edge hill university armstrong house | How does hand washing influence the prevention of healthcare acquired infections (HCAIs)? | Practice Essay | | | 5/21/2013 | Word Count: 1059 |
This essay will examine and compare the different methods of hand washing in the perioperative environment and how hand washing influences the prevention of healthcare acquired infections (HCAIs). It will show the importance of washing hands thoroughly to remove bacteria to prevent HCAIs. It will include the differences between the surgical hand wash, the social hand wash and the use of alcohol rubs.
According to Pirie (2010) hand hygiene is very important to perioperative practice and over the years has become more important for health
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There are a few differences between the social hand wash and the surgical hand wash, the social hand wash takes less time and is focussed around the hands whereas the surgical hand wash takes longer and includes a larger surface area, also different solutions are used. (Denham, 2007)
Kampf and Ostermyer (2011, cited in Ghorbani et al 2011:67) have concluded that ‘alcoholic solutions are more effective than other solutions’. Alcohol based rub has a few benefits over soap and water and can be used without having a fresh supply of water, there is also no need for sinks and it is easier to perform (Timby, 2009). CCAR (2007) states that the use of alcohol hand rub requires less time and acts faster because it can be used whilst walking, this means staff can use their time more efficiently. CCAR (2007:1) also specified a method of how to use the alcohol rub - all jewellery must be removed (jewellery is difficult to clean and bacteria will still be lingering on it), hands need to be visibly clean, if they are not then the social hand wash needs to be completed, ‘1 to 2 pumps’ of the alcohol rub should be enough to cover the hands. This should then be spread over all surfaces of the hands, making sure finger tips, between fingers, back of hands and base of thumbs are covered
Patients have observed several physicians and nurses not washing their hands before interacting with patients. Hand hygiene is one of the largest tactics to combat nosocomial infections. The hospital should adopt a culture of 100% compliance with hand washing. The first step would be to increase handwashing stations and have more quick-dry alcohol-based antibacterial soap dispensers. Making access easier and decreasing the time taken to wash one’s hands would encourage adherence the policy. Furthermore, each floor should track hand washing and report data of potential nosocomial infections caused by improper handwashing. Keeping patients protected from bacteria is important especially when most are in an immunocompromised
Hospital acquired infections are a big problem today, but the use of disinfectants by the medical staff can help to avoid or limit such exposures to pathogens. The authors’ main purpose of this research article was to educate and teach the importance of hand hygiene and test the reason why certain virucidal hand-rubs result in poor compliance due to the poor tolerability of the products. The overall goal with the study would to show the reason certain hand rubs are not being used and how to improve their formula to increase compliance. The article written by the author was very well written with a thorough abstract. The study was very easy to follow and read, due to the well thought out structure of the article. The authors introduction starts out by stating the approximate amount of hospital acquired infections in the European Union and why hand sanitizers play an important role to avoid such infections. The introductions statement showed the importance of the topic. Although some of the results were complicated and confusing, the discussion laid out the results in layman
Generations of people have considered handwashing a measure of personal hygiene. In 1847, Dr. Semmelweis insisted that healthcare providers wash their hands with disinfecting agents between patients. This early hand hygiene practice resulted in a decrease in mortality rates among hospital patients (CDC, 2002). The CDC’s Healthcare Infection Control Practices Advisory Committee published the Guideline for Hand Hygiene in Health-Care Settings in 2002 that is based on hand hygiene foundations developed in generation past. In 2014, this guideline is still available online and used as a reference
Good hand hygiene is the simplest, yet proven strategy to counteract hospital infection. However, the difficulties of achieving good levels of compliance are well noted in the literature. There are several seeming barriers to carry out adequate hand hygiene:
This study was intended to prove that hand hygiene practiced according to the CDC guidelines will decrease the incidence of hospital acquired infections. This could not really be proved in this study since the hospitals were not able to maintain improvement in hand hygiene. Health care workers were familiar with guidelines but significant practice changes were not maintained. Some of the infection rates did improve during this time but the correlation with hand hygiene is not consistent. There were other practice changes occurring during this same time and those changes may be responsible for the decreased infection rates.
* Hand washing is the most important method of preventing the spread of infection by contact (Ayliffe et al 1999). The Nottingham University Trust Policy on Hand Hygiene (2009) states that there are three types of hand hygiene, the first is ‘routine hand hygiene’ which involves the use of soap and water for 15 – 20 seconds or the application of alcohol hand rub until the hand are dry. The second is ‘hand disinfection’ which should be used prior to an aseptic procedure by washing with soap and water and applying alcohol hand rub afterwards. The third is ‘surgical hand washing’ which is the application of a microbial agent to the hands and wrists for two minutes. In addition to which a sterile, disposable brush may be used for the first surgical hand wash of the day although continued use will encourage colonisation of microbes. The third example is the most appropriate to any O.D.P undertaking the surgical role as it is the best way for the surgical team to eliminate transient flora and reduce resident skin flora (World Health Organization 2010). The first and second are important to any O.D.P undertaking any other role within the Operating Department as this is the best way to reduce the transient microbial flora without necessarily affecting the resident skin flora
Research shows that Surgical site infections are preventable. According to the CDC, hand hygiene is the simplest approach to preventing the spread of infections and needs to be incorporated into the culture of the organization. Ensuring the use of infection control prevention is an important component of nursing care. Infection control prevention policies must be communicated undoubtedly to all employees. Staffers who do not comply must be re-educated to ensure that all are complying. Speaking up and pointing out that a nurse forgot to wash his or her hands, or notifying the surgical team that surgical instruments were not adequately cleaned may seem like small issues; but at the same time, not acknowledging a break in a sterile technique could mean the difference between life and death for a patient. One hospital that was struggling with high levels of infection related to surgical procedures, implemented a pre-procedure huddle as a team. This innovate way decreased the spread of infection and was a great way to improve the quality of care for patients. As mandated by the Joint commission, infection prevention personnel should provide multidisciplinary education on SSI prevention, to all team members, including
Healthcare associated infections have an impact on patients - how? Can be prevented greatly with compliance to hand hygiene protocols (REF).
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.
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
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
According to the evidence-based clinical practice guidelines on the guidline.gov website, there are three standard principles of hand hygiene. The first is using a hand washing technique with decontamination agents, such as soaps or
These trials show that washing with soap is visually more effective than washing with water alone. However, the results also show that time spent washing is also a factor. Based on appearances only, washing with soap for 20 seconds yielded the cleanest hands. Washing with soap for 5 seconds yielded the second cleanest hands. Washing with water only for 5 seconds yielded the third cleanest hands. Washing with soap for one second yielded cleaner hands than washing with water only for the same period of time. The greatest difference was between washing with water
This assignment will encompass how the results of the personal hygiene and susceptibility microbiology experiments provide a framework for the basis of the NICE Clinical Guidance (CG139) on Infection and how crucial the reasons for the hand wash protocol and hygiene is in all healthcare settings.
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).