Five Moments Steps.pptx

phd biochemistry

1. Five Moments Steps Of Hand Washing Dr. Jagroop Singh Research associate Govt . Medical College Amritsar

2. Patient Refers to any part of the patient, their clothes, or any medical device that is connected to the patient. If the patient were to get out of bed and walk off – what would still be attached to them.

3. Immediate Patient Surroundings A space temporarily dedicated to an individual patient for that patient s stay Includes: Patient furniture and personal belongings Medical equipment – BP machine, monitor Medical chart Anything touched by HCW while caring for that patient

4. Education for Moment 1 When Hand Hygiene before touching a patient - Where possible hand hygiene should occur in front of the patient so that they can observe it - Hand Hygiene on entering the patient s room Why To protect the patient against acquiring harmful germs from the hands of the HCW

5. Rule for Auditing Moment 1 HH Moment 1 should be performed prior to touching the patient - Only record Moment 1 once the HCW touches the patient

6. Example; HCW walks in, helps the patient to sit up, moves the over bed table, folds down the sheets, moves the chair into position, then gets the patients out of bed

7. Procedure Is an act of care for a patient where there is a risk of direct introduction of a pathogen into the patients body.

8. Education for Moment 2 When Hand hygiene immediately prior to a procedure - once hand hygiene has been done, nothing else in the patients environment should be touched prior to the procedure starting. Why To protect the patient from harmful germs (including their own) from entering their body during a procedure

9. Rule for Auditing moment 2 HH Moment 2 must be performed immediately prior to any procedure Example HCW replaces an empty iv fluid bag with a new iv fluid bag Moment2 – prior to disconnecting the iv line

10. Body Fluid Exposure Risk Any situation where contact with body fluids may occur. Such contact may pose a contamination risk to either the HCW or the environment. Actual or potential contact with; Blood, lochia Saliva or tears Mucous, wax or pus Breast milk, colostrum vomitus

11. Rule for Auditing moment 3 HH Moment 3 must be performed immediately after a procedure or body fluid exposure risk Touching the outside of a drain or drainage bag even when the circuit is not broken, is considered a moment 3 since there is a risk of body fluid exposure Moment 3 will usually be paired with a moment 2 except that; - Moment 3 may be recorded as stand alone HH moment when there is body fluid exposure risk, but the HCW has not touched the patient Cleaning up a spill of vomit, urine or faeces Moving pathology specimens Moving items contaminated with body fluids – sputum cup, urine bottle

12. Example; HCW replaces an empty IV fluid bag with a new iv fluid bag Moment 2 – prior to disconnecting IV Moment 3 –after reconnecting IV HCW walks into the room, empties IDC drainage bag, disposes of urine in pan room Moment 2 – before opening IDC Moment 3 – after disposing of urine (exposure risk)

13. Education for Moment 4 When Hand hygiene after touching a patient - This completes the education of hand hygiene before you enter the patient room, and before you leave the patient room Why To protect yourself and the healthcare surroundings from harmful patient germs

14. Rules for Auditing Moment 4 HH Moment 4 should be performed after touching the patient Moment 4 will usually be proceeded by a Moment 1 Touching the patient surroundings after touching the patient is recorded as single Moment 4. If patient a moment 3 there is touching of the patient surroundings, this is recorded as a Moment 4

15. Education for Moment 5 When Hand hygiene after touching the patients surroudings Why To protect yourself and the healthcare surroundings from harmful patient germs Rule for Auditing moment 5 HH moment 5 is performed when there has been no touching of the patient but there has been touching of the patients immediate surrounding When multiple items in the patient surroundings are touched, only one moment 5 is recorded

16. Example HCW walks into patient room, moves the over bed table closer to the patient, then leaves Moment 5 – after touching the patient surrounding If patient had been touched, then this would have been recorded as; Moment 1 and Moment 4