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Hand Hygiene Session 3: Infection Control Basics.

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Presentation on theme: "Hand Hygiene Session 3: Infection Control Basics."— Presentation transcript:


2 Hand Hygiene Session 3: Infection Control Basics

3 3: Hand Hygiene Slide 2 Learning Objectives: By the end of this session, participants will: Wash their hands more often on the job Remove germs when they do wash their hands

4 3: Hand Hygiene Slide 3 Vocabulary Disinfectant - a germ killing substance Antiseptic - a disinfectant for use on skin Microbes or germs - organisms too small to see including viruses, bacteria, and fungi etc. Hand hygiene - all types of hand cleansing with and without water HCW - health care worker, this includes contract workers, cleaners and aides Invasive - entering the blood stream or the organs inside of the body Mucous membranes - skin inside the mouth, nose, rectum, vagina, etc.

5 Part I: Hand Washing Basics

6 3: Hand Hygiene Slide 5 The Goal of Handwashing: To prevent the transfer of germs from your hands to patients

7 3: Hand Hygiene Slide 6 Handwashing helps stop the spread of germs between patients and between staff and patients It protects both the patients and the caregivers 1. Protect the Patients

8 3: Hand Hygiene Slide 7 The Expectation ACTION An important matter is to wash your hands more often

9 3: Hand Hygiene Slide 8 Can I Make my Patients Sicker? Every time you touch people or objects, your fingers leave germs on the skin and pick up new germs Wet hands transfer more germs than dry hands. Always dry your hands after washing them

10 3: Hand Hygiene Slide 9 Hand Washing is Important for Patients and Family Too If patients wash their hands, they can remove hospital germs before the germs enter the body Your supervisor should provide water, soap or ash, and towels for the patient and family members at convenient places for hand washing

11 3: Hand Hygiene Slide 10 Doesn’t Skin Protect People from Germs? Yes and No Yes!  Skin is a good barrier and germs can be washed off when a patent bathes or washes hands No!  Skin is a good thick barrier BUT germs on the skin can get inside the body where skin is thin or broken  Eyes, the inside of the nose, the mouth, vagina, and rectum have thin skin  G erms can pass through thin skin more easily than through than the thick skin on our feet and hands

12 What Tasks Touch these Parts of the Body?

13 3: Hand Hygiene Slide 12 Germs can Get Inside through Broken Skin Germs get inside when we cut, or pierce the skin or touch open wounds:  Examples: surgery, injections, incisions to drain abscesses, biopsies, injections, changing dressings, childbirth

14 3: Hand Hygiene Slide 13 Tubes can also Carry Germs into the Body Germs get carried inside by tubes that go through the skin:  Example: urinary catheters, IV lines, intra-thoracic drains, suction catheters  Tubes are a like a metro system for easy transport through the body!

15 3: Hand Hygiene Slide 14 When do you Need to Wash your Hands?

16 3: Hand Hygiene Slide 15 Important Wash your hands before and after you: Touch the eyes, give eye drops Touch the inside of the nose (NG tubes) Assist with pelvic exams Do colonoscopies or give enemas Touch any item that touches thin skin (mucous membranes)

17 3: Hand Hygiene Slide 16 Wash Hands and Wear Gloves when Opening Tubes that Enter the Body Even a few germs deposited inside the body can cause an infection It is important to have as few germs on the hands and tools as possible Opening a urinary catheter or intra-thoracic drain puts the patient at risk Staff must do hand hygiene - WEAR GLOVES!

