OCT 15- world hand hygiene day
A range of strategies for hand hygiene promotion and improvement have been proposed, and the WHO First.
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Hand washing, also known as hand hygiene, is the act of cleaning hands for the purpose of removing soil, dirt, and microorganisms. If water and soap is not available, hands can be cleaned with ash instead. Medical hand hygiene refers to hygiene practices related to medical procedures.
this ppt help to student for gainning information regarding the hand hygiene is important in our daily routine, in the health care sector along with the community sector which is use their daily routine patient care. & prevent the cross infection during care of patient, patient's family as were health care person.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washingSteps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
Hand washing, also known as hand hygiene, is the act of cleaning hands for the purpose of removing soil, dirt, and microorganisms. If water and soap is not available, hands can be cleaned with ash instead. Medical hand hygiene refers to hygiene practices related to medical procedures.
this ppt help to student for gainning information regarding the hand hygiene is important in our daily routine, in the health care sector along with the community sector which is use their daily routine patient care. & prevent the cross infection during care of patient, patient's family as were health care person.
Surgical Hand Washing
By Josfeena Bashir
Lecturer, BGSBU, Jammu
Introduction
During the 19th century, surgical hand preparation consisted of washing the hands with antimicrobial soap and warm water, frequently with the use of a brush.
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Surgical hand washingSteps of procedure
Done mask, hair cover and booties, if required
Perform 5 to 10 minute surgical scrub using counted brush stroke method.
Remove rings, chipped nail polish and watch.
Contd….
Wet hands and arm from elbows to fingerprints under flowing water (use sink with side or foot pedal).
Place soap, preferably antimicrobial/ bacteriostatic, on hands and rub vigorously for 15 to 30 seconds; use scrub brush gently
Contd….
Using circular motion, scrub all skin areas, joints, fingernails, between finger and so forth (on all sides and 2 inches above elbows); slide ring, if present, up and down while rubbing fingers.
Continue scrub for 5 to 10 min or per agency policy.
Contd…
Rinse hands from fingers to elbow under flow of water.
Repeat soaping, rubbing and rinsing until hands and arms are clean.
Pat hands dry with sterile towel, moving from fingers to wrist.
This PPT is for the all the nursing staff and student working at clinical sided to control infection, maintain aseptic technique while doing procedure and compulsory use the PPE.
Demonstration on Medical Hand Washing
Prepared By
Josfeena Bashir
Lecturer, BGSBU,Jammu
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Medical hand washingSteps of procedure
File the nails short, ensure the nails are free of nail polish.
Removal all jewellery and wrist watch.
Wet hands from wrist to fingertips under flowing water.
Keep hand and forearms lower than elbows during washing.
Contd…..
Place soap, preferably bacteriostatic, on hands and rub vigorously for 15 to 30 seconds, massing all skin areas, joints, fingernails, between fingers and so forth; slid ring up and down while rubbing fingers ( if unable to remove)
Rinse hands by holding the hands lower than the elbow so that water flows from arm to finger tips.
Dry hands with paper from towel, moving from fingers to wrist to forearm.
Conclusion
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms
Research shows that washing hands with soap and water could reduce deaths from diarrheal disease by up to 50%. Researchers estimate that if everyone routinely washed their hands, 1 million deaths a year could be prevented. A large percentage of foodborne disease outbreaks are spread by contaminated hands
A simple way to stay healthy
Hand washing doesn't take much time or effort, but it offers great rewards in terms of preventing illness. Resolve today to adopt this simple habit as a way to help protect your health.
This PPT is for the all the nursing staff and student working at clinical sided to control infection, maintain aseptic technique while doing procedure and compulsory use the PPE.
Demonstration on Medical Hand Washing
Prepared By
Josfeena Bashir
Lecturer, BGSBU,Jammu
Definition
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms. For routine client care, the CDC recommends a vigorous hand washing under a stream of water for at least 10 seconds using soap.
Purpose
To remove transient and resident bacteria from fingers, hand and forearms.
To prevent the risk of transmission of infection to patients.
To reduce the risk of transmission of infection organisms to oneself.
To prevent cross infection among clients.
Equipments/ Articles Used For Hand Washing
Soap in a soap dish
Bacteriocidal or antimicrobial soap.
Surgical scrub brush
Running water
Towel/ sterile towels
Medical hand washingSteps of procedure
File the nails short, ensure the nails are free of nail polish.
Removal all jewellery and wrist watch.
Wet hands from wrist to fingertips under flowing water.
