Where should the hand sanitizing instructions be located? Surgical and hygienic treatment of the hands of medical personnel. How to properly wash hands as a cook working in the catering industry

The issue of the need for hand hygiene by medical personnel was first raised only in the middle of the 19th century. At that time, due to unsanitary conditions in Europe, almost 30% of women giving birth died in hospitals. The main cause of death was the so-called puerperal fever. It often happened that doctors went to women giving birth after dissecting corpses. At the same time, they did not treat their hands with anything, but simply wiped them with a handkerchief.

Types of processing

Keeping hands clean is a requirement for all healthcare personnel. Hygiene treatment of medical staff’s hands can be carried out in two ways:

removing contaminants and reducing the number of microorganisms on the skin of the hands using soap and water;
the use of special alcohol-containing skin antiseptics, which reduce the number of bacteria on the skin to a minimum level.

Only the second method can be called hand hygiene. The first is just hygienic washing. Hands should be washed with liquid soap with a dispenser and dried with an individual disposable towel. But disinfection is carried out using skin antiseptics.

According to the rules, medical personnel must always have hand sanitizer available. In addition, they must be provided with creams, balms, and lotions intended for skin care. Indeed, with constant hygienic treatment, the risk of developing contact dermatitis increases. Also, the selection of detergents and antiseptics should be carried out taking into account individual intolerance.

Important Terms

Every hospital employee should know when the hands of medical staff should be sanitized. This is necessary in the following situations:

before and after contact with each patient;
before and after putting on gloves that are used during medical procedures, contact with excreta or body secretions, dressings, mucous surfaces;
after contact with intact skin, for example, after measuring blood pressure, pulse, or shifting the patient;
after working with equipment that is located in close proximity to the patient;
after treating patients with various purulent-inflammatory processes.

If there is obvious contamination of the skin of the hand with the patient’s blood or secretions, they must first be thoroughly washed with soap and water and dried. After this, they must be treated twice with an antiseptic.

Hand washing technique

Do not forget about the importance of cleansing the skin not only in hospitals, but also in other places. The hand treatment technique remains the same everywhere. Before starting the procedure, you must remove all rings, watches and bracelets. Any foreign objects make it difficult to remove pathogenic microorganisms. It is advisable to wash your hands with moderately warm water.

To increase the effectiveness of the procedure, you must first wet your hands and squeeze them. The hand treatment algorithm looks like this:

Lather the soap by vigorously rubbing your palms together.
Rub one palm against the other in a back-and-forth motion.
Rub the back of your right hand with your left palm and vice versa.
Connect the fingers of the right hand and the interdigital spaces of the left, carefully process them.
It is also necessary to go through the inner surface of the fingers.
Cross your outstretched fingers and rub your palms together.
Press together and run the backs of your fingers across your palm.
Thoroughly rub your thumb in a circular motion; to do this, you need to cover its base with the thumb and forefinger of your other hand.
The wrist is treated in a similar way.
Rub your palm with your fingertips in a circular motion.

Each movement should be repeated at least 5 times, and the total duration of this wash should be about a minute.

Rules for medical personnel

Every hospital and clinic worker should know how to clean the hands of medical staff. SanPiN (the proper washing diagram is given above) establishes the procedure for not only cleaning the skin, but also disinfecting it. Healthcare workers should also remember the following requirements:

short-cut nails without varnish;
absence of rings, signet rings and other similar jewelry.

Nail polish can cause unwanted dermatological reactions that can lead to secondary infection. In addition, dark varnish does not allow assessing the degree of cleanliness of the subungual space. This may cause poor processing. Cracked varnish is considered the most dangerous. Indeed, in this case, it becomes more difficult to remove microorganisms from the surface of the hands.

Performing a manicure itself is associated with microtraumas that can easily become infected. This is one of the reasons why medical professionals are prohibited from wearing false nails.

Any jewelry or costume jewelry can cause the hand hygiene of medical staff to become less effective. In addition, they can damage gloves and make putting them on more difficult.

