Use an alcohol-based hand rub for all clinical situations where hands are visibly clean. Wash with soap and water when hands are visibly dirty or contaminated with proteinaceous material, or visibly soiled with blood or other body fluids, or if exposure to potential spore forming organisms is strongly suspected or proven, or after using the bathroom. How do I perform hand hygiene?Hand hygiene is a general term referring to any action of hand cleansing, which includes:
The World Health Organization (WHO) has developed the following posters on performing hand hygiene:
Glove use and hand hygieneWearing gloves does not replace the need for hand hygiene, as gloves do not provide complete protection against hand contamination. Microorganisms may gain access to the healthcare workers' hands via small defects in gloves, or by contamination of the hands during glove removal. Gloves should be worn:
Gloves should be changed:
Hand hygiene is required with glove use:
Hand hygiene products and gloves should be made available inside isolation/contact precaution rooms to allow for appropriate hand hygiene to occur during the care of a patient. Prolonged and indiscriminate use of gloves should be avoided as it may cause adverse reactions and skin sensitivity. For further information on glove use refer to the Australian Guidelines for the Prevention and Control of Infection in Healthcare. Hand care issuesIntact skin is a first line defence against infection. Damaged skin can not only lead to infection in the host, but can also harbour higher numbers of microorganisms than intact skin and increase the risk of transmission to others. The management of hand care problems associated with the use of hand hygiene products requires early recognition and a systematic approach to ensure success. There are two major types of skin reactions associated with hand hygiene:
The majority of skin problems among healthcare workers that are related to hand hygiene are due to irritant contact dermatitis. Irritant contact dermatitis is primarily due to frequent and repeated use of hand hygiene products; especially soaps, other detergents, and paper towel use, which result in skin drying. The initial use of alcohol-based hand rubs among such healthcare workers often results in a stinging sensation. However, recent studies have suggested that the ongoing use of emollient-containing alcohol-based hand rub leads to improvement in irritant contact dermatitis in approximately 70% of affected healthcare workers. Also, the use of an oil-containing lotion or a barrier cream three times a shift can substantially protect the hands of vulnerable healthcare workers against drying and chemical irritation, preventing skin breakdown. It is important to ensure that the selected alcohol-based hand rub, soaps, and moisturising lotions are chemically compatible to minimise skin reactions among staff. Factors that may contribute to dermatitis include:
Strategies for minimising occupational hand dermatitis include:
Alcohol-based hand rub produces the lowest incidence of irritant contact dermatitis of all the hand hygiene products currently available. True allergy to alcohol-based hand rub is rare, and allergy to alcohol alone has not been reported. Healthcare workers should be encouraged to notify their hand hygiene lead if skin irritation occurs following the use of alcohol-based hand rub. All hospitals should have access to referral for follow up for healthcare workers with persistent skin problems. For example: an occupational dermatologist, local doctor, or emergency department. WHO consensus recommendations on skin care are included in Appendix 6 of the National Hand Hygiene Initiative User Manual. Hand care resources2019 Audit, monitoring or reporting tool 2019 Audit, monitoring or reporting tool 2019 Guide, user guide or guidelines
What hazard is improper handwashing?Foodborne viruses, which primarily are transmitted when people fail to properly wash their hands after using the bathroom,9 cause diseases such as hepatitis A and norovirus gastroenteritis.
What type of contamination is not washing hands?Noroviruses. Norovirus is the most common cause of viral gastroenteritis in humans and it can affect people of all ages. It's often transmitted when people don't wash their hands and worryingly, it can spread very quickly within large groups of people in close quarters.
What are the 3 types of hand washing?There are three separate types of handwashing. They are social handwashing, antiseptic handwashing, and surgical handwashing.. Social Handwashing. ... . Antiseptic Handwashing. ... . Surgical Handwashing.. What are the risks associated with hand hygiene?Hand care issues. Irritant contact dermatitis, which includes symptoms that can vary from mild to debilitating, including dryness, irritation, itching, and even cracking and bleeding.. Allergic contact dermatitis, which is rare and represents an allergy to some ingredient in a hand hygiene product.. |