Hand Hygiene in Hospital Presentation.pptx

Hand hygiene training in hospital risk area

1. RA#3: SAFE ENVIRONMENT FOR STAFF AND PATIENT HAND HYGIENE

2. CURRENT DATA

3. INTRODUCTION The hands of healthcare workers (HCWs) play a critical role in keeping patients safe. Failure to perform appropriate hand hygiene is a leading cause of HCAIs and the spread of multidrug-resistant microorganisms (MDROs). Performing hand hygiene at key moments is an important healthcare intervention. Effective, timely hand hygiene is a cornerstone of infection prevention and control.

4. Hand hygiene is a general term for either: Cleaning hands by using soap and water commonly referred as handwashing, Antiseptic hand wash, antiseptic hand rub (e.g., alcohol-based hand sanitizer including foam or gel), or Surgical hand antisepsis.

5. MY 5 MOMENTS FOR HAND HYGIENE World Health Organization’s (WHO) 5 Moments for Hand Hygiene

6. CON’T In addition to WHO my five moments for hand hygiene: Better do Hand washing with soap and water rather than ABHR : When the hands are visibly dirty or visibly soiled with blood or other body fluids After using the toilet Before eating To remove the buildup of emollients (e.g., glycerol) on hands after repeated use of ABHR Hand hygiene with ABHR is preferred to hand washing: If hands are not visibly soiled. After removing sterile or non-sterile gloves Before handling medication Before preparing food or drinks If moving from a contaminated body site to another body site during care of the same patient.

7. STEPS FOR HANDWASHING Thoroughly wet hands. Apply a hand washing agent (liquid soap); Vigorously rub all areas of hands and fingers for 15 seconds, paying close attention to fingernails and between fingers. Rinse hands thoroughly with clean running water from a tap or bucket. Dry hands with a paper towel or a clean, disposable towel Use a paper towel or clean, dry towel when turning off the water if there is no elbow or foot control or automatic shut off.

8. TECHNIQUES HAND WASH ( 40-60 Seconds) HAND RUB (20-30 Seconds)

9. CON’T SURGICAL HAND WASH (6 Minutes) SURGICAL HAND RUB (5 Minutes)

10. Parts of the hands most frequently missed during hand hygiene include: thumbs, palms, web spaces, under nails, and the backs of fingers and hands.

11. KEY CONSIDERATIONS ABOUT HAND HYGIENE Skin reaction, lesions, and skin breaks Fingernails Artificial Nails Nail Polish Jewelry

12. BARRIERS TO ADHERENCE TO Hand Hygiene External factors for poor hand hygiene: Lack of access to resources and supplies Limited monitoring and timely feedback on hand hygiene practices Lack of continuous ongoing education/training on hand hygiene Lack of reminders to prompt hand hygiene in clinical areas. Staff are not encouraged to perform hand hygiene and discussion about risks and errors related to poor hand hygiene. Lack of active participation in hand hygiene promotion at individual or institutional level. Internal factors for poor hand hygiene: Healthcare workers’ personal behavior Belief that guidelines don’t apply Some staff are not sure when and how Lack of social support, Lack of role model from colleagues or superiors Overcrowding, understaffing -- too busy, Not thinking about it/forgetfulness

13. KEY MESSAGE Hand hygiene is a critical component of infection prevention and control. Performing hand hygiene at the right moments and following the techniques correctly can help prevent the spreading harmful microorganisms. WHO 5 moments of hand hygiene summarizes critical occasions to perform hand hygiene: when identified and applied in the facility it improves healthcare outcomes. Skin care is an important element of hand hygiene and should be emphasized for staff who frequently wash their hands 20 times per shift. Recognizing and addressing barriers to adherence to hand hygiene recommendations at your healthcare facility increases the safety of patients and healthcare workers.

14. THANK YOU