Clinical Foundations - Hand Hygiene & PPE

Question 1

When hand hygiene is performed

Answer 1

• Before and after contact with any patient or their body substances, or items contaminated by them
• After handling soiled equipment
• Before handling clean supplies
• Before and after performing invasive procedures
• After assisting patients with personal care – like oral hygiene and oral hygiene instruction
• Before donning and doffing gloves and other PPE
• Before preparing, handling, serving and eating food

Question 2

Hands must be washed using appropriate soap,
water, and disposable towel combination

Answer 2

• At the beginning of the work day
• When hands come into contact with patients bodily fluids – excretions, secretions, blood and saliva
• After being in contact with contaminated instruments
• After eating
• After using the washroom
• After personal functions like blowing your nose

Question 3

Donn & Doff PPE for Non-Aerosol Procedures

Answer 3

Donn:
1. Perform hand hygiene - sanitizer
2. place mask
3. place glasses
4. put on gloves

Doff:
1. remove gloves
2. hand hygiene - sanitizer
3. remove glasses
4. remove mask
5. hand hygiene

Eye glasses should be disinfected and cleaned with soap and water.

Question 4

Donn & Doff PPE for Aerosol Procedures

Answer 4

Donn:
1. Perform hand hygiene
2. Place Gown
3. Place Mask
4. place face shield
5. place cap
6. perform hand hygiene
7. place gloves - put over gown

Doff:
1. remove gloves
2. perform hand hygiene
3. remove gown - turn inside out and roll up
4. perform hand hygiene
5. remove cap
6. remove face shield
7. remove mask
8. Hand hygiene

Eye glasses should be disinfected and cleaned with soap and water.

Question 5

Perform Hand Hygiene with Soap and Water

Answer 5

1. Ensure all rings and watches are removed. Roll up long sleeves. Wet hands with warm water.
2. Apply soap into hands
   Scrub hands, nails for 15 - 30 seconds (double the time if forearms are included)
3. Rinse well
4. Use paper towels to pat dry hands, then forearms with paper towels
5. Use the same paper towels to turn off sink faucets
   Note: (Inside of elbow is considered acceptable on lever style tap)
6. Discard paper towel into the garbage without cross-contaminating your hands (A foot may be used to
   open garage door)

Question 6

Perform Hand Hygiene with Alcohol Hand Rub

Answer 6

1. Ensure all rings and watches are removed. Roll up long sleeves.
2. Apply a palmful of product in a cupped hand, covering all surfaces
3. Rub hands palm to palm with interlacing areas between fingers and vice versa
4. Continue rubbing product over hands until all surfaces are dry (Procedure approx. length 15-30 sec)
5. Do not use paper towels to pat dry hands