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Hand Hygiene In-Service for Staff. What is Hand Hygiene?. Hand hygiene involves the following:. Alcohol-based hand rub : rubbing hands with an alcohol-containing preparation. Hand washing : washing hands with soap and water.

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Hand hygiene in service for staff

Hand HygieneIn-Service for Staff


What is hand hygiene
What is Hand Hygiene?

  • Hand hygiene involves the following:

Alcohol-based hand rub:

rubbing hands with an alcohol-containing preparation

Hand washing:

washing hands with soap and water

Guideline for Hand Hygiene in Health-Care Settings. MMWR 2002; vol. 51, no. RR-16.


Why don t we wash our hands self reported factors for poor adherence with hand hygiene
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 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
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 rubfor routinely decontaminating hands.

Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.


When to perform hand hygiene
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 hygiene1
When to Perform Hand Hygiene

  • After:

    • 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
Efficacy of Hand Hygiene Preparations in Killing Bacteria

Better

Good

Best

Antimicrobial soap

Plain soap

Alcohol-based hand rub


Effect of Alcohol-Based Hand Rubs on Skin Condition

Self-reported skin score

Dry

Healthy

  • Boyce J, Infect Control Hosp Epidemiol 2000;21(7):438-441.


Benefits of alcohol based hand rubs
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
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
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
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.


PREVENTION

IS PRIMARY!

Hand hygiene protects residents, staff, visitors, and promotes quality healthcare!


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