Keep hand and forearms lower than elbows during washing.
Contd…..
Place soap, preferably bacteriostatic, on hands and rub vigorously for 15 to 30 seconds, massing all skin areas, joints, fingernails, between fingers and so forth; slid ring up and down while rubbing fingers ( if unable to remove)
Rinse hands by holding the hands lower than the elbow so that water flows from arm to finger tips.
Dry hands with paper from towel, moving from fingers to wrist to forearm.
Conclusion
Hand washing is important in every setting, including hospital. It is an effective infection control measures, as it prevent spread of micro organisms
Research shows that washing hands with soap and water could reduce deaths from diarrheal disease by up to 50%. Researchers estimate that if everyone routinely washed their hands, 1 million deaths a year could be prevented. A large percentage of foodborne disease outbreaks are spread by contaminated hands
A simple way to stay healthy
Hand washing doesn't take much time or effort, but it offers great rewards in terms of preventing illness. Resolve today to adopt this simple habit as a way to help protect your health.
Wet your hands with clean, running water (warm or cold), turn off the tap, and apply soap. Lather your hands by rubbing them together with the soap. Lather the backs of your hands, between your fingers, and under your nails. Scrub your hands for at least 20 seconds.
Standard precautions are meant to reduce the risk of transmission of blood borne and other pathogens from both recognized and unrecognized sources.
They are the basic level of infection control precautions which are to be used, as a minimum, in the care of all patients.
Standard safety precautions are the basic infection prevention and control measures necessary to reduce the risk of transmission of infectious agent from both unrecognized and unrecognized sources of infection.
The elements of Standard Precautions include:
Hand hygiene.
Use of gloves and other barriers (e.g., mask, eye protection, face shield, gown).
Handling of patient care equipment and linen.
Environmental control.
Prevention of injury from sharps devices, and patient placement.
Respiratory hygiene and cough etiquette
this is brief study describes the aspects of iv cannulation for students and aspirants , this slide briefly comprises all the major aspects of cannulation .......................
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Wilsons disease- A brief medical study. martinshaji
this brief study describes all the basic aspects of Wilsons disease , including management. as this is a congenital abnormality associated with severe complications on the future proper diagnosis management , and lifestyle modifications , …..surgical options are also needed ,if necessary .
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Communicable diseases and causative agents- a detailed chart martinshaji
A communicable disease is one that is spread from one person to another through a variety of ways that include contact with blood and bodily fluids; breathing in an airborne virus or by being bitten by an insect................................................................this chart provides a clear idea regarding almost all communicable disease and their causative agents
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TDM of drugs used in organ transplantation-detailed studymartinshaji
Therapeutic drug monitoring (TDM) is testing that measures the amount of certain medicines in your blood. It is done to make sure the amount of medicine you are taking is both safe and effective. Most medicines can be dosed correctly without special testing. the slide explain all the tdm aspects of the drug in detail / Therapeutic drug monitoring (TDM) is testing that measures the amount of certain medicines in your blood. It is done to make sure the amount of medicine you are taking is both safe and effective. Most medicines can be dosed correctly without special testing.
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Organophosphate poisoning - a brief toxicological study martinshaji
this is a brief study on organophosphate poisoning , as it being more common problem in the health sector and emergency medicine now a days , this will be much helpful among health professionals .........text me for more topics
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this case study describes about maxillofacial trauma , which details about the treatment, management , diagnosis, surgical options, patient counselling, pharmacist interventions & discussions are followed in this case .
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Sleep disorders - a brief medical study martinshaji
A sleep disorder is any condition that involves difficulty experienced when sleep , such disorders involve daytime fatigue causing severe distress and impairment to work.
SD also have an impact upon social and personal functioning
this is a brief study on all aspects of this ...............
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A case study on Pangastritis with pancreatitis martinshaji
this case study describes about Pangastritis with pancreatitis , which details about the treatment, management , diagnosis, patient counselling, pharmacist interventions & discussions are followed in this case .
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Blood transfusion-MANAGEMENT FOR PEOPLE LIVING WITH SICKLE CELL DISORDER/DISE...martinshaji
Sickle cell disease is caused by a genetic mutation that leads to the production of abnormal hemoglobin known as sickle hemoglobin . Blood transfusion is the transfer of blood from one individual to another ..
