The How T o of Hand Hygiene

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The How T o of Hand Hygiene




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Presentations text content in The How T o of Hand Hygiene

Slide1

The How To of Hand Hygiene

Training Module 1 for All Long-term Care Staff

Slide2

Upon completion of this training module, long-term care staff will be able to demonstrate a working knowledge of:

why hand hygiene is so important to prevent the spread of infections;w

hen and how to perform hand hygiene; andk

ey

hand hygiene practices for prevention of healthcare-associated infections (HAI), particularly catheter-associated urinary tract infections (CAUTI).

2

Learning Objectives

Slide3

Health Care Workers’ Hands Spread Infections

1-3 million serious infections are estimated to occur every year in US nursing homes

Hand hygiene is one of the most important ways to prevent the spread of infections

3

Strausbaugh

LJ, Joseph CL. Infect Control

Hosp

Epidemiol

.

2000;21:674

.

Centers

for Disease Control and Prevention. Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no.

RR-16.

Mody

et al Infect Control

Hosp

Epidemiol

; 2003:24:165-171

Slide4

Simplifying the Moments for Hand Hygiene

4Adapted from World Health Organization Guide on Hand Hygiene in Outpatient and Home-based Care and Long-term Care Facilities.

Just Clean Your Hands Educational Resources:

http://

www.publichealthontario.ca/en/BrowseByTopic/InfectiousDiseases/JustCleanYourHands/Pages/JCYH-ltch-Education-and-training.aspx

Slide5

Alcohol-based Hand Rub (ABHR)

Hand Hygiene TechniqueApply

hand rub to palm of hand

Rub hands together, covering all

surfaces

Focus on thumbs, tips of fingers, and under

fingernails

Hands are clean when dry

Usually takes about 15-20 seconds

5

http://

www.cdc.gov/handhygiene/Resources.html#HCP

Slide6

Soap and Water Hand WashingHand Hygiene Technique

Wet hands with water

Apply soap to palm of hand

Rub hands together, covering all surfaces for at least 15 seconds

Rinse hands with water

Dry hands with paper towel and use towel to turn off faucet

Paper towel prevents hands from being re-contaminated by faucet handles

6

http://

www.cdc.gov/handhygiene/Resources.html#HCP

Slide7

Notes About Hand Hygiene Products

Alcohol-based hand rubs/gels are preferred for hang hygiene when hands are not visibly soiled or dirtyThere are certain times when hands should be washed with soap (non-antimicrobial

or antimicrobial) and water:When hands are

visibly dirty,

contaminated or soiled

After care with residents with infectious diarrhea

7

Centers for Disease Control and Prevention. Guideline

for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16.

Slide8

Efficacy of Hand Hygiene

Preparationsin Killing Bacteria

8

Guideline for

Hand Hygiene in Health-care Settings.

MMWR

2002; vol. 51, no. RR-16.

Good

Better

Best

Plain

soap

Antimicrobial soap

Alcohol-based

hand rub

Slide9

Hand Hygiene and C. diff

Hand hygiene with soap and water is superior at removing the spore form of C. diff

(compared to alcohol-based products)AHBR is more effective for hand disinfection with

all other organisms

and there have been no studies linking ABHR use with an increase in C. diff

infection

Encourage soap and water

after care of residents with acute diarrhea

and use of gowns/gloves to prevent spore contamination of hands

9

Oughton

MT et al. J Infect

Hosp

Epidemiol

2009;30(10):

939–944.

Dubberke

E et al. SHEA/IDSA Practice Recommendation. J Infect

Hosp

Epidemiol

2014;35(6):628-645

Slide10

Important Points About Glove Use

Gloves play a key role in preventing hand contamination—but, do NOT

replace hand hygieneChange gloves during care when moving from a contaminated body site to a clean body

site

Do not wear the same pair of gloves for the care of more than one

residentRemove and discard gloves after use

Do not wash gloves

10

Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16

Slide11

Hand Hygiene Before Urinary Catheter Care

Perform hand hygiene and wear gloves immediately before:

Placing or removing an indwelling catheter.Accessing the drainage system to empty the drainage bag or collecting a urine sample.

Why?

Interacting with the

resident

or environment before handling the urinary device, may contaminate hands.

Reaching for gloves

with

unclean hands may contaminate the glove box and outside of the gloves.

Then, gloves

will contaminate the urinary catheter or urine collection system

.

11

Slide12

Hand Hygiene After Urinary Catheter Care

Remove gloves and perform hand hygiene immediately after:

Handling an indwelling catheter

Accessing the drainage system to empty the drainage bag or

collecting a urine sample

Why?

Hand contamination may occur as a result of small, undetected holes in

gloves.

Hand contamination may occur during glove

removal.

Hand

hygiene protects your hands and the environment from being

contaminated.

12

Slide13

Hand Hygiene Case Scenarios

Let’s chat!Review as a group the three hand hygiene case scenarios. As you discuss them, think about the following questions:

Does our facility staff experience similar challenges to performing hand hygiene at the appropriate times? Why or why not?

What could our facility do to reduce barriers to hand hygiene?

How

can I

help support a culture of safety around improving hand hygiene in

our

facility?

13

Slide14

Take the Pledge…

14

Slide15

15

Take

the Pledge… (to practice all infection prevention skills)World Health Organization How to

Handrub

Poster

World Health Organization How to Handwash Poster

Slide16

References

Centers for Disease Control and Prevention. Guideline for Hand Hygiene in Health-care Settings. MMWR 2002; vol. 51, no. RR-16. http://

www.cdc.gov/mmwr/preview/mmwrhtml/rr5116a1.htm. Centers for Disease Control and Prevention. Hand Hygiene Resources. http

://

www.cdc.gov/handhygiene/Resources.html#HCP.

Dubberke E et al. SHEA/IDSA Practice Recommendation. J Infect Hosp

Epidemiol

2014;35(6):

628-645.

Mody et

al.

Infect Control

Hosp

Epidemiol

;

2003:24:165-171.

Oughton

MT et al. J Infect Hosp

Epidemiol 2009;30(10):939–944. Strausbaugh

LJ, Joseph CL. Infect Control

Hosp

Epidemiol

. 2000;21:674

.

World

Health Organization Guide on Hand Hygiene in Outpatient and Home-based Care and Long-term Care Facilities.

Just Clean Your

Hands

.

http

://

www.publichealthontario.ca/en/BrowseByTopic/InfectiousDiseases/JustCleanYourHands/Pages/JCYH-ltch-Education-and-training.aspx

.16


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