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Resources",[806],{"type":537,"attrs":807},{"href":808,"uuid":53,"anchor":53,"custom":809,"target":627,"linktype":628},"https://healthstandards.org/leading-practices/?leading-practices-title=hand+hygiene",{},{"type":528,"content":811},[812],{"type":15,"attrs":813,"content":814},{"textAlign":53},[815],{"text":816,"type":299,"marks":817},"SAVE LIVES – clean your hands campaign",[818],{"type":537,"attrs":819},{"href":820,"uuid":53,"anchor":53,"custom":53,"target":627,"linktype":628},"https://www.who.int/campaigns/world-hand-hygiene-day","simple-richtext","wysiwyg-program",{"id":540,"_uid":824,"content":825,"component":822},"4e0953fb-a445-4ad4-a064-24c1c26ebf1f",[826],{"_uid":827,"content":828,"component":821},"aa1ed6e0-23d2-42f9-823b-d4fefdb9a239",{"type":12,"content":829},[830,834,839,849,857,865,874,883,888,897,912,925,947],{"type":511,"attrs":831,"content":832},{"level":513,"textAlign":53},[833],{"text":534,"type":299},{"type":511,"attrs":835,"content":836},{"level":520,"textAlign":53},[837],{"text":838,"type":299},"Hand hygiene, a very simple action, remains the primary means to reduce the spread of infections.",{"type":15,"attrs":840,"content":841},{"textAlign":53},[842,844],{"text":843,"type":299},"Healthcare-associated infections, or infections acquired in health-care settings are the most frequent adverse event in healthcare delivery worldwide.",{"text":845,"type":299,"marks":846},"1",[847],{"type":848},"superscript",{"type":15,"attrs":850,"content":851},{"textAlign":53},[852,854],{"text":853,"type":299},"Hundreds of millions of patients are affected by healthcare-associated infections worldwide each year, leading to significant mortality and financial losses for health systems.",{"text":845,"type":299,"marks":855},[856],{"type":848},{"type":15,"attrs":858,"content":859},{"textAlign":53},[860,862],{"text":861,"type":299},"Of every 100 hospitalized patients at any given time, 7 in developed and 10 in developing countries will acquire at least one health care-associated infection.",{"text":845,"type":299,"marks":863},[864],{"type":848},{"type":15,"attrs":866,"content":867},{"textAlign":53},[868,870],{"text":869,"type":299},"Infection prevention and control measures, such as appropriate hand hygiene and the correct application of basic precautions during invasive procedures, can reduce HCAI by at least 50%.",{"text":871,"type":299,"marks":872},"2",[873],{"type":848},{"type":15,"attrs":875,"content":876},{"textAlign":53},[877,879],{"text":878,"type":299},"Compliance by healthcare workers with optimal hand hygiene in different health-care facilities has been shown to be to be less than 40%.",{"text":880,"type":299,"marks":881},"2, 3",[882],{"type":848},{"type":15,"attrs":884,"content":885},{"textAlign":53},[886],{"text":887,"type":299},"The World Health Organization (WHO) recommends using an alcohol-based hand rub for routine antisepsis in most clinical situations where hands are not visibly soiled.",{"type":15,"attrs":889,"content":890},{"textAlign":53},[891,893],{"text":892,"type":299},"Proper hand hygiene, when demonstrated by leaders, has been shown to positively influence the compliance of others by up to 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Healthcare-Associated Infections Fact Sheet. Retrieved July 10, 2019. \u003C",{"text":906,"type":299,"marks":907},"https://www.who.int",[908],{"type":537,"attrs":909},{"href":906,"uuid":53,"anchor":53,"custom":53,"target":627,"linktype":628},{"text":911,"type":299},">.",{"type":15,"attrs":913,"content":914},{"textAlign":53},[915,918,920,924],{"text":871,"type":299,"marks":916},[917],{"type":848},{"text":919,"type":299},"World