Hand sanitation has long been known to reduce the spread of disease and today alcohol based hand sanitizers are used in addition to washing hands with soap and water. Currently there are evidence based practices (EBP) guidelines for hand sanitization versus hand washing for bedside nurses. There’s currently significant evidence for using one method over the other but some barriers prevent the proper level of sanitation.
Significance to Practice
Healthcare acquired infections (HCI) are very common in today’s hospitals and new forms of drug resistant organisms have emerged limitation of the spread of these organisms are of great significance. Methicillin-resistant Staphylococcus aureus (MRSA), Vancomycin-resistant Enterococci (VRE), Clostridium difficile(CDIF), surgical site infections, urinary tract infections, and ventilator related pneumonias are common HCI’s. Surgical site infections alone according to an annual report from the Colorado Department of public health estimates national financial toll of 3-10 billion dollars.
Some common barriers to healthcare workers can be cost, access to hand sanitation stations or materials and lack of knowledge of current best care practices. Lack of proper hand hygiene increases the likely hood of a healthcare acquired infection. Cost to the hospital and the patient increases with longer hospital stays and more treatment required. Current practices should not be changed but education in the reasoning of these practices needs to be increased in the healthcare community.
Several articles specifically address not just hand hygiene but specifically hand washing or the use of alcohol based hand sanitizers.
Article 1: “Putting Evidence Into Nursing Practice: ...
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... and more effective if hands are not visibly soiled but studies are still examining the use on soiled hands.
Pickering, A. J., Davis, J., & Boehm, A. B. (2011). Efficacy of alcohol-based hand sanitizer on hands soiled with dirt and cooking oil. Journal of water and health, 9(3), 429-433.
Flynn, Martin, S. A., Burns, S., Philbrick, D., & Rauen, C. (2013). Putting Evidence Into Nursing Practice: Four Traditional Practices Not Supported by the Evidence. Critical Care Nurse, 33(2), 28-44. doi:10.4037/ccn2013787
Patrick, M., and Van Wicklin, S. A. (2012). Implementing AORN Recommended Practices for Hand Hygiene. AORN journal, 95(4), 492-507.
World Health Organization. (2009). WHO Guidelines on Hand Hygiene in Health Care: First Global Patient Safety Challenge Clean Care Is Safer Care. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK144041/
There are several benefits to double-gloving that have been supported by recent studies [1-4]. By double-gloving, it has been shown that the transfer of virus to healthcare workers’ hands is significantly decreased, as compared to single gloving . Perhaps the incidence of nosocomial infections could be reduced if double-gloving were a requirement in healthcare settings. In the operating room (OR), double-gloving has been shown to provide superior protection against potential exposure to blood-borne pathogens . Breaking the barrier between an OR nurses’ hands and the external environment was shown to occur in 8.9% of cases in one study in which single-gloving was practiced during surgical procedures . Remarkably, in the same study, it was shown that when double-gloving was practiced, there was not a single case of both layers of gloves being perforated . From the evidence provided in that study, one could assume that when double-gloving is practiced, it is virtually impossible for the hands of a healthcare worker to become exposed to the external environment during a sur...
Hands are porous and act like a sponge (Baker). The dental professionals should a different type of glove to sterilize equipment than they do for patient care. Gloves used to sterilize equipment should be a type of utility glove that is puncture resistant. Hands need to be protected from exposure to hazards such as those from skin absorption of harmful substances, severe cuts or lacerations, severe abrasions, punctures, chemical burns, thermal burns, and harmful temperature extremes (Baker). When the employers are choosing gloves from themselves and their employees they should think about the task they will be performing so they can choose the glove that will work best for the
“The CDC is the primary developer of national infection control and prevention guidelines, often in collaboration with its Healthcare Infection Control Practices Advisory Committee, which is responsible for research and dissemination of the latest information for preventing disease transmission” (Griffis, 2013, p. 175). Infection control will continue to be a topic of discussion as long as germ transmission is still happening. Among these studies is the concern the frequent nonadherence to contact precautions is a huge issue that many studies are still very concerned about (Jessee & Mion, 2013, p. 966). The writer is also concerned with the blatant disregard for hand hygiene that appears to be happening in the medical field. What about what is best for the patient. Do the people that do not use proper hand hygiene not understand how important it
Household bacteria have always been a problem. Millions of people each year get some sort of sickness from bacteria in their kitchen, bathroom, living room, etc. What if there were bacteria in your kitchen that could be deadly? This bacterium is called Escherichia coli. According to Oregon health Authority: “By one estimate, 10,000 to 20,000 E coli. Infections occur in the United States each year.” Many of us use disinfectants such as Clorox and Bleach every day but are these disinfe...
