Five Moment & Hand Hygiene

FIVE MOMENT & HAND HYGIENE

A. Definitions

Hand hygiene is an attempt or act of clean hands, either by using an antiseptic soap under running water or using an alcohol-based handrub with systematic steps in the order, so as to reduce the number of bacteria that are at hand. ,
Price (1938) states that the bacteria on the hands can be categorized into two types, known as the resident flora and transient flora. Resident flora, composed of microorganisms which are hidden under the superficial cells of the stratum corneum and can also be found on the surface of the hand. The bacteria most commonly found staphylococcus epiderdimis. Resident flora has two protective functions, antagonistic microbes and competition for nutrients in the ecosystem. In general, the relationship resident flora and the incidence of infection is very small, but may cause infections in sterile body parts such as the eyes.
Transient flora (transient microbiota), which colonize the superficial layers of the skin, is easily removed by washing hands regularly. Transient microorganisms do not multiply in the skin, but generally proliferate on the skin surface. These microorganisms are also often move in line with the contact between health workers with the tools, even patients with other health care worker.

B. Purpose

1.      General Purpose
   2.   Fostering a culture of hand hygiene throughout the hospital employees. MEDIROSSA 2 Cibarusah
   3.   Special Purpose

a.       Improving knowledge about hand hygiene

b.      Lowers the risk of infection in patients because the hospital (health associates infection / HAI) infections in health care workers for hospitals (Health Care Associates Infection / HCAI)

c.       Improving the quality of hospital services

C.      Scope of Hand Hygiene

WHO recommends to any person or officer mentioned below to always adhere to hand hygiene procedures, namely:

1.       Everyone who had contact with patients as doctors, nurses and other health personnel (physiotherapists, laboratory).

2.       Any person contact with the patient, though indirectly such as nutritionists, pharmaceutical and engineering officer

3.       Any personnel who contributed to the procedure on a patient

4.       Everyone who works in a hospital environment

   D.   Management of Hand Hygiene

   WHO (World Health Organization) mensyaratkanfive moment of hand hygiene (5 times hand hygiene),   
     which is an indication of when officers should perform hand hygienhe, namely: 

 


         5 Moment of Hand Hygiene

1	Before contact with patients	WHEN? Clean your hands before touching patients
		Why? To protect patients from pathogenic bacteria that exist in the hands of officers
2	Before taking action aseptic	When? wash hands immediately before any action aseptic
		Why ? to protect patients from pathogenic bacteria, including those from the surface of the patient's own body, entering the inside of the body.
3	Upon contact with body fluids	When? Clean hands after contact or risk of contact with patient's body fluids (and after glove removal)
		Why ? to protect health workers and the surrounding area free of pathogenic bacteria derived from patients
4	After contact with the patient	when? wash hands after touching the patient, shortly after leaving the patient
		Why ? to protect health workers and the surrounding area free of pathogenic bacteria derived from patients
5	After contact with the area around the patient	when? wash your hands after touching objects or furniture that are around the patient when leaving the patient, while not touching the patient
		Why ? to protect health workers and the surrounding area free of pathogenic bacteria derived from patients

 

Clean hands are the pillars and indicators of the quality in preventing and controlling infections, so it must be done by each hospital personnel. Cleaning hands can be done by hand washing with running water or use alcohol-based hand rub (Handrub).

  1.  Hand Hygiene with running water

Washing hands with water and soap is hand hygiene technique is most ideal. By washing hands, invisible dirt and pathogens found in the hand area can be reduced to the maximum. hand washing is recommended to be done as often as possible, if the conditions and resources allow. Implementation of effective hand washing takes about 40-60 seconds, with the following steps:

a.       Wet your hands with running water

b.      Pour approximately 5cc soap to lather the entire surface of the hand

c.       Starting 6-step technique:

1)      Rub your hands with your palms on the palm.

2)      Rub right palm over back of left hand with fingers interlaced and vice versa.

3)      Rub the palms and fingers - fingers intertwined.

4)      Rub the back of the finger - the finger on the palm of the opposite with the fingers - fingers interlocked.

5)      Rub rotate left thumb with the right hand lock on the thumb of his left hand and vice versa.

6)      Rub fingernails left twisting in the right hand and vice versa

d.      Rinse hands under running water.

e.      Dry hands dry as possible with paper towels.

f.        Use a tissue to turn off the faucet.