hand hygiene in-service for staff. what is hand hygiene? hand hygiene involves the following:...
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Hand HygieneIn-Service for Staff
What is Hand Hygiene?
Hand hygiene involves the following:
Guideline for Hand Hygiene in Health-Care Settings. MMWR 2002; vol. 51, no. RR-16.
Hand washing: washing hands with soap and water
Alcohol-based hand rub: rubbing hands with an alcohol-containing preparation
Why Don’t We Wash Our Hands?
Self-Reported Factors for Poor Adherence with Hand Hygiene
Skin irritation and dryness
Sinks are inconveniently located/lack of sinks
Lack of soap and paper towels
Too busy/insufficient time
Understaffing/overcrowding
Resident needs take priority
Low risk of acquiring infection from residents
Adapted from Pittet D, Infect Control Hosp Epidemiol 2000;21:381-386.
Clean Hands Save Lives
Clean hands are the most important factor in preventing the spread of disease and
antibiotic resistance in settings across the continuum of health care.
Hand hygiene:
Promotes resident safety and prevents infections
Reduces the incidence of healthcare-associated infections
Hand Hygiene: How and When
• If hands are visibly dirty, contaminated, or soiled, wash with soap and water.• After using the restroom• Before eating or preparing food
• If hands are not visibly soiled,
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.
When to Perform Hand Hygiene
Before and after:– Contact with a resident– Treating a cut or wound
(Ex: changing dressings or bandages)
Before:– Putting on gloves– Preparing or eating food– Touching your eyes, nose, or mouth– Handling/administering medication– Insertion of invasive devices
Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.
When to Perform Hand HygieneAfter:
– Contact with blood, body fluids, mucous membranes, secretions, excretions, or non-intact skin
– Removing gloves– Touching surfaces or objects in
the resident’s environment that may be contaminated (bed rails, bedside tables, light switches, etc.)
– Handling garbage– Using the restroom– Blowing your nose, coughing, or
sneezing
Efficacy of Hand Hygiene Preparations in Killing
Bacteria
Good Better Best
Plain soap Antimicrobial soap
Alcohol-based hand rub
Self-reported skin score
Dry
Healthy
Effect of Alcohol-Based Hand Rubs on Skin Condition
Boyce J, Infect Control Hosp Epidemiol 2000;21(7):438-441.
Benefits of Alcohol-Based Hand Rubs
• Improve skin condition
• Require less time
• More accessible than sinks
• Reduce bacterial counts on hands
• More effective for standard hand washing than soap
Recommended Hand Hygiene Technique
Hand rubs– Apply to palm of one hand, rub
hands together covering all surfaces until dry.
– Manufacturer will instruct how much to use.
Hand washing – Wet hands with water, apply
soap, rub hands together for at least 15 seconds.
– Rinse and dry with disposable towel.
– Use towel to turn off faucet.Guideline for Hand Hygiene in Health-Care Settings. MMWR 2002; vol. 51, no. RR-16.
Gloving
• Wear gloves when contact with blood or other potentially infectious materials is possible.
• Remove gloves after caring for a resident.
• Do not wear the same pair of gloves for the care of more than one person.
• Do not wash gloves.
Guideline for Hand Hygiene in Health-Care Settings. MMWR 2002; vol. 51, no. RR-16.
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 residents.
Guideline for Hand Hygiene in Health-Care Settings. MMWR 2002; vol. 51, no. RR-16.
PREVENTIONIS PRIMARY!
Hand hygiene protects residents, staff, visitors, and promotes quality healthcare!