Feces, viruses, staph, Salmonella and hand-foot-mouth disease. These are just a few of the things that can be on our hands from normal daily living. With compromised immune systems, open wounds and other issues, these are very harmful. That is why it is so important to keep proper hand hygiene in mind at all times. Hospital infections affect almost two million people in the United States every year, 100,000 of whom die. Up to 70 percent of infections could be prevented if the health care workers follow recommended protocol (Michigan Health Lab, May 26, 2016). Nobody wants to know that when your food has
This literature review will analyze and critically explore four studies that have been conducted on hand hygiene compliance rates by Healthcare workers (HCWs). Firstly, it will look at compliance rates for HCWs in the intensive care units (ICU) and then explore the different factors that contribute to low hand hygiene compliance. Hospital Acquired infections (HAI) or Nosocomial Infections appear worldwide, affecting both developed and poor countries. HAIs represent a major source of morbidity and mortality, especially for patients in the ICU (Hugonnet, Perneger, & Pittet, 2002). Hand hygiene can be defined as any method that destroys or removes microorganisms on hands (Centers for Disease Control and Prevention, 2009). According to the World Health Organization (2002), a HAI can be defined as an infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission. The hands of HCWs transmit majority of the endemic infections. As
The studies provided in the literature review prove that. It is believed that hand washing is the best thing to do to kill bacteria but as study show hand sanitizing is more efficient (Michaels, 2014). The experiment mentioned before done at the University College of Health Studies proves that hand sanitizing is the best way to kill bacteria in hands (2015). The best way to prevent hospital acquired infections is to wash hands in situations where it is necessary, like when hands are visibly soiled, and use hand sanitizer in situations that are appropriate. In other words use your judgment. Because studies also show that washing hands too often can have damaging effects to hands it is not recommended to use hand washing only (Michaels, 2014). It takes about 20 seconds to wash your hands and 5 seconds to use hand sanitizer. Such a big difference can be made in the prevention of hospital acquired infections by just performing that very simple task that doesn’t take very long to do and so many lives can be saved as
The systematic review; Interventions to improve hand hygiene compliance in patient care, conducted by the Cochrane Collaboration investigated inventions to improve hand hygiene compliance within patient care. The review included 2 original studies with an additional two new studies (Gould & Moralejo et al., 2010). Throughout the review it was affirmed that among hand hygiene is an indispensable method in the prevention of hospital-acquired infections (HAI), the compliance among nurses’ is inadequate. Nurses are identified within the public as dependable and trustworthy in a time of vulnerability due to their specialised education and skills (Hughes, 2008). Thus, it is imperative that evidence based practice is cond...
You need to always keep your hands clean. Your hands touch many things during the day and they come into contact with bacterium. If you do not wash your hands, it gives the chance for the bacteria to spread. This increases the risk of an individual contracting a number of illnesses such as the common cold, influenza and other harmful illnesses.
Medical asepsis plays an integral role in infection control within a health care facility. It includes procedures used to decrease and prevent direct contact with blood or bodily fluids and emphasizes keeping the environment clean on a regular basis (Curchoe, Astle, & Hobbs, 2014). In order to achieve optimal health, individuals depend on practices and techniques that control and ultimately prevent the transmission of infection. These practices and techniques can help avoid the transmission of infections by creating an environment that protects both health care workers and patients from communicable diseases. Good hand hygiene has been stressed as the single most important measure to prevent cross-infection to patients in health care facilities
The focus of health care is and has always been, practicing good hygiene, living a healthy lifestyle, and having a positive attitude reduces the chance of getting ill. Although there is not much prevention we can take for some of the diseases but we can certainly practice good hand hygiene to prevent infection and its ill effects. Research proves that hand washing is surely the most easy and effective way to prevent infection in health care. The question for this research: Is Hand washing an effective way to prevent infection in health care? It led to the conclusion that due to the high acuity, high patient: staff ratio, and lack of re evaluation certain units in the health care facilities cannot adhere to correct hand washing guidelines. Hand
According to the Purell company, "One of the major benefits of using ethyl alcohol over other germ killing agents is that bacteria have been unable to create a resistance to ethyl alcohol," (Purell Hand Sanitizer Ingredients, 2013). With that being said, Purell will always kill germs for someone that uses it frequently. It is always effective on germs no matter how much you decide to use it. Glycerin is used in many skin products. In Purell, it is used to moisturize skin and spread easier on the skin. It helps prevent dry and itchy skin, as well as helping dead skin cells fall off
“Researchers in London estimate that if everyone routinely washed their hands, a million deaths a year could be prevented” (“Hygiene Fast Facts”, 2013, p. 1). Hands are the number one mode of transmission of pathogens. Hands are also vital in patient interaction, and therefore should be kept clean to protect the safety of patients and the person caring for the patient. Hand hygiene is imperative to professional nursing practice because it prevents the spread of pathogens, decreases chances of hospital-acquired infections, and promotes patient safety. There is a substantial amount of evidence that shows why hand hygiene is important in healthcare