it is very necessary for hospital practitioners to wash their hands properly to avoid any further hospital acquired infection (in patients).

1. Hand hygiene
Presentation by Shivani khandelwal

2. How clean are your hands today??

3. Why Hand Hygiene?
• Infections are a serious problem in healthcare
facilities.
• Every year, an estimated 2 million patients get
a hospital-related infection.
• 90,000 die from their infection.
• Many infections are transmitted on the hands
of healthcare personnel.
• Hand hygiene is part of Standard Precautions.
It can reduce the transmission of healthcare-
associated infections – to patients.

4. 5 moments.
• According to WHO, the five moments you must
remember to wash your hands after
Before Patient contact
Before aseptic task
After body fluid exposure
After Patient contact
After contact with patient’s surroundings

5. • World Health Organization guidelines on
hand hygiene state that poor nail hygiene, long
nails and jewellery can contribute to nails
remaining contaminated with pathogens even
after use of soap and water or alcohol based
antiseptics

6. Who is most AT RISK?
Evidence suggests that the risk groups are-
Neonates
Post surgical patients
Patients on dialysis
Immunocompromised
patients
ICU patient

7. Why Practice Hand Hygiene
• Bacteria can survive for DAYS on patient care
equipment and other surfaces.
• Surfaces in the patient care environment –
including bed rails, IV pumps, and even
computer keyboards – are often contaminated
with bacteria.
• It’s important to practice hand hygiene after
leaving the room, if touched patient care
equipment or other surfaces.

10. Alcohol-based Hand Rubs
Regular SoapGood Antimicrobial
SoapBetter Alcohol-based
Hand RubBest
An alcohol-based hand rub is the preferred
method for hand hygiene in all situations, except
for when your hands are visibly dirty or
contaminated.

11. Jewellery or weapons of
mass destruction, in a
healthcare setting?

12. Harm with jewelry
Higher Bacterial colonization is seen on the hands of
healthcare worker with rings, than one without
Rings may interfere with thorough hand washing
May cause gloves to tear
Wearing a single ring or a simple band found to be
much LESS dangerous than wearing multiple rings
or large rings with multiple stones or detailed
scrollwork!
Elaborate hand jewellery, bracelets or bangles
known to interfere with active patient intervention.
HCWs who took off their rings/jewellery just before
a surgical procedure had higher bacterial counts
than control even after hand scrub.

13. The harm with long nails, artificial
nails or nail paint/varnish
Inhibits good hand hygiene
May reduce your grip or speed while doing
various manipulations
May tear or puncture gloves. May interfere with
putting on gloves
Can become caught in beddings, dressings and
even machinery
Long nails and artificial nails are a breeding
ground for various DISEASE CAUSING MICRO
ORGANISMS AND FUNGI

14. Reference
• http://www.hypepotamus.com/companies/clea
n-hands-safe-hands/
• http://www.who.int/gpsc/5may/EN_GPSC1_PS
P_HH_Outpatient_care/en/

15. THANK YOU