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Agenda
Why A
When How
Handwashing Alcohol
Source
APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Elaine L. Larson, RN, PhD, FAAN, CIC Printed in the American Journal of Infection Control Vol. 23, No. 4, pp 251-269, August 1995
WHY Should We
It is known that handwashing causes a significant reduction in the carriage of potential pathogens on the hands.
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Handwashing can result in reductions in patient morbidity and mortality from nosocomial infection.
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Definitions
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Handwash(ing):
A process for the removal of soil and transient microorganisms from the hands.
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Hand Antisepsis:
A process for the removal or destruction of transient microorganisms.
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Detergent-based cleansers in any form (e.g. bar, liquid, etc.) used for the primary purpose of physical removal of dirt and contaminating microorganisms. Work principally by mechanical action and have no bacterial activity.
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Antimicrobial Soap:
A
soap containing an ingredient with invitro and in-vivo activity against skin flora.
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
broad-spectrum, antimicrobial preparation that is fast-acting, non-irritating, and designed for frequent use that reduces the number of transient flora on intact skin to a baseline level.
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Transient Flora:
Microorganisms
isolated from the skin but not demonstrated to be consistently present in the majority of persons.
contaminating flora or noncolonizing flora.
A.K.A.
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Resident Flora:
Microorganisms persistently isolated from the skin of most persons. These microorganisms are considered permanent residents of the skin and are not readily removed by mechanical friction. A.K.A. colonizing flora
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
WHEN Should We
Wash Our Hands?
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
The intensity of contact with patients. The degree of contamination that is likely to occur with that contact. The susceptibility of patients to infection. The procedure to be performed.
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Before the performance of invasive procedures. When persistent antimicrobial activity on the hands is desired. When it is important to reduce numbers of resident skin flora in addition to transient microorganisms.
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
HOW Should We
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Be sure to thoroughly wash all skin surfaces. Pay close attention to hard-to-reach areas:
Between the fingers Finger tips Under the nails
Use
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Jewelry
Total bacterial counts are higher when rings are worn.
Source: APIC Guideline for Handwashing and Hand Antisepsis in Health Care Settings
Alcohol Gels
Do
complement for regular soap and water, NOT a replacement recommended when hands are soiled with dirt and/or organic material
Not
Questions?
Effective Handwashing
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