Hand hygiene for patients


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Hand hygiene for patients

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  • The benefits of using ABHR are many but your HCWs need to know them.We didn’t want people to think that HCW’s did not previously wash their hands but that this a was another way to undertake HH, both were OKThis is where the fun began we needed to have project launches and introduce the new alcoholic chlorhexidine hand rubs into our sentinel wards. The ultimate aim being that eventually every bed will have a bottle attached to the end of it ( where appropriate) and in ICU on every trolley next to the beds.Also we were encouraging the use of alcohol impregnated wipes in all clinical areas for shared equipment and the regular use of a compatible moisturiser.The culture change had started but the word had to get out there on when to use the products so education was needed to inform everyone and l mean everyone about the exciting new project.Each research nurse ran countless number of education sessions endeavouring to get to all staff from the chaplaincy to the surgeons, all came in at night and early morning to make sure that all staff were targeted. Many sites implemented a learning package aimed at educating all new staff about the HH project , this package consisted of a short educational session either in paper form or on the computer which requires staff to then answer a series of questions about how, why, when and with what we preform HH, with the long term aim to eventually get existing staff to sit the short test annually.Getting to staff as early as possible into their training is important, so educating all students on their rotations proved essential. Ideally HH will become a part of the itinerary at Victorian universities in the not too distant future.All 6 pilot sites have permanent sessions during their hospitals orientation sessions
  • Hand hygiene for patients

