Infection Prevention Manual

MEASURING HAND HYGIENE ADHERENCE: OVERCOMING THE CHALLENGES Appendix 1-1. (continued) G.Use of bar, liquid, leaf or powder soaps. May use if using non-antimicrobial soap and water. Bar soap should be small size and sit on drainage rack A. Remove of visible dirt before preparation B. Clean fingernails using nail cleaner before preparation C. Design handwashing sink to minimize splashing D. Remove rings, watches, and bracelets before preparation E. Artificial nails prohibited F. Type of surgical hand prepara- tion: either antimicrobial soap and water or sustained activity alcohol rub G.Duration and technique of surgical hand preparation 1. If using antimicrobial soap and water 2. If using alcohol rub G.(II) Recommend A. No comment B. (II) Recommend C. No comment D. (II) Recommend E. Recommend; for high-risk patients (e.g., in intensive care unit or operating room) F. (IB) Recommend 1. Manufacturer’s recommendation; usually 2 to 6 minutes 2. (IB) No time requirement. Prewash hands with non- antimicrobial soap and water G. (II) Recommend A. (II) Wash hands with soap and water B. (II) Recommend; clean under running water C. (II) Recommend D. (II) Recommend E. (IA) Recommend; for direct contact with all patients F. (IB) Recommend; if water quality is not assured, use alcohol rub 1. Manufacturer’s recommendation; usually 2 to 5 minutes 2. (IB) No time requirement. Apply to dry hands and keep hands and forearms wet during application. Do not pre-wash hands or use alcohol rub and soap and water concomitantly or sequentially Emphasizes removal of visible dirt prior to surgical preparation Recommends evaluating sink design; faulty faucet aerators have been associated with contamina- tion of handwashing water Expands prohibition of artificial nails; associated with changes in normal flora and impede proper hand hygiene Some areas may have water quality problems Prewashing hands not recommended (see I.F above) Recommendation CDC Guideline* WHO Guideline* Key Points of WHO Guideline III. Surgical hand preparation Your Agency Name (PN System)