Related Experiment Video
Updated: Jul 8, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
Could the death of a BC or nurse have been prevented by using the hands-free technique?
Ted Haines1, Bernadette Stringer
1Occupational and Environmental Medicine Program, Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences at McMaster University, Hamilton, ON.
In 1991, Bernadette Stringer, a long time BC Nurses' Union health and safety representative, learned about the death of a 48 year old Victoria, B.C., OR nurse who had sustained a hepatitis C contaminated needlestick. This incident led to a study evaluating the hands-free technique's ability to decrease the risk of percutaneous injury, glove tear and mucocutaneous contamination during surgery that Ms. Stringer carried out in partial fulfillment of her Ph.D. (granted in 1998, by McGill University's Joint Departments of Epidemiology, Biostatistics and Occupational Health, in the Faculty of Medicine). That study's main findings were published in 2002 in one of the British Medical Journal's publications, Occupational and Environmental Medicine. The following article will discuss aspects of Bev Holmwood's case, review the literature on the hands-free technique, and describe a new study that has again evaluated the hands-free technique's effectiveness.
In 1991, Bernadette Stringer, a long time BC Nurses' Union health and safety representative, learned about the death of a 48 year old Victoria, B.C., OR nurse who had sustained a hepatitis C contaminated needlestick. This incident led to a study evaluating the hands-free technique's ability to decrease the risk of percutaneous injury, glove tear and mucocutaneous contamination during surgery that Ms. Stringer carried out in partial fulfillment of her Ph.D. (granted in 1998, by McGill University's Joint Departments of Epidemiology, Biostatistics and Occupational Health, in the Faculty of Medicine). That study's main findings were published in 2002 in one of the British Medical Journal's publications, Occupational and Environmental Medicine. The following article will discuss aspects of Bev Holmwood's case, review the literature on the hands-free technique, and describe a new study that has again evaluated the hands-free technique's effectiveness.
Related Concept Videos
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Hand hygiene
Hand washing...
Cardiopulmonary Resuscitation II: ACLS Airway Management
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Handwashing III: During the Procedure and Post-Procedure Steps
Handwashing II: Pre-procedure and Initial Procedure Steps
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail paint...