Nuances for surgeons

The treatment of the hands of people participating in surgical interventions is carried out according to a slightly modified scheme. For example, the washing time for them is extended and amounts to 2 minutes. The further algorithm for processing hands is as follows. After mechanical cleaning, it is necessary to dry the skin using a sterile fabric or disposable paper towel.

In addition to washing, treatment with an antiseptic is also important. Attention must be paid not only to the hands, but also to the wrists and forearms. The skin should remain moist during the specified treatment time. You cannot wipe your hands; you must wait until the antiseptic has completely dried. Only after this can surgeons put on gloves.

Selection of hygiene products

Many people are now opting for antibacterial soap. But it is important to follow the skin cleansing technique. If done correctly, washing your hands with regular soap will be just as effective. In surgical practice, special means are used for antiseptic hand treatment. The soap contains chlorhexidine gluconate or povidone iodine. These substances can reduce the number of bacteria by 70-80% upon first use and by 99% upon repeated use. Moreover, when using povidone-iodine, the microflora grows faster than when in contact with chlorhexidine.

In order to ensure that the hands of medical staff are treated hygienically in full compliance with regulatory requirements, it is advisable to equip medical institutions. They are controlled without the use of hands.

Also in surgical practice, brushes can be used to clean hands, but this is not considered necessary. They must be either sterile for single use or capable of withstanding autoclaving.

Time periods

In surgical practice, special rules for cleaning the skin have been established. After the usual thorough washing according to the established protocol, they must be disinfected.

It is mandatory to sanitize the hands of medical staff. SanPin (the washing scheme remains the same) stipulates that skin cleansing before surgical procedures can be carried out using the same means as hygiene.

It is important to remember that throughout the entire period of hand disinfection, they must remain wet. To carry out the procedure, as a rule, it is necessary to use more than 6 ml of antiseptic. As a result of research, it was found that for high-quality destruction of bacteria, a five-minute treatment of the skin is sufficient. It has also been confirmed that performing this procedure for three minutes reduces the number of microorganisms to an acceptable level.

Rules for treating hands with antiseptic

After thoroughly washing the skin of your hands, wrists and forearms, you need to dry them. After this, the established standard for hand treatment for workers in operating rooms requires the use of special disinfectants.

Before this, if necessary, you need to treat the nail beds and periungual folds. For these purposes, use sterile disposable wooden sticks, which must be additionally moistened with an antiseptic.

The disinfectant is applied 2.5 ml to the hands and forearms. One treatment of two hands should require about 10 ml of disinfectant liquid. The antiseptic must be rubbed into the skin according to the same pattern as hand washing, observing the correct sequence of movements.

Only after complete absorption/evaporation of the product can you put on gloves. If it lasts more than 3 hours, then the treatment is repeated. After all, pathogenic microorganisms can begin to multiply again under gloves.

Final stage

But this is not all levels of hand treatment. It is important to remove gloves after working with gloves and wash your hands with soap. In this case, there is no longer any need to use a disinfectant solution. Washing with liquid soap is sufficient, preferably with a neutral pH.

After cleaning the skin, it is necessary to moisturize it. Various creams and lotions are used for these purposes. Their main purpose is to prevent the drying effect of alcohol-containing disinfectants.

It is also worth noting that hand hygiene in the absence of visible contamination can be performed without washing. In most cases, it is enough to use antiseptic solutions for 30-60 seconds.

Possible complications

It is worth noting that regular use of disinfectants does not have the best effect on the skin of medical workers. There are two main types of reactions that hospital employees encounter. Most often they complain of itching, dryness, irritation, cracks with bleeding. These symptoms can be either minor or significantly affect the general condition of workers.

There is also another type of complications - allergic dermatitis. They occur when there is intolerance to any components of products intended for hand disinfection. Allergic dermatitis can manifest itself in both mild localized and severe generalized forms. In the most advanced cases, they can be combined with respiratory distress syndrome or other manifestations of anaphylaxis.

Prevalence of complications and their prevention

The significance of the problem can be understood by knowing that such hand cleaning practices result in 25% of nurses presenting with signs of dermatitis, and 85% report a history of skin problems.

The irritating effect of antiseptics can be slightly reduced by adding emollients to them. This is one way to reduce the incidence of contact dermatitis. The risk of their occurrence can also be minimized if you use moisturizers that are designed to care for the skin of your hands after each wash.

To prevent the development of complications, do not wash your hands every time before treating them with an antiseptic. It is also important to ensure that gloves are only put on when the skin is completely dry.

Do not neglect the use of moisturizers. On the market you can find special protective creams designed to prevent the occurrence of contact dermatitis. However, research has failed to confirm their unambiguous effectiveness. Many are stopped by the high price of these creams.

In the course of research, scientists have found out where the maximum number of bacteria, including harmful ones, live on the human body. The leaders turned out to be, oddly enough, hair and - quite predictably! - Hands. With proper hand hygiene, the risk of serious diseases entering the body through bacteria is reduced.

Why wash?

It has been found that approximately 840 thousand different types of microorganisms are hidden on the hands of the average person. Most of them are located under the nails, on the sides of the palms, as well as in skin folds - where moisture and heat are retained. And this company is growing all the time. Scientists have calculated that on average, the hands of a person working in an office throughout the day come into contact with 10,000,000 different bacteria that live on door handles, handrails of public transport, packaged products in a supermarket, paper and metal money, etc. Moreover, these bacteria - The creatures are tenacious and can easily migrate from the limbs of one clerk to the palms of his colleague, spreading, among other things, all sorts of infections.

And there is a lot of infection. According to experts from the World Health Organization, dirty palms claim at least several thousand lives every year: people die from dysentery or other infections literally transmitted from hand to hand. So regularly washing your upper limbs is not only a boring task, but also, possibly, saving someone's life.

How to wash? Step-by-step instruction.

It may seem funny, but physiologists say that many people simply do not know how to wash their hands properly. Meanwhile, there are quite clear instructions in this regard. Check: are you “cleaning your feathers” correctly?

Step #1: Open the water tap.
Step #2: Apply soap (preferably liquid) to your hands and lather them thoroughly.
Step #3: Lather the faucet handle.
Step #4: Wash the faucet handle and remove any foam from your hands.
Step No. 5: repeat the procedure of soaping your hands again, carefully treating your palms from the inside, sides and back.
Step No. 6: treat your nails, trying to “rub” soap suds under them as much as possible.
Step #7: Massage the skin with foam for at least 20-30 seconds.
Step #8: Rinse off the soap thoroughly.
Step #9: Close the tap.
Step #10: Dry your hands with a towel or blow dry them.

Or an option for proper hand washing in the picture:

A few nuances

Washing without soap is useless. Water is not able to destroy microbes, therefore, by rinsing your palms under the tap, you will only get rid of physically visible contaminants.

The more foam the soap produces, the better. Foam is a bubble of air surrounded by films of soap molecules (surfactants), which perform the main function of removing dirt. In other words, soap foam mechanically removes dirt.

WHO statisticians claim that a third of the world's inhabitants wash their hands with soap - the rest, at best, limit themselves to rinsing.

You can use sand and ashes to wash your hands. These substances are a good alternative to soap: their alkaline composition is excellent in fighting bacteria. This washing option is even included in the recommendations of the World Health Organization.

The water should be warm(25-40 °C). In colder liquids, soap will not be as effective against bacteria. And hot “ash-two-o” is not good at all: it dries out and damages the skin, increasing the risk of harmful bacteria penetrating under it.

Be sure to wipe(or dry) your hands dry. According to research results, microbes cling to damp skin much more actively than to dry skin. Therefore, if, after washing your hands, you immediately grasp the doorknob with a damp palm, a decent colony of bacteria will immediately settle on it; if the same operation is carried out with a dry hand, then there will be much less bacteria on it.

Don't skimp on washing. Doctors recommend “bathing” your palms no more than once every 2-3 hours. The fact is that in addition to pathogenic bacteria, our hands contain useful microelements that protect our body. If you wash too often, there is a risk of thinning the skin and destroying them. In addition, frequent contact with detergents can cause cracks in the skin, through which infections can enter the body.

Video about proper hand washing:

Hand washing has a beneficial effect on the psyche. According to psychologists, our subconscious perceives this hygienic procedure as cleansing from physical and moral-spiritual dirt. Therefore, regular hand washing helps increase optimism and improve mood.

Hand sanitizing is extremely important for healthcare workers. It can have several levels, and you will learn about each of them from this article.

Hand treatment is carried out in various ways depending on the upcoming procedure, as well as the availability of time for medical staff to provide emergency assistance or perform routine work.

If urgent intervention is required

The most well-known and widespread method is to treat hands with 96% medical alcohol: it is simply poured onto the skin or wiped with a soaked sterile gauze cloth. If you have medical gloves, they are also disinfected with alcohol.

In conditions that do not require urgent intervention, treatment is carried out in several stages, which depend on the type of procedure.

From the history

The need for special treatment of the hands of health workers became evident in the middle of the 19th century, when I. F. Semmelweis drew attention to the fact that almost 30% of patients in the obstetric department died from fever.

He found a connection with the fact that students immediately after dissecting corpses came to the hospital and worked with patients in the obstetrics and gynecology department, after which a third of the patients died from an unknown infection. After working in the morgue, students simply wiped their hands with handkerchiefs. Semmelweis proposed treatment with a chlorine solution, which reduced the number of deaths by 10 times. But widespread recognition for this discovery came to Semmelweis only after his death.

Hand handling, levels of hand handling in the past

For some time now, methods of treating the hands of medical personnel have become widely discussed. These actions were recognized as mandatory, and they were included in a document called SanPiN. This procedure has evolved from the use of a bleach solution to the modern accelerated method of treatment with skin antiseptic solutions, which are accompanied by detailed instructions, the observance of which is mandatory for any health worker who comes into contact with patients or equipment for the provision of medical care.

Surgical practice requires special care in this aspect. Until about 40 years ago, a surgeon had to go through several levels of hand treatment for 25-30 minutes before surgery. It all started with washing under running water with soap and a brush; especially carefully it was necessary to clean the periungual areas of the fingers and interdigital folds. Then came the stage of washing hands in a sterile basin with sterile water, which had undergone a distillation process specifically for this purpose, after which there was a third stage - the hands were dried with sterile gauze wipes, treated with alcohol, after which the doctor could put on autoclaved sterile gloves.

The nurses who assisted the doctor during the operation also underwent the same treatment. These employees are highly qualified operating nurses and pass an exam on their knowledge of septic tanks and antiseptics.

Processing in modern conditions

The levels of hand treatment of medical personnel in modern conditions are much lower due to the use of much more effective means, which is also of great importance in the prevention of occupational dermatitis in health workers. To prevent dermatitis, a number of measures are proposed to restore the skin after the end of the working day - creams, lotions, balms, baths, etc.

Let's consider the hygienic level of hand treatment. Its algorithm consists of going through two stages.

The first is mandatory washing with liquid soap and drying with a disposable napkin.

The second is the use of skin antiseptic. It is important to wait until the product dries completely on your hands without wiping.

Cases for mandatory processing

When is doctor's hand sanitizing mandatory?

Disinfection is necessary before and after each new patient is examined.
Before performing any medical procedure involving contact with human skin or mucous surfaces, as well as the use of medical instruments or equipment.
After contact with dressings and secretions of the patient.
After performing manipulations with patients with purulent discharge.

Levels of hand treatment according to SanPiN

In hospitals and other medical institutions, special training is provided in the rules of hand washing. Medical workers know the levels of hand treatment by heart, the implementation of instructions is brought to automaticity, especially where work is carried out with open wounds, operations are performed on the internal organs and joints of patients.

Special rules were developed, enshrined in the manual of the sanitary epidemiological service. They are mandatory, and a health worker who fails the control tests cannot be allowed to perform his duties, and in case of repeated violation, he may be deprived of his diploma.

