Artificial and modified fingernails:
(1) wraps
(2) gel overlays
(3) acrylics
(4) tips
(5) tapes
(6) piercings
Problems:
(1) It may be difficult to clean around and beneath the nails.
(2) The worker is less likely to be vigorous in handwashing.
(3) Long nails can tear gloves or interfere with manual tasks.
(4) Long nails can scratch patients or coworkers.
(5) Nails may harbor gram negative bacteria and fungi, especially when broken, chipped or separated.
These problems can be significant for nurses working in surgery, since gloves may be worn for long periods and there are many opportunities to tear gloves on surgical instruments.
Guidelines for fingernails in a healthcare setting:
(1) Only natural fingernails should be permitted.
(2) The nails should be kept short and trimmed, without sharp edges.
(3) Care should be taken to wash around and beneath each nail at each handwashing.
(4) Clear fingernail polish or no polish at all is preferred.
