Hand Hygiene Compliance Report

Hand hygiene practices are important thing to infection prevention and control practice. As health provider especially ED staff or front liner, to follow hand washing protocols is necessary in any situation. According Practice Standard (2009) four major elements to preventing practice; hand washing, protective barriers, care of equipment and health practice of nurse. Cite from Health Promotion Agency for Northern Ireland, scientists has found around 45% of infections can be prevented by washing hands regularly. MOH (2010) increasing in hand-washing compliance by

Another problem that goes with the lack of hand-hygiene compliance is the many excuses that healthcare workers use to avoid washing their hands. Hass and Larson summarize (2009) some of the barriers to adherence that healthcare workers use, “a lack of access to hand-washing sinks, insufficient time, skin irritations, and lack of accountability” (Hass & Larson, 2009). Some solutions they explain to combat the barriers are to put more alcohol-based sanitizers where sinks are not around and placing them all over the patient care areas also reduces time and can be a suitable way for proper hand hygiene if the healthcare worker’s hand is not soiled. They also describe, “Involve staff in trying several alcohol-based hand sanitizers before deciding on one, and involve employee health services in creating a plan to manage hand-skin problems among staff. Alcohol-based sanitizers that have lotion in them can be helpful for staff who have very sensitive skin” (Hass & Larson, 2009).

Fuller, C. Michie, S. Savage, J. McAteer, J. Besser, S. Charlett, A. Hayward, A. Cookson, B. Cooper, B. Duckworth, G. Jeanes, A. Roberts, J. Teare, L. Stone, S. (2012). The Feedback Intervention Trial - Improving hand-hygiene compliance in UK Healthcare Workers: A Stepped wedge cluster randomised Controlled Trial. PLoS One. 7 (10).

Hand washing is the topic for Community Teaching Plan. Hand washing means to wash hands with water and soap, but sometimes without soap to remove the dirt, soil and microorganisms from the hand. Author explains the importance of handwashing, indications proper technique of handwashing. This also covers how handwashing helps in control of disease and infection.

This experiment illustrates the importance of handwashing and proves that hand washing is worth it. Since our hands are constantly coming into contact with ourselves and others, touching surfaces, grabbing objects, being sneezed into, etc., keeping our hands clean is one of the most effective, yet simple way we can take to avoid getting sick and spreading germs to others. Many diseases and conditions are spread by not washing hands with soap and clean, running warm water. “The human skin is a host to anywhere between 10,000-10,000,000 bacteria per square centimeter and since health care providers come into contact with pathogenic bacteria by being engaged in patient care, hand washing can reduce the risk of spreading diseases (page 3).” The objective of the experiment is to test the effectiveness of hand washing and demonstrate normal flora. This report presents the procedures and materials for the experiment, the experiment's results, and an analysis of those results.

Hospital acquired infections (HAIs) affect over 1.7 million patients each year, causing almost 100,000 deaths annually in the United States alone (Johnson, 2010). According to the World Health Organization, HAIs are the most frequent adverse event in the healthcare industry. Fortunately, most of these infections can be prevented with one single intervention, proper hand hygiene (“The Evidence,” n.d.). Four out of five pathogens that cause illness are spread by direct contact. Proper hand hygiene eliminates these pathogens and helps to prevent cross-contamination and HAIs (Linton, 2015; “Hand Hygiene,” n.d.). Reduction of cross-contamination and HAIs improves patient outcomes, increases employee wellness, and lowers health care costs. Adherence to proper hand hygiene is the single most important safety measure in the health care setting. However, for many years compliance to proper hand hygiene in the healthcare industry has been dismally low. New and inventive measures must be implemented to increase compliance to proper hand hygiene and lower the rate of hospital-acquired infections.

