Hand Washing

Handwashing Major aspect of standard precautions Most important aseptic technique CDC published new recommendations in 2002

#1 technique in preventing the spread of disease

Hands are perfect media for spread of pathogens

Purposes of handwashing Prevent and control spread of pathogens Protection from disease & illness

Times hands should be washed 1. When arriving & before leaving facility

2. Before & after every patient

3. Contaminated hands 4. Before & after gloves 5. Before & after handling specimen

6. After contact with contaminated item.

7. After picking up item off floor 8. After restroom 9. After cough, sneeze, etc

10. Before & after contact with mouth or mucous membranes

Method for Washing Hands: Use non-abrasive soap & warm running water Rub hands vigorously Wash all surfaces for at least 15 seconds including : backs of hands wrists between fingers under fingernails Rinse well Dry hands with paper towel Turn off water using paper towel instead of bare hands

Waterless Hand Cleaning Proved safe during routine pt. care OK when hands not visibly dirty or not contaminated with blood or body fluids Rub hands until dry-at least 20 seconds Should use soap and water to wash hands after 6-10 cleanings with waterless hand cleansers Follow facility policies

New CDC Guidelines 3 times when hands must be washed with soap & water: Clostridium difficile……. C. diff Visibly soiled After using bathroom *Alcohol based hand cleaners are not to be used in the above instances.