Infection control Flashcards
what is the purpose of hand decontamination
Reduce HCAI
what are HCAI
- Healthcare associated infections
- Contracted as a direct result of treatment in/ contact with a heath of social care setting; as a result of healthcare delivered in a community; outside a healthcare setting.
examples of HCAI
surgical site infection, pneumonia, E.coli, Norovirus, Gastroenteritis, UTI
what are the 2 types of microorganisms found on hands?
what does hand washing focus on?
- Transient - found on surfaces and picked up as we touch things, handle bodily fluids etc
- Resident- natural constituents of bacteria found in deeper layers of skin
- Handwashing focuses on transient bacteria and lessening resident sometimes
when would you choose alcohol-based hand rub?
when would you not use hand gel?
Recommended for decontamination.
- Removes transient
- quick and easy
- better tolerated by hands
- provided at point of care
- effective
e.g between patients
NOT TO BE USED WHEN:
- hands visibly soiled
- when caring for patients with vomiting or diarrhoeal illness regardless if gloves were worn.
Must use soap and water here as alcohol. is ineffective against the micro. that likely cause dthe vomit
when is handwashing with soap and water recommended?
- removes dirt, organic matter and transient
- hands visibly soiled with bodily fluids
- when caring for a patient with diagnosed Clostridium difficile or Norovirus.
- After several applic. of alcohol rub
when is handwashing with antiseptic solutions recommended ?
- Required ro reduce transient and resident micro
- seeking residual effect
- used before surgery and other invasive procedures
- during an outbreak of an infection or as advised by the hospital’s infection control team
what are the 5 moments of hand hygiene?
- immed. before direct patient care
- immed after patient care
- immed after contact with bodily fluids etc
- immed. after touching things in surrounding environment to patient
- immed after removal of glass
how can you ensure hands can be decontaminated?
- remove all wrist and hand jewellry
- wear short sleeves
- remove nail varnish and short nails
- cover cuts and abrasions with waterproof
what’s the 9 steps to washing hands?
1) wet hands and ass soap
2) soap palms
3) rub back of hands- interlink fingers
4) Link your fingers together, facing each other, into clasped hands. Then rub your palms and fingers together.
5) Cup your fingers together, with your right hand over and your left hand under. With your fingers interlocked, rub the backs of them against your palms. Then swap.
6) clean thumbs
7) rub palms with fingers
8) clean wrists
9) rinse downwards
When should patients wash their hands?
Ensure done before meals, after toilet, commode, bed pan, urine bottle
what are the risks and hazards of hand hygiene
skin irritation, splashes, ingestion and fire hazard
Donning process
Process 1. Put on long, rear fastening fluid resistant and long sleeved gown 2. Don’t use the inside tie 3. Fasten the neck tie and waist ties If glasses 1. Remove glasses before donning the respirator 2. Clean them with alcohol wipe 3. Replace before donning the visor
- Put on FFP3 respirator
- Donn eye protection
- 6 Put on a pair of non-sterile nitrile gloves
Doffing process
- Safely remove gloves- OUTSIDE OF ONE HAND, SWITCH AND FLIP
- Alcohol/ hand gel rub
- Remove gown- neck snap then waist snap, roll up and bin
- Remove visor and DON’T BEND FORWARDS
- Close eyes, take drown straps and pull off
- Leave room using respirator
- Clean hands
- Remove glasses, clean, take off respirator (over your head) then replace glasses.
- Wash hands with soap and water
