Rationale: 2.1. Read on to discover why it is important to wash your hands, as well as top tips for how to wash hands properly with a guide to the proper hand washing procedure. 3. A guide to hand washing (alcohol based gel and soap), including a video demonstration, based on the World Health Organisation guidelines. Rub back of each hand with palm of other hand with fingers interlaced (Fig 2). Health professionals must support patients in adhering to hand-hygiene practice through a combination of education and reminders (including visual reminders), and the provision of hand-hygiene products. Make sure that your hands are thoroughly dry before getting back to work. The procedure Wet hands under tepid running water. It is also important to ensure emollients do not impair the efficacy of gloves; oil-based products can damage gloves and so should be avoided (HPS, 2016). Before performing a clean/antiseptic procedure– before dressing a wound, instilling eye drops, inserting a nasogastric tube, preparing food To wash hands properly: Wet your hands with clean, running water, turn off the tap. Staff should also have access to emollient hand creams, which should be applied before a shift, during breaks and after a shift. Apply soap and distribute over hands 3. Bacterial carriage by artificial versus natural nails. Clean the area using the opposing palm with your fingers bent and interlocked. This section will cover the proper techniques for the following procedures 1. Place your right palm over your left dorsum and interlace fingers to clean the area. Rub your left palm up and down the back of the other hand with interlaced fingers and vice versa. Hand washing with soap and water is also needed if you are caring for patients with clostridium difficile, cryptosporidium, and norovirus. Microorganisms may linger on the hands if not washed properly. Communal tubs should not be used, although communal pump dispensers are acceptable. Nursing Times [online]; 115: 11, 37-38. Hand Hygiene • Hand hygiene: A general term that applies to either handwashing, antiseptic handwash, antiseptic hand rub, or surgical hand antisepsis. Even the patients and family members are encouraged to learn proper handwashing techniques. 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To reduce your risk of having work-related dermatitis, consider using machinery and tools instead of your hands. Rub your hands together. That's ok; the … Hand washing is the number one way to prevent infection. The nature of the care intervention being provided; The availability of resources at or near the point of care; The acceptability of preparations or materials in terms of ease of use and access, as well as dermatological effects (Loveday et al, 2014). Apply enough soap to cover all surfaces. It is, therefore, recommended for routine use due to its increased efficacy, easy availability at the point of care and general acceptability to health professionals (Loveday et al, 2014). In using hand sanitizers, keep in mind that they work best when there’s enough to lightly coat both of your hands. Journal of Pediatric Oncology Nursing, 19(5), 164-171. 2. When washing your hands, completely rinse off residual cleanser and soap. 8. ABHR should therefore be used for hand hygiene instead of liquid soap and water when: Health Protection Scotland (2016) recommends staff be supplied with ABHR containing emollients, and that hands should not be washed immediately after using ABHR, as this may remove any emollients present in the hand rub and the superficial skin sebum. The correct method of hand decontamination depends on a number of factors: While either effective handwashing or effective use of ABHR will remove transient microorganisms to make the hands socially clean, ABHR will also substantially reduce resident microorganisms. 4. This article, the final part in a six-part series discusses the principles of hand hygiene and the procedure for cleaning the hands with soap and water and how to protect skin integrity. Take a palmful of hand sanitizer and completely cover the surfaces of your hands. It needs to dry completely to work. WHO Guidelines on Hand Hygiene in Health Care. 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The proper hand washing procedure for nurses In case you need a refresher, here are the correct handwashing steps for medical staff via Hand Hygiene Australia: Handwashing using water and soap should take around 40-60 seconds. Healthcare providers are not the only ones required to do hand washing. Hand hygiene refers to removing or killing microorganisms (germs) on the hands. Although it won’t be able to remove visible dirt, it can help prevent the spread of bacteria and germs. Mathur, P. (2011). Rub back of each hand with palm of other hand with fingers interlaced (Fig 2). Also, rub the backs of your fingers on opposing palms with interlocked and bent fingers. Before touching a patient- before shaking hands, assisting in personal care activities, delivering care, performing physical non-invasive examination Hand hygiene includes washing your hands with soap and water, using an antiseptic hand wash or rub, and surgical hand antisepsis. Try to use emollient hand creams, particularly after your shift. 3. Rub clasped fingers in a rotational, backward, and forward direction in opposing hand. What are the proper hand washing steps? Then, rub your hands palm to palm. In case you don’t have access to water or a sink, you have the option to use an antibacterial hand sanitizer. Patient hand hygiene is an important aspect of infection prevention and control. Hand sanitizers can’t always be used as an alternative to hand washing. If you don't have access to a sink, use antibacterial hand sanitizer. 