March 21, 2026

"These nails are sported by nurses in hospitals who, because of these stupid encumbrances glued to the ends of their fingers, cannot properly perform one of the key hygienic routines..."

"... that has been a simple, essential part of infection prevention in medical practice for decades: thorough hand-washing. First line of defense, proven useful for generations. Hospital management has gutlessly acquiesced to this ridiculousness because these days, everyone has 'rights.'Except, apparently, patients who wish to not contract an infection during their hospital stay…."

From the comments section at the NYT article about those very long, overdecorated fake nails —  "Manicures Fit for the Met Gala/Whether at hospitals or on red carpets, people with manicures by Yulenny Garcia, a nail technician in the Bronx, turn heads."

Another comment: "I like the creativity but as a physician… I despair when I see these talons on fashion and entertainment industry folks. Not healthy at all. Just pull up any study on synthetic nails in pubmed. Just imagine HRs in hospitals have given up on young RNs to abide by the no long-nail rules… these nails can cut through gloves and in one case recently caused a rectal tear in a patient. Just think, everyone does them, so how are you going to stop this? Not happy, this is being highlighted...."

52 comments:

Dave Begley said...

Those long nails are completely idiotic. I see the women running the cash register at the grocery store with them and I can’t imagine nurses wearing them.

But the fact of the matter is that hospitals aren’t acting because mostly Black and Latino wear them and HR doesn’t want to look like it is discriminating against minorities.

Aggie said...

Think of it as wearing an IQ badge. Not in all cases, but if you're working in health care, or something requiring manual dexterity as a skill, but just have to wear your claws out....

Christopher B said...

I could never figure out how you could type with nail extensions.

Christopher B said...

And remember, these are the folks who were insisting everyone wear a useless mask that won't make their own employees perform known hygienic routines.

Wilbur said...

Sweetheart, you think you're fixing to risk giving me a rectal tear with those nails, well, I hope you packed a lunch.

Anne in Rockwall, TX said...

I had carpal and cubital release surgery as an outpatient last week. The first thing I looked at were the nails. None of them were long. None were fake. Some had polish, but that was it.

buwaya said...

This came up on my other feeds. These things are strictly banned in Philippine nursing. In Spain too btw. So if there is a question of discrimination, hire only Filipina nurses (we are short of Spanish nurses, and they are white, so...). And let some fool make a case that they arent brown enough.

Kathy said...

My teens work in fast food, and their employer sends employees home if they have long nails. No exceptions. I actually don't think they're even allowed polish.

rehajm said...

Every hospital has a batch of RNs that can’t do procedures regardless of how long their nails are. This would seem to only add to the batch…and oh yah, dirty…

Rocco said...

Christopher B said...
I could never figure out how you could type with nail extensions.

Or play guitar.

Mike (MJB Wolf) said...

Yeah you convinced me long before I got to “rectal tear.” For the slow kids I’ll point out that THIS is what happens when DEI sets the standards instead of science and best practices. It is the inevitable result of deifying diversity and ignoring excellence.

john mosby said...

Rectal Probe AI Robot says:

This isn't too bad of a job.

(probe, probe)

They built me because they couldn't get enough nurses to cut their nails.

(push, push)

I don't have that problem. I don't have nails. I don't even probe with a hand. I use my purpose-built silicone Dispos-a-Probe.

(squirt, squirt)

It's much more sensitive than a human hand, and it has no sharp points or edges.

(whoosh, whoosh)

Some of my patients are even declining anaesthetic.

(wipe, wipe)

I even had one ask if there is a home version of me.

I am not Laslo. CC, JSM

John henry said...

"Nail technicians"?

Not artists?

John Henry

Fritz said...

Just finished a short stint at Wilmers Eye Clinic, part of John’s Hopkins in Balmer. Interesting cast system. Most of the Drs were foreign, middle eastern, most of the nurses Asian and all the clerical and support staff local, which translates to Black. I noticed the nails on the women behind desks. However, one of the docs with instruments in my eyeball was an American Black woman. Her nails did not make an impression on me in the morning after check in, so I assume they were short.

Leland said...

I gave this story to my wife to read. She’s fired her share of nurses that refused to comply to hospital policy regarding wearing fake nails. You can be a nurse and wear nails, but most of those jobs are remote work. Bedside and physical care of patients is not conducive to wearing fake nails.

rehajm said...

