Presentation on theme: "Hand Hygiene and PPE Gail M. Maier, PhD., R.N. Associate Director The Ohio State University Wexner Medical Center."— Presentation transcript:
Hand Hygiene and PPE Gail M. Maier, PhD., R.N. Associate Director The Ohio State University Wexner Medical Center
Objectives for this program Describe the components of Standard Precautions to include: Hand hygiene Use of personal protective equipment Respiratory hygiene and cough etiquette Safe injection practices Safe handling of potentially contaminated equipment in the patient environment. Demonstrate the proper steps of hand hygiene using an alcohol-based hand rub and soap and water.
Standard Precautions Standard Precautions represent the minimum infection prevention measures that apply to all patient care, regardless of suspected or confirmed infection status of the patient, in any setting where healthcare is delivered. Standard Precautions include: 1) hand hygiene, 2) use of personal protective equipment 3) respiratory hygiene and cough etiquette, 4) safe injection practices, and 5) safe handling of potentially contaminated equipment or surfaces in the patient environment. Retrieved from http://www.cdc.gov/HAI/settings/outpatient/basic-infection-control- prevention-plan-2011/fundamental-of-infection-prevention.html
Importance of Hand Hygiene HAND HYGIENE is IMPORTANT Hand hygiene is one aspect of Standard Precautions http://www.youtube.com/watch?v=2PuRQZEL1oU&f eature=youtu.be
Hand washing can be accomplished using 2 methods: Soap and water Alcohol hand rub (should be 60% alcohol) Use soap and water: When hands are visibly soiled After direct contact with blood and/or other body fluids After caring for a patient with infectious diarrhea or norovirus Soap and Water or Alcohol Hand rub
Skill: Handwashing with Alcohol Hand rub Dispense an ample amount of product into the palm of one hand. Rub hands together, covering all surfaces of hands and fingers with antiseptic rub. Rub hands together until the alcohol is dry. Allow hands to completely dry before applying gloves NEJM video: http://youtu.be/uGmMDC-4IMY
Personal Protective Equipment Use of disposable gloves, gowns and masks are another important element of standard precautions. Non-sterile gloves are available in all patient rooms. http://www.who.int/gpsc/5may/Glove_Use_Information_Leaflet.pdf
Use of Non-sterile gloves Review page 3 of the WHO pamphlet. Note the times when gloves are indicated. Always remember to perform hand hygiene prior to donning and after removing gloves See the “Attachments Tab” for the WHO Pamphlet (Glove Use leaflet)
Donning and removing non-sterile gloves Note that gloves are not a replacement for hand hygiene. Together they are the best protection for the patient and you! Please review page 4 for the procedure on donning and removing non sterile gloves. You will be able to practice these techniques in the skills portion of this course. See the “Attachments Tab” for the Glove Use Leaflet
Use of protective gowns Any time when blood or body fluids may be splashed or splattered onto the body, a gown should be worn. A gown must also be worn when working with a patient in contact isolation
Protective gowns All gowns are made of waterproof paper and are to be worn for only one use and one patient encounter. Gowns must be removed after using. If transporting a patient in contact precautions through hospital corridors, don a clean gown prior to leaving the room. Contaminated PPE should never be worn outside of the patient room.
Donning and removing a protective gown Donning a gown The opening is in the back Fully cover torso from neck to knees, arms to end of wrists, and wrap around the back Secure at neck and waist If gown is too small, use two gowns: the first ties in front, the second ties in back Removing a gown Gown front and sleeves are ‘dirty’; handle by the inside/back of gown Unfasten ties Peel gown away from neck and shoulder Turn contaminated outside surface toward the inside; fold or roll into a bundle Discard CNA Essential Skills YouTube Video: http://www.youtube.com/watch?v=6oHYb6_bFYo
Protective masks and eyewear Masks are to be worn when there is a likelihood of blood or other body fluids will be sprayed into the face and/or eyes. Masks are to be worn for patients who are in respiratory (droplet) isolation.
Masks and eyewear In some cases, masks will be sufficient. But if blood and body fluids can be sprayed, eyewear should also be worn. Dental procedures and some respiratory procedures are examples of when to use both mask and eyewear.
Donning and removing a mask Donning a mask Secure on head with ear loops or ties Place over nose, mouth, and chin Fit flexible nose piece over bridge Removing a mask Adjust fit – snug to face and below chin Front of mask is ‘dirty’; handle by ear- loops or ties Remove from face, in a downward direction, using ear-loops Discard
Airborne Precautions – N95 Respirator When the patient is being treated for an airborne infection, e.g. active tuberculosis, the regular, surgical mask is not sufficient protection. An N95 respirator or “duck- billed” mask is to be worn. Staff must be properly fit-tested before using this type of PPE
Donning and removing eye shield/goggles Donning shield/goggles position eyewear over eyes and secure to head using ear pieces Some facilities will utilize an eye shield that is directly attached to the mask Removing shields/goggles Outside of eyepiece is ‘dirty’; handle by earpieces Grasp earpieces with ungloved hands Pull away from face Place in designated receptacle for reprocessing Eye shields attached to a mask are discarded
Proper Use of PPE: A video http://www.youtube.com/watch?v=oxdaSeq4EVU
Needlestick Safety Since blood is one of the highest risk body fluids, it is very important that you protect yourself and your patient from exposure to it. Procedures that involve needles, such as injection and phlebotomy, puts you at risk for blood exposure.
Needlestick Safety continued Always use the “one- handed” scoop method to recap a needle. You will have the opportunity to practice this during the skills portion of the class Dispose of needles and other sharp objects into a designated sharps dispenser
If an exposure occurs: Flood the exposed area with water and thoroughly clean any wound with soap and water (use antimicrobial soap and water if available) If mucus membranes or eyes are exposed, thoroughly flush with water; if eyes are exposed, use an eyewash station if readily available. If there is a bite injury, the person bitten should wash the area following the directions above; The biter should rinse their mouth following the directions above.
Respiratory Hygiene/Cough Etiquette The following measures to contain respiratory secretions are recommended for all individuals: Cover your mouth and nose with a tissue when coughing or sneezing. If you do not have a tissue, use your sleeve rather than your hand. Use the nearest waste receptacle to dispose of the tissue after use. Perform hand hygiene after having contact with respiratory secretions and contaminated objects/materials.
Summary This program has introduced you to the importance and use of hand hygiene and standard precautions. Proper hand hygiene is a critical factor in the reduction of nosocomial infections in the healthcare setting. Standard precautions is the minimum level of precautions that all healthcare workers are required to use when caring for patients.
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