Hand Washing In The Mid-1800s

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

Mr. Gawande starts his literature on washing hands. He introduces two friends a microbiologist and an infectious disease specialist. Both work hard and diligently against the spread of diseases just like Semmelweis who is mentioned in the chapter. Something I learned, that not many realize, is that each year two million people acquire an infection while they are in the hospital. Mainly because the clinicians only wash their hands one-third to one-half as many times as they should. Semmelweis, mentioned earlier, concluded in 1847 that doctors themselves were to blame for childbed fever, which was the leading cause of

Health care providers and visitors are required to wear personal protective equipment (PPE) and follow strict hand hygiene procedures. Contaminated rooms, surfaces, and laundry items are properly disinfected to prevent the spread of MRSA. In addition to policy and procedures, patient teaching is also helpful for preventing exposure and spread of MRSA. As aforementioned earlier, hand hygiene is key to prevent exposer or transmission of the bacteria. To properly wash your hand effectively, first scrub hands rapidly for at least 15 seconds. Next, use a disposable towel to dry them and another towel to turn off the faucet. In addition, hand sanitizer that contains 62 percent or more of alcohol may be an adequate substitute when the individual does not have access to soap and water (Mayo Clinic Staff,

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:

To help the prevention of infection spreading is by knowing the method of washing your hand because we carry most bacteria sue to the open air that we come in contact with. For example we use are hands to shake hands with someone holding or touching objects. When you are performing any form of hand hygiene you will need to make sure that you have washed your hand with anti-bacterial liquid soap; this is to help prevent any bacteria which we already have on our hands. In all health and social care settings an automatic liquid dispenser should be placed so that when washing hands any individual doesn’t touch or need to even sneeze any part of the liquid

First, you clean your hands (either wash or use hand sanitizer) prior to entering patients room.

* 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

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 commonest modes of transmission for infection is our hands. As care assistants, our hands come into contact with many possible infectious agents such as body excretions and secretions for example blood, urine, faeces, vomit and sputum. If good hand hygiene isn’t practiced, micro-organisms will be passed from one individual to another. General cleanliness, including general, environmental, equipment and materials reduce the sources of infection within the care home.

(Nagel 22). Student nurses and volunteers should place emphasis on hand-washing before and after contact

The use of soap and water is regarded as the best form of hand hygiene. Hands should be wet and then 3 to 5 ml of soap should be scrubbed into the hands for a minimum of 15 seconds (Bischoff et al., 2000). Hands should be rinsed in a downward motion using a paper towel to dry hands and turn off the faucet. Evidence based practice has shown that alcohol based hand sanitizer can be used when hands are not visibly soiled, before contact with the patient, after contact with the patient, after removing gloves, and after touching of patient belongings. Soap and water is necessary if hands are visibly

Dirty hands is the common source of spreading infection. It is very important to keep hands clean to avoid getting infected and spreading infection in the community. It is important to wash hands to keep hands clean. There are two ways to keep hand clean, one way is wash hands with soap and warm water while rubbing hands together for minimum 15 to 30 seconds. Indication of washing hands with soap and water is when hands are visibly dirty, before and after eating, feeding, using the toilet, after coughing or sneezing, after using gloves, taking care of patients. There is also second way to clean hands, but it is advisable to wash hands with soap and water all the time, but it can ignore when soap and water is not available so it is okay to use hand gel or foam in the form of sanitizer. This helps to clean hands or kill germs when hands are not visibly dirty.

Before I started the assessment I used alcohol gel to decontaminate my hand. NICE (2006) states that hand must be decontaminated before each and every episode of direct patient care. It is important to decontaminate my hand to prevent cross-infection of micro-organisms from staff to patient, for example Hospital Acquired Infection. I realised that I am going to have contact with body fluid and blood therefore I put on a pair of latex gloves and disposable plastic apron. Wandsworth Teaching Primary Care Trust May (2008) states that ‘Personal Protective Equipment is designed to protect the healthcare worker from coming into contact with potentially infectious body fluids. It may also protect the patient from the healthcare workers own microbial flora’.

Hand care is Just as Important keeping fingernails clean, washed, and manicured. Following the office guidelines on artificial nails and polishes because at some facilities these are not allowed. Prevent Spread of Infections and getting sick from environmental germs. Protecting hands by wearing gloves when preforming certain duties such as assisting the physician during exams, taking a patient vitals, and cleaning exam rooms and lab areas.

Antisepsis techniques have been around since the mid 1800s, pioneered by Ignaz Philip Semmelweis. Semmelweis determined puerperal infection was being transmitted by the hands of students to women giving birth. Semmelweis implemented a procedure that stated: any attending individual had to wash their hands in a mixture of chlorinated lime prior to caring for a patient. This action alone resulted in mortality rates dropping an estimated 94% within a year (Zoltán, 2007). In hospitals today, hand hygiene remains a staple in everyday practice, through the primary use of alcohol based hand sanitizers. However, it is estimated that at any point in time there are over 1.4 million cases of healthcare associated infections (HAI) (Ontario, 2016). Annually, in Canada alone, it is projected that eight thousand deaths occur in hospitals and associated health care facilities due to infections resulting from lack of proper hand hygiene (Ontario, 2016). Alcohol based hand sanitizer are a readily available and a time