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)