Red blood cell transfusions help lessen anemia and reduce the blood’s viscosity, allowing it to flow more freely and ease disease symptoms.
this is a brief study
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Compartment syndrome,- a detailed medical study .martinshaji
Compartment syndrome is a condition that occurs when injury causes generalized painful swelling and increased pressure within a compartment to the point that blood cannot supply the muscles and nerves with oxygen and nutrients. Muscles in the forearm, lower leg and other body areas are surrounded by fibrous bands of tissues. This creates distinct compartments. The fibrous tissue is very inflexible and cannot stretch to accommodate the generalized swelling. If left untreated, muscles and nerves fail and may eventually die.
hence this is a medical emergency needed fast and great medical supervision , his study provides a detailed information regarding compartment syndrome
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Muscles -A LONG CHART ON IMAGES OF DIFFERENT MUSCLES- Myology|, kinesiology- ...martinshaji
this is a long chart on different types of muscles of human body with its images , this will be helpful for medical academics and better understanding , along with its names
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P h value- a long chart on different ph. values martinshaji
pH is a measure of how acidic/basic water is. The range goes from 0 - 14, with 7 being neutral. pHs of less than 7 indicate acidity, whereas a pH of greater than 7 indicates a base. pH is really a measure of the relative amount of free hydrogen and hydroxyl ions in the water .
this is a long chart on ph value of different substances
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12 basic facts about tetracyclines - medical information martinshaji
Tetracyclines are a class of broad-spectrum antibiotics used in the management and treatment of a variety of infectious diseases. Naturally occurring drugs in this class are tetracycline, chlortetracycline, oxytetracycline, and demeclocycline. used to treat infections caused by susceptible microorganisms such as gram positive and gram negative bacteria, chlamydiae, mycoplasmata, protozoans, or rickettsiae.
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8 signs and symptoms of breast cancer you - medical information martinshaji
After skin cancer, breast cancer is the most common cancer diagnosed in women in the United States. hence it is necessary to know its major symptoms which will help you to avoid a life threatening condition easily .....
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How to have a Clear Skin....HEALTH INFORMATION martinshaji
Clear skin is possible for everyone if you follow a basic good skincare routine for your unique skin type. these are some common methods for having good clear skin on considering medical aspects ,
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Liver failure is a life-threatening condition that demands urgent medical care.
Alcoholic liver disease (ALD) is a leading cause of cirrhosis, liver cancer, and acute and chronic liver failure and as such causes significant morbidity and mortality.
this is a brief study on liver failure and associated liver conditions and stages of conditions ,
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Natural ways to build healthy bones - health information martinshaji
Bone health is important throughout life. While you can never regain the bone density you had in your youth, you can help prevent rapidly thinning bones, even after your diagnosis. Calcium is a crucial building block of bone tissue. Vitamin D helps the body absorb and process calcium. Together, these two nutrients are the cornerstone of healthy bones.
this is a brief study for healthy bones .................................................
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Sleep According To your Age-health information | images martinshaji
Sleep plays an important role in your physical health. For example, sleep is involved in healing and repair of your heart and blood vessels.
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Doctors once thought bony growths called heel spurs brought on the pain. Now they believe that heel spurs are the result -- not the cause -- of plantar fasciitis.
Plantar fasciitis is inflammation of the thick band of tissue (also called a fascia) at the bottom of your foot that runs from your heel to your toes.
this is a brief study on plantar fasciitis
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Evaluation of antidepressant activity of clitoris ternatea in animals
Hand Hygiene: WHO guidelines for hand hygiene-( know the medical facts )
1. Hand Hygiene: Why, How
& When?
WHO guidelines for hand hygiene
OCT 15- world hand hygiene day
( know the medical facts )
PREPARED BY
MARTIN SHAJI
PHARM D
2. WHY?
• Thousands of people die every day around the world from infections
acquired while receiving health care.
• Hands are the main pathways of germ transmission during health care.
• Hand hygiene is therefore the most important measure to avoid the
transmission of harmful germs and prevent health care-associated
infections.
• This brochure explains how and when to practice hand hygiene.
3. HOW?
• Clean your hands by rubbing them with an alcohol-based formulation,
as the preferred mean for routine hygienic hand antisepsis if hands are
not visibly soiled. It is faster, more effective, and better tolerated by your
hands than washing with soap and water.
• Wash your hands with soap and water when hands are visibly dirty or
visibly
soiled with blood or other body fluids or after using the toilet.
• If exposure to potential spore-forming pathogens is strongly suspected
or proven, including outbreaks of Clostridium difficile, hand washing with
soap and water is the preferred means.
