5.4 Procedure Hand Hygiene

NURSE AND SAFETY








Procedure Hand Washing



Procedure Hand Rub







JULIE JAMES ABDULLAH

 Hand hygiene is considered


an important practice in


reducing the transmission of

infectious agents.
HAND HYGIENE






 Hand washing sinks must not


be used for the disposal of


other liquids.

1. Before touching a patient;

WHEN TO 2. Before clean/aseptic procedures.


PERFORM HAND 3. After body fluid exposure risk;



HYGIENE 4. After touching a patient; and


5. After touching a patient’s
immediate surroundings.



FIVE MOMENTS OF HAND HYGIENE

 Hand washing helps to


remove micro-organisms.



 Soap and water kills many

transient micro-organisms



WHY WE NEED TO that are

mechanically removed by
WASH OUR HANDS? rinsing.




 Antimicrobial products kills or


inhibits the growth of micro-

organisms


in deep layers of the skin



1. Soap; bar, liquid or foam


dispenser


 Anti-microbial soaps are


slightly more effective


than regular soaps.
RECOMMENDED
 When hands are visibly

HANDWASHING dirty, soiled with blood or



SOAP other body fluids, or after

using the toilet.



 But, frequent


handwashing often


causes skin irritation

and dryness.

2. Hand Sanitizer; gels, rinses, or foams

 Less time, fast action, more

effective, more accessible and
most efficacious antimicrobial

RECOMMENDED agents

 60 – 80% alcohol (Dix, 2010) rapid
HANDWASHING and optimal antimicrobial



SOAP  spectrum; bacteria, viruses, yeasts,
and fungi


 Hypoallergenic

 Odourless


 Colourless

AREAS MISS





OUT DURING





HAND





WASHING

DURATION OF




HANDWASHING

DURATION





OF HAND





RUB

HAND WASHING

1. Prepare requirement



PROCEDURE 2. Remove accessories





HAND WASH 3. Turn on the tap and


control the flow of the


water

4. WET





HANDS





TILL





FOREARM

5. SOAP




BOTH




HANDS TILL





FOREARM

6. PLACE PALM



TOGETHER, RUB PALM


TO PALM USING BRISK



AND VIGOROUS


TOGETHER.

6. PLACE RIGHT


PALM OVER LEFT


DORSUM WITH


FINGERS


INTERLACED


AND RUB


BRISKLY

7. PALM TO



PALM WITH




FINGERS



INTERLACED

8. BACK OF



FINGERS TO



OPPOSING


PALMS WITH



FINGERS


INTERLOCKED

9. ROTATIONAL


RUBBING OF LEFT


THUMB CLASPED


IN RIGHT PALM


AND VICE


VERSA

10. ROTATIONAL

RUBBING,


BACKWARDS AND


FORWARDS WITH

CLASPED FINGERS

OF RIGHT HAND IN


LEFT PALM AND


VICE VERSA

11. RUB WRIST TILL

FOREARM WITH


RIGHT HAND.


USING

ROTATIONAL

MOVEMENTS.


REPEAT FOR


ANOTHER HAND

12. RINSE FINGER



AND HANDS


TO FOREARM



LEVEL


THOROUGHLY.

13. DRY HANDS


AND FOREARM


THOROUGHLY


WITH STERILE



PAPER AND


HAND TOWEL

HAND RUB