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Hand Hygiene Powerpoint Template

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Hand Hygiene

Transcript: We use our hands to prepare food The purpose of this demonstration is to ensure hand washing competency for the required State testing standard. Use only when water is not available. Use only 3 times at the most, then wash your hands needs to have >60 alcohol. Rub your hands until liquid is dry. Hand Hygiene Cuts, Broken skin 10 steps to hand washing Before We carry our children After Examine your hands. 5. Rub palm to palm fingers interlocked Using the restroom Blowing nose,coughing or sneezing Helping someone use the restroom or changing a diaper Touching a cut,sore or wound Caring for a sick person Removing medical equipment Always wash if your hands are visibily soiled. Examples Hand santizers Do you bite your nails? 6. Rub thumb area both hands hand wash or sanitize? 9. Dry hands Our hands are dangerous!! When should you wash your hands? Dry skin 2. Rub palm to palm Dr Semmelweis late 1800 discovered the link between hand washing and illness. later confirmed by Louis Pasteur. Are your nails too long or tooo short???? How are we going to keep our hands clean? Making food Touching a sick person Giving care to a person Before completing any health related procedure Applying medical equipment 10. Use towel to tur fucett off. the hands have it! Hand washing products 0. Wet hands and wrist area with water 3. Rub Right palm over Left top of hand 1. Apply soap enough to cover both hands. Nursing student demonstration Broken nails 4. Palm to palm with finger interlaced 7. rub fingers in palms of each hand What does washing hands have to fo with Flu season? Torn cuticles Hands are very important. 8. Rinse hands, making sure fingertips are facing down toward the drain. Examples We help those that need us Always wash hands when hands are visibly dirty. Do not use highly scented soaps. Antibacterial soaps are often used in hospital settings. Do you use nail polish or acrylic nails? We hold hands of a love one

HAND HYGIENE

Transcript: ...Sanitize your hands when soap and water is not available Lets Sanitize!! HOW ARE GERMS SPREAD? ...But if your hands are dirty you must wash your hands!!! WHY SHOULD I WASH MY HANDS ? Lets HAND HYGIENE http://www.toronto.ca/video/streaming/windowsmedia/health/cdc_handwashing.wmv HAND SANITIZE

Hand Hygiene

Transcript: Before, during, and after preparing food Before eating food Before touching a cut or wound Steps Wet hands with clean, running water, turn off the tap and apply soap Lather your hands by rubbing them together with the soap. be sure to lather that backs of your hands between your fingers, and under your nails. Scrub your hands for at least 20 sec. Rinse your hands Dry your hands with a clean towel or air dryer. Hand sanitizer Antibacterial hand wipes Coughing and sneezing Glogerm and Hand Washing Activity Ways to Preventing the Spread of Germs Split into 5 groups 1 Student applies glogerm Shake hands with other students Observe spread of germs Demonstrate hand washing and check with black light Hand Hygiene is used to: Clean your hands Kill germs Stop the spreading of germs Prevent yourself and others from getting sick Hand washing alternatives After using the toilet After blowing your nose, coughing or sneezing After touching an animal or animal waste After touching garbage Petting animals Play ground Door knobs High fives Shaking hands Raw food Types of germs: Bacteria Viruses Fungi Protozoa What are Germs? Hand Hygiene What they do: Invade and replicate in the body Can cause fevers, colds, coughs, rashes, vomiting, and upset stomachs How do germs get on your hands? Bathrooms Floors Water fountains Sports equipment Coughing and sneezing into hands When should you wash your hands? How to wash your hands Coughing into sleeve Clean surfaces that you commonly come into contact with Fist bump Using a Kleenex Hand sanitizer use Washing hands with soap and water Why do you wash your hands?