Health Organization (WHO). n.d. Slides for Education Sessions for Trainers, Observers and Health-care Workers (revised 2009). Retrieved March 17, 2020. \u003C",{"text":906,"type":299,"marks":921},[922],{"type":537,"attrs":923},{"href":906,"uuid":53,"anchor":53,"custom":53,"target":627,"linktype":628},{"text":911,"type":299},{"type":15,"attrs":926,"content":927},{"textAlign":53},[928,932,934,939,941,945],{"text":929,"type":299,"marks":930},"3",[931],{"type":848},{"text":933,"type":299},"Gautham, S., & Cahill, J., \"",{"text":935,"type":299,"marks":936},"National Patient Safety Goals. How 'User Friendly' is the Hospital for Practicing Hand Hygiene",[937],{"type":938},"italic",{"text":940,"type":299},"?:",{"text":942,"type":299,"marks":943},"An Ergonomic Evaluation.",[944],{"type":938},{"text":946,"type":299},"\" The Joint Commission Journal on Quality and Patient Safety. 2004; 33 (3).",{"type":15,"attrs":948,"content":949},{"textAlign":53},[950,953,955,959],{"text":894,"type":299,"marks":951},[952],{"type":848},{"text":954,"type":299},"Roth, V. \"",{"text":956,"type":299,"marks":957},"Hands that harm, hands that heal",[958],{"type":938},{"text":960,"type":299},"\". 2006; Power point presentation, slide 33",{"id":557,"_uid":962,"content":963,"component":822},"f3cdcdcf-c0d6-474c-aaf5-0116b5e7d798",[964],{"_uid":965,"content":966,"component":821},"c4fd50cc-e9e6-45d5-962b-8c938f258770",{"type":12,"content":967},[968,973,978,1007,1037,1042,1065],{"type":511,"attrs":969,"content":970},{"level":513,"textAlign":53},[971],{"text":972,"type":299},"If healthcare provider hands could talk",{"type":15,"attrs":974,"content":975},{"textAlign":53},[976],{"text":977,"type":299},"If healthcare provider hands could talk, they would tell you that:",{"type":979,"attrs":980,"content":982},"ordered_list",{"order":981},1,[983,990,997],{"type":528,"content":984},[985],{"type":15,"attrs":986,"content":987},{"textAlign":53},[988],{"text":989,"type":299},"They can offer hope, healing, and comfort",{"type":528,"content":991},[992],{"type":15,"attrs":993,"content":994},{"textAlign":53},[995],{"text":996,"type":299},"Then can create, protect, and defend",{"type":528,"content":998},[999],{"type":15,"attrs":1000,"content":1001},{"textAlign":53},[1002,1004],{"text":1003,"type":299},"They can also be the route of transmission for pathogens.",{"text":845,"type":299,"marks":1005},[1006],{"type":848},{"type":525,"content":1008},[1009,1016,1023,1030],{"type":528,"content":1010},[1011],{"type":15,"attrs":1012,"content":1013},{"textAlign":53},[1014],{"text":1015,"type":299},"80% of hospital staff who dressed wounds infected with Methicillin-resistant Staphylococcus aureus (MRSA) carried the organism on their hands for up to three hours!",{"type":528,"content":1017},[1018],{"type":15,"attrs":1019,"content":1020},{"textAlign":53},[1021],{"text":1022,"type":299},"60% of hospital staff, within 1/2 hour of contact with patients with Clostridium difficile infection, were contaminated without even having touched the patient, from merely returning drug charts to the ends of beds!",{"type":528,"content":1024},[1025],{"type":15,"attrs":1026,"content":1027},{"textAlign":53},[1028],{"text":1029,"type":299},"In an ICU study, 40% of all patient-nurse interactions resulted in the same species of Klebsiella pneumoniae transmission to healthcare workers' hands, lasting up to 150 minutes, even with contact as slight as touching a patient's shoulder!",{"type":528,"content":1031},[1032],{"type":15,"attrs":1033,"content":1034},{"textAlign":53},[1035],{"text":1036,"type":299},"Meanwhile, washing