• Guideline - Hand washing
  Link:www.nrls.npsa.nhs.uk/EasySiteWeb/getresource.axd?AssetID=61796&type=full&servicetype=Attachment
  
• Role of healthcare staff in preventing and controlling infection
• Transfer patient's own microorganisms into sterile areas of the patients body
• Transfer from patient to patient
• Transfer from environment to patient
• Acquire microorganisms as a result of contact which places healthcare staff at risk
• The point of care as the crucial moment for hand hygiene
• 5 moments of hand hygiene
• Before patient contact
• Before aseptic task
• After body fluid exposure risk
• After patient contact
• After contact with patient surroundings
• Appropriate placement of alcohol hand rubs
• At the point of care is most effective
• Which hand hygiene products ?
• Alcohol gel except
• Hands are visibly soiled
• Pt has d&v
• Direct contact with bodily fluids
• Outbreak of norovirus, C. difficile
• Recognised standard for hand hygiene products
• Alcohol
• Adhere to European guideline (EN1500)
• Soap
• Meet standards in NHS contract
• Management of risks of ingestion, storage and skin irritation
• Wash if contact with eyes, toxbase if ingested. Benefits outweigh risks