Hand Hygiene

Transcript: Yourself Patients and Families Other teammates Who's responsible for performing proper hand hygiene? What is hand hygiene? alcohol-based soap and water Statistics: The overall objective of WHO Understanding HCAI To understand the importance of hand hygiene How to identify hand hygiene practices to prevent the spread of diseases Having the knowledge of when to use Alcohol rubs vs. Soap and water Objectives WHO is WHO? World health organization Clean Care is Safer Care 1st global patient safety challenge launched Aimed at reducing health care-associated infection (HCAI) world wide Any Questions and/or concerns Thank You! When hands are visibly dirty Before eating After patient encounter After using the restroom After contact with wounds or broken skin Before patient encounter Before applying cosmetics, contact lenses and other similar products HAND HYGIENE Nadaline Bates, BA, MHA Candidate When to use Alcohol base: Apply the gel or foam to the palm of one hand Rub it over all surfaces or your hands and finger, until your hands are dry. (Nearly 20 seconds). PREVENTION IS PRIMARY Hand Hygiene Please complete survey How to use soap and water: For routine hand hygiene, us an alcohol-based product, such as gel or foam. Clean Hands/Safe Care When to use Soap and Water: HCAI: healthcare-associated infection. Impact: HCAI Prolongs hospital stay The Role of hand hygiene to reduce the burden of health care-associated infection Contaminated hands HCW's (healthcare workers) encounter difficulties in complying with hand hygiene Alcohol-based vs. Soap and Water? If hands are visibly dirty, use soap and water to wash hands first, and then use an alcohol-based product to complete the process http://www.who.int/gpsc/5may/tools/who_guidelines-handhygiene_summary.pdf How to use alcohol-based hand rub Hand hygiene video Wet your hands with water and apply soap Rub your hands until lather forms. Make sure to scrub the backs of your hands, between your fingers and under the nails Scrub hand for a least 20 seconds (Hint sing the "Happy Birthday" song two times.) Dry your hands using a paper towel. then use the towel to turn off the water and to open the door.

Hand Hygiene

Transcript: Anti-Microbial Soap & Water Gloves + Hand Hygiene = Clean Hands OR When to use which? Glove use does not replace any hand hygiene action! Keep natural nails to less than 1/4 inch beyond fingertips Try to limit to one simple ring on each hand Healthcare Associated Infections Making Changes Nails & Bling Hand Hygiene Clean hands are the single most important factor in preventing the spread of pathogens and antibiotic resistance in health care settings An infection occurring in a patient during the process of care in a hospital or other health-care facility which was not present or incubating at the time of admission Ensure you've applied an adequate amount of soap/Handrub. Moments Campaign CDC classifies HAI as one of their "Winnable Battles" But average compliance rate is around 49% In 2002, CDC changed the standard healthcare hand hygiene procedure to Alcohol Based Handrub Wash hands with soap and water when bare hands are visibly dirty (and after using restroom). After caring for a client with known or suspected infectious diarrhea (C. diff, norovirus, etc) Importance Application time of hand hygiene and reduction of bacterial contamination HAIs kill more people per year than AIDS, prostate cancer, and breast cancer combined. Policies Thank You! Alcohol- Based Handrub # Perform hand hygiene immediately before and after gloves Methods Gloves - Hand Hygiene = Germ Transmission Faster (40-60s vs 20-30s) More effective More likely to be done Better tolerated on skin Gloves=No hand hygiene needed References Centers for Disease Control (2002). Guideline for Hand Hygiene in Health-Care Settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA Hand Hygiene Task Force. MMWR 2002 51 (RR16);1-44. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5116a1.htm World Health Organization (2009). WHO Guidelines on Hand Hygiene in Health-Care. http://whqlibdoc.who.int/publications/2009/9789241597906_eng.pdf World Health Organization (2012). Hand Hygiene in Outpatient and Home-based Care and Long-term Care Facilities: A Guide to the Application of the WHO Multimodal Hand Hygiene Improvement Strategy and the “My Five Moments for Hand Hygiene” Approach http://www.who.int/gpsc/5may/hh_guide.pdf Klevens MR, Edwards JR, Richards CL (2007). Estimating Health Care-Associated Infections and Deaths in U.S. Hospitals. Public Health Reports March/April 2007 (122) http://www.cdc.gov/HAI/pdfs/hai/infections_deaths.pdf A "Culture" of Hand Hygiene Huge $$$ burden on healthcare system Increasing antibiotic resistance In hospitals, affects 1 in 20 patients Details VS.

Hand Hygiene

Transcript: A life lost among many How to wash your hands •Wet your hands with running water. •Apply liquid, bar or powder soap. •Lather well. •Rub your hands vigorously for at least 20 seconds. Remember to scrub all surfaces, including the backs of your hands, wrists, between your fingers and under your fingernails. •Rinse well. •Dry your hands with a clean or disposable towel or air dryer. •If possible, use your towel to turn off the faucet. $1.25 Headline 5 “Clean Care is Safer Care” is not a choice but a basic right. Clean hands prevent patient suffering and save lives. Tuesday, August 26, 2014 Hand hygiene, a very simple action, is well accepted to be one of the primary modes of reducing HCAI (Health Care-Associated Infections) and of enhancing patient safety. Hand Hygiene Subtitle Health care-associated infections affect hundreds of millions of patients worldwide every year. Infections lead to more serious illness, prolong hospital stays, induce long-term disabilities, add high costs to patients and their families, contribute to a massive, additional financial burden on the health-care system and, critically, often result in tragic loss of life. Hand hygiene is the primary measure proven to be effective in preventing HCAI and the spread of antimicrobial resistance. However, it has been shown that HCWs encounter difficulties in complying with hand hygiene indications at different levels. A Call to Action Vol XCIII, No. 311 NEWSPAPER HEADLINE

HAND HYGIENE

Transcript: they're the front line good compliance knowledgeable priorities limited by workload in contact with many patients on a regular basis low compliance with hand washing there was no clear set of guidelines to follow for compliance HAND HYGIENE Similarities: awareness without practice lower compliance in afternoon high compliance in morning Doctor Mackenzie Occupational Therapist Megan Similarities: mutual agreement on importance of hand hygiene and on more on-site hand washing stations Differences: doctors have clearer guidelines In Conclusion: hand washing needs to become more prevalent more training for health care workers, with incentives it is an inter-professional issue with room for improvement not in hospital setting automated systems verbal and visual cues for handwashing independence Physiotherapist & Doctor Similarities: both understand its importance same values Differences: nurses focus on efficiency and their own hygiene OT focuses on long term improvement with the patient independence Pharmacist & Physiotherapist Isolation Room Experiment: only pharmacists used hand hygiene prior to entry no one washed post Interviews: lack of personal responsibility for hand hygiene most looked to doctors for setting examples patient oriented, keep patients safe clear guidelines of expectations effected by availability they see themselves as role models ban on artifical nails Questions? Similarities: patient-centered care same environment Differences: nurses have more training more knowledge Occupational Therapist & Pharmacist Pharmacist Hope Doctor & Nurse Similarities: both concerned with improving hand hygiene, increasing compliance, and ease of access Difference: OT is within the home Nurse Nina Physiotherapist Andrea Comparisons Nurse & Occupational Therapist

HAND HYGIENE

Transcript: HADM 209 HAND HYGIENE Priyanka Abraham CURRENT SCENARIO CURRENT SCENARIO Average compliance in US hospitals: <50% - Overall <37% - ICUs and EDs Stop spread of germs. MDROs. Prevent HAIs (1 in 25 hospital patients/day). Source: McGuckin, M. et al. (2009). High variation among HC proffesionals Sustaining the compliance Multi-Faceted Approach Patient Empowerment Monitoring Promote Leadership MULTI-FACETED APPROACH Direct Observation Auditing Camera-based Volume Measurement In-service Screen Savers Posters Admission Cards Posters Communication On-going Commitment Improving by Reporting Improving by Reporting (Source: Institute for Healthcare Improvement) CHALLENGES #1 #2 #3 #4 CHALLENGES Behavior change Buy-In Roll-out/ Implementation Feedback INTERNATIONAL HH TOOLS INTERNATIONAL HH TOOLS Source: World Health Organisation. Source: Centers for Disease Control and Prevention. FINANCIAL ASPECTS Hospitals penalised for HAIs in 2015 FINANCIAL ASPECT 721 $15k Average Cost/ Per Hospital Annual Cost of Hospital Related Infections in U.S $28.4B Other $$ Savings CONCLUSION Conclusion #1 #2 #3 Customize Culture Change Technology

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