with soap and water virtually eradicated these organisms!",{"type":511,"attrs":1038,"content":1039},{"level":520,"textAlign":53},[1040],{"text":1041,"type":299},"With your help, they can also make a difference by:",{"type":525,"content":1043},[1044,1051,1058],{"type":528,"content":1045},[1046],{"type":15,"attrs":1047,"content":1048},{"textAlign":53},[1049],{"text":1050,"type":299},"Building hand hygiene into simple routines, such as when you use aseptic techniques when starting IVs or inserting catheters",{"type":528,"content":1052},[1053],{"type":15,"attrs":1054,"content":1055},{"textAlign":53},[1056],{"text":1057,"type":299},"Practicing spontaneous, automatic hand hygiene activities when entering and leaving the clinical setting",{"type":528,"content":1059},[1060],{"type":15,"attrs":1061,"content":1062},{"textAlign":53},[1063],{"text":1064,"type":299},"Modelling optimal hand hygiene activities to peers and in the home to your family members",{"type":15,"attrs":1066,"content":1067},{"textAlign":53},[1068,1072],{"text":1069,"type":299,"marks":1070},"1 ",[1071],{"type":848},{"text":1073,"type":299},"Stone, S.P. J of the Royal Soc. Medicine. 2001; 94(6): 278-281. Reprinted by Mitka, M. in the Journal of the American Medical Association November 3, 2009. 302(17).",{"id":570,"_uid":1075,"content":1076,"component":822},"4097b6fc-8468-41d4-8243-19eb6660b7f4",[1077],{"_uid":1078,"content":1079,"component":821},"3838158d-61fd-4593-af64-e280954f28b6",{"type":12,"content":1080},[1081,1085,1090,1119,1124,1129,1160,1165,1174,1179,1232,1234],{"type":511,"attrs":1082,"content":1083},{"level":513,"textAlign":53},[1084],{"text":566,"type":299},{"type":511,"attrs":1086,"content":1087},{"level":520,"textAlign":53},[1088],{"text":1089,"type":299},"Why?",{"type":525,"content":1091},[1092,1102,1112],{"type":528,"content":1093},[1094],{"type":15,"attrs":1095,"content":1096},{"textAlign":53},[1097,1099],{"text":1098,"type":299},"Healthcare-associated infections, or infections acquired in healthcare settings, are the most frequent adverse event in healthcare delivery worldwide.",{"text":845,"type":299,"marks":1100},[1101],{"type":848},{"type":528,"content":1103},[1104],{"type":15,"attrs":1105,"content":1106},{"textAlign":53},[1107,1109],{"text":1108,"type":299},"Hands are the most common means of microbial spread in healthcare.",{"text":871,"type":299,"marks":1110},[1111],{"type":848},{"type":528,"content":1113},[1114],{"type":15,"attrs":1115,"content":1116},{"textAlign":53},[1117],{"text":1118,"type":299},"Optimal hand hygiene is one of the most effective measures to reduce the occurrence of healthcare-associated infections (HAIs).",{"type":511,"attrs":1120,"content":1121},{"level":520,"textAlign":53},[1122],{"text":1123,"type":299},"When?",{"type":15,"attrs":1125,"content":1126},{"textAlign":53},[1127],{"text":1128,"type":299},"There are some key moments for hand hygiene:",{"type":979,"attrs":1130,"content":1131},{"order":981},[1132,1139,1146,1153],{"type":528,"content":1133},[1134],{"type":15,"attrs":1135,"content":1136},{"textAlign":53},[1137],{"text":1138,"type":299},"Before patient/patient environment contact",{"type":528,"content":1140},[1141],{"type":15,"attrs":1142,"content":1143},{"textAlign":53},[1144],{"text":1145,"type":299},"Before aseptic procedure",{"type":528,"content":1147},[1148],{"type":15,"attrs":1149,"content":1150},{"textAlign":53},[1151],{"text":1152,"type":299},"After body fluid exposure risk",{"type":528,"content":1154},[1155],{"type":15,"attrs":1156,"content":1157},{"textAlign":53},[1158],{"text":1159,"type":299},"After patient/patient environment