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ggggggggg Covenant Health Infection Prevention and Control Quick Reference Booklet Hand Hygiene Nov 2016 1 ggggggggg What is hand hygiene? Hand hygiene refers to the act of cleaning your hands either with soap and water or alcohol- based hand rub (ABHR). Performing hand hygiene correctly will either remove or kill most microorganisms (germs) that are present on the skin. With fewer germs present on the skin, the risk of spreading those germs to other people or objects is decreased. Hand Hygiene is the easiest and most effective way to prevent the spread of infection. How is Hand Hygiene Performed? Hand Hygiene can be performed by using soap and water or alcohol-based hand rub. - Use soap and water when hands are visibly soiled and after caring for patients with diarrheal illness - Use alcohol-based hand rub when hands are not visibly soiled Use soap and water when hands are visibly dirty and after caring for patients/residents with diarrheal illness: - Wet hands and apply liquid soap Vigorously wash all surfaces of hands (front and back, between fingers and tips of fingers) for at least 20 seconds Rinse hands with warm water Dry with paper towel and use paper towel to turn off taps 2 ggggggggg Use alcohol based hand rub when hands are not visibly dirty: - Dispense 1-2 pumps of rub into palm of hand - Cover all surfaces of hands with rub - Rub hands together between fingers, around nails and on back of hands for 20 seconds - Let hands air dry; no towel required Hand Hygiene and areas that can be missed 3 ggggggggg Covenant Health Hand Hygiene Policy This policy applies to all Covenant Health facilities, staff, physicians, volunteers, students and to any other persons acting on behalf of Covenant Health. Key Points: - Hand hygiene is everyone’s responsibility - Alcohol based hand rub is the preferred method of hand hygiene - Gloves do not replace the need for hand hygiene - Use only hospital-approved hand hygiene products including hand lotion - No artificial nails, gel nails, nail polish or long fingernails permitted - No rings other than a simple wedding band when working within the patient care environment, medical device reprocessing or the laboratory - For more information see the Hand Hygiene Policy on Compassionnet.ca Measuring Hand Hygiene Compliance Rates Covenant Health is committed to improving hand hygiene compliance. Key Points: - Twice yearly audits in Spring and Fall - All healthcare staff, including medical staff and volunteers are audited - Staff are measured on whether they take or miss key opportunities for performing hand hygiene - Based on the 4 Moments for Hand Hygiene: 4 ggggggggg Hand Hygiene Accountability We need to feel comfortable to speak up and remind others when they have missed opportunities to perform hand hygiene. (It is also important to encourage others for doing a good job as well.) Feedback must be timely in order to be useful. The more that we provide feedback and act as a positive role model, the more this will help to create a culture of acceptance within our areas. Covenant Health is committed to ethical integrity “by promoting ethical behavior that supports those we serve and is in alignment with the organization's values. The commitment includes treating people with respect, keeping those we serve at the centre of all we do and promoting a culture of continuous quality improvement.” References: COV Building a Just Culture Policy (III-35) and COV Disclosure of Adverse Events, Close Calls & Hazards Policy (III-40), COV Commitment to Ethical Integrity. 5 ggggggggg Five Rights of Hand Hygiene Patient/Resident Hand Hygiene Please encourage all patients/residents to perform hand hygiene according to the Covenant Health 4 Moments for Patient/Resident Hand Hygiene: 1) Before and after touching wounds and devices 2) Before eating, drinking, taking medications and/or touching the face 3) After using the washroom 4) When entering or leaving the patient/resident room or interacting with visitors 6 ggggggggg Infection Prevention and Control Resources All resources can be found on CompassionNet.ca Go to Compassionnet.ca Care & Safety Infection Control http://www.compassionnet.ca/Page172.aspx Resources include (but are not limited to): -Hand Hygiene Policy -Hand Hygiene information including compliance rates -Hand hygiene procedure videos -4 Moments for Hand Hygiene Posters Test Your Knowledge! 1. Hand hygiene is the easiest most effective way to prevent the spread of infection. T___ F____ 2. Alcohol-based hand rub must be used after caring for patients with diarrhea. T______F_____ 3. You do not need to perform hand hygiene after glove removal. T______F_______ 4. Artificial nails, gel nails, nail polish and long fingernails are not permitted according the Covenant Health Hand Hygiene Policy. T_______ F_____ 5. The thumbs are most frequently missed areas after performing hand hygiene. T________F_______ 6. Only nursing staff are eligible for being audited during a hand hygiene compliance audit. T_______ F___________ Answers: 1. True 2. False 3. False 4. True 5. True 6. False 7