The body reacts to food.
What principles should be followed in hand washing and hand disinfection?
3. 1 Hand hygiene Hand hygiene is the general term for medical staff to wash their hands, sanitary hand disinfection and surgical hand disinfection. 3.2 Wash hands Medical personnel wash their hands with soap (soap) and tap water to remove dirt, debris and some pathogenic bacteria on the hand panel. 3.3 Disinfection and anti-corrosion of sanitary hands Wipe hands Medical personnel wipe their hands with quick-drying hand disinfectant to reduce the process of temporary bacteria in their hands. 3.4 Disinfection of surgical hands Before surgery, medical staff should wash their hands with soap (lotion) and running water, and then use hand disinfectant to remove or kill the temporary bacteria in their hands, so as to reduce the permanent bacteria. The hand disinfectant used can have continuous antibacterial activity. 3.5 Resident skin flora, a microorganism that can be separated from most human panels, is a persistent resident bacteria on the panels and is not easy to be removed by mechanical friction. Such as coagulase-negative staphylococci, coryneform bacteria, propionibacterium, Acinetobacter, etc. Under normal circumstances, it is not pathogenic. 3.6 Temporary Bacteria Temporary skin R flora lives on the surface of the panel and can be easily removed by conventional hand washing. It can be obtained by direct contact with patients or contaminated surfaces, and can also be transmitted by hand at any time, which is closely related to hospital infection. 3.7 Hand Disinfectant Hand Disinfectant is used for hand panel disinfection to reduce hand panel bacteria, such as ethanol, isopropanol, chlorhexidine and iodophor. 3.7. 1 Quick Hand Disinfectant Alcohol Hand Wipe Disinfectant contains alcohol and skin care ingredients, including aqua, gel and foam. 3.8 Hand hygiene facilities Hand hygiene facilities are used for hand washing and hand disinfection, including sink, faucet, tap water, detergent, hand drying products, hand disinfectant, etc. 4. Management and basic requirements of hand hygiene 4. 1 Medical institutions should formulate and implement hand hygiene management systems and equip them with effective and convenient hand hygiene facilities. 4.2 Medical institutions should regularly conduct hand hygiene training for all staff, and medical staff should master hand hygiene knowledge and correct hand hygiene methods to ensure the effect of hand washing and hand disinfection. WS/T 3 13-2009 4.3 Medical institutions should strengthen the guidance and supervision of medical staff and improve their hand hygiene compliance. 4.4 hand disinfection effect should meet the following requirements: a) hand disinfection, the total number of monitored colonies should be ≤10 cfu/2 b) surgical hand disinfection, and the total number of monitored colonies should be ≤ 5 cfu/25 hand hygiene facilities 5. 1 kloc-0/.560868765 5 5. Conditional medical institutions should be equipped with non-touch faucets in the diagnosis and treatment area. 5. 1.3 should be equipped with cleaning agent. Soap should be kept clean and dry. Containers for liquid should be disposable, and reusable containers should be cleaned and disinfected every week. When the liquid is turbid or discolored, it should be replaced in time, and the container should be cleaned and disinfected. 5. 1.4 provide dry goods or facilities to avoid secondary pollution. 5. 1.5 Qualified quick-drying hand disinfectant shall be provided. 5. 1.6 hand hygiene facilities should be set up for the convenience of medical personnel. 5. 1.7 Sanitary hand disinfectant shall meet the following requirements: a) It shall comply with relevant national regulations. B) Disposable packaging should be used. C) The medical staff should have good acceptability to the hand disinfectant selected, and the hand disinfectant has no peculiar smell, no * * *, etc. 5.2 Disinfection facilities for surgical hands 5.2. 1 should be equipped with a sink. The wash basin is set near the operating room, and the size and height of the basin are appropriate to prevent the hand washing water from splashing out, and the surface of the basin should be smooth without dead angles, which is convenient for cleaning. The sink should be cleaned and disinfected every day. 5.2.2 The number of sinks and faucets should be set according to the number of operating rooms, and the number of faucets should be no less than that of operating rooms, and the faucet switch should be non-touch. 5.2.3 Cleaning agents shall be provided and meet the requirements of 5. 1.3. 5.2.4 Cleaning shall be provided. ......
