Hand Hygiene CHCIC301A
Hand cleansing <ul><li>Most important and basic technique, both personally, and as a carer or health care worker </li></ul...
Handwashing <ul><li>Vigorous, brief rubbing together of  all surfaces  of the hands, lathered in soap solution, followed b...
Transient bacteria <ul><li>Transient  – bacteria picked up in usual ADL’s, which attach loosely to the skin, and are in in...
Resident bacteria <ul><li>Bacteria which reside on the skin surfaces, and in skin creases, under tight jewellery etc </li>...
When to handwash? <ul><li>Basic hygiene in relation to self  </li></ul><ul><li>Before and after work shift </li></ul><ul><...
<ul><li>With clients who are particularly susceptible to infection, ie elderly, those with decreased immunity </li></ul><u...
Other hand cleansing <ul><li>Some agencies utilising alcohol-based hand rubs for bactericidal activity, in place of  some ...
Handwashing Techniques <ul><li>Handwashing terms : routine </li></ul><ul><li>simple </li></ul><ul><li>Both refer to short,...
General hand/skin care to prevent irritant dermatitis <ul><li>Need to cover any cuts, skin breaks with an occlusive dressi...
Latex sensitivity <ul><li>A sensitivity reaction r/t prolonged exposure to natural rubber latex (used in gloves) can leave...
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Hand hygiene

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Hand hygiene

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

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