contact",{"type":511,"attrs":1161,"content":1162},{"level":520,"textAlign":53},[1163],{"text":1164,"type":299},"Where?",{"type":525,"content":1166},[1167],{"type":528,"content":1168},[1169],{"type":15,"attrs":1170,"content":1171},{"textAlign":53},[1172],{"text":1173,"type":299},"The World Health Organization (WHO) recommends that hand hygiene should be performed at the point of care.",{"type":511,"attrs":1175,"content":1176},{"level":520,"textAlign":53},[1177],{"text":1178,"type":299},"How?",{"type":525,"content":1180},[1181,1188,1198,1208,1218,1225],{"type":528,"content":1182},[1183],{"type":15,"attrs":1184,"content":1185},{"textAlign":53},[1186],{"text":1187,"type":299},"Clean your hands by rubbing them with an alcohol-based formulation when available.",{"type":528,"content":1189},[1190],{"type":15,"attrs":1191,"content":1192},{"textAlign":53},[1193,1195],{"text":1194,"type":299},"Alcohol-based hand rubs are faster, more effective, and better tolerated by your hands than washing with soap and water.",{"text":871,"type":299,"marks":1196},[1197],{"type":848},{"type":528,"content":1199},[1200],{"type":15,"attrs":1201,"content":1202},{"textAlign":53},[1203,1205],{"text":1204,"type":299},"Wash your hands with soap and water only when hands are visibly soiled and whenever an alcohol-based formulation if not available.",{"text":871,"type":299,"marks":1206},[1207],{"type":848},{"type":528,"content":1209},[1210],{"type":15,"attrs":1211,"content":1212},{"textAlign":53},[1213,1215],{"text":1214,"type":299},"Washing hands with soap and water immediately before or after using an alcohol-based hand rub is not recommended as this may predispose the individual to developing contact dermatitis.",{"text":871,"type":299,"marks":1216},[1217],{"type":848},{"type":528,"content":1219},[1220],{"type":15,"attrs":1221,"content":1222},{"textAlign":53},[1223],{"text":1224,"type":299},"If isolation precautions are in place, always adhere to the hand hygiene directions appropriate to those precautions. Never default to hand rubs where isolation precautions are in place unless the precautions specify that this is acceptable.",{"type":528,"content":1226},[1227],{"type":15,"attrs":1228,"content":1229},{"textAlign":53},[1230],{"text":1231,"type":299},"The act of thorough and vigorous drying is an important measure that helps to eliminate pathogens from your hands.",{"type":511,"attrs":1233},{"level":520,"textAlign":53},{"type":15,"attrs":1235,"content":1236},{"textAlign":53},[1237,1240,1242,1244,1248,1255],{"text":1069,"type":299,"marks":1238},[1239],{"type":848},{"text":1241,"type":299},"World Health Organization (WHO). n.d. Healthcare-Associated Infections Fact Sheet. Retrieved March 20, 2020.",{"type":1243},"hard_break",{"text":1245,"type":299,"marks":1246},"2 ",[1247],{"type":848},{"text":1249,"type":299,"marks":1250},"WHO Guidelines on Hand Hygiene in Health Care ",[1251],{"type":537,"attrs":1252},{"href":1253,"uuid":53,"anchor":53,"custom":1254,"target":627,"linktype":628},"https://www.who.int/publications/i/item/9789241597906",{},{"text":1256,"type":299},"(Updated 2009)",{"id":583,"_uid":1258,"content":1259,"component":822},"cb8e39a4-1e9c-400e-9beb-0c50e933da33",[1260],{"_uid":1261,"content":1262,"component":821},"882fb59e-e8c7-4b4b-b105-1497e440dee6",{"type":12,"content":1263},[1264,1268,1331],{"type":511,"attrs":1265,"content":1266},{"level":513,"textAlign":53},[1267],{"text":579,"type":299},{"type":525,"content":1269},[1270,1277,1284,1310,1317,1324],{"type":528,"content":1271},[1272],{"type":15,"attrs":1273,"content":1274},{"textAlign":53},[1275],{"text":1276,"type":299},"Avoid using hot water to rinse your