Hand washing

Hand washing or Hand hygine
1.Hand rub method
2.soap and water method
3.surgical hand washing
4.importance of hand washing

1. Hand Washing Presented By- Atul Yadav (RN,RM)

2. Objectives By the end of this lesson /topic you will be able to:       Identify who should practice hand hygiene? Describe what hand hygiene is? Identify where hand hygiene practice should take place? Explain why hand hygiene is important? Describe when hand hygiene is to be performed? Describe how to perform hand hygiene using various steps?

3. Introduction Ignaz Philipp Semmelweis Hungarian physicia n

4. Introduction Han d w ash i n g i s t h e s i n g l e m o s t e ffec t i v e w a y to prevent the spread of germs/micro-organism w h i c h p r e ven t c o mm u n i ca bl e d i seas e s . I t’s ea s y to learn how to wash your hands and how to stop t h e s p rea d o f i n f e c t io n b y w ash i n g t h e g er ms away. Good hand washing can prevent diseases suc h a s : S h i g e llo s i s, E . C oli , S t re pt oc o c c al Disease, Influenza and the Common Cold. We can pick-up germs from doorknobs, stair railings or anything that has been touched by others who aren’t good hand washers

5. Definition of hand washing  Hand washing or hand hygiene is the act of cleaning one's hands with or without the use of water or another liquid, or with the use of soap for the purpose of removing soil, dirt, and/or micro organisms.

6. Importance of hand hygiene practice Hand hygiene practicing is not important only for health care Providers, everyone needs to practicing appropriate & effective hand hygiene to prevent spread of micro organisms.

7. Indications for H and washing With soap and water Visibly dirty Contaminated with proteinaceous material, blood Body fluids After using rest room Before and after having food

8. Y ou should perform hand hygiene Busy health care providers need access to hand hygiene products where patient or patient environment contact is taking place. Hand hygiene is important in all work settings, including Acute Care, Long Term Care Facilities, Community and Corporate sites. Providing alcohol-based hand rub at the point of care (within arm’s reach) is an important system support to improve hand hygiene

9. W e need to learn about Hand Hygiene Hand hygiene is the most important way to prevent the spread of germs. Hand hygiene helps keep you healthy by reducing the number of germs on your hands and helps reduce the spread of germs to your family, friends, co-workers, patients, residents or clients. Using appropriate hand hygiene prevents contamination of the patient’s, client’s, or resident’s environment.

10. 5 moments of Hand Hygiene by WHO

11. 5 moments of hand hygiene Before pt contact – shaking hands, helping a pt move around, clinical examination Before an aseptic task – oral / dental care, secretion aspiration, wound dressing After body fluid exposure risk - oral / dental care, secretion aspiration, phlebotomy, clearing urine, etc. After pt contact – shaking hands, helping a pt move around, clinical examination After contact with pt surroundings – changing bed linen, perfusion speed adjustment

12. Agents of hand hygiene Non medicated soap Alcohols Chlorhexidine Iodine and iodophores Quaternary ammonium compounds Etc.

13. Method of hand washing - Remove jewellery, rinse hands under running water Lather with soap and using friction cover all surfaces Wash under running water Turn tap off with wrist / elbow Dry hand with single use towel or forced air drying Pat skin rather than rubbing to avoid cracking

14. How to perform hand hygiene  Proper technique is important when it comes to effective hand hygiene. Without proper hand hygiene technique, we can still spread many micro-organisms with our hands. This section will cover the proper techniques for the following procedures Wet hands under running water Apply soap and distribute over hands Rub hands together vigorously for 15 seconds to create a good lather: Palm to palm Rub fingertips of each hand in opposite palm

15. C on ti n ue Between and around fingers Rub each thumb clasped in opposite hand Rub back of each hand with opposite palm Rinse hands thoroughly under running water.

16. Steps of Surgical hand preparation Prerequisites Keep nails short and pay attention to them Don't wear artificial nails / nail polish Remove jewellery Wash hands with non medicated soap before entering OT Clean subungal areas with nail file. Not nail brush

17. Procedure- 3 -5 mins Start timing Scrub each side of each finger, between fingers, back and front of hand for 2 mins Proceed to scrub the arms , keeping the hands higher than the arm at all times Repeat process on other hand and arm – 1 min Rinse hands – not back and forth Proceed to OT holding hands above elbows Dry hand s with sterile and aseptic technique before donning gown and gloves