wash washing

7/27/2019 Wash Washing

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Effective

Handwashing


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Agenda

Why Should We Wash Our Hands?

A Few Definitions

When Should We Wash Our Hands?

How Should We Wash Our Hands?

Handwashing and GlovesAlcohol Gels


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Source: APIC Guideline for Handwashing and

Hand Antisepsis in Health Care Settings

WHY Should We

Wash Our Hands?

?


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It is known that handwashing causes a

signif icant reduction in the carr iage of

potential pathogens on the hands.

Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings


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Handwashing can result in reductions

in patient morbidity and mortal i ty

from nosocomial infection.



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Definitions




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Handwash(ing):

A process for the removal

of soil and transient

microorganisms from thehands.



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Hand Antisepsis:

A process for the

removal or destruction

of transient microorganisms.



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Plain or Nonantimicrobial Soap:

Detergent-based cleansers in any form (e.g.

bar, liquid, etc.) used for the primary purpose

of physical removal of dirt and contaminating

microorganisms.

Work principally by mechanical action and

have no bacterial activity.



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Antimicrobial Soap:

A soap containing an ingredient with in-

vitro and in-vivo activity against skin flora.



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Transient Flora:

Microorganisms isolated from

the skin but not demonstrated

to be consistently present in

the majority of persons.

A.K.A. contaminating flora or

noncolonizing flora.



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Resident Flora:

Microorganisms persistently

isolated from the skin of most

persons. These microorganisms

are considered permanentresidents of the skin and are not

readily removed by mechanical

friction.

A.K.A. colonizing flora



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WHEN Should We

Wash Our Hands?

?


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When visibly soiled Before and after patient contact

After contact with a source of

microorganisms

After removing gloves

Hands must be washed thoroughly

with soap and water . . .

WHENShould We Wash Our Hands?



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HOW Should We

Wash Our Hands?

?


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HOWShould We Wash Our Hands?

Wet hands with running water.

Apply soap. Thoroughly distribute soapover all hand surfaces.

Vigorously rub hands together for 10-15seconds.

Rinse soap.

Dry hands with a disposable towel.

Turn water off using a disposable towel

(unless foot operated).



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A Few Helpful Tips . . .

Be sure to thoroughly wash all skin surfaces.

Pay close attention to hard-to-reach areas:

Between the fingers Finger tips

Under the nails

Use a nail brush if necessary

Use warmwater not too hot, not too cold



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A Few Other Suggestions . . .

Lotions

Lotions may be used to prevent skin

dryness.

Jewelry

Total bacterial counts are higher when rings

are worn.



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Alcohol Gel Waterless Hand Antiseptics

Use high concentrations of

alcohol to provide hand

antisepsis

Usually 60-65% ethyl alcohol

Do not require water

Do not require hand drying

with a towel


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Alcohol Gel Waterless Hand Antiseptics

May provide a way to achieve

hand antisepsis

Effective

Quick

Convenient

Portable

Usually available in small bottles

Ready when you are!


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Questions?

?


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Good Luck and

Good Handwashing!

Effective Handwashing WR-10.ppt 29

wash washing

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