Hand Hygiene

The dirtiest thing you own maybe your cell phone. Imagine what touches your phone the most, probably your hands and face. Since cell phones are everywhere and have become one of the most helpful tools of our generation, they have their drawbacks. The use of cell phones happens everywhere today, one place being the hospital. From a study of phones and spreading of bacteria associated with health care associated infections, Karabay states, “Our study reveals that mobile phones may get contaminated by bacteria (such as Escherichia coli, Pseudomonas aeruginosa and Klebsiella pneumoniae), which cause hospital infections, and may serve as a vehicle for the spread of nosocomial pathogens” (Karabay, 2007). Touching contaminated

There are several important steps in preventing the spread of MRSA: washing hands before and after patient contact, using gloves appropriately, covering any cuts on the hands, maintaining healthy hands, avoiding overcrowding in hospital departments, maintaining a clean environment, and prudent antibiotic prescribing (3). Hand washing is the most effective way to keep from spreading infections. The CDC recommends that you spend 20 seconds scrubbing your hands with soap while washing your hands (1). You can sing the “Happy Birthday” song twice all the way through also (1). If soap and water are not available, the CDC recommends using an alcohol-based hand sanitizer that is at least 60% alcohol (1). This should not be used as a first line of defense. Hand washing is always the best way to get rid of harmful bacterium. Gloves and gowns are another great way to create a barrier between you and the bacteria. Proper removal of gloves and gown are vitally important. If your gloves are contaminated with MRSA, and you remove them improperly, you have completely defeated the point of even putting the gloves on. Once a surface is contaminated with MRSA, it can live prolonged periods of time unless removed through cleaning (5). For contaminated surfaces, you would want to use a disinfectant. Choosing the proper disinfectant, along with following the directions of use on the packaging, will rid the surface form microbes. It is extremely important to follow the directions on the packaging of the disinfectant because each disinfectant is different. One may need you to keep the surface wet for 2 minutes, while the other requires the surface to be kept wet for 10 minutes. If the surface isn’t kept wet for the allotted time, the surface will not be disinfected and will continue to contaminate

Touching objects, such as public phones or doorknobs, that have MRSA bacteria on the surface.

Hospital acquired infections (HAIs) affect over 1.7 million patients each year, causing almost 100,000 deaths annually in the United States alone (Johnson, 2010). According to the World Health Organization, HAIs are the most frequent adverse event in the healthcare industry. Fortunately, most of these infections can be prevented with one single intervention, proper hand hygiene (“The Evidence,” n.d.). Four out of five pathogens that cause illness are spread by direct contact. Proper hand hygiene eliminates these pathogens and helps to prevent cross-contamination and HAIs (Linton, 2015; “Hand Hygiene,” n.d.). Reduction of cross-contamination and HAIs improves patient outcomes, increases employee wellness, and lowers health care costs. Adherence to proper hand hygiene is the single most important safety measure in the health care setting. However, for many years compliance to proper hand hygiene in the healthcare industry has been dismally low. New and inventive measures must be implemented to increase compliance to proper hand hygiene and lower the rate of hospital-acquired infections.

Germs and many other diseases spread primarily through airborne particles, skin to skin contact, and or touching objects such as door handles, hospital buttons, or by sharing patient possessions. Nurses and other health care clinicians are constantly in physical contact with many different patients, who all have varying illness’ and diseases themselves. Many may also carry a

Health care providers and visitors are required to wear personal protective equipment (PPE) and follow strict hand hygiene procedures. Contaminated rooms, surfaces, and laundry items are properly disinfected to prevent the spread of MRSA. In addition to policy and procedures, patient teaching is also helpful for preventing exposure and spread of MRSA. As aforementioned earlier, hand hygiene is key to prevent exposer or transmission of the bacteria. To properly wash your hand effectively, first scrub hands rapidly for at least 15 seconds. Next, use a disposable towel to dry them and another towel to turn off the faucet. In addition, hand sanitizer that contains 62 percent or more of alcohol may be an adequate substitute when the individual does not have access to soap and water (Mayo Clinic Staff,

Generations of people have considered handwashing a measure of personal hygiene. In 1847, Dr. Semmelweis insisted that healthcare providers wash their hands with disinfecting agents between patients. This early hand hygiene practice resulted in a decrease in mortality rates among hospital patients (CDC, 2002). The CDC’s Healthcare Infection Control Practices Advisory Committee published the Guideline for Hand Hygiene in Health-Care Settings in 2002 that is based on hand hygiene foundations developed in generation past. In 2014, this guideline is still available online and used as a reference

The hospital is compliant with infection control protocol according to the CDC standard guidelines. “Hand hygiene, contact precautions, as well as cleaning and disinfecting patient care equipment and the patient’s environment are essential strategies for preventing the spread of health care–associated infections. Hand hygiene is addressed in NPSG.07.01.01. Contact precautions for patients with

