Hand Washing Procedure PDF

Outlines -Introduction -Definition -What are your hands carrying? -Chain of infection -Objectives -Types of hand washing -5 moments -procedure  Introduction:- Hand Washing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, o...

Outlines -Introduction -Definition -What are your hands carrying? -Chain of infection -Objectives -Types of hand washing -5 moments -procedure  Introduction:- Hand Washing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material and microorganisms. However, it may not kill all microorganisms. Hand Washing is a simple but effective procedure to break the chai of infection Definition of Hand Washing: is the most effective basic technique in preventing and controlling the transmission of microorganisms. Hand washing technique: Rubbing together of all surfaces the hands using soap and water. What are your hands carrying? -Resident Flora: -Deep seated -Difficult to remove -Part of body’s natural defense mechanism -Associated with infection following surgery/invasive procedures. -Transient Flora: -Superficial -Transferred with ease to and from hands -Important cause of cross infection -Easily removed with good hand hygiene. Objectives: To remove dirty from the skin. - To remove transient microorganisms. - To reduce the number of resident microorganisms. - To prevent transmission of pathogens from reservoir to susceptible host. Types of Hand washing Routine hand washing(Running water +Soap) Alcohol based hand A septic clinical hand hygiene ( chlorhexidine gluconate 2% soap) Surgical hand scrap (Betadine wash) efor Indication of hand hygiene:- - Before touching a patient - Before clean /a septic procedure -after touching a patient -after body fluid exposure risk -after touching patient surroundings Equipment: -Running water (warm if available). - Soap and soap dish. -Hand brush. - Individual hand towel or tissue paper. - Emollient to prevent dryness of the hand. Remember to:- 1-inspect surface of your hands for any cuts. 2-Remove any jewelry. 3-Stand 6 inches from the sink 4-Adjust flow and temperature of the water 5- Cover all the skin area of the hands and wrist. 6-Clean in one direction from the finger to the wrist. 7- Clean in the direction of skin fold.  Action Rationale 1- Prepare the - To save time and effort. needed equipment 2- Remove the - Watch and jewelry harbor microorganisms. watch and jewelry. 3- Roll sleeves to - To prevent wetting of clothes. above elbows. 4- Stand at an - A wide margin should be provided to prevent contamination. adequate distance from the sink by keeping good body mechanics. 5- Turn the tap on, - Splashing of water will wet the clothes making it a good media for doing the - micro-organism's attraction. following: - Running water does not harbor as mush microorganisms as stagnant water. a- Adjust the flow of water. b- Keep the water running during the procedure. 6- Wet hands and - Warm water removes the fewer oils from the skin than cold water. the soap with water - Soap suds are better produced with warm water. (warm water if available) by - water and friction ensure enough suds. making friction. 8- Apply soap on hands thoroughly. 9- Rinse soap bar and return to soap dish. 10- Exert pressure - Friction helps to remove of organisms. using a rotating - Hand brush removes persistent substances or dirty under nails. movement and friction including: a- Palm folds. b-Between fingers& back of hands. c- Under nails (using hand brush if needed), thumb. d- Wrist. 11- Rub for at least one minute. 12- Rinse hands - Soap kept on skin causes irritation. well, interlacing the fingers and rubbing up and down. 13-Dry hands with towel or a tissue paper and apply an emollient or a small amount of lotion if hands are dry. 14- Turn off tap - Moisture leads to dryness of skin. with foot or with elbow if possible. To turn off hand faucet, use clean, dry paper towel, avoid touching handles with hands.