1. 5 Moment Hand Hygiene SN CHUNG B. Sc. Hons Nursing Practice Development 15/8/2010

4. Examples Before Patient Shaking hands, helping a patient to move around, getting washed, taking pulse, blood pressure, chest auscultation, abdominal palpation Before clean/ aseptic procedure Oral/dental care, secretion aspiration, skin lesion care, wound dressing, subcutaneous injection; catheter insertion, opening a vascular access system; preparation of food, medication, dressing sets

5. After body fluid exposure risk Oral/dental care, secretion aspiration; skin lesion care, wound dressing, subcutaneous injection; drawing and manipulation any fluid sample, opening draining system, endotracheal tube insertion and removal; clearing up urines, faces, vomit; handling waste (bandages, napkin, incontinence pads); cleaning of contaminated and visibly soiled material or areas (lavatories, medical instruments)

6. After touching a patient Shaking hands, helping a patient to move around, getting washed, taking pulse, taking blood pressure, chest auscultation, abdominal palpation After touching patient surroundings Changing bed linen, perfusion speed adjustment, monitoring alarm, holding a bed rail, clearing the bedside table

7. Why we need to wash our hands? Hand washing helps to remove micro-organisms. Soap and water kills many transient micro-organisms that are mechanically removed by rinsing. Antimicrobial products kills or inhibits the growth of micro-organisms in deep layers of the skin

8. TWO METHODS OF HANDWASHING 1. SOAP & WATER 2. HAND RUB

9. Recommended Handwashing Soap Soap; bar, liquid or foam dispenser Anti-microbial soaps are slightly more effective than regular soaps. When hands are visibly dirty, soiled with blood or other body fluids, or after using the toilet. But, frequent handwashing often causes skin irritation and dryness. Hand Sanitizer; gels, rinses, or foams Less time, fast action, more effective, more accesible and most efficacious antimicrobial agents 60 – 80% alcohol (Dix, 2010) - rapid and optimal antimicrobial spectrum; bacteria, viruses, yeasts, and fungi Hypoallergenic Odorless Colorless

11. 7 Steps of Handwashing with Soap and Water

12. 7 Steps of Handwashing with Hand Sanitizer

13. Handwashing Videos Handwashing with soap and water. Available at: http://www.youtube.com/watch?v=WYj2kkSIsOc&feature=related Handwashing with Hand rub. Available at: http://www.youtube.com/watch?v=JHoPQTTfCv0

14. Proper Ways of Using Hand Sanitizer heel of your palm elbow

15. Reference Alcohol Hand Rub & Hand Hygiene CDC's Endorsement of Alcohol Hand Rubs Launches New Era in Hand Hygiene Improving Adherence to Hand Hygiene Practice: A Multidisciplinary Approach Infection Control Advice to Contacts of Suspect or Probable SARS cases: Handwashing World Health Organization Issues Guidelines on Hand Hygiene in Healthcare An Evaluation of Handwashing Technique

16. Evidence Based Hand Hygiene Recommendations from the CDC Guideline for Hand Hygiene in Healthcare Settings. Available at: http://solutions.3m.com/3MContentRetrievalAPI/BlobServlet?locale=en_US&lmd=1145337135000&assetId=1114284208573&assetType=MMM_Image&blobAttribute=ImageFile

17. "Proper handwashing with soap and water is an important barrier to many infectious diseases and promotes better health and well-being…handwashing is one of the most practical and effective ways of preventing the spread of disease." World Health Organization (WHO)