3. Write CSS OR LESS and hit save. 4. The Indian journal of medical research, 134(5), 611. We’ve always been told to wash our hands. It’s considered to be the single most effective way to minimize or even prevent the spread of infections (1). Antiseptic handwash, on the other hand, means washing the hands with antimicrobial soap and water. Make sure it is at least 60% alcohol and use plenty of it. Ensure all parts of the hand are covered, Check your skin for early signs of skin problems and report concerns to occupational health. Do it on both thumbs. Without proper hand hygiene technique, we can still spread many micro-organisms with our hands. Hand washing is the rubbing together of all surfaces and crevices of the hands using a soap or chemical and water. Hand washing doesn't kill microorganisms; they're mechanically removed and then rinsed off with water… They are believed to carry more bacteria (2). 2. Alcohol hand gels can be used as an alternative to hand washing – you should follow the instructions for use on the gel packaging. Alcohol-based hand sanitizers, which don't require water, are an acceptable alternative when soap and water aren't available. Turn off the tap and then apply your soap. Hand washing means cleaning your hands with any liquid to remove dirt and microorganisms. While sanitizing hand lotions have become increasingly popular, studies show that a good hand washing with soap and water is still more effective if you have visibly soiled hands. Steps: 1. 3. Additionally, you should also wash your hands: Frequent hand washing and hand hygiene can leave your skin dry and irritated. Hand hygiene nurses 1. 7. After touching a patient’s surroundings– after a care activity, clearing a patient’s bedside table. Hand hygiene is one of the most effective methods of preventing healthcare-associated infections. Rub tips of fingers in opposite palm in a circular motion (Fig 6). Let’s make sure we’re following proper procedure on hand washing. The condition is marked by scaling, redness, itching, swelling, cracking, weeping, and pain. Hand decontamination can be achieved using alcohol-based handrub (ABHR) or liquid soap and water. Rub with back of fingers to opposing palms with fingers interlocked (Fig 4). However, prevention depends on hand hygiene being performed when necessary, and the appropriate cleansing agent and technique being used. 5. Just remember to use one with at least 60% alcohol and use a lot of it. 2. Apply enough soap to cover your hands. Whether you have artificial or natural nails, keep them to about 1/4 inch in length. To give you a clearer idea, here’s a video showing the proper way to do a handrub. Rub your hands together. 6. POLICY AND PROCEDURE FOR HANDWASH. Wet your hands with water. To apply hand sanitizer properly, follow these steps: Apply about 3 to 5 mL (2/3 to 1 teaspoon) in your palm. 5. Skip procedure list and go to main content Procedure Guidelines 3.1 Hand washing; 3.2 Hand decontamination using alcohol handrub; 3.3 Putting on and removing non‐sterile gloves; 3.4 Putting on and removing a disposable apron; 3.5 Putting on and removing a disposable mask or respirator; 3.6 Putting on or removing goggles or a face shield Rub your thumb with opposing palm. 7. If you can have shorter nails than that, the better. Then, place left palm over the right dorsum and do the same thing. 1. In such situations, handwashing with liquid soap and water is required. Healthcare-associated infections (HCAIs) are a serious risk to patients, staff and visitors and are costly to the NHS. Allergic contact dermatitis is a less common condition is caused by a reaction to ingredients in hand hygiene products, such as fragrances and preservatives (Health Protection Scotland, 2016). (2002). Box 1 lists steps to reduce the risks of dermatitis; if dermatitis is suspected advice should be sought from occupational health, particularly if it is thought to be associated with a skin product. Clostridium difficile, hand washing with soap and water is the preferred means. 3. Hand washing is just one important way of avoiding transmission of organisms present on the hands. Here’s a guide on proper hand washing for nurses. 2. Background: Hand washing is the most important way in transmission of hospital infections and is the easiest, most efficient and cost-effective method to prevent hospital infection. Hand hygiene is the primary measure in preventing HCAIs and is the cornerstone of good infection prevention and control (IPC) practice (World Health Organization, 2009). Hand washing should be performed after arriving at work, before leaving work, between client contacts, after removing gloves, when hands are visibly soiled, before eating, after excretion of body wastes (urination and defecation), after contact with body fluids, before and after performing invasive procedures, and after handling contaminated equipment. The irritant and drying effects of liquid soap and antiseptic soap preparations have been identified as one reason why health professionals fail to practise good hand hygiene. The exact duration of time required for hand w… Luangasanatip et al.’s ( 2015 ) review included studies published up to February 2014; thus, the search period for this review was from February 2014 to present in order to include newer studies. Rinse hands thoroughly with tepid running water. Alcohol-based hand sanitizer is more effective than soap at killing most germs. Therefore, you should use alcohol-based hand sanitizer to clean your hands at all times, with these exceptions: Use soap and water if your hands are visibly dirty or soiled. 