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Hand Hygiene

DA 116 Infection Control. Hand Hygiene. _______ and most important step in infection control Think about as _____________ rather than hand washing It’s not what you wash with, but how you wash that counts. The importance of Hand asepsis:.

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Hand Hygiene

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  1. DA 116 Infection Control Hand Hygiene

  2. _______ and most important step in infection control Think about as _____________rather than hand washing It’s not what you wash with, but how you wash that counts The importance of Hand asepsis:

  3. Handwashing: washing hands with plain soap and water ______________________: washing hands with soap and water or other detergents containing an antiseptic agent _____________________: rubbing hands with an alcohol containing preparation ___________________: handwashing with an antiseptic soap or an alcohol-based handrub before operations, by surgical personnel Hand Hygiene Definitions:

  4. _____________: • Always present • Located several layers beneath the skin surface • Washing only slightly decreases the number • _____________: • Results from and lead to cross-contamination • Located on skin surface • Hand washing or hand rubbing can remove Microorganisms found on the Hands:

  5. Location on hands Density of microorganisms (CFU = colony-forming units) 1. Under fingernails 2. Palm of hands 3. Back of hands 4. Between fingers 5. Top of fingernails • 61,368 CFU • 847 CFU • 250 CFU • 223 CFU • 89 CFU As studies have shown, our fingernails house the highest level of pathogens on our hands.  The area under the fingernail has at least 75 times more microorganisms per density than anywhere else on the hands.

  6. Basic hand hygiene involved: • ________________ wash with soap and water • Rinse and ________ thoroughly • Keep hands clean • Consider ________ integrity ( check for cuts and openings in the skin) Traditionally:

  7. We have a choice of methods: • ____________________: • Requires: Antibacterial soap, water and a sink • This process is used when hands are _______ dirty or contaminated • Start of day; before breaks; after breaks; end of day • Hand-rubbing: • Requires: ___________ based gel, liquid or lotion • This process is used if you want to _______ the number of microorganisms on the skin, but not when the hands are visibly dirty Today:

  8. Using a Hand sanitizer • Good alternative to handwashing when: • Hands _____ visibly soiled • Sanitizer has _____or more alcohol content • ______recommended for food preparation

  9. Microorganisms on hands __________ routine handwashing

  10. What about fingernails??? • CDC recommendations: • _________ with smooth, filed edges • Nail polish ______ recommended: • Chipped polish harbors added bacteria • Bright colors (red) show through gloves and may alarm patients • Note: jewelry is not recommended for same reasons • Artificial nails: • ________ recommended • Usually too _______ • Create an environment for __________ growth • Nail polish on them add to the problems • Longer nails can _____gloves or make gloves not fit well • Longer nails can prevent effective clinical skills

  11. Hand Care for healthy intact skin • ________ handwashing can lead to dry, irritated skin • Use cool to lukewarm water ___________ • Dry thoroughly after washing • Caution with hand lotions and moisturizers • Products with ________ can weaken gloves and cause pinholes in them • Select products specific for healthcare workers

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