Keeping our hands clean is one of the most effcient and important steps we can do as humans to avoid getting sick or spreading germs to other people. Unwashed hands spread many diseases such as the flue, E. coli, and salmonella. Unfortunately, hand hygiene is still one of today’s most leading causes of infection in health care facilities. The risk of clinicians, patients, and visitors not complying with hand hygiene protocols creates a practice problem for nurses and their patient care. The cause of health care infections, also known as, health care-associated infections (HAIs) are increasing along with the rise of the inability to control or treat infections that are multi-drug resistant. Lack of proper hand hygiene is a major problem in clinical settings sourcing from critical care divisions where the most contaminations are prevalent. This paper will discuss how hand hygiene affects the nursing process and solutions of how to better prevent HAIs within the nursing scope of practice.

One of the main problems is hand hygiene and evidence suggests that healthcare staff including nurses do not perform this task as often as they should nor do they use the proper procedure. Even though it is

Healthcare associated infections have an impact on patients - how? Can be prevented greatly with compliance to hand hygiene protocols (REF).

Hands were wet by a running tap and antiseptic detergents or liquid soap (5ml was poured onto the hands, the technique consisted of five backwards and forwards strokes in the motion of; palm to palm, each palm over the other hand’s back, interlocking palm to palm, each palm over the other hand’s back interlocked and then the rotational scrubbing of the fingers into each palm finalised by the rubbing of the wrists during a 30-second time span. Then the hands were rinsed with water for 15-seconds and dried with two paper towels for 15-seconds. (Ayliffe et all, 1978) Whilst this technique has strict timescales the WHO elects the timescale of roughly the time taken to sing “Happy Birthday” twice. This raises concerns over the approximates as this will differ from person to person. The procedure itself remains nearly exact except from the addition of turning the tap off with a towel to avoid recontamination and the exact timings are lost. This technique only stated to use running water, however no temperature was specified. Hand Washing for Life (200-) advises that water should not be above 110F as this temperature would cause hands become damaged by loosing delicate tissues on the skin. This can cause bacteria to become trapped and more difficult to remove, as well as cause pain to the worker. It is a legal requirement for health professions to take the necessary measures to

Hand hygiene is everybody’s job, including the patients. Linda Pearson (2006) refers to AL Damouk et al (2004) who suggests that inviting patients to become partners in their care maybe an appropriate response to reports of the rising incidence of healthcare associated infections and difficulties with

Recent studies show that at any time, over 1.4 million people worldwide suffer from hospital-acquired infections (Public Health Ontario). In Canada alone, approximately 250 000 patients every year contract infectious micro-organisms from their healthcare providers (Nagel 18). At London Health Sciences Centre (LHSC) we take pride in providing world class care in a safe, comfortable environment for patients. However, between 2008 and 2010 the LHSC still had between 20 and 30 per cent non-compliance to proper hand-washing protocol (Nagel 20). This data is very troubling considering it is following the launch of “Just Clean Your Hands” pilot project. As student nurses and volunteers of the LHSC team we are equally responsible to increase hand-washing compliance.

Curtis et al (2001) noted that modern methods of promoting handwashing can be effective and cost-effective on a large scale. Studies suggest that soap is widely available, even in poor households in developing countries, although it is mostly used for bathing and washing clothes (Borghi et al, 2002). In rural India and Bangladesh, soap is often considered a beautifying agent or for the physical feeling of cleanliness which it gives, rather than being associated with the removal of microorganisms or health benefits (Hoque and Briend, 1991; Hoque et al, 1995).

Personal hygiene is a major part of your everyday life. It includes brushing your teeth, taking a shower, applying deodorant, wearing clean clothes, cooking your food properly, and washing your hands when necessary. There are many different types of hygiene and different ways of doing them. The types of hygiene are food and cooking hygiene, medical hygiene, and personal hygiene, there is even such a thing as excessive hygiene. Excessive hygiene may cause allergic diseases. Some parts of the body like the ear canal, or inside of the vagina are mostly better left alone for the body's own cleaning systems. Also, excessive application of soaps, creams, and ointments can adversely affect certain of the body's natural processes. For example,

There are many other examples which can be cited to indicate the pathetic condition of cleanliness and hygiene in our society. Hence, conscious efforts are needed to tackle this issue. There is a dire need to educate and sensitise people about the importance of cleanliness in light of our faith. In this regard social institutions such as educational institutions, the media and religious institutions can play a vital role.