The document “On approval of SanPiN 2.1.3.2630-10 “Sanitary and epidemiological requirements for organizations engaged in medical activities” describes in detail the rules in each individual case. They must be studied and followed by each medical worker, all this is carefully monitored.

But no matter how strict the rules are, adherence to them depends only on the conscious desire of the employees themselves to comply with aseptic and antiseptic conditions at work. The number of complications in patients, sometimes even leading to death, largely depends on the strict implementation of these rules. Other behavior completely contradicts the very purpose of the medical service, designed to help people and protect health.

Hand hygiene should be carried out in the following cases:

Before direct contact with the patient;

After contact with the patient's intact skin (for example, when measuring pulse or blood pressure);

After contact with body secretions or excreta, mucous membranes, dressings;

Before performing various patient care procedures;

After contact with medical equipment and other objects located in close proximity to the patient;

After treating patients with purulent inflammatory processes, after each contact with contaminated surfaces and equipment.

Hand hygiene is carried out in two ways:

Hygienic hand washing with soap and water to remove contaminants and reduce the number of microorganisms;

Treating hands with a skin antiseptic to reduce the number of microorganisms to a safe level.

We remove all jewelry from our hands that makes washing difficult.

Hygienic treatment of hands with alcohol-containing or other approved antiseptic (without prior washing) is carried out by rubbing it into the skin of the hands in the amount recommended in the instructions for use, paying special attention to the treatment of the fingertips, the skin around the nails, between the fingers. An indispensable condition for effective hand disinfection is keeping them moist for the recommended treatment time. When using a dispenser, a new portion of antiseptic (or soap) is poured into the dispenser after it has been disinfected, washed with water and dried. Preference should be given to elbow dispensers and photocell dispensers.

The antiseptic is applied to the hands in portions (1.5 - 3.0 ml), including the elbows, and rubbed into the skin for the time specified by the developer. The first portion of antiseptic is applied only to dry hands. Throughout the entire time of rubbing in the antiseptic, the skin is kept moist from the antiseptic, so the number of portions of the rubbed product and its volume are not strictly regulated. During the procedure, special attention is paid to the standard method of treating hands with an antiseptic in accordance with EN 1500.


Palm to palm, including wrists	Right palm on the left back of the hand and left palm on the right back of the hand	Palm to palm of hands with fingers crossed

Outer side of fingers on opposite palm with fingers crossed	Circular rubbing of the left thumb in the closed palm of the right hand and vice versa	Circular rubbing of the closed fingertips of the right hand on the left palm and vice versa

Each stage of processing is repeated at least 5 times. When performing hand treatment techniques, the presence of so-called “critical” areas of the hands that are not sufficiently wetted with the product is taken into account: thumbs, fingertips, interdigital areas, nails, periungual ridges and subungual areas. The surfaces of the thumb and fingertips are treated most thoroughly, since the largest number of bacteria are concentrated on them. The last portion of the antiseptic is rubbed in until it dries completely. Sterile gloves are worn only on dry hands. After the operation/procedure is completed, the gloves are removed, hands are treated with an antiseptic for 2 x 30 s, and then with a hand skin care product. If blood or other secretions get on your hands under gloves, these contaminants are first removed with a swab or napkin moistened with an antiseptic, and washed with detergent. Then thoroughly wash with soap and water and dry with a disposable towel or napkins. After this, the hands are treated with an antiseptic 2 x 30 s.

Skin antiseptics for hand treatment should be readily available at all stages of the diagnostic and treatment process. In departments with a high intensity of patient care and with a high workload on staff (resuscitation and intensive care units, etc.), dispensers with skin antiseptics for hand treatment should be placed in places convenient for use by staff (at the entrance to the ward, at the patient’s bedside and etc.). It should also be possible to provide medical workers with individual containers (bottles) of small volumes (up to 200 ml) with skin antiseptic.

