Infection Prevention Manual

MEASURING HAND HYGIENE ADHERENCE: OVERCOMING THE CHALLENGES Appendix 1-1. (continued) C. Skin Care 1. Educate HCWs regarding hand hygiene practices that can reduce the risk of contact dermatitis and provide creams and lotions A. Gloves are not a substitute for hand hygiene B. Use gloves before contact with blood and body fluids, mucous membranes and non-intact skin C. Remove gloves after contact with each patient and avoid re¬use of gloves D. Change or remove gloves if moving from contaminated to clean patient site or the environment A. Use of artificial nails/extenders B. Nail length (natural nails); tips must be less than 1/4 inch, or 0.5 cm, in length C. Wearing of rings in nonsurgical health care settings A. Monitoring of hand hygiene compliance 1. (IA) Recommend A. No comment B. (IC) Recommend C. (IB) Do not reuse the same gloves (or wash them between uses) with multiple patients D. (II) Recommend A. (IA) Prohibited for high-risk patients (e.g., in intensive care unit or operating room) B. (II) Recommend C. Unresolved issue (IA) Recommend A. (IB) Recommend B. (IC) Recommend C. (IB) If re-use is necessary, re¬process gloves adequately between patients D. (II) Recommend A. (IA) Prohibited for all direct patient contact in all settings B. (II) Recommend C. No comment Provide alternatives for HCWs with allergic or adverse reactions to product Emphasizes use of hand hygiene after gloves are removed Glove reuse may be necessary in some areas. Recommends implementing a glove reprocessing method to maintain glove integrity while adequately cleaning gloves Prohibition of artificial nails expanded (see III.E above) Recommendation CDC Guideline* WHO Guideline* Key Points of WHO Guideline V. Use of gloves VI. Other aspects of hand hygiene (nonsurgical) Outcome Measures and Performance Indicators Your Agency Name (PN System)