Hand Hygiene Practices in Healthcare
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Questions and Answers

In which situation should soap and water be used for hand hygiene?

  • When handling food without gloves (correct)
  • Before using an alcohol-based hand rub
  • When hands are visibly soiled
  • After applying lotion to hands

What is the primary purpose of routine hand hygiene?

  • To promote hygiene and prevent the spread of germs (correct)
  • To maintain aesthetic fashion choices
  • To enhance the appearance of hands
  • To prevent skin irritation from products

What should be avoided during hand washing to prevent contamination?

  • Washing with warm water
  • Wearing rings or bracelets (correct)
  • Using neutral pH liquid soap
  • Rubbing hands palm to palm

Which hand hygiene technique is specifically designed for surgical settings?

<p>Surgical hand wash (scrubbing) (D)</p> Signup and view all the answers

What is an important consideration for maintaining hand hygiene in health-care settings?

<p>Keeping nails short and clean (D)</p> Signup and view all the answers

How long should hands be lathered with soap during routine hand hygiene?

<p>15-30 seconds (B)</p> Signup and view all the answers

When should hand hygiene be performed according to infection control guidelines?

<p>Whenever hands are visibly soiled or after risk of contamination (C)</p> Signup and view all the answers

What is not recommended before using an alcohol-based hand rub?

<p>Washing hands with soap and water (A)</p> Signup and view all the answers

What is one situation where latex-free gloves must be worn?

<p>Before an aseptic procedure (B)</p> Signup and view all the answers

What should be done if gloves become heavily soiled?

<p>Replace them before dealing with another patient (D)</p> Signup and view all the answers

Which statement is true regarding the use of gloves?

<p>Washing hands before wearing gloves is recommended (D)</p> Signup and view all the answers

When should you remove gloves to perform hand hygiene?

<p>After contacting non-intact skin (A)</p> Signup and view all the answers

What action should be taken if gloves show signs of damage before use?

<p>Replace them with a new pair (D)</p> Signup and view all the answers

What is a common misconception regarding gloves and hand hygiene?

<p>Gloves can eliminate germs without hand washing (C)</p> Signup and view all the answers

What is a proper technique for removing gloves?

<p>Turning them inside out while removing (C)</p> Signup and view all the answers

What is a recommended practice to reduce hand irritation from wearing gloves?

<p>Wearing gloves that are clean and dry inside (A)</p> Signup and view all the answers

What is the main purpose of surgical hand antisepsis?

<p>To minimize the number of pathogens on the hands and arms (C)</p> Signup and view all the answers

Which step is crucial for preventing recontamination of the hands during the scrub?

<p>Working only in the direction towards the elbows (D)</p> Signup and view all the answers

What should be done with the hands after completing the surgical scrub?

<p>Allow water to drip off and use a sterile towel to pat dry (A)</p> Signup and view all the answers

During the surgical scrub, how should the hands be positioned?

<p>Kept higher than the elbows throughout the process (C)</p> Signup and view all the answers

What is the initial action when performing a surgical hand scrub?

<p>Wet hands and forearms and apply the solution (C)</p> Signup and view all the answers

Which of the following should you avoid during the surgical scrub?

<p>Letting hands touch any other surfaces (C)</p> Signup and view all the answers

What is the primary purpose of aseptic/clinical hand hygiene?

<p>To remove transient micro-organisms and inhibit growth of resident micro-organisms (A)</p> Signup and view all the answers

When is the antimicrobial agent applied during the surgical hand scrub?

<p>Immediately upon wetting the hands and forearms (C)</p> Signup and view all the answers

In what situation must hands be washed with soap and water instead of using alcohol-based hand hygiene products?

<p>When hands are visibly soiled (B)</p> Signup and view all the answers

What is the recommended duration for rubbing the fingertips on the palm during scrubbing?

<p>2 minutes (D)</p> Signup and view all the answers

Which step is NOT part of the alcohol-based hand hygiene procedure?

<p>Wash hands with antimicrobial soap for one minute (C)</p> Signup and view all the answers

What is a benefit of using alcohol-based hand hygiene products over regular soap?

<p>They reduce bacterial counts on hands effectively (C)</p> Signup and view all the answers

What technique should be used for rubbing hands during the alcohol-based hand hygiene process?

<p>Palm to palm with interlaced fingers (A)</p> Signup and view all the answers

How should taps be turned off after washing hands to maintain hygiene?

<p>By using a paper towel (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic of alcohol-based hand hygiene products?

<p>Require longer time than handwashing (D)</p> Signup and view all the answers

What is the recommended action regarding jewellery during hand hygiene procedures?

<p>Remove all jewellery before starting the procedure (D)</p> Signup and view all the answers

When should gloves be worn?

<p>Before a sterile procedure (C)</p> Signup and view all the answers

Which situation does NOT require gloves to be worn?

<p>Entering a non-contaminated room (D)</p> Signup and view all the answers

What should be done once gloves are damaged?

<p>Remove the gloves immediately (B)</p> Signup and view all the answers

When is it appropriate to remove gloves after contact with blood?

<p>After the contact has ended (D)</p> Signup and view all the answers

What should be done if PPE becomes heavily splashed?

<p>Change the PPE immediately (C)</p> Signup and view all the answers

Why is skill important when using PPE?

<p>It is essential for the effectiveness of PPE (D)</p> Signup and view all the answers

In which situation should PPE be reassessed?

<p>Whenever a new patient is encountered (A)</p> Signup and view all the answers

What is one primary function of using PPE?

<p>To protect both healthcare staff and patients (A)</p> Signup and view all the answers

Flashcards

Routine Hand Hygiene

A measure to decrease microorganisms on the skin's surface.

When to use soap and water?

Washing hands with soap and water when hands are visibly soiled, after contact with bodily fluids, or after using the toilet.

Alcohol Hand Rub

A technique to reduce microorganisms on the hands using alcohol-based solutions.

When to use alcohol hand rub?

Using alcohol-based hand rubs is recommended after every patient contact, between procedures, and before putting on gloves.

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Surgical hand wash

A thorough handwashing technique performed before surgical procedures to remove microorganisms and decrease the risk of infection.

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Aseptic Hand Hygiene

Cleaning the hands and nails before aseptic techniques.

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Food Handling Hygiene

A handwashing technique done before and after handling food.

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Hand hygiene practices

Maintaining clean hands and nails, wearing a waterproof plaster over open cuts or sores, and avoiding jewelry while performing hand hygiene.

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Surgical Hand Antisepsis?

Removing as many microorganisms as possible from the hands and arms by washing and chemical antisepsis before surgery.

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Antiseptic Hand Scrub

The antiseptic scrub or hand rub used before putting on surgical clothing in preparation for a surgical procedure.

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Surgical Hand Scrub Process

The action of rubbing or cleaning hands and forearms with an antiseptic solution.

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Hand Position During Scrub

Hands should be kept higher than elbows to prevent water from splashing back onto the scrubbed areas and recontamination.

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Antimicrobial Agent

Use only the recommended antimicrobial solution for the surgical hand scrub.

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Applying Antiseptic

Apply the antiseptic solution from a dispenser onto wet hands and forearms and rub it into all areas to just below the elbow.

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Scrubbing the Hands

Start by rubbing the back of one hand with the other hand, interlacing fingers and then rubbing palm to palm.

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Scrubbing the Forearms

After scrubbing the fingers and palms, work in a rotating action towards the elbows to avoid recontamination from the elbows.

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Aseptic/Clinical Hand Hygiene

Hand hygiene that's used for preventing transmission of germs before any medical procedure, like touching non-intact skin or medical devices.

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Aseptic Hand Hygiene Technique

Washing hands for 1 minute with antimicrobial soap. Use the same technique as Routine Hand Hygiene.

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Routine/Social Hand Hygiene

Hand hygiene for everyday life, like before eating or after using the bathroom.

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Alcohol-Based Hand Hygiene

Cleaning your hands with alcohol-based hand sanitizer. More effective than soap or water for most bacteria and viruses.

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How to use Alcohol-Based Hand Sanitizer

Application of alcohol-based hand sanitizer to hands.

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Steps for using Alcohol-Based Hand Sanitizer

  1. Remove jewelry. 2. Apply sanitizer as manufacturer recommends. 3. Rub hands palm to palm. 4. Right palm over left dorsum with interlaced fingers, vice versa. 5. Palm to palm with fingers interlaced. 6. Backs of fingers to opposing palms with fingers interlaced. 7. Rotational rubbing of left thumb clasped in right palm and vice versa. 8. Rotational rubbing, forwards and backwards with clasped fingers of right hand in left palm and vice versa. 9. Rub hands together until dry before continuing with patient care, do not rub off excess product.
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First step of Routine Hand Hygiene

Remove jewelry before beginning the process.

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Second step of Aseptic Hand Hygiene

Wash hands thoroughly with antimicrobial soap for 1 minute, following the outlined routine.

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When to Wear Gloves

Gloves should be worn when performing procedures that involve contact with blood or other bodily fluids.

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Gloves and Sterility

Gloves must be worn even in the absence of sterile conditions if there is a risk of coming into contact with blood or bodily fluids.

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Gloves and Contact Precautions

Gloves should be worn when caring for patients on contact precautions.

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When to Remove Gloves

Gloves should be removed immediately if they become damaged or contaminated.

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Gloves and Body Fluid Exposure

Gloves should be removed after contact with blood, bodily fluids, non-intact skin, or mucous membranes.

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Gloves and Patient Care

Gloves should be removed after caring for a single patient and before caring for a different patient.

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PPE and Infection Risk

Gloves must be worn during any procedure that carries an infection risk.

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PPE Assessment

PPE must be assessed for each procedure to ensure appropriate protection.

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How to wear gloves properly?

Before putting on gloves, wash your hands thoroughly with soap and water, dry them completely, and examine the gloves for any dirt or damage. Always use a fresh pair of gloves for each procedure and never reuse them.

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How to remove gloves properly?

To remove gloves, grasp the outside of one glove near the wrist and peel it off, turning it inside out. Dispose of the glove in the appropriate waste bin. Then, grasp the remaining glove at the wrist with the clean hand, peel it off, and dispose of it too.

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Why wash hands after glove removal?

Always wash your hands with soap and water or use an alcohol-based hand rub after removing gloves, even if you didn't directly touch anything contaminated.

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Gloves don't replace hand hygiene.

Gloves are a barrier against germs but don't replace hand hygiene. Washing hands is still essential regardless of glove use. Remove gloves to perform hand hygiene when needed, even if they are still clean.

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When to use and discard gloves?

Dispose of gloves after each task to prevent spreading germs. Wear gloves only when indicated by Standard and Contact Precautions to avoid potential harm.

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Tips for avoiding glove irritation.

To reduce hand irritation from wearing gloves, limit the time you wear them, clean and dry hands before putting on gloves and after taking them off, and always use clean and dry gloves.

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What are Standard and Contact Precautions?

Standard and Contact Precautions provide guidelines for using gloves in specific situations. These guidelines help reduce the risk of infection transmission.

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Study Notes

Hand Hygiene

  • Hand hygiene is a general term for any hand cleaning action.
  • It involves removing visible soil and killing transient microorganisms while maintaining skin integrity.
  • Healthcare workers, caregivers, and those involved in patient care need to practice correct hand hygiene at the right time.

Your 5 Moments for Hand Hygiene

  • 1. Before touching a patient: Clean hands before touching a patient when approaching them.
    • Includes situations like shaking hands, stroking a child's forehead, helping with personal care (like bathing, eating, or dressing), delivering care/noninvasive treatment, and performing a physical noninvasive exam (like taking pulse, blood pressure, or recording ECG).
  • 2. Before clean/aseptic procedure: Clean hands immediately before accessing a critical site with infection risks (like mucous membrane, non-intact skin, or invasive medical device).
    • Examples include brushing teeth, inserting eye drops, performing exams (such as vaginal, rectal, oral, nasal, or ear), dressing wounds, applying ointments, inserting devices (like catheters or tubes), preparing food/medications, etc.
  • 3. After body fluid exposure risk: Clean hands as soon as exposure to body fluids ends (and after glove removal).
    • Covers tasks involving exposure to body fluids such as changing bed linens, adjusting perfusion speed, and clearing alarms related to monitoring.
  • 4. After touching a patient: Clean hands when leaving the patient's side (after touching them).
    • Includes activities such as shaking hands, assisting with personal care, performing non-invasive exams, and delivering care/non-invasive treatment.
  • 5. After touching patient surroundings: Clean hands after touching objects/furniture in the patient's surroundings (without touching the patient).
    • Examples of activities include changing bed linens in the presence of the patient, adjusting monitoring equipment, administering medications or food, holding the bed tray, and leaning against the bedside table.

Hand Hygiene Techniques

  • Routine/Social Hand Washing: Use soap and water when hands are visibly soiled.
  • Alcohol Hand Rub: Use an alcohol-based hand sanitizer.
  • Aseptic/Clinical Hand Hygiene: Use a specific technique for direct or indirect contact with mucous membranes, non-intact skin, or invasive medical devices (involving using antimicrobial soap).
  • Surgical Hand Wash (scrubbing): Uses a specific scrubbing technique with antimicrobial soap to remove transient microorganisms from hands.

Personal Protective Equipment (PPE)

  • PPE is special equipment for patients and medical staff to prevent disease exposure.
  • Health professionals should wear PPE when procedures carry an infection risk and use the equipment correctly and safely during procedures.
  • PPE includes but isn't limited to gowns, respirators, eyewear, and gloves.
  • PPE provides protection from risks.
  • PPE should be changed if heavily soiled/between procedures with different patients.

Donning PPE

  1. Hand Hygiene
  2. Gown
  3. Mask/Respirator
  4. Eye Protection
  5. Gloves

Removing PPE

  1. Gloves
  2. Gown
  3. Hand Hygiene
  4. Eye Protection
  5. Mask/Respirator
  6. Hand Hygiene

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Description

This quiz explores the essential practices of hand hygiene in healthcare settings. It covers the critical moments when handwashing is necessary to ensure patient safety and infection control. Understanding these practices is vital for healthcare workers and caregivers.

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