Examples<br />Before Patient<br />Shaking hands, helping a patient to move around, getting washed, taking pulse, blood pressure, chest auscultation, abdominal palpation<br />Before clean/ aseptic procedure<br />Oral/dental care, secretion aspiration, skin lesion care, wound dressing, subcutaneous injection; catheter insertion, opening a vascular access system; preparation of food, medication, dressing sets<br />
After body fluid exposure risk<br />Oral/dental care, secretion aspiration; skin lesion care, wound dressing, subcutaneous injection; drawing and manipulation any fluid sample, opening draining system, endotracheal tube insertion and removal; clearing up urines, faces, vomit; handling waste (bandages, napkin, incontinence pads); cleaning of contaminated and visibly soiled material or areas (lavatories, medical instruments)<br />
After touching a patient<br />Shaking hands, helping a patient to move around, getting washed, taking pulse, taking blood pressure, chest auscultation, abdominal palpation<br />After touching patient surroundings<br />Changing bed linen, perfusion speed adjustment, monitoring alarm, holding a bed rail, clearing the bedside table<br />
Why we need to wash our hands?<br />Hand washing helps to remove micro-organisms.<br />Soap and water <br />kills many transient micro-organisms that are mechanically removed by rinsing.<br />Antimicrobial products <br />kills or inhibits the growth of micro-organisms in deep layers of the skin<br />
TWO METHODS OF HANDWASHING<br />1. SOAP & WATER<br />2. HAND RUB<br />
Recommended Handwashing Soap<br />Soap; bar, liquid or foam dispenser<br />Anti-microbial soaps are slightly more effective than regular soaps.<br />When hands are visibly dirty, soiled with blood or other body fluids, or after using the toilet.<br />But, frequent handwashing often causes skin irritation and dryness. <br />Hand Sanitizer; gels, rinses, or foams<br />Less time, fast action, more effective, more accesible and most efficacious antimicrobial agents<br />60 – 80% alcohol (Dix, 2010) - rapid and optimal antimicrobial spectrum; bacteria, viruses, yeasts, and fungi <br />Hypoallergenic <br />Odorless<br />Colorless<br />
7 Steps of Handwashing with Soap and Water<br />
7 Steps of Handwashing with Hand Sanitizer<br />
Handwashing Videos<br />Handwashing with soap and water. Available at: http://www.youtube.com/watch?v=WYj2kkSIsOc&feature=related<br />Handwashing with Hand rub. Available at: http://www.youtube.com/watch?v=JHoPQTTfCv0<br />
Proper Ways of Using Hand Sanitizer<br />heel of your palm<br />elbow<br />
Reference<br />Alcohol Hand Rub & Hand Hygiene<br />CDC's Endorsement of Alcohol Hand Rubs Launches New Era in Hand Hygiene<br />Improving Adherence to Hand Hygiene Practice: A Multidisciplinary Approach<br />Infection Control Advice to Contacts of Suspect or Probable SARS cases: Handwashing<br />World Health Organization Issues Guidelines on Hand Hygiene in Healthcare<br />An Evaluation of Handwashing Technique<br />
Evidence Based Hand Hygiene<br />Recommendations from the CDC Guideline for Hand Hygiene in Healthcare Settings. Available at: http://solutions.3m.com/3MContentRetrievalAPI/BlobServlet?locale=en_US&lmd=1145337135000&assetId=1114284208573&assetType=MMM_Image&blobAttribute=ImageFile<br />
"Proper handwashing with soap and water is an important barrier to many infectious diseases and promotes better health and well-being…handwashing is one of the most practical and effective ways of preventing the spread of disease." World Health Organization (WHO)<br />
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