hands.",{"type":528,"content":1278},[1279],{"type":15,"attrs":1280,"content":1281},{"textAlign":53},[1282],{"text":1283,"type":299},"After hand washing or hand rubbing, let your hands dry completely before putting on gloves.",{"type":528,"content":1285},[1286,1291],{"type":15,"attrs":1287,"content":1288},{"textAlign":53},[1289],{"text":1290,"type":299},"Take care of your hands!",{"type":525,"content":1292},[1293,1300],{"type":528,"content":1294},[1295],{"type":15,"attrs":1296,"content":1297},{"textAlign":53},[1298],{"text":1299,"type":299},"Protective hand lotions and creams should be used at least daily to reduce irritant contact dermatitis.",{"type":528,"content":1301},[1302],{"type":15,"attrs":1303,"content":1304},{"textAlign":53},[1305,1307],{"text":1306,"type":299},"Studies have shown that using hand cream improves the health of hands and has no negative impact on hand hygiene.",{"text":845,"type":299,"marks":1308},[1309],{"type":848},{"type":528,"content":1311},[1312],{"type":15,"attrs":1313,"content":1314},{"textAlign":53},[1315],{"text":1316,"type":299},"Staff prone to allergies or adverse reactions should use alternative products.",{"type":528,"content":1318},[1319],{"type":15,"attrs":1320,"content":1321},{"textAlign":53},[1322],{"text":1323,"type":299},"Do not wear artificial fingernails or extenders in the healthcare setting, particularly when in direct contact with patients.",{"type":528,"content":1325},[1326],{"type":15,"attrs":1327,"content":1328},{"textAlign":53},[1329],{"text":1330,"type":299},"Keep natural nails short (0.5 cm).",{"type":15,"attrs":1332,"content":1333},{"textAlign":53},[1334,1337],{"text":1069,"type":299,"marks":1335},[1336],{"type":848},{"text":1338,"type":299},"WHO guidelines on hand hygiene in health care (Updated 2009 Version).",{"id":596,"_uid":1340,"image":1341,"items":1343,"title":1445,"component":1446,"description":1447},"c0b4bb95-7dcf-428e-8048-9f26f3f0cece",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":1342},{},[1344,1383,1418],{"_uid":1345,"title":1346,"content":1347,"component":1382},"8663b043-06bd-44bd-809c-89da115a199c","What is a healthcare-associated infection?  ",{"type":12,"content":1348},[1349],{"type":525,"content":1350},[1351,1358,1365,1372],{"type":528,"content":1352},[1353],{"type":15,"attrs":1354,"content":1355},{"textAlign":53},[1356],{"text":1357,"type":299},"An infection that develops in hospital by a patient who was admitted for a reason other than that infection.",{"type":528,"content":1359},[1360],{"type":15,"attrs":1361,"content":1362},{"textAlign":53},[1363],{"text":1364,"type":299},"The infection was not present or incubating at the time of the admission",{"type":528,"content":1366},[1367],{"type":15,"attrs":1368,"content":1369},{"textAlign":53},[1370],{"text":1371,"type":299},"This includes infections that develop in the hospital but appear after the person is discharged",{"type":528,"content":1373},[1374],{"type":15,"attrs":1375,"content":1376},{"textAlign":53},[1377,1379],{"text":1378,"type":299},"This also includes occupational infections among staff who work at the facility.",{"text":845,"type":299,"marks":1380},[1381],{"type":848},"accordion-item",{"_uid":1384,"title":1385,"content":1386,"component":1382},"f5477ad1-3234-4c32-883e-6a08adbcf1d2","How can I help to protect myself or my loved one against developing a healthcare-associated infection?  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What stages of change does an individual go through on their cultural competency journey? And what can the organization implement to support their clients, leaders, managers and employees? 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