5 MOMENT HAND HYGIENE

SN CHUNG

B. Sc. Hons Nursing Practice Development

15/8/2010

EXAMPLES

Before Patient Shaking hands, helping a patient to move

around, getting washed, taking pulse, blood pressure, chest auscultation, abdominal palpation

Before clean/ aseptic procedure Oral/dental care, secretion aspiration, skin

lesion care, wound dressing, subcutaneous injection; catheter insertion, opening a vascular access system; preparation of food, medication, dressing sets

After body fluid exposure risk Oral/dental care, secretion aspiration; skin lesion

care, wound dressing, subcutaneous injection; drawing and manipulation any fluid sample, opening draining system, endotracheal tube insertion and removal; clearing up urines, faces, vomit; handling waste (bandages, napkin, incontinence pads); cleaning of contaminated and visibly soiled material or areas (lavatories, medical instruments)

After touching a patient Shaking hands, helping a patient to move around,

getting washed, taking pulse, taking blood pressure, chest auscultation, abdominal palpation

After touching patient surroundings Changing bed linen, perfusion speed adjustment,

monitoring alarm, holding a bed rail, clearing the bedside table

WHY WE NEED TO WASH OUR HANDS?

Hand washing helps to remove micro-organisms.

Soap and water kills many transient micro-organisms that are

mechanically removed by rinsing.

Antimicrobial products kills or inhibits the growth of micro-organisms

in deep layers of the skin

TWO METHODS OF HANDWASHING

1. SOAP & WATER

2. HAND RUB

RECOMMENDED HANDWASHING SOAP

Soap; bar, liquid or foam dispenser Anti-microbial soaps are slightly more effective than regular

soaps. When hands are visibly dirty, soiled with blood or other body

fluids, or after using the toilet. But, frequent handwashing often causes skin irritation and

dryness. Hand Sanitizer; gels, rinses, or foams Less time, fast action, more effective, more accesible and

most efficacious antimicrobial agents 60 – 80% alcohol (Dix, 2010) - rapid and optimal

antimicrobial spectrum; bacteria, viruses, yeasts, and fungi Hypoallergenic Odorless Colorless

7 STEPS OF HANDWASHING WITH SOAP AND WATER

7 STEPS OF HANDWASHING WITH HAND SANITIZER

HANDWASHING VIDEOS

Handwashing with soap and water. Available at: http://www.youtube.com/watch?v=WYj2kkSIsOc&feature=related

Handwashing with Hand rub. Available at: http://www.youtube.com/watch?v=JHoPQTTfCv0

PROPER WAYS OF USING HAND SANITIZER

ELBOW HEEL OF YOUR PALM

REFERENCE

Alcohol Hand Rub & Hand Hygiene CDC's Endorsement of Alcohol Hand Rubs

Launches New Era in Hand Hygiene Improving Adherence to Hand Hygiene

Practice: A Multidisciplinary Approach Infection Control Advice to Contacts of

Suspect or Probable SARS cases: Handwashing

World Health Organization Issues Guidelines on Hand Hygiene in Healthcare

An Evaluation of Handwashing Technique

EVIDENCE BASED HAND HYGIENE Recommendations from the CDC Guideline for Hand

Hygiene in Healthcare Settings. Available at: http://solutions.3m.com/3MContentRetrievalAPI/BlobServlet?locale=en_US&lmd=1145337135000&assetId=1114284208573&assetType=MMM_Image&blobAttribute=ImageFile

"PROPER HANDWASHING WITH SOAP AND WATER IS AN IMPORTANT BARRIER TO MANY INFECTIOUS DISEASES AND PROMOTES BETTER HEALTH AND WELL-BEING…HANDWASHING IS ONE OF THE MOST PRACTICAL AND EFFECTIVE WAYS OF PREVENTING THE SPREAD OF DISEASE."

WORLD HEALTH ORGANIZATION (WHO)