Patients have observed several physicians and nurses not washing their hands before interacting with patients. Hand hygiene is one of the largest tactics to combat nosocomial infections. The hospital should adopt a culture of 100% compliance with hand washing. The first step would be to increase handwashing stations and have more quick-dry alcohol-based antibacterial soap dispensers. Making access easier and decreasing the time taken to wash one’s hands would encourage adherence the policy. Furthermore, each floor should track hand washing and report data of potential nosocomial infections caused by improper handwashing. Keeping patients protected from bacteria is important especially when most are in an immunocompromised

(McCaughey, 2016). The Center of Disease Control recommends hand washing with vigorous scrubbing for at least 15 seconds with soap and water. Using alcohol based gel hand sanitizer can be an appropriate alternative if soap and water is not readily available but does possess drawbacks including being ineffective against alcohol resistant bacteria. Programs for surveillance have also been implemented in hospitals with the intention of monitoring staff to ensure that policies are being followed to ensure the safety of the patients. Mandated reporting of hospital-specific rates and statistics for healthcare-associated infections has the potential to serve a purpose that could result in bringing down the instance for infection. Being forced to announce to the public infections rates versus other healthcare organizations has the potential for higher administration to implement better policies to assure their good standing in the eye of the

Both health care-associated and community-associated strains of MRSA still respond to certain antibiotics. In some cases, antibiotics may not be necessary. For example, doctors may drain a superficial abscess caused by MRSA rather than treat the infection with drugs. In the hospital, people who are infected or colonized with MRSA often are placed in contact precautions as a measure to prevent the spread of MRSA. Visitors and health care workers caring for people in isolation may be required to wear protective garments and must follow strict hand hygiene procedures. Contaminated surfaces and laundry items should be properly disinfected. Preventing MRSA includes careful hand washing remains your best defense against germs. Carry a small bottle of hand sanitizer containing at least 62 percent alcohol for times when you don't have access to soap and water. Keep cuts and abrasions clean and covered with sterile, dry bandages until they heal. The pus from infected sores may contain MRSA, and keeping wounds covered will help prevent the bacteria from spreading. Avoid sharing personal items such as towels, sheets, razors, clothing and athletic

Controlling infections in the hospital setting has been a major issue for hundreds of years. Patients have largely been effected by pathogens transferred from those appointed to care for them. Florence Nightingale became famous for changing the way we practice patient care. Her idea was simple yet powerful and it is still considered the standard worldwide. She promoted hand washing in order to reduce healthcare infections. Flash-forward a hundred years and we are now seeing infections increase through a different route. The CDC estimated about 31,100 central line associated blood stream infections occur each year (Control, 2015). According to the Centers for Disease Control and Prevention, the most commonly reported pathogens include coagulase-negative staphylococci, Staphylococcus aureus, enterococci, and Candida. (Tavianini, Deacon, Negrete, & Salapka, 2014). Although central lines was not yet a technology created in healthcare, implementing the fundamental skills as emphasized by Nightingale

Most of the germs causing bacteria are transmitted to the patient by hands during the patient care (World Health Organization, 2016). The surfaces in patient rooms, the health care workers (HCWs) clothing, and the instruments used by the HCW can be contaminated. Proper hand hygiene is needed to prevent or reduce the transmission of HCAIs in patients. Urinary tract infection, surgical site infection, pneumonia and infections of the bloodstream can be contacted through improper hand hygiene. HCAIs are the major cause of morbidity and mortality (Office of Disease Prevention and Health Promotion (ODPHP), 2016). These infections cost the health care system billions of dollars every year and several losses of lives. It can have disastrous emotional, financial and medical impact on patients and their family members. These infections jeopardize the safety and care for patients (WHO, 2016). Hand hygiene is the first line of defense against infections. Before contact with patient, hand hygiene should be performed by hand washing with soap and water or using an alcohol-based hand rub. Hands should be disinfected before patient contact, prior to and following the insertion of any invasive devices, before using gloves for central intravascular catheter insertion (Centers for Disease Control and Prevention (2016). Hand should be cleaned following checking vital signs, contact with mucous

As nurses, taking care of patients with MRSA can be seen in everyday practice. It can be seen in patients with sepsis from an infected wound, patients who have pneumonia, or patients who only have a colonization for it (“Methicillin-resistant Staphylococcus aureus (MRSA), 2015”). Regardless if it’s colonization or an active infection, and the source of the infection, proper policies and procedures are in place to reduce the transmission of MRSA to other patients in the hospital or nursing home setting. This includes performing proper hand hygiene and standard precautions, as well as wearing protective gown and gloves when entering the patient’s room. It is very important to adhere to these policies and procedures and educate others on the importance of these policies and procedures to reduce the transmission of MRSA to others.

Healthcare associated infections have an impact on patients - how? Can be prevented greatly with compliance to hand hygiene protocols (REF).