Hand hygienePresentation by Shivani khandelwal

How clean are your hands today??

Why Hand Hygiene?

• Infections are a serious problem in healthcare facilities. 

•Every year, an estimated 2 million patients get a hospital-related infection. 

•90,000 die from their infection. •Many infections are transmitted on the

hands of healthcare personnel.•Hand hygiene is part of Standard

Precautions. It can reduce the transmission of healthcare-associated infections – to patients.

5 moments.

•According to WHO, the five moments you must remember to wash your hands after

Before Patient contactBefore aseptic taskAfter body fluid exposureAfter Patient contactAfter contact with patient’s surroundings

•World Health Organization guidelines on hand hygiene state that poor nail hygiene, long nails and jewellery can contribute to nails remaining contaminated with pathogens even after use of soap and water or alcohol based antiseptics

Who is most AT RISK?

Evidence suggests that the risk groups are-NeonatesPost surgical patientsPatients on dialysisImmunocompromised patientsICU patient

Why Practice Hand Hygiene•Bacteria can survive for DAYS on patient

care equipment and other surfaces. •Surfaces in the patient care environment

– including bed rails, IV pumps, and even computer keyboards – are often contaminated with bacteria.

•  It’s important to practice hand hygiene after leaving the room, if touched patient care equipment or other surfaces.

Alcohol-based Hand Rubs

Regular Soap

Good

Antimicrobial Soap

Better

Alcohol-based

Hand RubBest

An alcohol-based hand rub is the preferred method for hand hygiene in all situations, except for when your hands

are visibly dirty or contaminated.

Jewellery or weapons of mass destruction, in a healthcare setting?

Harm with jewelryHigher Bacterial colonization is seen on the hands

of healthcare worker with rings, than one withoutRings may interfere with thorough hand washingMay cause gloves to tearWearing a single ring or a simple band found to be

much LESS dangerous than wearing multiple rings or large rings with multiple stones or detailed scrollwork!

Elaborate hand jewellery, bracelets or bangles known to interfere with active patient intervention.

HCWs who took off their rings/jewellery just before a surgical procedure had higher bacterial counts than control even after hand scrub.

The harm with long nails, artificial nails or nail paint/varnish

Inhibits good hand hygieneMay reduce your grip or speed while

doing various manipulationsMay tear or puncture gloves. May

interfere with putting on glovesCan become caught in beddings,

dressings and even machineryLong nails and artificial nails are a

breeding ground for various DISEASE CAUSING MICRO ORGANISMS AND FUNGI

Reference

•http://www.hypepotamus.com/companies/clean-hands-safe-hands/

•http://www.who.int/gpsc/5may/EN_GPSC1_PSP_HH_Outpatient_care/en/

THANK YOU