    1. 1. HAND HYGIENE FOR PATIENTS( what patients should know ) Dr.T.V.Rao MD Dr.T.V.Rao MD 1
    2. 2. Hand hygiene is the single most effective way to prevent infectionDr.T.V.Rao MD 2
    3. 3. Patients too should practice Hand Hygiene• One of the best ways to stop the spread of Microbes is for PATIENTS and our healthcare providers is to practice good hand hygiene by washing or decontaminating your hands. Dr.T.V.Rao MD 3
    4. 4. IMPROVING YOUR HAND HYGIENE PRACTICES Important topics:•Why should we clean our hands?•Barriers to frequent hand washing•How do hands become contaminated?•Advantages of alcohol-based hand rubs•New Hand Hygiene Recommendations Dr.T.V.Rao MD 4
    5. 5. Does hand washing really reduce the spread of bacteria in healthcare settings?Yes!A scientific study performed in a hospitalnursery found that when nurses did not washtheir hands between patient contacts, babiesacquired Staph bacteria much more frequentlythan babies cared for by nurses who washedtheir hands with an antimicrobial soap.Several other studies also show that washinghands between patient contacts reduces thespread of bacteria in healthcare. Dr.T.V.Rao MD 5
    6. 6. Patients too become care takers of the Self with Hand Hygiene• Providing patients with the tools and knowledge to perform proper hand hygiene empowers the patient to take charge and be a part of their care and safety while in the hospital Dr.T.V.Rao MD 6
    7. 7. •Artificial fingernails, gel nails or extenders should notbe worn•Natural nail tips should not be longer than 0.635 cm(1/4 inch) long•Nail polish should be removed when chipped•Avoid wearing hand jewellery Dr.T.V.Rao MD 7
    8. 8. Hand Hygiene DefinitionsHand washing The application of non-antimicrobial soap and water to the surface of the handsAntiseptic hand wash Washing hands with water and soap or other detergents containing an antiseptic agentAlcohol-based hand rub an alcohol-containing preparation designed for application to the hands in order to reduce the number of viable organisms with maximum efficacy and speedSurgical hand hygiene/antisepsis Hand washing or using an alcohol-based hand rub before operations by surgical personnel Dr.T.V.Rao MD 8
    9. 9. Evidence of Relationship Between Hand Hygiene and Healthcare-Associated Infections Substantial evidence that hand hygiene reduces the incidence of infections Historical study: Semmelweiss More recent studies: rates lower when antiseptic hand washing was performed Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16. Dr.T.V.Rao MD 9
    10. 10. When the Patients Wash Your Hands• Children and adults should wash their hands with soap and water:• When hands are visibly dirty• Before eating• Before preparing food items• After contact with any body fluids such as blood, urine or vomit• After changing infant or adult diapers• After touching animals and pets Dr.T.V.Rao MD 10
    11. 11. When you practice Hand Hygiene• After using the restroom• After blowing your nose, coughing or sneezing• Before and after touching a sick or injured person• Before and after visiting a hospital ward Dr.T.V.Rao MD 11
    12. 12. How to Wash Your Hands the Right Way• Wet hands with water.• Apply soap to hands. Liquid soap is best; germs can live on bar soap, but if used, it should be stored on a rack between uses.• Rub hands vigorously together for at least 15 seconds (say the ABCs or sing “Row, Row, Row your• Boat” to make sure you’ve washed long enough).• Cover all surfaces of hands, fingers and thumbs. Dr.T.V.Rao MD 12
    13. 13. Dr.T.V.Rao MD 13
    14. 14. What patients can practice at Home• Before you wash your hands, take off any jewellery.• When you wash with soap, use regular liquid soap. You don’t need antibacterial soap to remove dirt and germs. In fact, using antibiotics when they aren’t needed can lead to antibiotic resistance – thats when germs get stronger and harder to kill.• Use moisturizer on your hands. Washing your hands can dry out your skin. If your skin is dry, it can develop small cracks, where germs can hide. So put moisturizer on your hands after cleaning them. Dr.T.V.Rao MD 14
    15. 15. Drying Hands after Washing • Rinse hands well to remove soap residue. • Dry hands gently using soft paper towels; if using cloth towels, remember that damp towels may harbour germs. • Use towel to turn off faucet. Dr.T.V.Rao MD 15
    16. 16. Drying Hands Paper Towel in Better• According to a new study released by the Mayo Clinic, drying hands with a paper towel is more effective when compared with cloth towels and electric air dryers (i.e. hot air dryers and jet air dryers). The research, conducted , reviewed 12 studies on the hygienic efficacy of different hand drying methods. This included drying efficiency, the removal of bacteria and the prevention of cross-contamination. Dr.T.V.Rao MD 16
    17. 17. When to Use Alcohol Hand Rubs• Perform routine cleaning of hands anytime they are not visibly dirty If you have contact with contaminated objects in the environment• Before and after you care for or have contact with someone who is very sick, very old or very young Dr.T.V.Rao MD 17
    18. 18. When to Use Alcohol Hand Rubs • After touching another person’s intact skin (shaking hands, holding hands, especially when the other person has a cold or other illness) • When you simply want to decontaminate handsWhen soap and water are not available Dr.T.V.Rao MD 18
    19. 19. Why Use ABHR ??Reduces bacterial count on handsMore effective for standard hand washReduces adverse outcomes and cost associated with HAI’sRequires less timeLess irritatingCan be readily accessible/ portable Dr.T.V.Rao MD 19
    20. 20. •Apply 2-3 mls of product to the palm ofone hand•Rub hands together, covering all handsurfaces, including fingernails, webspaces, thumbs & palms.•Ensure hands are dry before performinganother task (dries within 15-20seconds).NB: Alcohol products are flammable. Dr.T.V.Rao MD 20
    21. 21. How to do it• Apply product to palm of one hand. Rub hands together. Cover all surfaces of hands and fingers.• When using alcohol hand rubs, you have used enough (about 1/2 tsp.) if it takes 25-30 seconds to dry on your hands.• Do not wipe off alcohol hand rubs. Let hands air dry. Dr.T.V.Rao MD 21
    22. 22. Easy Message SQUIRT RUB ROLLone squirt (1-3 ml) to rub hands together covering apply to palm your hands all aspects of your fingers & hands until dry Dr.T.V.Rao MD 22
    23. 23. Better alcohol rubs• Choose alcohol hand rubs containing at least 60% alcohol, listed as ingredients isopropyl, ethanol or n-propanol. Choose alcohol hand rubs with 1-3% glycerol or other skin conditioning agents. These conditioners are added to alcohol hand rubs to restore moisture to the skin. Alcohol-based hand rubs, rinses or gels that contain conditioners cause much less skin irritation and dryness than plain or antimicrobial hand rubs. Dr.T.V.Rao MD 23
    24. 24. If You Have Dry Skin• It is not necessary, or recommended, to routinely wash your hands after using alcohol-based hand rubs.• Use of antimicrobial hand wipes is considered equal to hand washing; BUT not as effective in killing germs as using alcohol hand rubs.• When used on dry or chafed skin, alcohol may cause a temporary stinging effect; however, if products are chosen carefully, the chance of this is greatly decreased. Dr.T.V.Rao MD 24
    25. 25. Some one sick at Home- All inmates must Practice Hand Washing• When someone in your home is sick, its extra important to wash your hands properly. Make sure everyone in the home washes their hands properly and often. Give the sick person her own hand towel to dry her hands; no one else should use her towel. Put out clean hand towels every day: one for the sick person, another for the healthy people. Or use disposable hand towels Dr.T.V.Rao MD 25
    26. 26. • Programme Created by Dr.T.V.Rao MD for Everyone on the Hand Hygiene Practices • Email • doctortvrao@gmail.com Dr.T.V.Rao MD 26