Hand Hygiene and Hand Washing

Transcription

1 Hand Hygiene and Hand Washing Inline with the WHO s 5 Stages of Hand Hygiene Campaign Heather Machin, RN ORBIS Telemedicine, Cyber-Sight Nursing Education Course

2 At the end of this presentation you should know: Why hand hygiene is important Nurses role in hand hygiene WHO s 5 Stages of Hand Hygiene What type of hand wash is required for each situation What type of hand wash is recommended Techniques for teaching patients hand washing at home How to prepare your hands before washing What to read in conjunction with this Power Point: WHO Hand Hygiene Brochure This brochure contains diagrams on hand washing techniques

3 Why is this Important? To reduce the spread of health care associated infections Stop unnecessary deaths caused through infection Provide a safer environment for patients, and between patients Prevent YOU from injury caused by infection Reduce unnecessary costs associated with treating infections caused by health care associated infection Set a good example to patients

4 Before You Wash Bad Good

5 Jewelry and Watch Bad It is hard to clean under your jewelry or watch Bacteria and dirt can sit under your jewelry or watch Good Remove jewelry to ensure a complete clean

6 Nail Polish and False Nails Bad Bacteria and dirt can sit in, on and under your nail polish or false nails Remove your nail polish, especially if it has chipped (parts missing that expose the real nail) Some Research Suggests If there are no chips in your nail polish and it is less that 4 days old you can keep it on The best option, however it to remove it altogether

7 Nail Length Bad Bacteria and dirt can sit under a long nail It is difficult to reach and clean all the way down to the nail bed Good Keep your nails short and tidy

8 Skin Integrity (condition) Bad Cuts, breaks and weeping can spread infection This may contribute to cross contamination between you, the patient and others in the workplace Good No open wounds, bleeding or weeping Clean nail bed

9 Result No jewelry No watch No nail polish No false nails No long nails No cracked skin = You are now ready to wash

10 Before You Start to Wash You need to ask yourself: What type of hand wash do I need to do? How long will this take? What hand solution should I use?. The next section of slides will help answer these questions so you can decide what is the best action for you in every situation.

11 What type of hand wash do I need to do? Answer: There are three types. These are: 1. Normal, such as between daily activities at home 2. When at work and caring for patients 3. When getting ready for surgery: surgical scrub The next three slides will break this down in detail

12 What type of hand wash do I need to do? (explanations) Normal, such as between daily activities at home: Before touching food, after using the toilet, after gardening or outside activity, after touching animals, before touching your eyes This can be a second hand wash with home soap and clean water Clean the back and front of the hand, between fingers, the nails and wrist Wipe with clean cloth or paper-towel Tip: Try and buy liquid soap because a bar of soap can sit there holding bacteria from the last person who used it.

13 What type of hand wash do I need to do? (explanations cont) When at work and caring for patients Before and after patient care, after toilet, before and after food, after touching contaminated materials Can be a second hand wash to the entire hand and wrist (just like the home wash) You can do this with hospital grade and approved liquid hand soap and clean water OR waterless gel/foam (we will explain the waterless gel/foam late in the power points) Dry with a clean paper-towel Wait till your hands are dry before you touch the next patient or other objects

14 What type of hand wash do I need to do? (explanations cont) Surgical scrub Before a surgical operation This type of hand washing will be explained, in depth in the Surgical Hand washing power point.

15 How long will it take? Answer: That depends on: The type of soap you use If you have water available How dirty your hands are What type of work you are doing A rough guide: Washing with soap and water = seconds or longer if visible dirt Washing with gel/spray = No wash just rub in the solution and wait till it dries

16 What hand solution should I use? Answer: There are lots of different types of soap on the market including: Bar of soap Liquid soap for home Liquid soap for hospital daily use Liquid soap for surgical scrub Waterless gel/spray for use at home Waterless gel/spray for hospital daily use Waterless gel/spray for surgical scrub As a rule, most hospitals will place the soap that they want you to use in the correct area of the hospital. That said, always check the bottle and ask your manager or hand care/infection control specialist to help you.

17 Bar of Soap: Not Recommended Bad It holds bacteria and dirt from the last time it was used It can pass on bacteria and dirt There is no guarantee that the last person did not drop it or put it somewhere you would not like Leaves a scum on the sink or glass and is hard to remove difficult to clean Good Bars of soap are not recommended. The only good things about them are: Low cost Easy to get Does not leak

18 Liquid Soap: Good for home and day-to-day care Regardless of if you are using it at home or work, liquid soap is considered a good choice for a normal hand wash (though you must make sure the type you use in the hospital has been approved for hospital use). It has a pump-action spout so you need to push on it to make the soap come out You will still need clean water and a clean hand towel How to Use: Wet hands Pump twice on your hands Work soap into a lather for seconds Rub through hands and remove dirt Rinse with clean water Dry with clean towel

19 Gel/Foam Soap: Good for Home and Work Good Does not need water Easy to use Easy to store Formula allows for quick dry Has good success rate Bad Cost

20 Using Gel/Foam Not enough Enough. You are ready to wash your hands

21 Using Gel/Foam Rub all over hands and wrist. Back and front

22 Using Gel/Foam Keep rubbing until all the gel/foam is rubbed in

23 Using Gel/Foam If your hands are still wet you cannot touch anything Keep going

24 Using Gel/Foam When your hand is completely dry you are ready Wash complete

25 WHO 5 Stages of Hand Washing 1. Before touching a patient 2. Before cleaning/aseptic procedure 3. After body fluid exposure risk 4. After touching a patient 5. After touching a patient s surrounding area

26 Nursing Responsibility Practice Safe hand washing techniques Be pro-active and lead by example Encourage other health staff to do the same Educate patients and colleagues Help build hand wash stations in your hospital

27 Quiz What are the 5 stages of Hand Hygiene? How long should a day-to-day hand wash take? Why is good hand hygiene important? True or false: Chipped nail varnish is ok in the workplace? What is a good length for your nails to be?

28 Resources and References WHO Hand hygiene Campaign Kit: Brochures, posters and guidelines, AORN (2010) Hand Hygiene Recommended Practice. AORN, Denver. pg 75-82

29 Thank You ORBIS Education Website: ORBIS General Website: