h and wasing steps
TRANSCRIPT
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HAND WASHING Dr.D.K.PRUSTY
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Definition• Health Care-associated Infection (HCAI)
– Also referred to as “nosocomial” or “hospital” infection
• “An infection occurring in a patient during the process of care in a hospital or other health-care facility which was not present or incubating at the time of admission. This includes infections acquired in the health-care facility but appearing after discharge, and also occupational infections among health-care workers of the facility”
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Prevention of health care-associated infection – Validated and standardized prevention
strategies have been shown to reduce HCAI– At least 50% of HCAI could be prevented – Most solutions are simple and not resource-
demanding and can be implemented in developed, as well as in transitional and developing countries
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WHY WASH YOUR HANDS ?
• Hand washing is the single most effective way to prevent the spread of communicable diseases.
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Hand transmission– Hands are the most
common vehicle to transmit health care-associated pathogens
– Transmission of health care-associated pathogens from one patient to another via health-care workers’ hands requires 5 sequential steps
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The “My 5 Moments for Hand Hygiene” approach
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Why should you clean your hands?
– Any health-care worker, caregiver or person involved in patient care needs to be concerned about hand hygiene
– Therefore hand hygiene concerns you!– You must perform hand hygiene to:
– protect the patient against harmful germs carried on your hands or present on his/her own skin
– protect yourself and the health-care environment from harmful germs
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Hand Washing can prevent
• Good hand washing can prevent diseases such as:Shigellosis, E. Coli, Streptococcal Disease, Influenza and the Common Cold
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Dr.T.V.Rao MD 10
Hand hygiene is the single
most effective way to prevent
infection
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How to clean your hands– Handrubbing with alcohol-based handrub is the
preferred routine method of hand hygiene if handsare not visibly soiled
– Handwashing with soap and water – essential when when hands are visibly dirty or visibly soiled (following visible exposure to body fluids)1
1 If exposure to spore forming organisms e.g. Clostridium difficile is strongly suspected or proven, including during outbreaks – clean hands using soap and water
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To effectively reduce
the growth of germs
on hands,
handrubbing must
be performed by
following all of the
illustrated steps.
This takes only 20–
30 seconds!
How to Hand rub
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How to hand washTo effectively reduce
the growth of germs
on hands,
handwashing
must last 40–60
secs
and should be
performed by
following all of the
illustrated steps
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Alcohol Hand Rubs• Require less time• Can be strategically placed• Readily accessible• Multiple sites• All patient care areas
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Alcohol Hand Rubs• Acts faster• Excellent bactericidal activity• Less irritating (??)• Sustained improvement
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• Adequate hand washing with water and soap requires 40–60 seconds
• Average time usually adopted by health-care workers: <10 seconds
• Alcohol-based • hand rubbing: 20–30
seconds
Time constraint = major obstacle for hand hygiene
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Summary– HCAI places a serious disease burden and significant
economic impact on patients and health-care systems– Good hand hygiene – the simple task of cleaning hands at
the right times and in the right way – saves lives– There are 5 Moments for Hand Hygiene in Health Care– Global compliance with the My 5 Moments for Hand
Hygiene approach is universally sub-optimal – <insert name of facility> has implemented an Action Plan
to improve hand hygiene and reduce infection– Your support and compliance with the initiatives is
essential to save lives in our facility
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WHEN SHOULD YOU WASH YOUR HANDS ?
BEFORE YOU:Prepare or eat food
Treat a cut or woundTend to someone who’s sick
Put in or take out contact lensesDo any kind of activity that involves putting your
fingers in or near your mouth, eyes, etc
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WHEN SHOULD YOU WASH YOUR HANDS ?
AFTER YOU:Go to the bathroom
Handle uncooked foods, especially raw meatEat
Blow your nose, cough or sneezeHandle garbage
Tend to someone who is sickChange a diaper
Play with or touch a pet
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CORRECT HANDWASHING TECHNIQUE
• Wet hands with warm running water.• Add soap, then rub hands together to make a soapy lather.
Make sure to wash the front and back of your hands, nails and nail beds, wrists and between fingers.
• Wash hands for 20 seconds.• Rinse hands with warm running water with your hands
pointed down.• Dry hands thoroughly with a clean towel and use that towel to
turn off the water and open the door.
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Hand Care• Nails• Rings• Hand creams• Cuts & abrasions• “Chapping”• Skin Problems
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PROPER TECHNIQUETO COVER YOUR COUGH and SNEEZE
Cover your mouth and nose with a tissue when you
cough or sneeze.
Then put your tissue in the waste basket
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Hand hygiene is the simplest,
most effective measure for preventing hospital-acquired
infections.
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