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DEPARTMENT OF POSTGRADUATE EDUCATION

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Rules for hand treatment of medical staff, hand hygiene

CYCLE OF PROFESSIONAL RETRAINING IN THE SPECIALTY “NURSING”

Completed by: Pluzhnikov Sergey Vladimirovich

Introduction

1. Historical information

2. Microflora of the skin of the hands

3. Resident microflora

4. Transient microflora

Bibliography

Introduction

Hands are one of the main factors in the transmission of pathogens of nosocomial infections. Transient pathogenic or opportunistic microflora and opportunistic microbes are transmitted through the hands of personnel. Possible contamination of the surgical wound by representatives of the resident microflora of the skin

1. Historical information

Hand treatment with a solution of carbolic acid (phenol) to prevent wound infection was first used by the English surgeon Joseph Lister in 1867. D. Lister's method (1827 - 1912) became a triumph of medicine in the 19th century.

Robert Koch (1843 - 1910) - German microbiologist, one of the founders of modern bacteriology and epidemiology

In his publications, Koch developed the principles of “obtaining evidence that a particular microorganism causes certain diseases.” These principles still form the basis of medical microbiology.

Hand hygiene is a primary measure that has proven highly effective in preventing nosocomial infections and the spread of antimicrobial resistance in pathogens. However, even today the problem of cleaning the hands of medical personnel cannot be considered completely resolved. Research conducted by WHO has shown that poor hand hygiene compliance among health care workers occurs in both developed and developing countries.

According to modern concepts, transmission of nosocomial pathogens occurs in various ways, but the most common transmission factor is the contaminated hands of medical workers. In this case, infection through the hands of personnel occurs under a number of the following conditions:

1) the presence of microorganisms on the patient’s skin or objects in his immediate environment;

2) contamination of the hands of medical workers with pathogens through direct contact with the patient’s skin or surrounding objects;

3) the ability of microorganisms to survive on the hands of medical personnel for at least several minutes;

4) incorrect implementation of the hand disinfection procedure or ignoring this procedure after contact with the patient or objects in his immediate environment;

5) direct contact of the contaminated hands of a medical worker with another patient or an object that will come into direct contact with this patient.

2. Microflora of the skin of the hands

I. Resident (normal) microflora are microorganisms that constantly live and multiply on the skin.

II. Transient microflora is a non-colonizing microflora acquired by medical personnel in the process of work as a result of contact with infected environmental objects.

1. Pathogenic microflora is a microflora that causes clinically significant disease in healthy people.

2. Opportunistic microflora is a microflora that causes disease only in the presence of a specific predisposing factor.

3. Microbes - opportunists - are microflora that cause a generalized disease only in patients with a pronounced decrease in immunity.

3. Resident microflora

Resident microflora stimulates the formation of antibodies and prevents the colonization of the skin by gram-negative microorganisms. It lives in the stratum corneum of the skin, is found in hair follicles, sebaceous and sweat glands, in the area of the nail folds, under the nails, between the fingers.

It is mainly represented by cocci: epidermal and other types of staphylococci, diphtheroids, propionibacteria.

It cannot be completely removed with normal hand washing and antiseptic treatment.

4. Transient microflora

It is represented mainly by microorganisms located in the external environment of the institution that are dangerous from an epidemiological point of view:

pathogenic microorganisms (salmonella, shigella, rotavirus, hepatitis A virus, etc.);

opportunistic microorganisms:

Gram-positive (Staphylococcus aureus and epidermal);

Gram-negative (Escherichia coli, Klebsiella, pseudomonas);

Fungi (candida, aspirgillus).

It remains on the hands for no more than 24 hours and can be removed by regular hand washing and treatment with antiseptics.

The most contaminated areas of the skin of the hands are:

Subungual space;

Periungual ridges;

Finger pads.

The most difficult areas to wash are:

Subungual space;

Interdigital spaces;

Thumb notch.

Hand disinfection is one of the most effective measures to prevent nosocomial infections and to protect patients and medical personnel from infection. The basis for the prevention of nosocomial infections is a hygienic culture and epidemiological preparedness at all stages of work.

