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Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa9.Rinse hand with water10.Dry hands thoroughly with a single use towel11.Use towel to turn off faucet
HAND WASHING: PROPER HAND CAREALWAYS wash hands with soap and water when visibly soiled!The procedure should take 40-60 secondsDo not routinely wash hands with soap and water immediately before and after using alcohol based hand rubDo not use hot water to rinse handsAfter hand washing, let hands dry completely before putting on gloves
HAND WASHING: ALWAYS REMEMBERNO ARTIFICIAL FINGERNAILS when in direct contact with patientsKeep natural nails short Centers for Disease Control and Prevention. (2018). Hand hygiene in healthcare settings. Retrieved from
USING AN ALCOHOL BASED HAND RUB1.Apply a palm full of the product to a cupped hand, covering all surfaces2.Rub hands palm to palm3.Right palm over left dorsum with interlaced fingers and vice versa4.Palm to palm with fingers interlaced5.Backs of fingers to opposing palms with fingers interlaced6.Rotational rubbing of left thumb clasped in right palm and vice versa7.Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice cersa
EVALUATE EFFECTIVENESSGold Standard = Direct ObservationHow it is being performedWhen it is being performedWho is performing it
WHY IS HAND HYGIENE SO IMPORTANT?The World Health Organization states, “Thousands of people die every day around the world from infections acquired while receiving health care” (2015). Centers for Disease Control and Prevention. (2018). Hand hygiene in healthcare settings.
REFERENCESAgency for Healthcare Research and Quality. (2017). Health care-associated infections. Retrieved from Agency for Healthcare Research and Quality. (2014). AHRQ’s efforts to prevent and reduce healthcare-associated infections. Retrieved from factsheets/errors-safety/haiflyer/index.html Alshehari, A., Park, S., & Rashid, H. (2018). Strategies for improving compliance in hand hygiene in adult intensive care units among healthcare staff: A mini systematic review. Journal of Hospital Infection, 18, 164-166. doi:10.1016/j.jhin.2018.03.013 Association for Professionals in Infection Control and Epidemiology, Inc. (2015). Guide to hand hygiene programs for infection prevention. Retrieved from %20Hygiene%20Programs%20for%20Infection%20Prevention.pdfBurchett, S., Mayhew, S., Lavis, J., & Dobrow, M. (2013, September). When research is useful in more than one setting. Health Promotion International, 28 (3) 410-430,doi: 10.1093/heapro/das026Centers for Disease Control and Prevention. (2018). Hand hygiene in healthcare settings. Retrieved from Chassin, M. R., Mayer, C., & Nether, K. (2015). Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance.