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Handwashing

This document provides guidelines for proper handwashing and gloving techniques in a healthcare setting. It outlines 6 steps for handwashing, including wetting hands, applying soap, thoroughly washing and rinsing for 20 seconds, drying hands, and turning off faucets without recontaminating hands. It also details differences between medical and surgical handwashing based on hand position. Finally, it lists 6 steps for properly donning sterile gloves using an open technique, including opening packages without contamination and inserting fingers while avoiding touching the palm. The purpose is to reduce transmission of microorganisms and allow sterile contact with clients.

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Cee
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© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
327 views

Handwashing

This document provides guidelines for proper handwashing and gloving techniques in a healthcare setting. It outlines 6 steps for handwashing, including wetting hands, applying soap, thoroughly washing and rinsing for 20 seconds, drying hands, and turning off faucets without recontaminating hands. It also details differences between medical and surgical handwashing based on hand position. Finally, it lists 6 steps for properly donning sterile gloves using an open technique, including opening packages without contamination and inserting fingers while avoiding touching the palm. The purpose is to reduce transmission of microorganisms and allow sterile contact with clients.

Uploaded by

Cee
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Purposes

Rationale: the circular action creates friction that


1. Reduce the number of microorganisms on the hands. helps remove microorganisms mechanically.
2. Reduce the risk of transmission of microorganisms to
clients. > Rub to fingertips against the palm of the opposite
3. Reduce the risk of cross contamination among hand.
clients. > Rinse the hands.
4. Reduce the risk of transmission of infectious
organisms to oneself. 5. Thoroughly dry the hands and arms.
> Dry hands and arms thoroughly with a paper towel
Implementation: PREPARATION without scrubbing - Pat dry.
Rationale: waste skin becomes chapped readily as
Assess hands: does dry skin that is rubbed vigorously; chapping produces
lesions.
1. Nails should be cut short. >Discard the paper towel in the appropriate container.
Rationale: short, natural nails are less likely to harbor
microorganisms, scratch a client or puncture gloves. 6. Turn off the water.
> Is a new paper towel to grasp a hand operated
2. Removal of all jewelry is recommended. control.
Rationale: microorganisms can watch in the settings Rationale: this prevents the nurse from picking up
of jewelry and under rings. Removal facilitate proper microorganisms from the faucet handles.
cleaning of the hands and arms.
Implementation: PERFORMANCE
3. Check hands for breaks in the skin, such as hang nails or VARIATION: HANDWASHING BEFORE PERFORMING STERILE
cuts. SKILLS
Rationale: chance of acquiring or passing on an 1. Apply the soap and was as described in step 4, but hold
infection. the hands higher than the elbows doing this hand wash. Wet
the hands and forearms under the running water, letting it
Implementation: PERFORMANCE run from the fingertips to the elbows so that the hands
become cleaner than the elbows.
1. If you are washing your hands where the client can Rationale: the water runs from the area that now
observe you, introduce yourself and explain to the client has the fewest microorganisms to areas with a relatively
what you're going to do and why it is necessary. greater number of pathogens.

2. Turn on the water. Adjust the flow so that the water is 2. After washing and rinsing, use a towel to dry one hand
warm. thoroughly in a rotating motion from the fingers to the
Rationale: warm water removes less of the elbow. Use a new towel to dry the other hand and arm.
protective oil of the skin than hot water.
DIFFERENCE BETWEEN MEDICAL AND SURGICAL
3. Wet hands for only by holding them under their wanting HANDWASHING
water and apply soap to the hands.
> Hold hands over the and elbows so that the water MEDICAL (arms higher than hand)
flows from arms to fingertips.
Rationale: the water should flow from the least vs.
contaminated to the most contaminated area, the hands are
generally considered more contaminated than the lower SURGICAL (hands higher than elbows)
arms.
> If the soap is liquid, apply 4-5 ml (1 tsp). If bar Nursing skill 101: Applying and removing sterile gloves
soap, granules, rub them firmly between the hands.
GLOVING: OPEN METHOD
4. Thoroughly wash and rinse the hands. 1. Dominant hand first
> Use firm, rubbing and circular movements to wash the 2. Nondominant hand inserted with thumb close to gloved
home, back, and wrist of each hand. Be sure to include the palm.
heel of the hand. Interlace fingers and palms, and move the
hands back and forth. Continue this motion for at least 20
seconds.
PURPOSES

1. Enable the nurse to handle or touch sterile objects


freely without contaminating them.
2. Prevent transmission of potentially infective
organisms from the nurse's hands to clients at high
risk for infection.
Equipment: sterile gloves

Implementation: PERFORMANCE
1. Introduce yourself, verify client's identity and explain
to the client with you are going to do and why it is
necessary.
2. Perform hand hygiene.
3. Provide for client privacy.
4. Open package of sterile gloves.
> Plays the package of gloves on a clean, dry surface
rationale: any moisture on the surface could contaminate
the gloves.
>Open outer package without contaminating the
gloves of the inner package.
> Remove inner package from data package.
> Open the inner package.
Rationale: the inner surfaces, which are next to the sterile
gloves, will remain sterile.

5. Put the first love on the dominant hand.


> If the gloves are packaged so that they lie side-by-side,
grasp the love for the dominant hand by its folded cuff edge
(on the Palmar side) with the thumb and first finger of the
nondominant hand. Touch only the side of the cuff.
Rationale: the hands are not sterile. By touchingly decided
the glove, the nurse avoids contaminating the outside
> insert the dominant hand into the glove and pull
the glove on. Keep the dawn of the inserted hand against
the palm of the hand during insertion.
Rationale: if the phone is kept against the phone, it is less
likely to contaminate the outside of the glove.
> Leave the cuff in place once the unsterile hand
releases the glove.
Rationale: attempting to further unfold the cough is
likely to contaminate the glove.

6. Put the second glove on the dominant hand.


> Touch the other glove with the sterile gloved hand,
inserting the gloved fingers under the cuff and holding the
gloved thumb close to the gloved palm.
Rationale: this helps prevent accidental contamination of the
glove by the bare hand.
> Pull on the second glove carefully. Hold the thumb
of the gloved firsthand as far as possible from the palm.
Rationale: in this position, the thumb is less likely to touch
the arm and become contaminated.
> Adjust each glove so that it fits smoothly and
carefully, pull the cops up by sliding the fingers under the
cuffs.

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