HAND
WASHING
(Medical Asepsis)
Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur
COLLEGE OF HEALTH SCIENCES
What is
HAND
WASHIN
HAND HYGIENE
• The most important and basic technique in preventing and
controlling transmission of infection.
• Hand hygiene is a general term that applies to handwashing,
antiseptic hand wash, antiseptic hand rub, or surgical hand
antisepsis.
HANDWASHING
Handwashing refers to washing hands with plain soap and
water.
ANTISEPTIC HANDWASH
washing hands with water and soap or other detergents
containing an antiseptic agent.
ANTISEPTIC HAND RUB
applying an antiseptic hand rub product to all surfaces of the hands
to reduce the number of microorganisms present.
SURGICAL HAND
ANTISEPSIS
is the use of an antiseptic hand wash or antiseptic hand rub before
surgery by surgical personnel to eliminate transient and reduce
resident hand flora.
TYPES OF HAND MEDICAL HAND WASHING
o Is washing of the hands after examining a
patient so as to prevent infection.
WASHING
o Is done by holding hands lower than the elbows.
(From elbow to fingertips)
SURGICAL HAND WASHING
o Is done before carrying out any surgical
procedures.
o Hands are held from higher than elbow (From
fingertips to elbow)
To protect the pt against
harmful germs, including the
INDICATORS OF
To protect the pt
HANDWASHING
patient’s own germs,
against harmful germs entering his or her body
carried on your hands
To protect yourself
and the health-care To protect yourself
environment from and the health-care
harmful patient germs environment from
harmful patient
germs
To protect yourself and the health-
care environment from harmful
patient germs
4 FACTORS OF HANDWASHING/ HYGIENE
the intensity or degree of contact with patients or
contaminated objects
the amount of contamination that may occur
with the contact
the patient or health care worker’s susceptibility to
infection
the procedure or activity to be performed
To reduce the number of
PURPOSES
microorganisms on the hands
To reduce the risk of transmission of
microorganisms to clients
To reduce the risk of cross
contamination among clients
To reduce the risk of transmission of
infectious organisms to oneself
9
ASSESSMENT
Presence of factors increasing
Current nutritional status
susceptibility to infection and
possibility of undiagnosed 04
infection (e.g., HIV) Signs and symptoms
01 indicating the presence of an
infection
05
Use of
immunosuppressive Localized signs, such as swelling,
02 medications redness, pain or tenderness with
palpation or movement, palpable
heat site, loss of function of
affected body part, presence of
Recent diagnostic
exudate
procedures or treatments Systemic indications, such as
that penetrated the skin or a fever, increased PR and RR, lack 06
body cavity. of energy, anorexia, enlarged
03 lymph nodes
07
EQUIPMEN
DISPOSABLE OR
T
SOAP SANITIZED
TOWELS
WARM RUNNING WATER
PREPARATION
Assess the hands
• Nails should be short
• Remove all jewelry.
• Check hands for breaks in the skin, such as
hangnails or cuts.
PROCEDURE
1. If you are washing your hands where
the client can observe you, introduce
yourself and explain to the client
what you are going to do and why it
is necessary
PROCEDURE
2. Turn on the water and adjust the flow.
There are 5 common types of faucet controls:
a. Hand-operated handles
b. Knee levers
c. Foot pedals
d. Elbow controls
e. Infrared control.
PROCEDURE
3. Wet the hands thoroughly by holding them under the
running water, and apply soap to the hands
Hold the hands lower than the elbows so
that the water flows from the arms to the
fingertips.
If the soap is liquid, apply 2-4 mL (1 tsp).
If it is bar soap, granules, or sheets, rub
them firmly between the hands.
PROCEDURE
4. Thoroughly wash and rinse the hands.
Use firm, rubbing, and circular movements to wash the palm, back
and wrist of each hand. Interlace the fingers and thumbs, and move
the hands back and forth. Continue this motion for at least 15
seconds.
PROCEDURE
Rub the fingertips against the palm of the opposite
hand.
Rinse the hands
PROCEDURE
5. Thoroughly dry the hands and arms.
Dry hands and arms thoroughly
with a paper towel
Discard the paper towel in the
appropriate container
PROCEDURE
6. Turn off the water.
Use a new paper towel to grasp a
hand-operated control or use towel to
turn off tap
THANK
YOU!!
