HAND HYGIENE IN HEALTH CARE

OLEH JT HAMIDAH ABDUL KADIR UNIT KAWALAN INFEKSI

5 step pilot Implementation Strategy

Step 1 : Facility preparedness Step 2 : Baseline Evaluation Step 3 : Implementation Step 4 : Follow up evaluation Step 5 : Action planning and review

WHO Hand Hygiene Improvement Strategy

Attempts to address safety/infection control by: Increasing compliance of HH System change clean hands at point of care using Alcohol based hand rub (ABHR) Provision of accessible safe water, soap and hand towels Combination of measures to influence staff behaviour and senior management support for hand hygiene and infection control.

AIMS
To increase compliance and awareness of hand hygiene among healthcare worker Changing the system-HCW are possible to clean their hands at the point of care either using ALCOHOL-BASED HAND RUB or HANDWASHING. To reduce the rate of Nosocomial Infection in hospital.

Definition of health care-associated infection (also referred to as nosocomial or hospital infection) An infection during the process of care in a hospital or other health-care facility which was not present or incubating at the time of admission. This includes infections acquired in the hospital but appearing after discharge, and also occupational infections among staff of the facility

Thousand of people die everyday around the world from infections acquired while receiving health care. Hands are the main pathways of germ transmission during health care. Hand hygiene is therefore the most important measure to avoid the transmission of harmful germs and prevent health care associated infections.

WHY should you perform hand hygiene?

You must perform hand hygiene:

1) to protect the patient against harmful germs carried on your hands or present on his/her own skin 2) to protect yourself and the healthcare environment from harmful germs

WHO should perform hand hygiene?

Any health-care worker, caregiver or person involved in patient care needs to be concerned about hand hygiene.

HOW you perform hand hygiene?

Clean your hands by rubbing them with an ALCOHOL- BASED formulation. It faster and more effective. Wash your hands with soap and water only when your hands are visibly soiled .

The golden rules for hand hygiene

Hand hygiene must be performed exactly where you are delivering health care to patients (at the point of care) During health-care delivery, there are 5 moments when it is essential that you perform hand hygiene You must perform hand hygiene using the appropriate technique and time duration

Definition of Point of Care

Point of care - refers to the place where three elements occur together: the patient, the health-care worker, and care or treatment involving patient contact.

YOUR 5 MOMENTS FOR HAND HYGIENE

Clean your hands immediately before an aseptic task! To protect the patient against harmful germs, including the patients own, entering his/her body! Clean your hands after touching a patient and his/her immediate surroundings, when leaving the patients side! To protect yourself and the health-care environment from harmful germs! Clean your hands after touching any object or furniture in the patients immediate surroundings, when leavingeven if the patient has not been touched! To protect yourself and the health-care environment from harmful germs!

Clean your hands before touching a patient when approaching him/her! To protect the patient against harmful germs carried on your hands!

Clean your hands immediately after an exposure risk to body fluids (and after glove removal)! To protect yourself and the health-care environment from harmful germs!

Melekapkan kedua telapak tangan.

Palm to palm

Telapak tangan kanan di atas belakang tangan kiri dan telapak tangan kiri belakang tangan kanan

Right palm over left dorsum and left palm over right dorsum

Lekapkan kedua telapak tangan dengan jari berselang seli

Palm to palm fingers interlaced

Jari jari kedua telapak tangan saling mencengkam dalam arah yang berlawan

Back of fingers to opposing palms with fingers interlocked

Menggosok sekeliling ibu jari kanan dalam genggaman telapak tangan kiri dan sebaliknya

Rotational rubbing of right thumb clasped in left palm and vice versa

Jari jari tangan kanan dirapatkan dan dogosokkan sekeliling, kehadapan, kebelakang pada atas telapak tangan kiri dan sebaliknya

Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa

Areas usually missed

Hand hygiene and glove use

You should wear gloves only when indicated otherwise they become a major risk for germ transmission