IPSG Emirates Hospital

Hand Hygiene

Hand Washing

ME 3. Hand washing and hand disinfection procedure are used in accordance with hand hygiene guidelines throughout the hospital.

Based on CDC guidelines, infections that get in the hospital can be life threatening and hard to treat. Hand hygiene is one of the most important ways to prevent the spread of infections.

ME 2. The hospital implements an effective hand hygiene program throughout the hospital

Should include collection and analyzing the data related to:

* Nosocomial infections

*Other infectious diseases: Respiratory and contact infections

* Post operative wound infections

* Infections related to IV, Central lines and Foley Catheters

Surgical Hand Disinfecion

The killing of transient, and a substantial number of superficial resident micro-organisms, either through the use of a surgical scrub solution or a hand rub with an additional active ingredient.

Hand Disinfection

The killing of transient micro-organisms either through the use of alcohol hand gel or hand rub with an additional active ingredient.

The removal of transient micro-organisms of the hand

The killing or removal of transient micro-organisms from the hands using alcohol hand gel, soap and water or hand wipes.

HOW TO HAND WASH

HOW TO HAND RUB

USE OF GLOVES

The use of gloves does not replace the need for hand hygiene.

Wear gloves when it can be reasonably anticipated that contact with blood or other potentially infectious materials, mucous membrane s or non-intact skin will occur Remove gloves after caring for a patient. Do not wear the same pair of gloves for the care of more than one patient.

When wearing gloves, change or remove gloves during patient care if moving from a contaminated body site to either another body site.

RECOMMENDATIONS FOR SURGICAL HAND PREPARATION:

Remove rings, wrist watch, and bracelets before beginning surgical hand preparation.

Sinks should be designed to reduce the risk of splashes.

If hands are visibly soiled, wash hands with plain soap before surgical hand preparation.

When performing surgical hand antisepsis using an antimicrobial soap, scrub hands and forearms.

The length of time recommended is typically 2-5minutes.

When using an alcohol-based surgical hand rub product with sustained activity, follow the manufacturer’s instructions for the application times.

HAND WASHING FACILITIES SHOULD INCLUDE:

Antimicrobial soap solutions and disposable paper hand towel in a wall mounted dispensers.

In areas where access to hand washing facilities is difficult alcohol rub solutions should be made available for aseptic procedures.

Paper towel containers shall be refilled daily or as often as necessary to maintain an adequate supply.

HAND WASHING FACILITIES

HAND HYGIENE TECHNIQUE

Hand washing facilities should be conveniently located throughout the hospital in patient room, examination room, and all patient care areas. More than one sink per room may be necessary if a large room is used for several patients.

Hand washing facilities should be located in or adjacent to rooms where diagnostic or invasive procedures that require hand washing are performed.

*Finger nails must be cut short and clean as microbes can often multiply under dirty nails.

*Nail varnish must not be used as microbes can often multiply in crack varnish.

*Remove rings ,wrist-watch and bracelets before beginning hand-hygiene.

*Wet hands with running water.

*Apply hand washing agent and thoroughly distribute over hands.

*Rub hands together vigorously for 40-60 seconds ,generating friction on all surfaces of the hands and fingers(NOTE: Wash all surfaces thoroughly, including wrists, palms, backs of hands, fingers and under the finger nails)

*Hands should be thoroughly rinsed to remove residual soap and then dried.

*When the sink does not have foot controls or an automatic shutoff, a dry paper towel shall be used to shut off the faucet in order to avoid re-contaminating the hands

*Paper towels shall be dispensed from holders that require the user to remove them one at a time.

*Hand-drying materials shall be placed near the sink in an are that will become contaminated by splashed water.

ALCOHOL HAND RUBS

ALCOHOL HAND RUBS PROVIDE A USEFUL ALTERNATIVE TO SOAP AND WATER WHEN HANDS ARE NOT VISIBLY SOILED AND THERE'S A NEED FOR RAPID HAND DISINFECTION, OR WHEN ACCESS TO FACILITIES IS DIFFICULT OR INCONVENIENT.

SOAP AND WATER

Liquid soap shall never be added to partially filled dispensers.

Liquid soap in sealed disposable cartridge and water is effective for the removal of physical dirt or soiling.

sOAP AND WATER

This will remove transient micro-organisms and render the hands socially clean.

Liquid soap in sealed dispensers which shall be emptied, thoroughly cleaned and refilled with completely new solution on a regular basis.

CHOICE OF CLEANSING AGENT

aLCOHOL HAND RUBS

Duration of Handwashing

Based on WHO Guidelines:

Hand hygiene technique with alcohol-based formulation- duration of entire procedure 20-30 seconds

Hand hygiene technique with soap and water- duration of the entire procedure is 40-60 seconds

INDICATIONS FOR THE HAND DECONTAMINATION

The WHO have identified the 5 key moments for hand hygiene

This approach recommends healthcare workers to clean their hands:

Before touching the patient

Before clean/aseptic procedure

International Patient Safety Goals

After body fluid exposure risk

After touching the patient

After touching the patient's surroundings

Reduce the risk of Healthcare - associated infections

ME 1. The hospital has adopted currently published, evidence- based hand hygiene guidelines.

REDUCE THE RISK OF HEALTH CARE-ASSOCIATED INFECTIONS

All members of the healthcare team will comply with current World Health organization (WHO) and Centers for Disease Control and Prevention (CDC)

hand hygiene guidlines

Presented by:

Irene Galleta

Veeral DSilva

Yzamer Maratas

PURPOSE:

• To prevent / reduce and minimize the spread of health car associated infections.
• To remove transient microbial contamination that has been acquired by recent contact with infected or colonized patients or environmental sources.
• To prevent the transmission of potentially pathogenic organisms.
• To improve and maintain high standards of hand hygiene compliance throughout the hospital.