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HAND HYGIENE




Hands are the most common vehicle of
transmission of organisms

“HAND HYGIENE” has been
recognized as the single most
important way to prevent the
transmission of infectious
agents.
Hand Hygiene in Healthcare Settings: An
                  Overview
 Background
 Definitions
 Indications
 Selection of Agents
 Techniques
 Surgical
 Other
Hand HygienHand Hygiene


All visitors and staff should wash their hands:
Before entering the unit
Before and after any pt contact
Before performing any invasive procedures

Before administration of IV fluids or medications
After touching the environmental surfaces
After removing gloves
Whenever soiled
So Why All the Fuss About Hand Hygiene?

 Most common mode of transmission of
 pathogens is via hands!

 Infections acquired in healthcare
 Spread of antimicrobial resistance
The places where   The places which we miss...always
they reside
The common places .....




The comon places where the organisms are hidden
Self-Reported Factors for Poor Adherence with
                Hand Hygiene
 Handwashing agents cause irritation and dryness
 Sinks are inconveniently located/lack of sinks
 Lack of soap and paper towels
 Too busy/insufficient time
 Understaffing/overcrowding
 Patient needs take priority
 Low risk of acquiring infection from patients
Definitions

 Hand hygiene
    Performing handwashing, antiseptic handwash, alcohol-based
     handrub, surgical hand hygiene/antisepsis
 Handwashing
    Washing hands with plain soap and water
 Antiseptic handwash
    Washing hands with water and soap or other detergents
     containing an antiseptic agent
 Alcohol-based handrub
    Rubbing hands with an alcohol-containing preparation
 Surgical hand hygiene/antisepsis
    Handwashing or using an alcohol-based handrub before
     operations by surgical personnel
Indications for Hand Hygiene

 When hands are visibly dirty, contaminated, or
 soiled, wash with non-antimicrobial or antimicrobial
 soap and water.
 If hands are not visibly soiled, use an alcohol-based
 handrub for routinely decontaminating hands.
Specific Indications for Hand Hygiene

 Before:
   Patient contact
   Donning gloves when inserting a CVC
   Inserting urinary catheters, peripheral vascular catheters, or
    other invasive devices that don’t require surgery
 After:
   Contact with a patient’s skin
   Contact with body fluids or excretions, non-intact skin, wound
    dressings
Hand hygiene
Efficacy of Hand Hygiene Preparations in Killing
                   Bacteria



    Good             Better            Best




   Plain soap     Antimicrobial soap   Alcohol based
                                       solution.
Fingernails and Artificial Nails

 Natural nail tips should be kept to ¼ inch in length




 Artificial nails should not be worn when having
 direct contact with high-risk patients (e.g., ICU,
 OR)
Alcohol-Based Handrubs: What benefits do they
                   provide

 Require less time
 More effective for standard handwashing than
 soap
 More accessible than sinks
 Reduce bacterial counts on hands
 Improve skin condition
BACTERIA ARE EVERYWHERE
Summary




PREVENTION
IS PRIMARY!
What next..



   Follow hand hygiene
HAND WASHING REDUCE HAI
    Key Points

      • Hand hygiene is not optional.
      • Every health care worker
        should master hand hygiene.
      • Hand hygiene should be used
        diligently to improve patient
        safety.
      • Due to growing knowledge
        patients expect you to follow
        hand hygiene
Hand hygiene ppt

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Hand hygiene ppt

  • 1. HAND HYGIENE Hands are the most common vehicle of transmission of organisms “HAND HYGIENE” has been recognized as the single most important way to prevent the transmission of infectious agents.
  • 2. Hand Hygiene in Healthcare Settings: An Overview  Background  Definitions  Indications  Selection of Agents  Techniques  Surgical  Other
  • 3. Hand HygienHand Hygiene All visitors and staff should wash their hands: Before entering the unit Before and after any pt contact Before performing any invasive procedures Before administration of IV fluids or medications After touching the environmental surfaces After removing gloves Whenever soiled
  • 4. So Why All the Fuss About Hand Hygiene?  Most common mode of transmission of pathogens is via hands!  Infections acquired in healthcare  Spread of antimicrobial resistance
  • 5. The places where The places which we miss...always they reside
  • 6. The common places ..... The comon places where the organisms are hidden
  • 7. Self-Reported Factors for Poor Adherence with Hand Hygiene  Handwashing agents cause irritation and dryness  Sinks are inconveniently located/lack of sinks  Lack of soap and paper towels  Too busy/insufficient time  Understaffing/overcrowding  Patient needs take priority  Low risk of acquiring infection from patients
  • 8. Definitions  Hand hygiene  Performing handwashing, antiseptic handwash, alcohol-based handrub, surgical hand hygiene/antisepsis  Handwashing  Washing hands with plain soap and water  Antiseptic handwash  Washing hands with water and soap or other detergents containing an antiseptic agent  Alcohol-based handrub  Rubbing hands with an alcohol-containing preparation  Surgical hand hygiene/antisepsis  Handwashing or using an alcohol-based handrub before operations by surgical personnel
  • 9. Indications for Hand Hygiene  When hands are visibly dirty, contaminated, or soiled, wash with non-antimicrobial or antimicrobial soap and water.  If hands are not visibly soiled, use an alcohol-based handrub for routinely decontaminating hands.
  • 10. Specific Indications for Hand Hygiene  Before:  Patient contact  Donning gloves when inserting a CVC  Inserting urinary catheters, peripheral vascular catheters, or other invasive devices that don’t require surgery  After:  Contact with a patient’s skin  Contact with body fluids or excretions, non-intact skin, wound dressings
  • 12. Efficacy of Hand Hygiene Preparations in Killing Bacteria Good Better Best Plain soap Antimicrobial soap Alcohol based solution.
  • 13. Fingernails and Artificial Nails  Natural nail tips should be kept to ¼ inch in length  Artificial nails should not be worn when having direct contact with high-risk patients (e.g., ICU, OR)
  • 14. Alcohol-Based Handrubs: What benefits do they provide  Require less time  More effective for standard handwashing than soap  More accessible than sinks  Reduce bacterial counts on hands  Improve skin condition
  • 15.
  • 16.
  • 18.
  • 19.
  • 21. What next..  Follow hand hygiene
  • 22. HAND WASHING REDUCE HAI Key Points • Hand hygiene is not optional. • Every health care worker should master hand hygiene. • Hand hygiene should be used diligently to improve patient safety. • Due to growing knowledge patients expect you to follow hand hygiene