artificial nails

I have been researching the issue of artificial nails in the workplace (I work in home health).  I wear artificial nails and have been off and on for over 4 years.  What research I did find was based back in 2007 or earlier, at the latest, from the CDC, Mayo, and other sites.  But basically it states that if you are in health care, it is strongly recommended not to wear artificial nails when working in neonatology centers, perioperating rooms, and with chemotherapy patients in oncology units.  There were 2 deaths in a neonatal center and one of the nurses had long nails and one had long artificial nails.  When dealing with pt's with infections, I always wear the appropriate protective equipment, both for the patient's benefit and mine (and my family's). Depending on who you talk to, whether it be doctors, nurses, or nail techs, they say you have to look at the reputation and of the nail tech and the procedures she uses to clean and sterilize her equipment.  So I am confused.  What do you think?

[Bridget A. Hewitt, RN]

Hi and thanks for using the forum.

I have been a nurse since 1997 (prior to that I was a home health aide as well) and in every institution that I worked in, artificial nails were prohibited.  In addition, you were required to have your natural nails neatly trimmed.  My understanding in regards to artificial nails is that the gap between where your actual nail is and where the artificial nail begins can create a breeding ground for germs.  We all use universal precautions when we are dealing with patients (those with infections and those without), but bacteria can be anywhere, not just on the patient.  Hand washing is the number one way we prevent infection, but if you have artificial nails, any bacteria that your hands are exposed to can get trapped in that gap and regular, diligent handwashing is not always effective in cleaning that bacteria out.  This puts both you and your patients at risk.  I hope this info helps.  Good luck.

Bridget