Most of the Drs were foreign, middle eastern, most of the nurses Asian and all the clerical and support staff local, which translates to Black

My family are huge consumers of hospital care. You’ve just described most of the hospitals in the US. Even the little community ones in the northwest…

Breezy said...

Next time nurses strike, hospital admins should add a no claws clause to the new contract.

Temujin said...

This is where DEI literally kills people. Either we have standards or we do not. You want to live in the Middle Ages? You go live in the Middle Ages. I want my healthcare professionals to work and live with standards of health, not cultural statements.
My word. It's just common sense. I'm not even mad at those with the nails. I'm mad at the spineless HR directors, administrators, and doctors who go along with it.

Dave Begley said...

The reason why hospitals like to hire FMGs is because they work for less money.

And then, of course, the big public universities and hospitals screwed up by not admitting enough qualified medical students. Seats in a medical school are tied to teaching hospitals and we don’t have enough of them.

Creighton did the hard work and started a whole new medical school campus in Phoenix. That required partnerships with hospitals for teaching. Xavier is starting a medical school from scratch.

Creighton has way more medical students than the University of Nebraska. And Creighton never engaged in child mutilation like UNMC did.

Humperdink said...

Geez, it’s not a fashion show, it’s medical care you are providing. As someone said upthread, it walking IQ test.

narciso said...

Yep and they failed

Joe Bar said...

I have had a lot of interaction with medical personnel in the past six months, including a short stay in a hospital.

I had interactions with nurses of all types, and I did not notice this trend. The admin staff, on the other hand.....

Southern Pessimist said...

Back in the day, nurses were expected to wear dresses with a high neckline without buttons in the front. Surgical nurses were not allowed to wear scrubs outside of the OR. Eventually all nurses were allowed to wear scrubs anywhere and everywhere. At that point in time rules had to be made specifying no visible panty line should be seen under the scrub pants. Science marches forward I suppose but it sometimes takes erratic steps.

Iman said...

Gives new meaning to “tearing them a new one”.

n.n said...

Say their colors, classes, bloc identities. DEIsm writ large.

Big Mike said...

Good to know it’s only a problem with nurses and not female MDs. Or is it?

Dude1394 said...

You stop it by telling them to stop or leave. Sheesh when did people become such idiots.

Deep State Reformer said...

As with most things in America , it'll all come down to dollars and cents. A few hefty lawsuit judgments, and they'll feel the heat and then see the light. Trial lawyers actually benefitting society. What a concept.

Humperdink said...

Scrubs today look like sweat pants/ sweat shirts with a smooth finish. Yoga pants are in the offing.

gspencer said...

"Hospital management has gutlessly acquiesced to this ridiculousness because these days, everyone has 'rights.'"

This is mostly a black thing for the sistahs. Have you seen their fake eyelashes?

https://www.pedestrian.tv/wp-content/uploads/2019/10/false-eyelashes-speed-boat.jpg?quality=50

Lem Vibe Bandit said...

These are not the pointy nails I was expecting. The short video shows nails crowned with fake jewelry. I’m guessing the fake jewelry could and does cut through the thin protective gloves?

AI answers : Key Types of Medical Gloves:
Nitrile Gloves: Most popular, durable, and puncture-resistant; suitable for high-risk situations involving infectious agents and chemicals.
Latex Gloves: Offer high dexterity and comfort, often used in surgical settings, but can cause allergies.
Vinyl Gloves: Cost-effective, used for low-risk, short-term tasks.
(Bold me)

Colleen Brown said...

I am a retired RN. When I was in nursing school and early in my career as an RN, we were not allowed to wear nail polish, our hair was not allowed to be long enough to touch our collars (long hair had to be pinned up), and no jewelry except a watch and wedding ring. I also worked at a Catholic hospital that had even stricter rules. Nurses were just starting to wear pants instead of dresses. We were allowed to wear pants only if we wore a tunic length top so that the panty line was not visible. Also, we had to wear a camisole under our top so that the outline of a bra was not visible.

Zavier Onasses said...

Not only "how do they type with those things?"

But who are they trying to impress? Other women? Men? As a male hetero- I am not impressed when decor impedes function. Same with spike heel shoes. Dress like a hooker if you want. I am not interested.

But the rectal tear thing, Yeah.

Bob Boyd said...

But the rectal tear thing

Just lie back and think of social justice.

Old and slow said...

I knew that DEI was a real thing, but even I am shocked that it trumps basic hygiene standards. Rectal tear? She wouldn't be getting anywhere near me with those things...

Bob Boyd said...

