Strategies to Prevent Healthcare-Associated Infections through Hand Hygiene
Key Points
Key Points
- Hand hygiene programs should strive to create a culture of safety in which all healthcare personnel (HCP) collaborate to protect patients or residents.
- Interprofessional dialogue and safe spaces for learning about hand hygiene provide motivation and engagement of HCP.
- This pocket guide highlights practical recommendations to assist acute care hospitals in implementing and prioritizing efforts to prevent healthcare-associated infections (HAIs) through hand hygiene.
- It is based on a synthesis of evidence, theoretical rationale, current practices, practical considerations, author consensus, and consideration of potential harm, where applicable.
- No guideline or expert guidance document can anticipate all clinical situations. This pocket guide is not meant to be a substitute for individual clinical judgment by qualified professionals.
Recommendations
...ecommendation...
...ommendations to Prevent Healthcare-Associated I...
Essential Practices: foundational to all HAI prev...
...te the maintenance of healthy hand skin and fi...
...te the preferential use of alcohol-based hand sa...
...rform hand hygiene as indicated by the U...
...ernail care in facility-specific poli...
...res for primary and secondary prevention of dermat...
...vide HCP with readily accessible, facility...
...ge all HCP in primary prevention o...
...on glove liners for HCP with hand irritat...
...riate products. (H = High)2117033...
...or routine hand hygiene, choose liquid, gel, or f...
...CP in selection of products. (H =...
...nsider manufacturers’ product-specific d...
.... Confirm that the volume of ABHS disp...
...about an appropriate volume of ABHS and the time...
...ide facility-approved hand moistur...
...cal antisepsis, use an FDA-approved surgical...
...accessibility of hand hygiene supplie...
...Ensure that ABHS dispensers are unambiguo...
...private rooms, consider 2 ABHS dispensers t...
...miprivate rooms, suites, bays, and...
...that the placement of hand hygiene suppl...
...risk of intentional consumption. Utilize di...
...urgical hand rub and scrub available...
...roviding ABHS hand rubs or handwash with US Food...
...ropriate glove use to reduce hand and environm...
.... Use gloves for all contact with t...
...Educate HCP about the potential for self-cont...
...ean hands immediately following glove removal....
.... Educate and confirm the ability of HCP to...
5. Take steps to reduce environmental conta...
...hat handwashing sinks are constructed according t...
...ndwashing sinks in water infection co...
...dedicate sinks to handwashing. ()2117...
...ucate HCP to refrain from disposin...
...States Environmental Protection Agency (...
...medications or patient care supplies on co...
g. Provide disposable or single-use t...
...state or local public health officials whe...
...Monitor adherence to hand hygiene. (H =...
...ple methods to measure adherence to...
...sider advantages and limitations of e...
7. Provide timely and meaningful feedback to en...
...feedback in multiple formats (e.g...
...r debriefing unit managers as soon as possible af...
.... Provide meaningful data with clear ta...
...onal Approaches: may be considered for use in...
...sider educating HCP using a structured appro...
...waterborne pathogens of premise plum...
...oides difficile and norovirus, in addition to cont...
...roaches that Should Not be Considered a Rout...
...ly individual pocket-sized ABHS dispensers i...
...fill or “top-off ” soap dispensers, moisturize...
...antimicrobial soaps formulated with triclosan as...
...tinely double-glove except when specifically...
...routinely disinfect gloves during care except...
...e access to ABHS when responding to or...
...Do not attempt to remediate potential biofilms i...
...esolved Issues...
...se of alcohol-impregnated hand wipes is unresol...
...ble 2. Indications for Hand HygieneHaving trou...
...3. Methods to Measure Hand Hygien...
...le 4. Type and Timing of Feedback by Hand H...
...ics for Reporting Adherence to Hand H...