Hand Hygiene in Healthcare Facilities

1. Aris
2. Maikus ayu
3. Intan aliyani
4. Wahyu sapto aji
5. Elsih ria andini vindi astut

Objectives:
Learn the role hand hygiene plays in HAI
prevention
Learn the right time and right way for Hand
Hygiene
Review the proper use of gloves to prevent
germ transmission
Learn to perform observational studies
Learn to evaluate your Hand Hygiene Program
Strategies for improvement

Hands and Germ

Transmission:
A health-care workers hands when not
clean are the main route of crosstransmission of potentially harmful
germs between patients in a health
care facility

Lack of Hand Hygiene +

Patient Care = Increased Risks
Increased risk for:
Hand contamination
Potential risk to patient safety

Hand Hygiene in Prevention of

HAIs
Hand hygiene is the undisputed single
most effective infection control
measure in prevention of HAIs

Increased Compliance with Hand

Hygiene means
Reduced numbers of patients
acquiring HAIs
Decreased waste of resources
Saving lives

Hand
Hygiene
right time
right way

Key Terms
The patient zone- includes the
patient, surfaces and items that are
temporarily and exclusively
dedicated to him/her
The Health care area- all surfaces
in the health care setting outside of
the patient zone

The patient zone

The patient zone contains:
Patient X
Immediate surroundings - surfaces that
are touched by or in direct physical
contact with the patient
-Bed rails
-Bedside tables
-Bed linens
-Tubing
-Medical equipment

The Patient zone is not a static

geographical area
Any item designed for reuse or temporarily exposed
to the patient should be decontaminated when
entering and leaving the patients surroundings
Things such as :
- Computers
- Shared bathrooms
- Tables or equipment used for physical
therapy
- Wheelchairs

The Health-care Area

Is everything outside of the patient
zone:
Hand hygiene while caring for patients
helps to protect the wider health care
environment from contamination by
patients germs

Right Time
To avoid prolonged hand
contamination:
Perform hand hygiene when
indicated

The 5 Moments for Hand

Hygiene
1.
2.
3.
4.
5.

BEFORE touching a patient

BEFORE clean/aseptic procedures
AFTER a body fluid exposure risk
AFTER touching a patient
AFTER touching a patients
surroundings

Your 5 Moments for Hand

Hygiene

BEFORE touching a patient

Why?

BEFORE touching a patient

Why?
To protect the patient against harmful
germs carried on your hands

BEFORE clean/aseptic
procedures
Why?

BEFORE clean/aseptic
procedures

Why?
To protect the patient against harmful
germs, including the patients own,
from entering his/her body

AFTER body fluid exposure

risk
Why?

AFTER body fluid exposure

risk

Why?
To protect yourself and the health-care
environment from harmful patient
germs

AFTER touching a patient

Why?

AFTER touching a patient

Why?
To protect yourself and the health-care
environment from harmful patient
germs

AFTER touching patients

surroundings
Why?

AFTER touching patients

surroundings
Why?
To protect yourself and the health-care
environment from harmful patient
germs

Your 5 Moments for Hand

Hygiene Film

Right Way
To avoid prolonged hand
contamination:
Use the appropriate technique
Use an adequate quantity
Use for recommended length of
time

How to Handwash

How to Handrub

Lets Practice!!!

References
Center for Disease Control (CDC)
World Health Organization (WHO)

Thanks for your atention