’s “authority” and protects the physician’s “clothes.” C’mon, ladies and gents, get over yourselves. This is about the patient, not your security blanket.
Dr. Brady: This is a good point. There are lots of downsides to the white coat for physicians as well as patients. However, there are benefits as well. In fact, the majority of patients prefer a doctor who is dressed in a white coat, at least when they’re taking a questionnaire and given a number of drawings of physicians in different attire from which to choose. I’m sure, however, that if you told the same questionnaire-takers that the physicians in white coats were five or ten or however times more likely to spread germs to their patients, there would be a big change in the answers given.
Some doctors already eschew the white coat as it is. Personally, I like it, though more to protect me from germs—and for the pockets. I would be fine with changing my habits, though, as long as Rebekah doesn’t send the fashion police after me when I wear cargo pants to work.
What do you think? Is it high time to apply evidence-based medicine to the clothes we wear? Dr. Brady and Nurse Rebekah will continue their discussion of disease transmission in part III of The Perils of Beauty—and remind nurses that scrubs should be practical and professional.
think the same can be said for a gentleman’s dangling tie- are they ever washed??- and stethoscopes. I have watched MDs enter rooms where patients were on contact precautions, use their stethoscope on that patient, leave the room, wash their hands but not their stethoscope, then enter the next room and listen with the same dirty stethoscope. I can see where the discussion on the white lab coat would harbor some disagreements because it is the “representation” of the doctor, if you will, to wear the white coat. Interesting article. Maybe you could open up a poll on the website to see what fellows nurses would say about such discussion, would be interesting…
By Nicole, RN on February 2, 2010 at 2:17 pm
Please see our website and product, StethoClean, which keeps the stethoscope clean with barrier protection….patient to patient. Please have your Infection Control specialist on site know about our product invented by an RN in Ohio. Dirty Stethoscopes is THE BIGGEST dirty secret in the medical field’s goals to reduce infections.
JC
By John on March 4, 2010 at 9:23 am