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What are the 4 objectives of hand washing?
- To reduce the number of microorganisms on the hands
- To reduce the risk of transmission of microorganisms to clients
- To reduce the risk of cross contamination among clients
- To reduce the risk of transmission of infectious organisms to oneself
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What equipments are needed?
- Soap
- Tap or lukewarm running water
- Paper towel or single use cloth/towel
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Why do you need to use clean, dry paper towel to turn off the hand faucet?
To save time and effort
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Why do you need to remove jewelries?
- Provide complete access to fingers, hands, and wrists
- Microorganisms can lodge in the setting of jewelry.
- Removal facilitates proper cleaning of the hands and arms (if needed)
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Why do you need to ensure that nails are kept short?
- Short, natural nails are less likely to harbor microorganisms,
- scratch a client, or
- puncture gloves
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Why do you need to check hands for breaks in the skin or cuts and if heavily soiled?
- Open cuts or wounds can harbor high concentration of microorganisms. A nurse who has open sores may have to change work assignment or wear gloves to avoid contact with infectious materials.
- A heavily soiled hand requires longer hand washing.
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Why do you need to keep hands and uniform away from sink surface?
- Inside of sink is a contaminated area.
- Reaching over sink increases risk of touching the edge, which is contaminated.
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What are the 5 types of fauce controls?
- Hand-operated handles.
- Knee levers.
- Foot pedals.
- Elbow controls.
- Infrared controls.
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Why is it needed to be a running water?
Running water rinses dirt and microorganisms away into the sink.
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Why do you need to regulate the flow of water so that it is warm?
- Warm water removes less of the protective oil of the skin.
- Cold water does not facilitate suds in cleaning.
- Hot water is damaging to the skin.
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Why do you need to avoid splashing of water against uniform?
- Water splashed from the contaminated sink will contaminate clothing.
- Microorganisms travel and grow in moisture.
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Why do you need to wet the hands and wrist area thoroughly?
Wetting the hands thoroughly before applying soap facilitate removal of pathogen.
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Why do you need to hold the hands and wrists lower than the elbow under running water so that the water flows from the wrist to the fingertips?
The water should flow from the least contaminated to the most contaminated area; the hands are most contaminated than the lower arm.
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Why do you need to apply soap to the hands?
Soap cleanses by emulsifying fat and oil and lowering surface tension.
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Why do you need to rinse the bar soap before returning it to the dish?
Rinsing the bar soap removes microorganisms.
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Why do you need to do each steps for 15-30seconds?
Length of time for hand wasing is determined by degree of contamination
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Why do you need to friction for at least 5x?
Friction and rubbing mechanically loosen and removes dirt and transient bacteria
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Why do you need to interlaced the fingers?
Interlacing the fingers and thumb cleans the interdigital spaces and ensures that all surfaces are cleaned
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Why do you need to do rotational rubbing or circular action?
- Rotational or circular action helps remove microorganisms mechanically.
- The nails and fingertips are commonly missed during hand hygiene.
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Why do you need to rinse hands and wrist under running water?
Rinsing the hands under running water mechanically washes away dirt and microorganism.
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Why do you need to keep hands lower than the elbow during rinsing?
The water should flow from the least contaminated to the most contaminated area.
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Why do you need to dry the hands from fingers to wrist and forearms (if applicable)?
Drying from cleanest (fingertips) to least clean area (forearms) avoids contamination.
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Why do you need to dry hands throughly without rubbing the paper towel or cloth?
Moist skin becomes chapped readily as it dry skin that is rubbed vigorously; chapping produces lesions.
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Why do you need to discard paper towel in proper receptacles?
Prevent transfer of microorganisms
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Why do you need to dry one hand thoroughly using other end of towel and dry the other hand and arm with other half of the towel?
Clean, dry towel prevents the transfer of microorganism from one hand to the other
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Why do you need to use clean, dry paper towel to turn off the hand faucet?
Placing a barrier between the fingers and the hand controlled faucet prevents the transmission of microorganisms to the clean hands.
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