Hi guys this is Tammy and NurseMinder has been requested to do a video on hand
hygiene. I guess this you know outbreak of
coronavirus has everybody wondering just what's the right way to wash your hands.
So here I am in my bathroom, I've got my studio ready to go and I'm going to show
you how to wash your hands and I'll give you the four moments of hand hygiene, the
times when you should definitely be washing your hands so that you're not
thinking "oh my god I just touched that door handle do I need to wash my hands?"
or "oh my god I just went into my car do I need to wash my hands?" So we're gonna
answer those questions for you today as well. Welcome back my name is Tammy and
this is NurseMinder and on this channel we do everything nursing so if you're
new here consider subscribing below so that you get the next video when it's
released. Hey guys we have been requested to do a video on hand hygiene and I
thought this is probably the best time to do it with the coronavirus making its
way into Alberta and people are curious 20 seconds - one minute - what do I do?
So if you're in health care first of all I want to talk to you about the four
moments of hand hygiene - if you are not in health care and you're watching this -
these moments are still the same for you - it's just a different language. So let's
just look at those four moments, it doesn't sound like a lot but in fact it pretty
much is all the time. So first of all -the four moments of hand hygiene. The first
one in health care, or maybe not health care depending on what you do for a
living, before you put on your gloves. You guessed it - hand hygiene!
After you take off your gloves. oh I'm missing the word after here, we're also
going to do hand hygiene afterwards - makes it simple right. Before and after,
pretty easy. Now before we come into contact with our patients in the
hospital, if you're in the community, before you come into contact with a
friend, a neighbor, you're going for coffee, wash your hands - so simple. And you
guessed it - after you've left that patient, that
person, their room, their house, after the environment - wash your hands. Before and
after we're washing our hands. It's a lot of times right? Okay now when you are
exposed to bodily fluids; maybe you're carrying for somebody and they have just
vomited, or you're in the hospital and you're more likely to come into contact
with blood, urine, feces - those kind of things. I mean let's face it, shit
happens right? Pun intended. Now you think I'm gonna check mark here
before exposure fluids this often happens without us knowing it but if we
have done it before we put a pair of gloves on; if we have washed our hands before we
came into the room we're already covered for them before so that's more critical
here now is after you are exposed you wanna wash your hands. Absolutely with
water and soap. I don't imagine anybody out there thinking I'm not watching my hands
I want to keep this feces forever! No. Okay so that's pretty much a no-brainer right.
You don't want that stuff on your hands. And then in hospital, and maybe even at
home you're caring for a loved one and you have to do a dressing change, a lot of
people go home and they're doing their own catheter care. We want to make sure we are
washing our hands before an aseptic procedure. So we don't want to introduce
any more microorganisms into the body. We want to actually protect and use our natural
defenses. So washing your hands will help minimize the risk of microbes entering
the body when they shouldn't and guess what - after as well. It's pretty much wash
your hands, wash your hands, wash your hands. Okay. I'm going to show you next the
process that you can use and the timelines that we're looking for - for
washing hands. First thing we need to do is remove our watch because we're going
to want to access our wrists in part of the hand hygiene
protocol. turning on the tap and getting a safe temperature for your hands then
allow yourself to take one or two pumps of soap. Now the target time line we're
looking for here is a minimum of 20 seconds. Anything less than that and the research
shows that you will still have fairly contaminated hands. Starting with the
wrists and getting a nice lather we're going to move our way down the hands and
we're going to put some nice friction in there to help agitate and remove any microbes.
You want to focus on the web spaces between each finger and then you
want to also watch each individual finger separately. Now when it comes to
the nail bed, we can do no extra work there and rub them into the palm of our
hands using some friction to remove more of the microbes. You can also clean
underneath your nail beds at this time. Rinsing from the wrist down towards the
fingers, you want to then remove all of the soap from our hands before we pat
dry them with a clean paper towel. Now of note, if you fold your paper towel
in two, it is more absorbent than if you use a single ply. Once our fingers and
and hands are patted dry, we will then discard our used paper towel, grab a new
one to turn off the tap, and voila your hands are clean! There you have it. 20
seconds is all you need. If you're going to use the hand sanitizer, the pump
absolutely fine just make sure using one or two pumps again and rub that all into
your hands and let it air dry don't let it come off. Until next time guys make it
a safe and great day! :). BLOOPERes and give you some reasons and tips and give you the hand
hygiene moments when we should be brushing ...blablablabla