What is the general term for hand washing, sanitary hand disinfection and surgical hand disinfection of medical staff?
Medical staff wash their hands in seven steps. Sanitary hand disinfection is based on this, and then coated with disinfectant. Sterilization of surgical hands is the most stringent and requires relative sterility.
The five important moments of hand washing and hand disinfection are
1. Before and after direct contact with each patient, when transferring from a contaminated part of the same patient's body to a clean part.
2. Before and after touching the patient's mucosa, damaged panel or wound, after touching the patient's blood, body fluids, secretions, excreta, wound dressing, etc.
3. Before and after wearing isolation gown, after taking off gloves.
4. After contact with patients' surroundings and articles.
5. After contact with patients' surroundings and objects.
Hand washing hygiene hand disinfection instructions
Hand washing and hand hygiene indications for hand disinfection
1.
Before and after contact with patients
2.
After taking off the gloves
3.
Before the invasive surgery.
4.
After contact with the patient's body fluids, excreta, mucous membranes, broken panels or wound dressings.
5 .
From the dirty part of the patient to the clean part.
6.
Direct contact with inanimate objects close to patients (including after medical instruments)
Under what circumstances must medical staff wash their hands before disinfection?
Hand washing and hand disinfection should follow the following principles: a) When there is visible pollution such as blood or other body fluids on your hands, wash your hands with soap (lotion) and tap water. B) When there is no visible pollution on hands, it is advisable to disinfect hands with quick-drying hand disinfectant instead of washing hands. 6.2 Under the following circumstances, medical personnel should choose to wash their hands or use quick-drying hand disinfectant according to the principle of 6. 1: a) when moving from a polluted part of the same patient's body to a clean part before and after direct contact with each patient. B) Before and after contact with the patient's mucosa, damaged panel or wound, after contact with the patient's blood, body fluids, secretions, excreta, wound dressing, etc. C) Before and after wearing isolation gown, after taking off gloves. D) After contact with patients' surroundings and objects. E) After contact with patients' surroundings and objects. F) Before handling drugs or meals. 6.3 Medical personnel should wash their hands first and then disinfect their hands under the following circumstances: a) After contacting the patient's blood, body fluids, secretions and articles contaminated by infectious pathogenic microorganisms. B) After direct examination, treatment, care or treatment of the pollutants infecting patients.
When should medical staff wash their hands first and then disinfect them?
Contact with infectious patients, commuting, having surgery or examining patients, etc. As long as it comes into contact with pathogens, it must be disinfected.
When should medical staff wash their hands first and then disinfect them?
Contact with infectious patients, commuting, having surgery or examining patients, etc. As long as it comes into contact with pathogens, it must be disinfected.
What principles should medical staff follow in hand washing and hand hygiene disinfection?
3. 1 Hand hygiene Hand hygiene
Hand washing by medical staff, sanitary hand disinfection and surgical hand disinfection are collectively referred to.
3.2 Wash your hands
The process of medical staff washing their hands with soap and running water to remove dirt, debris and some pathogenic bacteria from the hand panel.
3.3 Disinfection of sanitary hand rubbing
Medical staff wiped their hands with quick-drying hand disinfectant to reduce the process of temporary growth of bacteria in their hands.
3.4 surgical hand disinfection
Before the operation, the medical staff washed their hands with soap and running water, and then used hand disinfectant to remove or kill the temporary bacteria in their hands and reduce the permanent bacteria. The hand disinfectant used can have continuous antibacterial activity.
3.5 Resident skin flora
Microorganisms that can be separated from most people's face plates are persistent resident bacteria on the face plates, which are not easily removed by mechanical friction. Such as coagulase-negative staphylococci, coryneform bacteria, propionibacterium, Acinetobacter, etc. Under normal circumstances, it is not pathogenic.
3.6 Temporary skin flora
Microorganisms live on the surface of the panel and can be easily removed by conventional hand washing. It can be obtained by direct contact with patients or contaminated surfaces, and can also be transmitted by hand at any time, which is closely related to hospital infection.
