Alcohol gel as used in healthcare dries up in 30 seconds, and as you yourself noted you should be wearing gloves anyway if you might come into contact with bodily fluids, membranes, body cavities or administer any form of injection. Are you seriously going to tell me that you are buying surgical scrub that's ten times more expensive and requires more extensive preparation and application because of the off chance that someone doesn't use their alcogel as prescribed in professional guidelines?
Having children myself I can tell you that I've never had that problem with alcogel, nor have any of the healthcare professionals they have come in contact with, including ER staff during a severe allergic reaction on my youngest. You've got to be pretty careless to first splash a minor lake of alcogel into your hands and then immediately shove your fingers into someone's mouth (or into their face in general) before it has time to dry. Not only would have you foregone proper hand sanitation, you're acting way too fast around a young person when you should be slowing down to give them a chance to keep up and not get (more) scared.
You have been making a great deal of assumptions there and none of them apply here, so you may want to roll that back a bit. It isn't like we are not using proper disinfecting and sanitizing procedures. First of all, our Clinic has outstanding ratings, ALL of your outlandish assumptions are absurdly off base. Where exactly are these imaginary people whizzing about around children and not following proper sanitation procedures? Your imagination is getting carried away with you. You are talking about a newly built clinic with the best equipment available, with our rooms specifically designed and equipped by the 12 practicing Physicians here among which sit on the boards of the local children's hospitals and the heads of Pediatrics for their departments, no one is going to allow any of this imaginary substandard practices you suggest. Hell, we are the most well equipped and staffed clinic in the area. All of our rooms are equipped with light, water and air cleaners. They even built air sterilization into the ventilation system itself when they built the building here with separate air conditioning systems for the newborn isolation area and the rest of the clinic, most clinics do not even have any thing like that. You are acting as if we do not use an alcohol product at all, of course we do, we just do not use a leave on hand sanitizer gel. We made sure we always have sinks available and do not use regular soap. They are all on sensors and you do not even have to touch anything to use them. This does not fall under " soap and water", as you suggest it does because we do not use the soap they are referring to.
This is why it states this under the CDC guidelines in your link:
*When using an alcohol-based surgical hand-scrub product with persistent activity, follow the manufacturer’s instructions
THAT is what we are using here and what we are doing to increase the effectiveness of the product itself.
Our clinic utilizes the surgical recommendations, which are more stringent, not less, for every patient rather than the lower standards of basic hand hygiene and follow the manufactures instructions as the CDC actually tells us to do so we do not degrade the products effectiveness.
We are discussing Alcohol based gel leave on hand sanitizers vs a CHG/Alcohol combined surgical scrub. Our CHG/Alcohol surgical scrub kills germs for up to 24 hours as well, we are not using basic soap and water here. Alcohol based gel sanitizers you leave on have a reduced/poor lasting antimicrobial effect once they have dried, our surgical scrub actually has a lasting antimicrobial effect, and for much longer. In studies it performed better than alcohol based leave on sanitizers alone on every level. Our clinic is exceeding standards. It is not about " everyone doing the exact same thing", in fact when you go under the CDC guideline you linked, it discusses different options available as it is about reducing the amount of bacterial, viruses and fungi that could be transferred in a clinical setting, not just about everyone doing the exact same thing.
When our methods actually reduces more of that than the recommended method, and additionally does not have the residue transfer problem, we do not see a problem here. Even an hour after gel hand sanitizer has dried, you are still transferring residue from gel hand sanitizer except you do not get the germ killing effects you do with the CHG/Alcohol combined product and are just transferring residue , so allowing it to dry for 30 seconds doesn't change that. We actually kill more viruses, bacteria and fungi, LONGER this way than with just regular soap and water+ hand sanitizer gel alone.
A study, published in Infection Control & Hospital Epidemiology, compared the antimicrobial activity of two hand hygiene products — ethanol plus chlorhexidine gluconate and ethanol only — when used in an intensive care unit.
www.beckershospitalreview.com