Lesson 3 (Part 2) Flashcards
How long should you rub your hands together with sanitizer?
15 seconds
How long should you rub your hands together with soap and water?
20-25 seconds
What is more sanitary, drying with paper towel or hand dryers?
Paper towel
Which type of hand washing is easier on your hands?
Sanitizing
When do you use sanitizers? (3)
- When hands are not visibly soiled
- When hands are not already wet
- If you are allergic
When do you use soap and water for hand washing? (3)
- When hands are visibly soiled
- blood, bodily fluids or dirt - Exposure to spore forming bacteria
- After using the restroom
What is the first line of defence for the body against organisms?
Intact skin
What can repetitive hand hygiene lead to?
Dry hands which cause cracks and irritations
How do you reduce the skins dryness and irritation? (4)
- Use warm, not hot, water
- Rinse thoroughly and pat hands dry instead of rubbing them with paper towels
- Use facility provided lotion frequently
- as it doesn’t break down the ABHR - Wear gloves when cleaning, gardening, in cold weather, etc.
What are factors impacting hand hygiene? (6)
- Skin condition
- Keep nails short and clean
- Remove rings and bracelets and watches
- Do not wear artificial nails
- Remove chipped nail polish
- Make sure that sleeves are pushed up and do not get wet
How do you prepare for a hand washing? (3)
- Remove all watches and rings
- Get paper towel ready
- if there is no dispenser - Position self so as to not touch the sink
How do you wash your hands? (7)
- Wet hands throughly
- Keep hands lower than the elbows so the water will drain from the clean area to the most contaminated areas
- the further you are from your body the dirtier you are - Apply soap
- Lather well using firm, circular motion
- Wash forearms, palms, back of hands and wrists for 20 seconds
- Wash sides of fingers, thumbs using the interlace methods and milking techniques
- Cleaning under fingernails and around hang nails area using thenar eminence to rub nails
Thenar eminence
The soft spot of your hand below your thumb
How do you rinse your hands? (2)
- Rinse starting at the upper forearms, allowing the water to run down over hands
- Turn hands over (palm side up) and repeat
- remember to hold hands lower than your elbows
How do you dry your hands? (3)
- Do not shake excess water
- Use paper towel to dry thoroughly from fingertips to the elbows
- Turn off the taps with the paper towels
- remember to stand away from the sink because it is contaminated
What are the hand washing/sanitizer techniques? (6)
- Apply a dime-sized amount of product into the palms of dry hands
- Rub product into hands for 15 seconds
- Repeat the same motions you do when washing with soap and water
- Continue rubbing until hands are dry
- Do not wipe any off
- Ensure hands are completely dry before performing another task
What are the 2 different environment zones in a hospital?
- Patient zone
2. Healthcare zone
Patient zone
Everything in immediate proximity to the patient
Healthcare zone
Everything outside of the patient zone
What are the 4 moments of hand hygiene?
- Before the initial patient/patient environment contact
- Before an aseptic procedure
- After body fluid exposure risk
- After patient/patient environment contact
Aseptic
Clean procedure
What are 3 examples of aseptic procedures?
- Endocavity enima
- Preparing medications
- Injections
What is the most common mode of transmission of infectious organisms in a hospital setting?
Contaminated hands of healthcare patients
Which hand hygiene indication protects your patients the most?
Before patient/patient environment contact
- the first hand hygiene moment