"Whoops-a-daisy"

Phaedrus said...

Got a heart procedure coming up this week. Not my first rodeo and hopefully routine. My Cath Lab nurses last time were pretty professional, which is a good thing when you a are bare nekkid on a gurney except for a strip of cloth about the size of a piece of bacon covering your nether regions and the lead tech is wielding what looks like electric sheep shears and about to go bushwhacking. Don’t really care about the nails, just hope they are truly female, young and cute. I’m 60 today and I can say $hit like that now.

rehajm said...

You stop it by telling them to stop or leave. Sheesh when did people become such idiots

It’s a supply and demand issue. RNs know they’re in demand and the employer knows there isn’t a list of qualified candidates to choose from if they start issuing ultimatums. In fact, thy know there isn’t a list of candidates to choose from. They pick their battles…maybe they won’t infect the patients…;

stunned said...

Try the orthodontist's office. Changing wires using their horror claws. Oh my god. And the verbal diarrhea you are forced to suffer through while they work on you, or your child. The auxiliary personnel is literary the unwashed masses.

stunned said...

And don't forget their horror fake lashes. And botoxed lips. These self-appointed figures of authority are making me sick.

Biff said...

Big Mike said..."Good to know it’s only a problem with nurses and not female MDs. Or is it?"

That reminded me of "Dr. Kylie" on the old MadTV show. Somehow, I remember it being funnier.

n.n said...

Sported or wielded?

Bruce Hayden said...

“But the fact of the matter is that hospitals aren’t acting because mostly Black and Latino wear them and HR doesn’t want to look like it is discriminating against minorities.”

Just going to take some MedMal suits against the hospitals allowing this. So, doctors, keep writing your articles and monographs. Then, when patients are harmed by the nurses having nails, sue the heck out of the hospitals hiring them. Then, the expert witnesses can haul in stacks of these articles.

And complain to the hospital hiring them. In some hospitals, that does work. Mayo, by the house here in PHX, is one of them. They have great benefits, including flying you or your spouse to the nearest Mayo, from anywhere in the country, if you are hospitalized. Last time we were in, our first overnight RN underwent an attitude adjustment, after our complaint about her being mean and surly towards my partner. They also have one of the best patient to nurse ratios in town.

Quality of nursing in hospitals varies greatly across a city. Some hospitals have to cater to their nurses keep enough of them working there. In LV, 2/3 of the hospitals ambulances will take you from the Strip are this way, including the big county teaching hospital. Never enough nurses, and they are very often not pleasant. That’s what you get when a lot of their patients are homeless, indigent, etc. expect that most of the long nails problems are with those hospitals. We drive across town, if we have a choice.

Dave Begley said...

Creighton has 1,000 medical students at both campuses. UNMC only has 542.

Ralph L said...

If half of our medical providers are foreign, what are their home countries doing for medical care?
The UK began its demographic death by importing NHS workers from their colonies in 1949.
Phaedrus, you've officially reached the age of not caring who sees what. I had a probably-unnecessary catheterization at 17, six days before beginning college with a massive purple bruise. At least the Navy let me shave myself.

Bruce Hayden said...

“If half of our medical providers are foreign, what are their home countries doing for medical care”

We’ll do fine. Some are quite good. Often better than their domestic competitors - because it’s harder to get licensed here, if not educated and trained here.

What are their native countries going to do? Not something I stay awake at nights worrying about. Virtue signing doctors can do Doctors Without Borders, etc.

Smilin' Jack said...

They turn my head, all right. Away. Those things are even more repulsive than tats. Yuck.

Kai Akker said...

Anything goes! Why not, sourpusses? Let 'em rake your rectum. Anything goes..... we are in Utopia!

Disparity of Cult said...

"You like long or short nail?"

https://youtu.be/baDJ-ZIvYy0?si=iTtqUE680vavFu0I&t=4m53s

Sydney said...

"Yoga pants are in the offing."
The nurse practitioner in my cardiologist's office wears them.

Sydney said...

Also, those long fake nails are an absolute contraindication to performing a rectal exam.

JeanE said...

I guess I'm mean, but my patients are well cared for. In my veterinary anesthesia and surgery class I always told students at the start of the semester that they could not have ANY nail polish or artificial nails starting the first week of live animal surgeries. I rarely got challenged, but students who "forgot" the rule were just dismissed from lab until the problem was corrected (I have nail polish remover in my office). Other instructors follow the same rules. Everybody, students and patients, survive.

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