Nosocomial Infection ◦ an infection acquired during hospitalization also called hospital acquired infection http://www.cdc.gov/HandHygiene/download/hand_hygiene_core.pdf According to the CDC in 2002, there were approximately 1.7 MILLION healthcare acquired infections with 99,000 DEATHS Not washing hands properly ◦ Handwashing is the number one prevention measure for the spread of disease Reports show that healthcare workers wash their hands about half as often as they should! http://www.cdc.gov/HandHygiene/download/hand_hygiene_co re.pdf Healthcare workers can get hundreds or thousands of bacteria on their hands by doing simple tasks such as: ◦ ◦ ◦ ◦ ◦ ◦ pulling patients up in bed taking a blood pressure or pulse touching a patient’s hand rolling patient’s over in bed touching the patients gown or bed sheets touching equipment like bedside rails, over-bed tables and IV pumps Many health care workers find themselves not washing their hands appropriately Reasons include: ◦ ◦ ◦ ◦ ◦ ◦ ◦ Handwashing causes irritation or dryness Too busy, takes too long Sinks are inconveniently located No paper towels or soap Patient is waiting and they are priority Short staffed Hands don’t look dirty http://www.cdc.gov/HandHygiene/download/hand_hygiene_co re.pdf The CDC reports that in 2007 the annual medical costs of healthcare acquired infections of U.S. hospitals to be between $28-45 BILLION dollars http://www.cdc.gov/HandHygiene/download/hand_hygiene_core.p df Wash your hands! Don’t forget the specifics: ◦ Roll up sleeves, remove watch and/or rings ◦ Wash all surfaces of hands paying close attention to the fingernails, wash for 15-30 seconds using friction to maintain a good lather. ◦ Keep wrists lower than elbows and fingertips pointed downward throughout procedure ◦ Include the area 2-3 inches above the wrist ◦ Keep body away from sink to prevent germs and water from getting on uniform ◦ Rinse thoroughly! ◦ Turn off faucet using a clean paper towel ◦ Dry hands thoroughly and moisturize http://www.cdc.gov/HandHygiene/download/hand_hygiene_core.pdf If hands are not visibly soiled or contaminated you may use an alcoholbased handrub for routinely cleaning your hands: .org Hand Hygiene Resource Center: www.handhygiene.org • • • • Apply alcohol gel or foam to the palm of one hand, and rub hands together, covering all surfaces of hands, wrists, and fingers Include areas around/under fingernails Continue rubbing until alcohol dries It should take at least 10 -15 seconds of rubbing before your hands feel dry Hand Hygiene Resource Center: www.handhygiene.org • • After cleaning your hands several times with an alcohol-based handrub, if you feel a “build-up” , wash your hands with soap and water. Be sure the alcohol has completely dried before putting applying gloves. ◦ Before: Beginning your shift Eating/drinking Patient contact and patient procedures Handling clean equipment/linens Donning gloves Inserting invasive devices ◦ After: Hands are visibly soiled Picking something up off of floor Contact with patient’s skin Contact with body fluids or excretions, non intact skin, or wound dressings Contact with patient equipment Contact with dirty equipment/linens Handling laboratory specimens Coughing, sneezing or touching own face Removing gloves Shift is completed Patients already have enough worries when they come to a healthcare facility. Take away the extra worry of spreading infections by just taking the time to wash your hands. Protect yourself and your family. And wash them often!