Transcript PowerPoint Template

Hand Hygiene for
Clinical Staff
Infection Prevention & Control
July 2012
Objectives
• To understand the 4 moments for hand hygiene
• To understand the two environments for hand
hygiene and the impact on transmission of
organisms
• To identify areas for improving hand hygiene within
your clinical practice
Ask Yourself……..
• How good is your hand hygiene?
• Where have your hands been?
• Do you clean your hands between every patient?
• Are there opportunities for you to improve your
hand hygiene?
Did You Know?
• Most health care providers believe they are already
practicing good hand hygiene, but research has
shown that hand hygiene compliance is:
<40%
Two Different Environments
Healthcare Environment
• Everything outside the patient’s
immediate environment
• In a single room, this is outside
the room. In a multiple room,
this is everything outside the
patient’s bed area
Patient Environment
• The patient’s immediate area
Transmission of Organisms
• Health care providers move from patient to patient
and room to room to provide care
• This movement provides many opportunities for the
transmission of organisms to occur
• It only takes ONE missed hand hygiene opportunity
to spread an infection
When should hand hygiene be performed?
Before putting on gloves and after taking gloves off
Before preparing, handling, serving or eating food
After personal body functions
When unsure if hands are clean because germs are
not visible
• THE 4 MOMENTS FOR HAND HYGIENE are some
essential moments in health care where the risk of
transmission is greatest and hand hygiene must
always be performed
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The 4 Moments for Hand Hygiene
2. Before aseptic procedure
1. Before contact with the
patient/patient environment
4. After contact with
the patient/patient
environment
3. After body fluid exposure
The 4 Moments for Hand Hygiene
1. Before contact with the
patient/patient environment
Examples include:
• Before shaking hands
• Before taking blood pressure,
pulse or chest auscultation
• Helping to move or bath a
patient
• Before adjusting an IV
The 4 Moments for Hand Hygiene
2. Before Aseptic Procedure
Examples Include:
• Oral/dental care, giving eye
drops, secretion aspiration
• Skin lesion care, wound
dressing, injection
• Catheter insertion
• Preparing of medication or
dressing sets
The 4 Moments for Hand Hygiene
3. After Body Fluid Exposure
Examples Include:
• Secretion aspiration,
oral/dental care
• Skin lesion care, wound
dressing, injection
• Drawing any fluid sample
• Cleaning up urine/feces/vomit,
handling waste (bandages,
incontinence pads)
• Emptying catheter
The 4 Moments for Hand Hygiene
4. After contact with
patient/patient environment
Examples Include:
• After shaking hands
• Moving patient, bathing patient
• Taking pulse, blood pressure,
chest auscultation, abdominal
palapation
• Changing bed linens
• Holding a bed rail
• Clearing the bedside table
• Touching monitor
Where are the
opportunities for hand
hygiene?
You enter a ward room, the patient
in bed 3 asks for help out of bed
and upon leaving the room patient
in bed 1 asks you to check her IV
site.
How many moments for hand
hygiene in this example?
1. Before you enter the ward
room
2. After contact with the patient in
bed 3 & before contact with the
patient in bed 1
3. After contact with the patient in
bed 1
3 Opportunities
Where are the
opportunities for hand
hygiene?
You enter a room, take the patient’s
vital signs, change a dressing on
the patient’s foot and then set the
patient up for lunch before exiting
the room.
How many moments for hand
hygiene in this example?
1. Before you enter the room
2. Before starting the dressing
change
3. After the dressing change
4. Upon exiting the room
4 Opportunities
Is this Okay?
• Wear gloves for as short a time as
possible
• Do not walk from room to room or
common areas of the hospital while
wearing gloves
• Hands are often contaminated in the
process of glove removal
• Gloves do not replace the need to
perform hand hygiene
• Always perform hand hygiene before
putting on gloves and after removing
gloves
Hand Hygiene Reminders
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Keep nails short and clean
Do not wear artificial nails
Remove chipped nail polish
Remove hand jewellery
Clean hands for a minimum of 15 seconds
Apply lotion frequently
Notify occupational health if you develop skin
irritation due to hand hygiene