5. Remember to completely cover your hands with the product. How to perform hand hygiene Proper technique is important when it comes to effective hand hygiene. It is stated to be an important route of transmitting infection (DOH 2001a cited in Dougherty, L. et al 2004). Long fingernails tend to harbor bacteria and germs which you can easily pass along to your co-workers and patients. Rub each thumb clasped in opposite hand using a rotational movement (Fig 5). The 9 steps of proper hand washing Written by Marketing Australia. There are two preparations for handwashing techniques: (1) soap and water and (2) alcohol. 2. 6. It is the single most effective infection control measure.Handwas… As nurses, our exposure to sickness and infections is much higher than regular folks. Hand hygiene is a well researched subject. Use 1 hand to rub the back of the other hand … Handwashing is the act of cleaning one’s hands with the use of any liquid with or without soap for the purpose of removing dirt or microorganisms. Loveday et al (2014) recommend that ABHR is used to decontaminate hands before and after direct patient contact and clinical care except in the following situations, when soap and water must be used: Frequent hand hygiene can dry out the skin and lead to contact dermatitis, so it is important to protect the skin by adhering to recommended practice. Symptoms include redness, scaling/flaking, blistering, weeping, cracking, swelling, itching and pain. The WHO (2009) advises that health professionals’ hands should be decontaminated at five critical points known as My Five Moments for Hand Hygiene: Hand hygiene resources and health professionals’ compliance with hand hygiene guidelines should be audited at regular intervals and the results should be fed back to health professionals to improve and sustain levels of compliance (Loveday et al, 2014). PAGE 1 OF 7 WHO acknowledges the Hôpitaux Universitaires de Genève (HUG), in particular the members of the Infection Control Programme, for their active participation in developing this material. Remember that friction is needed to dislodge microorganisms. American Journal of Infection Control, 17(6), 340-344. 4. Artificial nails: are they putting patients at risk? 10, Turn off the faucet using the towel. Diarrhoeal disease is not suspected or proven. ‘Thank you for your efforts and sacrifices this year’, Good hand hygiene is crucial to help prevent healthcare-associated infections. If you have equipment cleaning machines in your area, use them. Consider hands clean once dry. Rub for about 25 to 30 seconds, until your hands are completely dry. A review of the research. Hands are the primary carriers of dirt, viruses, and bacteria, as they can come into contact with so many different surfaces throughout the day.Without proper hand washing, this could easily lead to something harmful entering the body, spreading elsewhere, or causing cross-contamination. It falls under hand hygiene which is a general term that applies also to surgical hand antisepsis and antiseptic hand rub. Ensure fingernails are always clean and short and artificial nails or nail products are not worn; Remove all hand/wrist jewellery (staff members should be bare below the elbows at all times when working so should not be wearing any jewellery other than a single, plain metal ring, which should be removed or moved up the finger to wash underneath it, then moved back during hand hygiene if required by local policy); Cover any cuts or abrasions with a waterproof dressing. Rub hands together rapidly across all surfaces of your hands and wrists. Note: The process should take 20 to 30 seconds. As much as possible, keep your fingernails short. If the instructions aren’t clear, here’s a video showing proper hand washing: Note: The entire hand washing procedure should take around 40 to 60 seconds. Expert opinion suggests that skin damage is generally associated with detergents contained in hand hygiene preparations and/or poor handwashing/drying technique, although the frequent use of some hand hygiene agents may damage the skin and alter normal hand flora. Rub your hands together (palm to palm) to create a lather. How to use hand sanitizer Apply the gel product to the palm of one hand (read the label to learn the correct amount). It's very important that all surfaces of your hands are cleaned. CTRL + SPACE for auto-complete. Hand washing with soap and water entails lathering your hands and vigorously rubbing them together, followed by rinsing with warm (not hot) water. In case you are assigned to care for high-risk patients, don’t wear artificial nails. Keep rubbing your hands together for at least 20 seconds. The importance of hand washing cannot be understated. Sore hands are also associated with increased colonisation by potentially pathogenic microorganisms and increase the risk of transmission (Loveday et al, 2014). Therefore, health care workers should pay attention to hand washing. It involves practising WHO hand hygiene recommendations, having a clean and hygienic environment, monitoring infections and having action plans to reduce their frequency, never re-using needles and syringes, using antibiotics but only when truly needed, to reduce the risk of resistance. Apply soap and lather well for 20 seconds (or longer if the dirt is ingrained). 2. 8. Then, place left palm over the... 4. After touching a patient– after shaking hands, changing bed linens, taking blood pressure Thoroughly wet your hands and apply soap all over your hands’ surfaces. Don't have a timer on you? To celebrate (yes, we celebrate these things at Initial) Global Handwashing day, we’e put together the 9 steps of proper hand washing. Sign in or Register a new account to join the discussion. Wet hands under running water 2. 