This presentation discusses hand hygiene for nurses. It covers who should practice hand hygiene, what hand hygiene is, where it should be performed, when the five moments for hand hygiene are, and how to properly perform hand hygiene using alcohol-based rubs or soap and water. The presentation emphasizes that hand hygiene, including proper hand washing technique, is the most important way to prevent the spread of infection in healthcare settings.

1. HAND HYGINIE
Asst. Prof. ALBERT BLESSON.V .M.Sc(N).,MBA(Hospital Management)
Specialization – Medical Surgical Nursing
MOUNT ZION COLLEGE OF NURSING PUDUKOTTAI

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HYGIENE

3. This presentation will take you through the who, what, where, why,
when and how of hand hygiene. Some important points will be reviewed to
improve your hand hygiene practice.
By the end of this presentation you will be able to:
• Identify who should practice hand hygiene
• Describe what hand hygiene is
• Identify where hand hygiene practice should take place
• Explain why hand hygiene is important
• Describe when hand hygiene is to be performed
• Describe how to perform hand hygiene using various methods
• Describe tips for success for effective of hand hygieneMOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE

4. HAND WASHING
Hand washing is well
researched and uncontroversial
single most important
procedure for preventing
nosocomial infection as hands
have been shown to be
important route of transmission
of infection
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE

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HYGIENE
EXAMPLES OF RISK SURFACES WITH
FREQUENT HAND AND SKIN CONTACT:
Near-patient surfaces: infusion stands, wet areas,
monitors, medical devices, work surfaces used for
aseptic activities, bedframes, bedside tables, trays,
patient stretchers.
Other surfaces in the hospital: shelves, doorknobs,
light switches, handrails, operating elements of
vending machines.

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7. The “who, what, where,
when, how and why” of
Hand Hygiene
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE

8. What is Hand Hygiene?
Hand Hygiene includes cleaning hands
with soap and water or alcohol-based hand
rub in order to remove germs, also known as
microorganisms.
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE

9. Where should you perform Hand Hygiene?
• Busy health care providers need access to hand hygiene products
where patient or patient environment contact is taking place.
• Hand hygiene is important in all work settings, including Acute
Care, Long Term Care Facilities, Community and Corporate sites.
• Providing alcohol-based hand rub at the point of care (within
arm’s reach) is an important system support to improve hand
hygiene.
• This enables health care providers to quickly and easily fulfill the 5
Moments for Hand Hygiene
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE

10. POINTS OF CARE
MOUNT ZION COLLEGE OF NURSING-HAND
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THE PATIENT THE HEALTH CARE PROVIDER
CARE INVOLVING CONTACT

11. When do you perform Hand Hygiene?
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE

12. MOMENT 1. BEFORE CONTACT WITH A
PATIENT OR PATIENT ENVIRONMENT
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE
BEFORE SHAKING
HANDS
BEFORE TRANSFERRING
Clean your hands when entering or before
touching the patient( Vitals, chest auscultation,
abdominal palpation.)

13. MOMENT 2. BEFORE ASEPTIC/CLEAN
PROCEDURE
Oral/dental care,injection,catheter insertion,vascular
access ,preparation of medication ,dressing sets, food
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE
Handling dressings or
touching open wounds
Performing invasive
procedures
This prevents the patient’s own
organisms from entering his or
her body.
Clean your hands immediately before any
aseptic or clean procedure to protect the
patient against harmful organisms.

14. Moment 3. After body fluid exposure
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE
Contact with blood,
bodily fluids, non-
intact skin or mucous
membranes,
Removal of gloves Contact with
contaminated items
Clean your hands immediately after an exposure risk to body
fluids (and after glove removal).

15. Moment 4. After contact with a patient
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE
Shaking hands
Transferring Making someone
comfortable in bed

16. Moment 5. After contact with the patient
environment
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE
Contact with room
Contact with equipment
Contact with wheelchair
or stretcher
Clean your hands when leaving after touching any
object or furniture in the patient’s environment

17. How to perform hand hygiene?
Proper technique is important when
it comes to effective hand hygiene. Without
proper hand hygiene technique, we can still
spread many microorganisms with our hands.
This section will cover the proper techniques
for the following methods:
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE

18. Alcohol-based hand rub
Alcohol-based hand
rub is the recommended
method of hand hygiene
in any healthcare
setting when hands are
not visibly soiled.
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE

19. Soap and Water
Soap and water is the recommended method
when hands are visibly soiled. Plain soap is used
for routine hand hygiene while anti-microbial
soap is used in acute care high-risk areas.
MOUNT ZION COLLEGE OF NURSING-HAND
HYGIENE

20. Hands are soiled and no water
On occasion, you may find yourself with soiled
hands and no access to running water. When access to
hand washing facilities is limited and running water is
unavailable, use a moist towelette to remove visible soiling
from hands followed by alcohol-based hand rub.
MOUNT ZION COLLEGE OF NURSING-HAND
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21. Steps to perform hand hygiene? With Alcohol based formulation
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Steps to perform hand hygiene? With soap & water

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35. 10 HANDWASHING DO’S AND DON’TS
• DO wet hands thoroughly under clean running water, either warm or
cold.
• DO apply mild soap to hands and work into a lather, rubbing hands
together for at least 20 seconds. Together, the soap and the friction
created by rubbing loosen and remove dirt and germs.
• DO cover all surfaces of the hands, including the front and back, the
wrists, between fingers and under fingernails.
• DO keep hands and forearms lower than the elbows to prevent water
from flowing from the most contaminated area to the least
contaminated area.
• DO dry hands thoroughly with an air dryer or clean paper towel. If
possible, turn off the water faucet using the towel.MOUNT ZION COLLEGE OF NURSING-HAND
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36. • DON’T use hot water to wash hands. Hot water has not been proven to remove
more germs and tends to promote chapping of the skin, making it more
susceptible to bacteria.
• DON’T allow water to run over hands while lathering. This washes soap away and
makes handwashing less effective.
• DON’T touch the sink surface after washing your hands. It is contaminated with
microbes.
• DON’T spend extra money on antibacterial soap. Antibacterial soaps are no more
effective at killing germs than regular soap, and may even promote the
development of resistant bacteria.
• DON’T skip handwashing if soap and running water are not available. Instead, use
an alcohol-based hand sanitizer that contains at least 60% alcohol.
MOUNT ZION COLLEGE OF NURSING-HAND
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37. WHAT IS THE DIFFERENCE BETWEEN MEDICAL
HANDWASHING AND SURGICAL HANDWASHING?
• Medical hand washing.
• Surgical hand washing is done before carrying out any
surgical procedures. It usually involves changing in to
theatre clothes and scrubbing the hands up to the
elbows with antiseptics like Iodine and chlorhexidine,
and after drying putting on sterile gowns and gloves
before starting the operation
MOUNT ZION COLLEGE OF NURSING-HAND
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38. cont
• Remove debris and transient microorganisms
from the nails, hands, and forearms
• Reduce the resident microbial count to a
minimum
• Inhibit rapid rebound growth of
microorganisms
MOUNT ZION COLLEGE OF NURSING-HAND
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