Presentation on theme: "Hand Hygiene In-Service for Staff. What is Hand Hygiene? Hand hygiene involves the following: Guideline for Hand Hygiene in Health-Care Settings. MMWR."— Presentation transcript:
Hand Hygiene In-Service for Staff
What is Hand Hygiene? Hand hygiene involves the following: Guideline for Hand Hygiene in Health-Care Settings. MMWR 2002; vol. 51, no. RR-16. Hand washing: washing hands with soap and water Alcohol-based hand rub: rubbing hands with an alcohol-containing preparation
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:
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 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 rub for routinely decontaminating hands. Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.
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 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 Good Better Best Plain soap Antimicrobial soap Alcohol-based hand rub
Self-reported skin score Dry Healthy Effect of Alcohol-Based Hand Rubs on Skin Condition Boyce J, Infect Control Hosp Epidemiol 2000;21(7):
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 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 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 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!