Hand hygiene
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Hand hygiene






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Hand hygiene Hand hygiene Presentation Transcript

  • Hand Hygiene CHCIC301A
  • Hand cleansing
    • Most important and basic technique, both personally, and as a carer or health care worker
    • Major premise of standard precautions – most effective way of preventing spread of infection
    • Often not well adhered to, or well carried out
  • Handwashing
    • Vigorous, brief rubbing together of all surfaces of the hands, lathered in soap solution, followed by rinsing under a stream of water
    • Purpose is to remove soil and transient micro-organisms from the hands, and to reduce total microbial counts over time
  • Transient bacteria
    • Transient – bacteria picked up in usual ADL’s, which attach loosely to the skin, and are in increased numbers under the fingernails
    • Removed with relative ease, with frequent, thorough washing
    • Can become resident if in large enough numbers for long enough
  • Resident bacteria
    • Bacteria which reside on the skin surfaces, and in skin creases, under tight jewellery etc
    • Cling to the skin, requiring relative friction to remove or reduce them
    • NOT POSSIBLE to clean skin of all bacteria
  • When to handwash?
    • Basic hygiene in relation to self
    • Before and after work shift
    • Before and after client contact
    • When hands are visibly soiled
    • After contact with any possible source of micro-organisms, ie blood, body fluids, or inanimate contaminated objects, ie bedlinen
    • With clients who are particularly susceptible to infection, ie elderly, those with decreased immunity
    • After the use of gloves or other protective barriers
    • WHENEVER in DOUBT !!
  • Other hand cleansing
    • Some agencies utilising alcohol-based hand rubs for bactericidal activity, in place of some handwashing episodes
    • Not an absolute substitute for handwashing
    • Will not work effectively on grossly soiled hands – still need to wash!
  • Handwashing Techniques
    • Handwashing terms : routine
    • simple
    • Both refer to short, frequent washing episodes occurring throughout a contact period
  • General hand/skin care to prevent irritant dermatitis
    • Need to cover any cuts, skin breaks with an occlusive dressing, and wear gloves if potential for contact exists
    • Short fingernails
    • Apply soap solution to wet hands, rinse very thoroughly, dry thoroughly
    • Hand cream/lotion to moisturise
  • Latex sensitivity
    • A sensitivity reaction r/t prolonged exposure to natural rubber latex (used in gloves) can leave skin red, dry, inflamed, and with chronic dermatitis
    • Can get latex/powder free gloves
    • Some people are acutely allergic to all latex products