hand hygiene awareness day 5th may 2014
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7/22/2019 Hand Hygiene Awareness Day 5th May 2014
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5 May 2014
Hand Hygiene
Awareness Day“HAND HYGIENE IS THE
SINGLE MOST
IMPORTANT MEANS FOR
PREVENTING THE
SPREAD OF INFECTION”
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HAND HYGIENE
DEFINITION:
Hand washing for hand hygiene is a term referring to any action of hand cleansing
A SINGLE PAIR OF UNWASHED HANDS CAN PUT A WHOLE HOSPITAL OR
HEALTHCARE FACILITY AT RISK!!!
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NORMAL BACTERIAL SKIN FLORA
Normal human skin is colonized with bacteria.
Different areas have varied total bacterial counts
Average number of individual bacteria living on one square
centimeter of human skin: 10 million
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PHYSIOLOGY OF NORMAL SKIN
FUNCTION OF THE SKIN
1. Protects
2. Reduces water loss
3. Acts as a permeable barrier to the environment
STRUCTURE
1. Superficial region
2. Viable epidermidis
3. The dermis4. The hypodermis
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FINGERNAILS
Studies have shown that nails, including chipped nail
polish and acrylic/gel nails can harbor potentially harmful
bacteria.
• Nails must be kept short and clean
• Nail polish must not be worn• Artificial/acrylic nails should not be worn
• Nail brushes should not be used as skin could become damaged
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WHY IS HAND HYGIENE SO IMPORTANT?
•The most common way germs are spread is
by peoples hands
• Germs can be harmless but can also cause
illness – colds, flu, diarrhea, etc
• Washing your hand reduces the spread of
infection and protects you and those around
you
• People of all ages must be encouraged towash
their hands at appropriate times
e.g. all visitors to the hospital
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WHO MUST WASH THEIR HANDS????
• All staff involved in patient care
• Kitchen staff – before and after
preparing meals
- after handling raw foods
- after handling refuse• Pharmacy before and after preparation
of medication
• Porters and General assistants
• Radiography staff
• Physiotherapists• Biokineticists and speech therapists
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HAND WASHING INDICATIONS• When hands are visibly soiled
• After toilet use
• Before and after performing invasive procedures
• Before and after touching/treating wounds
• Before and after contamination of hands
with mucous membranes, blood or body
fluids, secretion or excretions
• Before and after gloving
• After touching contaminated objects and surfaces
• After caring for patients with MRSA, VRE, C.diff,
ESBLs
• Between contacts with different patients
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NON-COMPLIANCE FACTORS• Lack of education or experience
• Lack of knowledge of guidelines
• Lack of discipline/sanctions for
non compliance• Being a “law unto their own”
• Agents cause skin irritation
• Hand basins are inconveniently
placed / lack of hand
basins/not dedicated just for
hand washing
• Often too busy/insufficient
time
• Too repetitive
• More important things to do
• Lack of soap and paper
• Understaffing / overcrowding
• Patient needs take priority
• Low risk of acquiring infection frompatient
• Can’t see germs
• Wearing gloves anyway
• Lack of role models
• Attitude
• Lack of responsibility
• Lack of providing a safety climate
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DEDICATED HWBs???
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STRATEGIES TO IMPROVE ADHERENCE
• Engineering controls: HWB, Water, sink:
bed ratio
• Availability of hand hygiene products –
budget?• Education of staff, patients and visitors
• Visible posters
• Monitoring tool used
• Efficacy and compliance of these
products• Enhance individual and institutional self -
efficacy
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• Promotional reminders and posters of
effectivehand hygiene
• Annual HH surveillance
• Routine observation and feedback
• Standardized presentation used
• Links to videos provided
• Administrative
sanctions/rewarding
• Avoid overcrowding,
understaffing and
excessive work load• Multimodal and multidisciplinary
approach
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THE POWER OF ONE
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A FINAL QUOTE
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For any enquiry contact-
Qualitas Diagnostics Health & WellnessTel no.: +91 22 65306532/33Email id:[email protected]@qualitasdiagnostics.com
Website: www.qualitasdiagnostics.com