5. Rules for hand treatment of medical personnel

To achieve effective hand washing and disinfection, the following conditions must be met:

1. clean, short-cut nails, no nail polish, no artificial nails; well-groomed (without cracks or hangnails) hands, uncut (European) manicure;

2. absence of rings, rings and other jewelry on the hands; before treating surgeons' hands, it is also necessary to remove watches, bracelets, etc.;

3. applying liquid soap using a dispenser;

4. use of clean fabric individual towels or disposable paper napkins for drying hands; when treating surgeons' hands - only sterile fabric ones.

6. Hand hygiene

Hand hygiene with a skin antiseptic should be carried out in the following cases:

Before direct contact with the patient;

Before putting on sterile gloves and after removing gloves when placing a central intravascular catheter;

Before and after placement of central intravascular, peripheral vascular and urinary catheters or other invasive devices, if these manipulations do not require surgical intervention;

After contact with the patient's intact skin (for example, when measuring pulse or blood pressure, repositioning the patient, etc.);

After contact with body secretions or excreta, mucous membranes, dressings;

When performing various manipulations to care for a patient after contact with areas of the body contaminated with microorganisms;

After contact with medical equipment and other objects located in close proximity to the patient.

Hand hygiene is carried out in two ways:

Hygienic hand washing with soap and water to remove contaminants and reduce the number of microorganisms;

Treating hands with a skin antiseptic to reduce the number of microorganisms to a safe level.

To wash your hands, use liquid soap using a dispenser. Dry your hands with an individual towel (napkin), preferably disposable.

When using a dispenser, a new portion of antiseptic (or soap) is poured into the dispenser after it has been disinfected, washed with water and dried. Preference should be given to elbow dispensers and photocell dispensers.

7. Technique for treating hands with an alcohol-containing skin antiseptic

Rub in hand sanitizer for hand hygiene! Wash your hands only if there is visible contamination!

8. Hand washing technique with soap and water

Treatment duration is 2-3 minutes, special attention is paid to nails and subungual areas.

The movements of each stage are repeated five times, constantly ensuring that the hands remain wet throughout the treatment. If necessary, use a new portion of the disinfectant solution. Currently, an alcohol solution of 0.5% chlorhexidine bigluconate in 70% ethyl alcohol, Octeniderm, Octeniman, Octenisept, Veltosept, AHD 2000 special, Dekosept plus, 60% isopropanol, 70% ethyl alcohol with skin softening additives, etc. is used to treat hands. .

Recently, studies have emerged that prove that the wristwatches, pens and mobile phones of medical workers are also a breeding ground for germs.

Thus, hand hygiene is an integral part of the system of measures to prevent nosocomial infections in a medical organization.

infection hand antiseptic

Bibliography

Afinogenov G.E., Afinogenova A.G. Modern approaches to hand hygiene of medical personnel // Clinical microbiology and antimicrobial chemotherapy. 2004. T. 6. No. 1.

Opimakh I.V. The history of antiseptics - the struggle of ideas, ambitions... // Medical technologies. Evaluation and selection.

WHO guidelines on hand hygiene in health care: summary, 2013.

SanPiN 2.1.3.2630-10 “Sanitary and epidemiological requirements for organizations engaged in medical activities.”

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Where should the hand sanitizing instructions be located? Surgical and hygienic treatment of the hands of medical personnel. How to properly wash hands as a cook working in the catering industry

Types of processing

Important Terms

Hand washing technique

Rules for medical personnel

Nuances for surgeons

Selection of hygiene products

Time periods

Rules for treating hands with antiseptic

Final stage

Possible complications

Prevalence of complications and their prevention

Why wash?

How to wash? Step-by-step instruction.

A few nuances

If urgent intervention is required

From the history

Hand handling, levels of hand handling in the past

Processing in modern conditions

Cases for mandatory processing

Levels of hand treatment according to SanPiN

Send your good work in the knowledge base is simple. Use the form below

1. Historical information

3. Resident microflora

4. Transient microflora

5. Rules for hand treatment of medical personnel

6. Hand hygiene

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