2.2. Hand hygiene for healthcare workers: Learn how to perform hand washing with soap and water (nursing procedures). 4. In addition, washing hands regularly with liquid soap and water before or after using ABHR is associated with dermatitis and is unnecessary (Loveday et al, 2014). It is the most effective measure in reducing the risk of transmitting infectious diseases.It cannot be said too often that hand washing is the most important and most basic technique in preventing and controlling infections. Clinical Examination A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Aim: To guide the staff how and when to wash hands in a proper technique. Why is Hand washing So Important? Rub hands palm to palm (Fig 1). Washroom Services Global Handwashing Day, hand hygiene, handwashing Leave a Comment . Emollients should be applied all over the hands, including between the fingers and the back of the hand. Hand hygiene process. Use soap and water if … Nurses represent a large working group that performs the greatest amount of direct patient care in Health Services. Author: Neil Wigglesworth is director, infection prevention and control, Guy’s and St Thomas’ NHS Foundation Trust, London, and immediate past president, Infection Prevention Society. Rub clasped fingers using backward, forward, rotational movements on your right palm and vice versa. Visit our, Infection control 6: hand hygiene using soap and water, 100 years: Centenary of the nursing register, 2020: International Year of the Nurse and Midwife, Nursing Times Workforce Summit and Awards, Infection control 1: decontamination of non-invasive shared equipment, Infection control 2: hand hygiene using alcohol-based hand rub, Infection control 3: use of disposable gloves and aprons, Infection control 4: good hand-hygiene practice for hospital patients, Infection control 5: equipment for facial and respiratory protection, Standard Infection Control Precautions Literature Review. Rub the gel over all the surfaces of your hands and fingers until your hands are dry. Next, rub palm to palm with interlaced fingers. Search terms were related to the research question and included terms such as hand washing, hand hygiene, hand clean, and hand decontaminate in combinations with nurse and nursing staff. Rub hands with fingers interlaced (Fig 3). Citation: Wigglesworth N (2019) Infection control 6: hand hygiene using soap and water. Based on the guidelines of the World Health Organization, there are five moments for hand hygiene. Singing ‘Happy Birthday’ twice, will give you the right time frame to perfect the proper hand washing procedure. Get your hands wet using clean, running water. Rinse your hands with water. Where possible use machinery and tools rather than hands (for example equipment cleaning machines), During handwashing, thoroughly rinse off residual soap/cleanser, Ensure your hands are thoroughly dry before continuing work, Use emollient creams, especially after finishing work. The new blended learning nursing degree at the University of Huddersfield offers…, Please remember that the submission of any material is governed by our, EMAP Publishing Limited Company number 7880758 (England & Wales) Registered address: 7th Floor, Vantage London, Great West Road, Brentford, United Kingdom, TW8 9AG, We use cookies to personalize and improve your experience on our site. This article, the last in a six-part series on infection prevention and control, discusses the procedure for washing the hands with soap and water and how to protect skin integrity. Introduction: Nurses are aware of the rationale for hand hygiene procedures. Hand hygiene: back to the basics of infection control. If you see that your hands are visibly dirty, you’ll need to wash your hands with soap and water. However, while ABHR reduces some resident microorganisms, it is not effective against all organisms (for example, some viruses including norovirus and spore-forming microorganisms such as Clostridium difficile). In using a hand sanitizer, here are the steps you should follow: 1. This article, the final part in a six-part series, briefly explains the importance of hand hygiene, when it should be performed and which cleansing agent to use; it also outlines the procedure for decontaminating the hands using soap and water and how to protect skin integrity. Whether you are at home, at work, traveling, or out in the community, find out how handwashing with soap and water can protect you and your family. A range of studies comparing the use of ABHR with liquid soap and water found that ABHR was associated with less skin irritation (Loveday et al, 2014), while a seven-year longitudinal study of the introduction and use of ABHR found no reports of irritant and contact dermatitis associated with its use. Wash your hands for at least 20 seconds to tackle those germs. Reducing risk of work-related dermatitis. Hand hygiene = hand washing + hand drying. Don’t forget the backs of your fingers. Place your right palm over your left dorsum and interlace fingers to clean the area. Rub vigorously, making sure to rub the product all over the surfaces of both your hands and between your fingers. If you use a hand sanitizer, make sure the … In some cases, it can even lead to contact dermatitis. Surgical hand antisepsis is what most healthcare workers know as surgical hand scrub. Dry your hands with a single-use towel. Box 1. 1. 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