the single most effective method for reducing the ... · •oral/dental care •putting on gloves ....
TRANSCRIPT
The single most effective method for reducing the transmission of microorganisms!
Developed by Provincial Infection Control
Education Task Group
June 2016
Transmission of organisms Transmission of organisms by hands of health care providers between two patients can result in health care associated infections (HAIs).
Adapted from the Swiss Hand Hygiene Campaign
•The practice of proper hand hygiene remains the primary measure to reduce HCAI’s.
• Some studies suggest this reduction could be as much as 50%!
http://www.telegraph.co.uk/science/science-news/7991492/Rubbing-hands-together-after-washing-them-increases-the-danger-of-contamination-scientists-warn.html
http://www.nhslanarkshire.org.uk/HealthyLiving/HandHygiene/Pages/default.aspx
Why does hand hygiene work? Hand hygiene with alcohol-based hand rub – correctly applied – kills organisms in seconds. Hand hygiene with soap and water – done correctly – removes organisms.
Adapted from the Swiss Hand Hygiene Campaign
1. Before initial
patient/patient
environment
contact
•When entering:
A facility
A patient’s room/house
•Before touching:
A patient
Objects or furniture in the
patient’s environment
2. Before
aseptic
procedures
•Administering medications
•Dressing changes
•Catheter insertion
•Accessing a vascular device
•Oral/dental care
•Putting on gloves
3. After body
fluid exposure
risk
•Oral/dental care
•Dressing changes
•Draining a catheter
•Accessing vascular devices
•Cleaning up contaminated or visibly
soiled items
•Removing gloves
4. After
patient/patient
environment
contact
•Shaking hands
•Helping a patient to ambulate
•Taking vital signs
•Touching a bedrail
•Changing bed linen
•Clearing the bedside table
•Leaving a patient’s room/house
Patient’s Environment
This includes: • Patient ‘s bedside table and chair • IV Pole • TV/Telephone
Patient environments look different depending on the health care setting. This includes anything that your patient can reach or where you interact with patients.
It is not just the patient
themselves!!
How to decide what to use?
Alcohol Based Hand Rub
• When hands are not visibly soiled
Soap and Water
• When hands are visibly soiled
• When caring for a patient with diarrhea (Example : C.diff)
BEFORE
Donning (Applying)
gloves Eating Going home
After
Doffing (Removing)
gloves
Using the toilet
Blowing or wiping your
nose
Handling soiled items
Other times when hand hygiene needs to be
performed
Clean your hands whenever you feel you need to clean them!
To effectively reduce the
growth of germs on hands,
handrubbing must be
performed by following all
steps illustrated on the
left.
This takes only 20-30 secs!
To effectively reduce the growth of germs on hands, handwashing must last 40-60 secs from start to finish and should be performed by following all steps illustrated on the left.
• Gloves do not replace the need for hand hygiene • Avoid hand washing immediately before or after
using an alcohol-based hand rub • Avoid hot water • Let hands dry completely before donning gloves • Use health care approved hand lotions and
creams often • Address allergies or adverse reactions • Do not wear artificial fingernails or extenders • Keep nails short and clean • Wear only acceptable jewelry (i.e. plain wedding
band), none is best
Did You Know?
• 80% of hospital staff who have dressed wounds infected with MRSA carried that organism on their hands for up to 3 hours afterward
• 60% of hospital staff who have made contact with a patient with C.
difficile infection (even when the patient wasn’t touched) carried the pathogen on their hands for up to ½ hour afterward
Mitka, M. Reprinted in JAMA November 2009 302(17)
STOP! Clean Your Hands!
Hand Hygiene Facts
Most health care workers believe they are
already practicing good hand hygiene. Research has shown that hand hygiene
compliance is:
<40%
The power to make a difference is in your hands.
http://www.cartoonstock.com/directory/c/clean_hands.asp
Main Resource
Canadian Patient Safety Institute (CPSI). http://www.patientsafetyinstitute.ca/en/Pages/default.aspx
Fact Sheets
Canadian Patient Safety Institute (CPSI). Safer healthcare Now! Canada's hand Hygiene Challenge. Fact Sheets about Hand Hygiene.
http://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Fact-Sheets.aspx
E-Learning module
Canadian Patient Safety Institute (CPSI). Safer healthcare Now! Canada's hand Hygiene Challenge. Hand Hygiene Education E-Learning Module.
http://cpsi.discoverycampus.com/en/index.html
Certificate of Excellence
Canadian Patient Safety Institute (CPSI). Saferhealthcare Now! Canada's hand Hygiene Challenge. Stop Clean Your Hands Certificate of Excellence.
http://www.patientsafetyinstitute.ca/en/Events/StopCleanYourHandsDay/Documents/Certificate%20of%20Excellence_Final_Certificate_EN.pdf
Videos
Public Health Ontario. Partners for health.
https://www.publichealthontario.ca/en/BrowseByTopic/InfectiousDiseases/JustCleanYourHands/Pages/JCYH-videos.aspx
Removing what the eye cannot see: Stop the train in its tracks. MedPro Defense
http://www.nocospray.ca/en/content/break-the-chain-wash-your-hands/
Crossword
Canadian Patient Safety Institute (CPSI). Safer healthcare Now! Canada's hand Hygiene Challenge. Stop Clean Your Hands Crossword.
http://www.patientsafetyinstitute.ca/en/Events/StopCleanYourHandsDay/Documents/Hand%20Hygiene%20Crossword%20Eng.pdf
Word Search
CanadianPatient Safety Institute (CPSI).Saferhealthcare Now!Canada's hand Hygiene Challenge. Stop Clean Your HandsWord search.
http://www.patientsafetyinstitute.ca/en/Events/StopCleanYourHandsDay/Documents/Hand%20Hygiene%20Word%20Search%20ENG.pdf