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Hand Hygiene.pptx
- 1. What it’s all about…
- 2. Hand Hygiene is the single most important factor in preventing infection. Hand Hygiene includes washing with soap and water or using alcohol hand rub. Both methods must be done properly to be effective
- 3. Hand Hygiene (HH) is generally poorly adhered to across the board by all levels of Health Care Worker’s
- 5. HAI can cause: ◦ more serious illness ◦ prolongation of stay in a health-care facility ◦ long-term disability ◦ excess deaths ◦ high additional financial burden ◦ high personal costs on patients and their families
- 6. LOWER RESPIRATORY TRACT INFECTIONS Mechanical ventilation Aspiration Nasogastric tube Central nervous system depressants Antibiotics and anti-acids Prolonged health-care facilities stay Malnutrition Advanced age Surgery Immunodeficiency 13% BLOOD INFECTIONS Vascular catheter Neonatal age Critical care Severe underlying disease Neutropenia Immunodeficiency New invasive technologies Lack of training and supervision 14% SURGICAL SITE INFECTIONS Inadequate antibiotic prophylaxis Incorrect surgical skin preparation Inappropriate wound care Surgical intervention duration Type of wound Poor surgical asepsis Diabetes Nutritional state Immunodeficiency Lack of training and supervision 17% URINARY TRACT INFECTIONS Urinary catheter Urinary invasive procedures Advanced age Severe underlying disease Urolitiasis Pregnancy Diabetes 34% Most common sites of health care- associated infection and the risk factors underlying the occurrence of infections LACK OF HAND HYGIENE
- 7. The problem: HAIs / MRSA, ESBLs, VRE etc Majority are preventable Costly to patient Costly to health service
- 8. Ignaz Philipp Semmelweis before and after he insisted that students and doctors clean their hands with a chlorine solution between each patient
- 9. In summary we know: Bugs are on our hands Bugs can be washed off Washing bugs off our hands saves lives HCWs don’t wash their hands!!! So what is the problem???
- 11. HAHS © 1999
- 12. Why we don’t wash our hands Too busy/insufficient time Patient needs take priority Understaffing/overcrowding Adapted from Pittet D, Infect Control Hosp Epidemiol 2000;21:381-386. HCW are not bad just busy! Poor design Poor product More education Sinks are inconveniently located or lack of sinks Lack of soap and paper towels Hand washing agents cause irritation and dryness Low risk of acquiring infection from patients
- 13. What can we do to help change this Provide easy access to hand hygiene materials Handrub solution Conveniently located: at the patient’s bedside at the patient’s room entrance in convenient / appropriate locations in high traffic public areas Working appropriately Full of product Within use by date
- 14. ABHR’s are literally the solution Pittet Geneva Desmanol Handrub
- 15. Time Spent Cleansing Hands One nurse per 8 hour shift Hand washing with soap and water: 56 minutes Based on seven (60 second) hand washing episodes per hr Alcohol-based hand rub: 18 minutes Based on seven (20 second) hand rub episodes per hr Voss A and Widmer AF, Infect Control Hosp Epidemiol 1997:18;205-208. ~ Alcohol-based hand rubs reduce time needed for hand hygiene ~
- 16. Hand Hygiene Definitions Hand washing The application of non-antimicrobial soap and water to the surface of the hands Antiseptic hand wash Washing hands with water and soap or other detergents containing an antiseptic agent Alcohol-based hand rub an alcohol-containing preparation designed for application to the hands in order to reduce the number of viable organisms with maximum efficacy and speed Surgical hand hygiene/antisepsis Hand washing or using an alcohol-based hand rub before operations by surgical personnel
- 17. Indications for Hand Hygiene When hands are visibly dirty, contaminated, or soiled, wash with non-antimicrobial or antimicrobial soap and water. If hands are visibly clean, use an alcohol- based hand rub for routinely decontaminating hands. Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.
- 18. Reduces bacterial count on hands More effective for standard hand wash Reduces adverse outcomes and cost associated with HAI’s Requires less time Less irritating Can be readily accessible/ portable
- 19. When hands are visibly soiled use soap and water to wash If your hands are visibly CLEAN use ABHR Before and after touching a patient Before and after a procedure After touching a patient’s surroundings Before and after glove use
- 21. RUB apply to palm ROLL rub hands together covering all aspects of your fingers & hands until dry SQUIRT one squirt (1-3 ml) to your hands Easy Message
- 22. Basic message always the same “Clean you hands before and after every patient touch” Instructions always the same Squirt Rub Roll
- 23. Accessibility
- 24. Glove use Hand hygiene is required regardless of whether gloves are used or changed Failure to remove gloves after patient contact or between dirty and clean body site care in the same patient has to be regarded as noncompliance with recommendations Gloves should not be washed or reused Gloved HCWs can cause cross infections
- 25. Perform Hand Hygiene often Perform it properly It’s the most important step in preventing the spread of infection.
- 26. Hand hygiene is the simplest, most effective measure for preventing hospital-acquired infections.
- 28. Be a LIFE SAVER not a GERM carrier..
- 29. Any Questions ? Clean Hands Save Lives