18 3: Hand Hygiene Slide 17 Remember… Always wash hands after removing gloves Gloves are not a substitute for hand washing and need to be removed between patients

19 Part II: Hand Washing Techniques

20 3: Hand Hygiene Slide 19 Let’s Talk about Three Common Techniques for Hand Hygiene: Hand wash with soap and water Alcohol hand rub without water Surgical hand scrub

21 3: Hand Hygiene Slide 20 For all Types of Hand Hygiene Staff should: Keep nails short (1-2mm) Wear no nail polish Remove jewelry, bracelets, wrist watches

22 3: Hand Hygiene Slide 21 Routine Hand Wash Use poured or running water; never dip hands in a bowl of water Use hand soap, ash, or sand (none kill germs, all are equally effective) Rub all surfaces on both hands and both wrists - front, back and between - for at least 15 seconds Rinse under running water Dry hands with a clean towel or air dry

23 3: Hand Hygiene Slide 22 Soap Bars can be Contaminated Soap doesn’t kill germs, so hands can easily contaminate it Use very small bars of soap,or put soap on a string or rack to keep it dry Refill containers with soap or antiseptics only after washing and drying

24 3: Hand Hygiene Slide 23 Antiseptics Remember, an antiseptic is a germ killing substance that is safe for use on human skin. The most common antiseptic is alcohol or chlorhexidine

25 3: Hand Hygiene Slide 24 Antiseptics (cont’d) There are other antiseptics that are used with water:  hexachloraphene  iodine  iodophors  para-chloro meta-xelenol

26 3: Hand Hygiene Slide 25 Alcohol Hand Rub Without Water Antiseptics kills germs Alcohol hand rub can be used without water, and is practical for a busy ward If hands have visible dirt, handwashing with soap/ash and water is necessary first

27 3: Hand Hygiene Slide 26 Alcohol Hand Rub Can replace routine handwashing, unless the hands are dirty In addition, alcohol or other antiseptics should be used before placing IV, urinary catheters, doing dressing changes or other procedures requiring aseptic technique

28 3: Hand Hygiene Slide 27 Danger! Many other disinfectants are UNSAFE for for human skin Methanol is dangerous: Methylated spirits (i.e. a small amount of methanol in ethyl alcohol or isopropyl alcohol) is safe The label of FAMISOL says it is an antiseptic. This is not true. FAMISOL should not be used on skin

29 3: Hand Hygiene Slide 28 How to Clean Hands with Alcohol if Visible Dirt is not Present Place a 2 rupee size spot (3-5 ml) in the palm of one hand Rub hands together, all sides, fingers, wrist until dry

30 3: Hand Hygiene Slide 29 How is the Surgical Hand Scrub Different ? The hands are wet and washed up to the elbow A nail file is used to clean under the nails under running water A long acting antiseptic is used, often (chlorhexidine, isodophors, sometimes with alcohol) Hands are rubbed for 2-6 minutes and then washed under running water Hands are dried on a sterile towel

31 3: Hand Hygiene Slide 30 Compare Hand Hygiene Methods Routine hand wash with soap and water Only technique when hands have visible dirt Soap (or ash) and water to remove germs Wet hands to wrist Use soap or ash Rub for at least 15 seconds Rinse with running water Dry by air or single use towel Alcohol hand rub Can replace routine hand wash if no visible dirt on hands Alcohol kills germs Also done before procedures needing aseptic technique Place 3-5 ml on dry hands Rub until dry No water or towels needed Pre-Surgery/Surgical scrub Done before surgery or procedures needing sterile technique Antiseptic used to kill germs Clean under nails with stick Wet up to elbow Use antiseptic, long acting and rub all surfaces for 2-6 minutes Rinse with running water Dry with sterile towel

32 3: Hand Hygiene Slide 31 Hospital Hand Hygiene is Different from Cultural or Social Practises A hospital has more dangerous germs and more vulnerable people that settings at home Teach the hospital cleaners, aides, support staff, servants and other kind souls who help us everyday to:  Wash both hands  Use soap or ash  Rub until both hands are clean  Rinse hands under running water  Dry their hands

33 3: Hand Hygiene Slide 32 The Objective To encourage you to wash your hands more often, and to remove more germs when you do so This is only possible if the hospital provides soap, water, alcohol rubs, towels, towels and other facilities that make it possible The IC committee pledges to work to make it easier for you to protect your patients and yourself

34 Thank You!

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