Bethlehem UniversityBethlehem UniversityFaculty of nursing and health Faculty of nursing and health

sciencessciencesNeonatal WorkshopNeonatal Workshop

HAND WASHING & HYGIENE HAND WASHING & HYGIENE

Prepared ByPrepared By

Jihad K.KhairJihad K.Khair

OutlineOutline

Definition of Hand WashingDefinition of Hand Washing

Importance of Hand WashingImportance of Hand Washing

Indications for Hand WashingIndications for Hand Washing

When to wash handsWhen to wash hands

Hand Washing procedure StepsHand Washing procedure Steps

Hand WashingHand Washing

DefinitionDefinition Hand washing is the act of cleansing the Hand washing is the act of cleansing the

hands with water and soap for the purpose hands with water and soap for the purpose of removing soil or microorganism (germs), of removing soil or microorganism (germs), in order to in order to prevent cross-contamination and prevent cross-contamination and minimize nosocomial infections. minimize nosocomial infections. ..

Importance of hand Importance of hand washingwashing

Hand washing is the most important thing Hand washing is the most important thing that you can do to keep from getting sick.that you can do to keep from getting sick.

The main purpose of washing hands is to The main purpose of washing hands is to cleanse of pathogens (including bacteria cleanse of pathogens (including bacteria or viruses) and chemicals which can cause or viruses) and chemicals which can cause personal harm or disease. personal harm or disease.

Importance of hand Importance of hand washingwashing

By frequently washing your hands you By frequently washing your hands you wash away & eliminate the germs that you wash away & eliminate the germs that you have picked up from other people, or from have picked up from other people, or from contaminated surfaces, and avoid contaminated surfaces, and avoid transferring the bacteria to other people transferring the bacteria to other people and to your self.and to your self.

Washing your hands is one of the most Washing your hands is one of the most effective ways to maintain health, control, effective ways to maintain health, control, reduce and prevent the spread of reduce and prevent the spread of infection.infection.

Indications for hand Indications for hand washingwashing

In generalIn general When hands are visibly soiled and dirtyWhen hands are visibly soiled and dirty

When you feel that your hands are When you feel that your hands are contaminatedcontaminated

Whenever the health care providers are in Whenever the health care providers are in doubt about the necessitydoubt about the necessity

After touching any object that has germs on itAfter touching any object that has germs on it

Before and after any direct skin to skin Before and after any direct skin to skin contactcontact

Anytime you change tasksAnytime you change tasks

Examples of when to wash Examples of when to wash handshands

BeforeBefore & & AfterAfter Upon entry to NICU & before Starting to Upon entry to NICU & before Starting to

workwork

Before & After any direct patient contactBefore & After any direct patient contact

Before & After performing any invasive Before & After performing any invasive procedure, manipulating medical/ invasive procedure, manipulating medical/ invasive devices or performing aseptic procedures.devices or performing aseptic procedures.

Before preparing milk, TPN and Before preparing milk, TPN and medication.medication.

Examples of when to wash Examples of when to wash handshands

Before & After feeding the baby or Before & After feeding the baby or giving medication.giving medication.

Between different procedures on the Between different procedures on the same patient.same patient.

When applying NGT, suctioning, or When applying NGT, suctioning, or folly's catheter. folly's catheter.

When eating, drinking or smoking.When eating, drinking or smoking.

Before taking breaks or leaving the Before taking breaks or leaving the department.department.

Examples of when to wash Examples of when to wash handshands

After situations during which After situations during which contamination of the hands is likely to contamination of the hands is likely to have occurred – ex:-have occurred – ex:-

Handling linen and beddingHandling linen and bedding Handling wasteHandling waste Cleaning equipment or spillagesCleaning equipment or spillages Handling bodily fluid (blood, Stool, Handling bodily fluid (blood, Stool,

urine, mucus or vomits).urine, mucus or vomits). Handling garbage or any dirty Handling garbage or any dirty

equipment.equipment.

Examples of when to wash Examples of when to wash handshands

After removing gloves and other After removing gloves and other protective clothing.protective clothing.

After using the toilet.After using the toilet.

After sneezing or coughing.After sneezing or coughing.

After using of telephone.After using of telephone.

Hand washing procedure Hand washing procedure stepssteps-:-:

Before starting to wash hands Before starting to wash hands

Keep nails short.Keep nails short.

Avoid artificial nails and nail varnish.Avoid artificial nails and nail varnish.

Remove watches and bracelets.Remove watches and bracelets.

Avoid wearing any ornaments.Avoid wearing any ornaments.

Check to be sure a clean, disposable paper Check to be sure a clean, disposable paper towel and antiseptic soap are available.towel and antiseptic soap are available.

Area commonly missed during hand Area commonly missed during hand washingwashing

Attention:Attention: effective hand washing effective hand washing can be done by scrubbing the hands can be done by scrubbing the hands with septal scrub till elbow for 2 with septal scrub till elbow for 2 minutes. And 30 seconds between minutes. And 30 seconds between each baby. each baby.