Chapter 3 HAND HYGIENE ADDISALEM_UPDATED may 23.pptx

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1. CHAPTER :3 HAND HYGIENE IPC for Primary Healthcare Setting in Ethiopia May 18/2022

2. Chapter Objective By the end of this chapter the participants will be able to practice proper hand hygiene techniques

3. Enabling Objectives Explain the importance of hand hygiene Distinguish when to perform hand hygiene (World Health Organization’s (WHO’s)-5 Moments for Hand Hygiene) Demonstrate proper hand hygiene technique

4. Outline 3.1. Importance of hand hygiene 3.2. When to perform hand hygiene 3.3. Hand hygiene methods 3.4. Improving hand hygiene practice in PHC settings 3.4. Summary

5. Session 3.1 Importance of Hand Hygiene

6. Activity 3.1Think Pair Share: Go to your participant manual page number ------- and do activity 3.1 Time Allowed: 15 Min

7. Hand Hygiene Hand hygiene is the single most important measure to prevent transmission of infection Proper hand hygiene can prevent transmission of microorganisms and decrease the frequency of HAIs The goal is to remove soil, dirt, and debris and reduce both transient and resident flora.

8. Failure to perform appropriate hand hygiene Leading cause of … Healthcare associated infections (HAIs) Spread of multidrug resistant microorganisms Significant contributor to outbreaks

9. Session 3.2 When to perform hand hygiene

10. Hand hygiene opportunities Before making contact with a patient Before performing a clean/aseptic task, including touching invasive devices After performing a task involving the risk of exposure to a body fluid, including touching invasive devices After patient contact After touching equipment in the patient’s surrounding areas

11. Other opportunities for hand hygiene Before touching the face (eyes, nose or mouth) Before and after cleaning the environment Before and after preparing food Before eating and drinking or serving food After visiting the toilet. Immediately on arrival and before departure from work (the health facility). Immediately after touching contaminated instruments or articles. Before putting on gloves and after removing them hands become visibly soiled after nasal blowing

12. Session 3.3 Hand hygiene methods

13. Hand hygiene methods Hand washing with Soap and Water Purpose of routine hand washing in health care is to remove dirt, organic material and microbial contaminants Water alone is not effective at removing substances containing fats and oils Requires soap, which is rubbed on all hand surfaces, followed by thorough rinsing and drying The entire hand washing procedure should take 40–60 seconds

14. Hand washing with soap and water is recommended If hands are visibly soiled or contaminated with blood or body fluids After using the toilet Before eating To remove the buildup of emollients on hands after repeated use of ABHR In outbreaks of C. difficile, but not in health care settings with only a few cases of C. difficile.

15. Alcohol-based hand rub Antimicrobial activity of alcohol results from its ability to denature proteins and kill microbes ABHR is more effective in killing transient and resident flora than hand washing with antimicrobial agents ABHR should be used at any of the 5 Moments To be effective, approximately 3–5 mL of ABHR FOR 20–30 seconds should be used.

16. Activity 3.2:Demonstration: Go to your participant manual page number ------- and do activity 3.2 Time Allowed: 30 Min

17. Session 3.4 Improving hand hygiene practice in PHC settings

18. Activity 3.3: Think-Pair-Share Time Allowed: 10 Min https://player.vimeo.com/video./406383268

19. Improving Hand Hygiene practice in health facilities Give each staff member a small bottle of ABHR. Create a schedule for staff to refill ABHR bottles. Work with management to ensure a steady supply of ABHR. Observe staff during their work and provide feedback on hand hygiene. Reward staff who consistently perform proper hand hygiene. Put up signs in the health center to remind staff of best practices in hand hygiene.

20. Summary The goal of hand hygiene is to remove soil, dirt, and debris and reduce both transient and resident flora. Five moments of hand hygiene are; before making contact with a patient, before performing a clean/aseptic task, after performing a task involving the risk of exposure to a body fluid and after patient contact. ABHR is more effective in killing transient and resident flora than hand washing with antimicrobial agents or plain soap and water.