The phrase "a strict hand" is correct and usable in written English.
It can be used to describe someone who enforces rules or discipline firmly and without leniency.
Example: "The teacher maintained a strict hand in the classroom, ensuring that all students followed the rules."
Alternatives: "a firm hand" or "a heavy hand".
And the Polonaise, which might have benefitted from a strict hand, was pretty much of a mess: Mr. Rosenwasser's tone was stentorian; there was no rhythmic impetus; the proud, all-important triplet figurations were lost.
To achieve this goal, the hospital implemented surveillance screening of patients on admission, isolation procedures, and a strict hand hygiene policy.
Back then, Mr. Mondale had a strict "hands off" policy and did not even put his palm on Ms. Ferraro's back when the two stood side-by-side and waved with uplifted arms.
Such a major resetting without influence on translocation velocity seems unlikely and is inconsistent with a strict hand-off sequential mechanism.
Strict hand hygiene plus a careful assessment of the patient, applying aggressive procedures such as patient isolation, staff cohorting, and active surveillance cultures should be indicated.
As a result, infection control practices, including strict hand hygiene, viral testing of patient samples, and use of isolation precautions, quarantine rooms, and personal protective equipment, were mandated for routine use with all patients who sought treatment at emergency departments (EDs) with respiratory symptoms and fever (7, 8 ).
The top 5 clinical interventions (we did not consider "trained staff" as a clinical intervention) were: 1) no ventilatory circuit change unless specifically indicated; 2) strict hand hygiene with alcohol especially before managing the airways; 3) daily sedation vacation and weaning protocol; 4) oral care with chlorhexidine; and 5) cuff pressure control at least every 24 hrs.
VAP prevention measure 6, which represents strict hand hygiene using alcohol, especially before managing the airways, shows quite a strong association when looking at the within-country averages, but absolutely no association when looking at the between-country averages.
Although the city's fortunes started to recover under the strict hand of Mayor Rudy Giuliani in the 1990s, as recently as five years ago when the terrorists attacked it was easy to fear the worst for New York.
Mandatory measures of pneumonia Zero program were included: Ambu review and aspirator, strict hand hygiene before handling air, headboard position 30°-40° 30°-40°neumotaponamiento pressure, checkhexidineumotaponamiento
On June 2010, a VAP prevention bundle was implemented in province of Murcia Spainn) This bundle included: appropriate airway secretions management, strict hand hygiene, cuff pressure control, oral hygiene with chlorhexidine, semi-recumbent positioning and selective decontamination of the digestive tract (SDD) with a short course of parenteral antibiotic.
