To emphasize the importance of hand hygiene (HH) in the prevention of disease transmission among healthcare providers, patients and their visitors and the indications and techniques needed.
- Hands may easily become contaminated with infectious microorganisms, which can enter the body through a break in the skin or be transmitted to a susceptible host & cause infection.
- All hospital personnel, physicians, nurses, technicians & others including patients & visitors who are responsible for complying with the hand hygiene policy should lead by example & call observed infractions to the attention of any offenders.
- Jewelries, artificial nails & chipped nail polish may be associated with an increase in the number of bacteria on finger nails & should not be used.
- Resident flora refers to the microorganisms residing under the superficial cells of the stratum corneum & also found on the surface of the skin.
- Transient flora refers to the microorganisms that colonize the superficial layers of the skin & are easily removed by routine hand hygiene.
Clean your hands:
- Before touching a patient
- Before clean/aseptic procedures
- After body fluid exposure risk
- After touching a patient
- After touching patient’s surroundings
Other Opportunities for Hand Hygiene
- When hands are visibly soiled
- After contact with a source of microorganisms (body fluids & substances, mucous membranes, non-intact skin, surfaces that are likely to be contaminated)
- Before wearing & after removing gloves.
- Before & after eating or preparing food
- Before leaving the patient’s room
- After bodily functions (e.g., using the toilet, blowing one’s nose, sneezing)
- When moving from a contaminated body site to a clean body site during patient care.
- Hands & other skin surfaces exposed to blood / body fluids must be cleansed as soon as patient safety permits.
- On arrival & after completion of hospital duty, perform hand hygiene.
- The use of gloves does not replace the need for hand hygiene.
Hand washine ( Routine / Social)
Wash hands for a minimum of 40 – 60 seconds
- Remove jewelry / wrist watches & roll the sleeves upto the elbow
- Select a comfortable water temperature
- Wet hands with running water
- Apply soap solution to cover all surfaces of the hands
- Rub hands palm to palm
- Right palm over left dorsum with interlaced fingers & vice versa
- Palm to palm with fingers interlaced
- Backs of fingers to opposing palms with fingers interlaced
- Rotational rubbing of the left thumb clasped in the right palm & vice versa
- Rotational rubbing backward & forward with clasped fingers of the right hand in the left palm & vice versa
- Rinse the hands with running water to remove all soap residue.
- Dry the hands with a paper towel
- Turn the faucet off with the used paper towel & discard them in waste bin
Hand rubbing (R0utine / Social)
Use alcohol-based hand antiseptic rub for a minimum of 20 – 30 seconds
- Apply palmful of the alcohol based handrub in a cupped hand to dry, visibly clean hands
- Rub hands vigorously to apply hand antiseptic to all surfaces of hands (as in steps 5 to 10 above)
- Allow hands to dry
Note: USE ONLY SOAP & WATER WHEN DEALING WITH SPORE-FORMlNG BACTERIA (e.g., Clostridium difﬂcile) AND OR WHEN YOUR HANDS ARE VISIBLY SOILED.