Only vigorous washing with soap and water can get rid of the spores from C difficile (a spore forming microbe). C difficile is highly contagious and can be passed from patient to patient if hands are not properly washed.
BestCare Laboratory Services HAND HYGIENE SAVES LIVES
Impact of Health-careAcquired Infections Healthcare acquired infections occur in 5 to 10% of patients admitted to acute care hospitals in the US Direct costs of excess hospital stay exceed $10 billion annually Caused over 88,000 deaths in 1995- one death every 6 minutes UPMC Institute for Performance Improvement
Prevention of Health-careAcquired Infections About 1/3 of all Health-care Acquired infections are Preventable Infection Control measures are VERY Cost Effective * Hand Hygiene (HH) * Alcohol Sanitation * Antimicrobial Soaps * Personal Protective Equipment (PPE)
Benefits of Hand Hygiene can decrease infection rates is the most important procedure for preventing health-care acquired infections can prevent transmission of bacteria to other Health Care Workers and their families Bryan, Infection Control in Critical Care, 1996:7:617 MMWR, 1987:37:24 – Copyright UPMC Institute for Performance Improvement
CDC Recommendations forAlcohol Based Hand Rub If hands are not visibly soiled, use an alcohol based hand rub * apply golf ball size portion to palm of one hand and rub hands together, covering all surfaces of hands and fingers until hands are dry.
CDC Recommendations forHand Washing (Soap &Water) If hands are visibly soiled or contaminated with proteinaceous material, blood or other body fluids: wash hands with either a non-microbial soap and water or an antimicrobial soap and water for at least 15 seconds. Soap and Water must if patient is diagnosed with C. difficile.
Hand Washing Technique Avoid hot water – hot water may increase the risk of dermatitis Wet hands with water Apply soap Rub hands together for at least 15 seconds Rinse hands Dry thoroughly with a disposable towel Use towel to turn off the faucet
When To Perform HandHygiene - THE BEFORES Before having direct patient contact. Before donning gloves when performing phlebotomy.NOTE: Always dispose of gloves before leaving the patient’s room.
When To Perform HandHygiene – THE AFTERS After contact with patient’s intact skin. After contact with bodily fluids or excretions, mucous membranes, non- intact skin or wound dressings. After contact with inanimate objects (i.e., medical equipment) in the immediate vicinity of the patient. After removing gloves.
Making a Difference It is estimated that in US hospitals, appropriate hand hygiene only occurs about 50% of the time. Some ICU’s rates have been reported as low as 17% Most attempts to improve hand hygiene are only associated with a short lived improvement. CHANGING THE CULTURE IS THE ONLY WAY TO MAKE A DIFFERENCE. CHANGING THE CULTURE REQUIRES ACTIVE INVOLVEMENT FROM ALL WITH A COMMITMENT TO PERFORM APPROPRIATE HAND HYGIENE 100% OF THE TIME.
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