Skin-Picking Problems
Hi all,
I’m a HSCP, specifically a psychologist, and I do not usually work in environments with a bare-below-the-elbows policy. I am due to commence a position in an ICU, where I will of course be adhering to all standard infection prevention and control guidance and associated dress code requirements, including hair tied up, no rings or watches, and wearing scrubs.
This is all completely fine, although somewhat unfamiliar for me. My only query relates to skin integrity around my fingers. I have excoriation tendencies, which are exacerbated by stimulant medication, and this can leave the skin around my nail beds raw, broken, and vulnerable. At home, I often tape my fingers both to protect the skin and to deter further picking. But of course this won’t be an option in an ICU setting.
I am aware of the broader interventions for excoriation and this is an ongoing work in progress, particularly given the stimulant-related component. In the meantime, while I am still working to get this fully under control, I wondered whether there are any additional measures I should be aware of, or any practical steps I could take, that would be compatible with infection prevention and control requirements in an ICU setting?
Many thanks - a skin-picking psychologist.