4. Apply a palm ful of the product in a cupped hand, covering all
surfaces;
14. Before Touching A Patient
WHY? To protect the patient against colonization and, in some cases,
against exogenous infection, by harmful germs carried on your hands
WHEN? Clean your hands before touching a patient when
approaching him/her*
Situations when Moment 1 applies:
a) Before shaking hands, before stroking a child’s forehead
b) Before assisting a patient in personal care activities:
to move, to take a bath, to eat, to get dressed, etc
c) Before delivering care and other non-invasive treatment:
applying oxygen mask, giving a massage
c) Before performing a physical non-invasive examination:
taking pulse, blood pressure, chest auscultation, recording ECG
15. Before Clean / Aseptic Procedure
WHY? To protect the patient against infection with harmful germs,
including his/her own germs, entering his/her body
WHEN? Clean your hands immediately before accessing a critical
site with infectious risk for the patient (e.g. a mucous membrane,
non-intact skin, an invasive medical device)*
16. Situations when Moment 2 applies:
a) Before brushing the patient’s teeth, instilling eye drops, performing a digital
vaginal or rectal examination, examining mouth, nose, ear with or without
an instrument, inserting a suppository / pessary, suctioning mucous
b) Before dressing a wound with or without instrument, applying ointment
on vesicle, making a percutaneous injection / puncture
c) Before inserting an invasive medical device (nasal cannula, nasogastric
tube, endotracheal tube, urinary probe, percutaneous catheter, drainage),
disrupting / opening any circuit of an invasive medical device (for food,
medication, draining, suctioning, monitoring purposes)
d) Before preparing food, medications, pharmaceutical products,
17. After body fluid exposure risk
WHY? To protect you from colonization or infection with
patient’s harmful germs and to protect the health-care
environment from germ spread
WHEN? Clean your hands as soon as the task involving an
exposure risk to body fluids has ended (and after glove removal)*
18. Situations when Moment 3 applies:
a) When the contact with a mucous membrane and with non-intact skin ends
b) After a percutaneous injection or puncture; after inserting an invasive
medical device (vascular access, catheter, tube, drain, etc); after
disrupting and opening an invasive circuit
c) After removing an invasive medical device
d) After removing any form of material offering protection
(napkin, dressing, gauze, sanitary towel, etc)
e) After handling a sample containing organic matter, after clearing
excreta and any other body fluid, after cleaning any contaminated
surface and soiled material (soiled
19. After touching a patient
WHY? To protect you from colonization with patient germs
and to protect the health-care environment from germ spread
WHEN? Clean your hands when leaving the patient’s side,
after having touched the patient *
Situations when Moment 4 applies, if they correspond to the
last contact with the patient before leaving him / her:
a) After shaking hands, stroking a child’s forehead
b) After you have assisted the patient in personal care activities:
to move, to bath, to eat, to dress, etc
c) After delivering care and other non-invasive treatment: changing bed
linen as the patient is in, applying oxygen mask, giving a massage
d) After performing a physical non-invasive examination:
taking pulse, blood pressure, chest auscultation, recording ECG
20. After touching patient surroundings
WHY? To protect you from colonization with patient germs that may
be present on surfaces / objects in patient surroundings and to protect
the health-care environment against germ spread
WHEN? Clean your hands after touching any object or furniture when
living the patient surroundings, without having touched the patient*
21. This Moment 5 applies in the following situations if they correspond
to the last contact with the patient surroundings, without having
touched the patient:
a) After an activity involving physical contact with the patients immediate
environment: changing bed linen with the patient out of the bed,
holding a bed trail, clearing a bedside table
b) After a care activity: adjusting perfusion speed, clearing a monitoring
alarm
c) After other contacts with surfaces or inanimate objects (note – ideally
try to avoid these unnecessary activities):
22. HAND HYGIENE AND MEDICAL GLOVE USE
• The use of gloves does not replace the need for cleaning
your hands.
• Hand hygiene must be performed when appropriate regardless
of the indications for glove use.
• Remove gloves to perform hand hygiene, when an indication
occurs while wearing gloves.
• Discard gloves after each task and clean your hands –
gloves may carry germs.
• Wear gloves only when indicated according to Standard and
Contact Precautions (see examples in the pyramid below) –
otherwise they become a major risk for germ transmission.
23. THE GLOVE PYRAMID – TO AID DECISION MAKING
on when to wear (and not wear) gloves
Gloves must be worn according to STANDARD and CONTACT
PRECAUTIONS. The pyramid details some clinical examples in which
gloves are not indicated, and others in which clean or sterile gloves are
indicated. Hand hygiene should be performed when appropriate
regardless of indications for glove use.