Lec2_Handwashing_25-Jan-2023_Sir-Britania.pptx

handwashing techniques

1. Lemuel M. Guevarra, RN 27 January 2023

2. Learning Objectives - to understand the concept of handwashing and its importance to the profession of nursing. - to apply the proper steps of proper and effective handwashing . - to create a habit of doing handwashing before and after contact with patient.

3. Introduction Hand Hygiene is the easiest and most important way to prevent spread of infection . You use your hands for almost everything. They are easily contaminated.

4. Purpose 1-To clean contaminated hands. 2-To remove dirt 3-minimize number of microorganism 4- To prevent cross and nosocomial infection.

5. Indications 1- When hands are visible soiled 2- Before and after caring for a patient 3- After contact with organic material ,such as feces ,wound drainage ,and mucus 4 -In preparation for an invasive procedure ,such as suction catheterization ,or injections

6. 5 - B e f o re changing a d r essing o r havi n g con t a c t with open wounds 6- Befor preparing and administrating medications 7- After removing disposable gloves 8- Before and after using the toilet 9- Before and after eating 10- At the beginning and end of the shift .

7. Hands flora Resident Flora: Deep seated Difficult to remove Part of body’s natural defence mechanism Associated with infection following surgery/invasive procedures. Transient Flora: Superficial Transferred with ease to and from hands Cause of cross infection Easily removed with good hand hygiene.

8. Hand Hygiene includes : Hand washing Washing hands with plain soap and water 2- Antiseptic hand wash Washing hands with water and soap or other antiseptic agent 3- Alcohol-based hand rub Rubbing hands with an alcohol -containing preparation (used after hand washing)

9. 4- Surgical antisepsis Hand washing with antiseptic soap or alcohol- based handrub before operations by surgical personnel

10. Hand Care Nails Rings Hand creams Cuts & abrasions Skin Problems

11. Rings and Jewelry Studies have demonstrated that skin underneath rings is more heavily colonized than comparable areas of skin on fingers without rings.

12. Keep fingernails SHORT ! Not excesses 1/4 inch Avoid artificial nails Avoid nail polish Fingernails

13. Equipment: - Sink with warm and cold running water . - Tissue paper or small towels . - Trash can- nail cleaner - Soap dispenser or soap and soap dish .

14. Procedure Nursing Actions Rational 1-inspect hands ,observing for visible soiling, breaks or cuts in the skin and cuticles 1-poor personal hygiene and an open area of the skin provide areas in which microorganisms are able to grow 2-determine amount of contaminate of hands 2-determine the type of hand hygiene needed

15. Procedure… cont. Nursing Actions Rational 3-assess areas around the skin that are contaminated 3-prevent contamination of hands during and after hand hygiene procedure 4- remove jewelry except plain wedding band and push watch and long sleeves above wrist 4-microorganisms collect in jewelry and watch bands ;removing jewelry makes it easier to wash all areas of hands and wrists

16. Procedur e… cont. Nursing Actions Rational 5-adjust the water to appropriate temperature and force 5-water is too hot or too cold can chap skin ,and too much force can cause splashing and spread microorganisms to other areas ,especially your clothing 6-wet hands and wrist under the running water ,always keeping hands lower than elbow s 6-hands are the most contaminated part of the upper extremities ;water should follow from the wrists (least contaminated areas) over the hands ,and then down the drain

17. Procedure … cont. Nursing Actions Rational 7-lather hands with liquid soap 7- soap lather emulsifies fat and aids in cleaning 8-wash hands thoroughly using a firm , circular motion and friction: 8- helps to loosen soil and microorganisms , both resident (normally present )and transient (acquired from contamination) a. Rub palms together

18. Procedure… cont. Nursing Actions Rational b. Rub the back of both hands c . Interlace and rub hands together

19. Procedure… cont. Nursing Actions Rational d. Interlock fingers and rub the back of fingers of both e. Rotational rubbing of left thumb clasped in right palm and vice versa ;

20. Procedure… cont. Nursing Actio n s Rational f. Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa; g. Rub both wrists in a rotating manner ;

21. Procedure… cont. Nursing Actions Rational loosened microorganisms ,and re-lathering ensures more thoroughly cleaning . the greater the contamination , the more needed for longer washing 9-wash for 15 to 30 s econds 9-Rinsing removes the ,rinse thoroughly ,relather ,and wash ano t her m inu t es ,using continuous friction 10-The water should run from cleaner areas (the wrists) over the hands , and then down the drain , rinsing microorganisms away 10- rinse wrists and hands completely --- keep hands lower than elbows

22. Procedure… cont. Nursing Actions Rational 12-dry hands thoroughly with paper towels . -start by patting at fingertips , then hands ,then wrists and forearms 12-prevent chapping .drying should progress from clean to less clean , and the cleanest areas are now your fingers and hands

23. Procedure… cont. Nursing Actions Rational 13- turn of faucets using a dry paper towels 13- keeps cleans hands from touching contaminated hands 14-use hospital- approved hand lotion if desired 14- keeps skin soft and lubricated so it will not crack easily

24. Procedure… cont. Nursing Actions Rational 15- inspect hands and 15- ensures cleanliness of nails for cleanliness hands and nails 16- provide patient 16-helps the patient teaching .explain to the understand that hand patient the importance hygiene slows down the of hand hygiene spread of infection

25. Hand Hygiene: Frequently Missed Areas Courtesy of SDS Kerr

26. Remember : Bacteria and viruses can cause illness and even death. Hey, wait a minute! We’re not all bad!

27. And remember… No Matter Where You Are… No Matter What You Do… WASH YOUR HANDS!

28. End of Presentation