Hand Hygiene 1

8/3/2019 Hand Hygiene 1

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OLEH

JT HAMIDAH ABDUL KADIRUNIT KAWALAN INFEKSI

HAND HYGIENE

IN HEALTH CARE


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5 step pilotImplementation Strategy

Step 1 : Facility preparedness

Step 2 : Baseline Evaluation

Step 3 : Implementation

Step 4 : Follow up evaluation

Step 5 : Action planning and review


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WHO Hand HygieneImprovement Strategy

Attempts to address safety/infection control by: Increasing compliance of HH

System change clean hands at point of careusing Alcohol based hand rub (ABHR) Provision of accessible safe water, soap and

hand towels

Combination of measures to influence staffbehaviour and senior management support forhand hygiene and infection control.


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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 eitherusing ALCOHOL-BASED HAND RUB

or HANDWASHING.

To reduce the rate of Nosocomial Infectionin hospital.

AIMS


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An infection during the process ofcare in a hospital or other health-care

facilitywhich was not present or incubating atthe time of admission. This includesinfections acquired in the hospital but

appearing after discharge, and alsooccupational infections among staffof the facility

care-associated infection(also referred to asnosocomial or hospitalinfection)


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Thousand of people die everyday around theworld from infections acquired while receivinghealth 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 harmfulgerms and prevent health care associated

infections.


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You must perform hand hygiene: 1) to protect the patient against

harmful germs carried on you r hands orpresent on his/her own skin

2) to protect yourself and the health-care environment from harmful germs

W H Y should yo u perform handhygiene?


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Any health-care worker, caregiver or

person involved in patient care needs tobe concerned about hand hygiene.

W H O should performhand hygiene?


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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 .

HOWyou perform hand

hygiene?


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Hand hygiene must be performed exactlywhere youare delivering health care topatients (at the point of care)

During health-care delivery, there are 5moments when it is essential that youperform hand hygiene

Youmust perform hand hygiene usingthe appropriate technique and timeduration

The go lden ru les for handhygiene


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Point of care - refers to the place where

three elements occur together: the patient,the health-care worker, and care or treatmentinvolving patient contact.

Definition of Point ofCare


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YOUR 5 MOMENTS FOR HAND HYGIENE

Clean your handsbefore touching apatient whenapproaching him/her!

To protect the patientagainst harmful germscarried on your hands!

Clean your hands immediatelyafter an exposure risk to body

fluids (and after gloveremoval)!

To protect yourself and thehealth-care environment fromharmful germs!

Clean your hands immediatelybefore an aseptic task!

To protect the patient againstharmful germs, including thepatients own, entering his/herbody!

Clean your hands aftertouching a patient and his/herimmediate surroundings, whenleaving the patients side!

To protect yourself and thehealth-care environment fromharmful germs!

Clean your hands after touching any

object or furniture in the patientsimmediate surroundings, when leaving-even if the patient has not beentouched!

To protect yourself and the health-careenvironment from harmful germs!


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Melekapkan keduatelapak tangan.Palm to pa lm 11


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Telapak tangan kanandi atas belakangtangankiri dan telapaktangan kiri belakangtangan kananRigh t pa lm o ve r l e f tdo rsum and le f t pa lmo ve rr igh t do rsum

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Lekapkan kedua telapaktangan dengan jariberselang seliPa lm to pa lm f inge rsin te r laced 33


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Jari jari kedua telapaktangan salingmencengkamdalam arah yang berlawanBack o f f inge rs too p p o s i n g p a lm s w i thf ingersin te r locked

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Menggosok sekelilingibu jari kanan dalamgenggaman telapaktangan kiri dansebaliknyaRotational rubbing of right

thumb clasped in left palm

and vice versa

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Jari jari tangan kanandirapatkan dan dogosokkansekeliling, kehadapan,kebelakang pada atas telapaktangan kiri dan sebaliknyaR ot a t iona l r ubb i ng , backw ar dsand fo r w ar ds w i t h c l as pedf ingers o f r i ght hand in l e f tpa l m and v i ce v e r s a66


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Areas usually missed


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Hand hygiene and gloveuse

Y o u should wear gloves only whenindicated otherwise they become amajor risk for germ transmission


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Hand Hygiene 1

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