Door county memorial hand washing made easy.ppt 2012Presentation Transcript
Hand Washing Made Easy! The Latest Guidelines on hand washing and the use of alcohol- based hand rubs
Perioperative Hand Hygiene• CDC advocates a comprehensive approach to hand hygiene using soap and water along with alcohol-based hand antiseptics• Patients, staff and State Surveyors watch closely to ensure every health care provider utilizes proper hand washing techniques to guarantee patient safety• An observed breech in established hand hygiene routine places all infection control principles in question
Hand Hygiene in the OR• OR Staff face unique hand hygiene issues – Sterile verse Clean staff duties• All staff begin their shift with a traditional hand scrub technique – Combines mechanical agitation with antiseptic wash – Removes gross particles, environmental dirt and debris from the skin and under the nails
Hand Hygiene and Nails• Health care providers who wear artificial nails are more likely to harbor gram-negative pathogens on their fingertips than are those who have natural nails, both before and after handwashing.• Long nails, both natural and artificial, can facilitate the colonization of bacteria on the hands by making handwashing less effective and the use of gloves less practical.
Hand Hygiene in the OR• Alcohol-based hand scrubs can be used to supplement throughout the day• Alcohol-based hand scrubs can be located in many locations in an OR• A problem arises: the more convenient the dispensers, the more complacent one can become to them, which can ultimately lead to an increase in surgical site infections
Two Environments of the OR• Hand hygiene must co-exist in both worlds of the OR: sterile and non-sterile• A logical approach to perioperative hand hygiene is a “blended” system using traditional hand washing and alcohol-based products
Two Environments of the OR• As a State Employee once mentioned, a “blended” approach allows staff to remove any gross contamination from their hands, while alcohol-based products provide an easy-to-implement, second-tier protection to help hands stay clean. Remember, when hands and gloves go below the waist, gloves come off and hands are washed before new gloves go on!
Why Wash Hands if Gloves were worn?• Any time gloves are removed (sterile or unsterile) you must wash your hands or at least use an alcohol-based foam• A perforated glove may have allowed microbes to enter and reside on your skin – If you do not wash your hands, you will spread these microbes to door knobs, keyboards, pens, your GI tract, etc…
Why Wash Hands if Gloves were worn?• The use of gloves do not eliminate the need for hand hygiene!• The use of hand hygiene does not eliminate the need for gloves!• Alcohol-based hand rubs should be used before and after using gloves, & before and after each patient.• Gloves must be changed whenever they migrate below the waist line or become contaminated.
Hand Hygiene in the OR •Establishing, maintaining, and improvinghealthcare environments is part ofproviding excellent care and services. Diligence with handwashing andmaintenance of short nails promotesprevention of nosocomial infections. Prevention is more invigorating thanillness and the power of prevention is inyour hands.