3.7 hand disinfectant
Disinfectants used for disinfection of hand boards to reduce bacteria on hand boards, such as ethanol, isopropanol, chlorhexidine and iodophor.
3.7. 1 quick hand-drying disinfectant alcohol wipes hands
Hand disinfectants containing alcohol and skin care ingredients include aqua, gel and foam.
3.8 Hand hygiene facilities
Hand washing and hand disinfection facilities, including sink, faucet, tap water, detergent, hand dryer, hand disinfectant, etc.
4 management and basic requirements of hand hygiene
4. 1 Medical institutions should formulate and implement hand hygiene management systems and equip them with effective and convenient hand hygiene facilities.
4.2 Medical institutions should regularly conduct hand hygiene training for all staff, and medical staff should master hand hygiene knowledge and correct hand hygiene methods to ensure the effect of hand washing and hand disinfection.
WS/T3 13-2009
4.3 Medical institutions should strengthen the guidance and supervision on the work of medical staff, and improve the compliance of hand hygiene of medical staff.
4.4 Hand disinfection effect shall meet the following requirements:
A) disinfect the virus by hand, and the total number of colonies monitored should be ≤ 10cfu/㎝2.
B) The operating hands should be disinfected, and the total number of colonies monitored should be ≤5cfu/㎝2.
5 hand hygiene facilities
5. 1 hand washing and hand disinfection facilities
5. 1. 1 Set running water hand washing facilities.
5. 1.2 key departments such as operating room, delivery room, catheter room, laminar flow clean ward, bone marrow transplant ward, organ transplant ward, intensive care unit, newborn room, maternal and infant room, hemodialysis ward, burn ward, infection department, stomatology department, disinfection supply center, etc. Non-contact faucets shall be provided. Conditional medical institutions should be equipped with non-touch faucets in the diagnosis and treatment area.
5. 1.3 should be equipped with cleaning agent. Soap should be kept clean and dry. Containers for liquid should be disposable, and reusable containers should be cleaned and disinfected every week. When the liquid is turbid or discolored, it should be replaced in time, and the container should be cleaned and disinfected.
5. 1.4 provide dry goods or facilities to avoid secondary pollution.
5. 1.5 Qualified quick-drying hand disinfectant shall be provided.
5. 1.6 hand hygiene facilities should be set up for the convenience of medical personnel.
5. 1.7 hand sanitizer shall meet the following requirements:
A) It shall comply with relevant national regulations.
B) Disposable packaging should be used.
C) The medical staff should have good acceptability to the hand disinfectant selected, and the hand disinfectant has no peculiar smell, no * * *, etc.
5.2 Surgical hand disinfection facilities
5.2. 1 should be equipped with a sink. The wash basin is set near the operating room, and the size and height of the basin are appropriate to prevent the hand washing water from splashing out, and the surface of the basin should be smooth without dead angles, which is convenient for cleaning. The sink should be cleaned and disinfected every day.
5.2.2 The number of sinks and faucets should be set according to the number of operating rooms, and the number of faucets should be no less than that of operating rooms, and the faucet switch should be non-touch.
5.2.3 Cleaning agents shall be provided and meet the requirements of 5. 1.3.
five ......
Under what circumstances should medical staff wash their hands first, and then carry out hand hygiene disinfection?
1. Wash your hands with soap and water when there is obvious protein, blood or other body fluids pollution, and it is strongly suspected or proved that your hands are exposed to spores of microorganisms or defecation. 2, if there is no visible pollution, after clinical operation, use quick-drying hand disinfectant for routine hand disinfection. You can also wash your hands with soap and water. 3. Wash your hands with ordinary or antibacterial soap and water or wipe your hands with quick-drying hand disinfectant before handling drugs or preparing food. 4. When using the quick-drying hand disinfectant, do not use antibacterial soap at the same time. 5, direct contact with patients before and after. 6. After taking off gloves. 7, whether wearing gloves or not, before aggressive operation. 8. Contact with body fluids or excreta, mucous membranes, incomplete panels or wound dressings. 9, nursing patients from contaminated parts to clean parts. 10, after touching objects (including medical devices) close to patients.