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Handwashing
Standard Handwashing Procedure
According to OSHA standards regarding blood borne pathogens, hand washing should be performed, at a minimum:
Before and after every patient contact After removing gloves and other protective wear After handling blood or other body fluids When visibly contaminated with blood or tissues Before leaving the patient area Before and after eating, applying makeup, using the
bathroom, handling contact lenses, handling equipment
Importance of Hand washing to Reduce Nosocomial
Infections Reduces spread of disease from patient to patient
Reduces spread of disease from patient to health care professional
Reduces spread of disease form health care professional to patient
Reduces spread of diseases from health care professional to other health care professionals
Reduce the spread of disease to visitors in health care facility
Proper Hand Washing Technique
Soap aids in the removal of pathogens
Warm water
Friction
All surfaces of hand must must be cleaned: palms, backs, between the fingers
Nails must be cleaned
Fingertips pointed downwards to prevent water from getting on forearms and then running back down on the hands recontaminating them
Dry paper towels used to turn on and off the faucet prevents contamination f hands from organisms on the faucet
Cleaning Hands with Waterless Hand Sanitizer
Benefits of Hand Sanitizer Washing
Requires less time than hand washing
Acts quickly to kill microorganisms on hands
Are more accessible than sinks
Reduce bacterial counts on hands
Do not promote antimicrobial resistance
Are less irritating to skin than soap and water
Some can even improve the condition of skin
Four Steps of Washing with Hand Sanitizer
1. Make sure all organic matter is removed from hands; visible organic matter (such as dirt) must be removed prior to washing with hand sanitizer
2. Apply a dime size amount of sanitizer to the palm of one hand or use a sanitizer wipe
3. Rub hands covering all surfaces of hands and fingers
Rub until hand sanitizer is absorbed