Hygiène des mains: Manuel technique de référence
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A l’attention des professionnels soignants, des formateurs et des observateurs des pratiques d’hygiène des mains
Hand Hygiene Technical Reference Manual
To be used by health-care workers, trainers and observers of hand hygiene practices
manuel Jan 2010 ; 40 pages
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Ed. WHO - Genève ; Isbn: 978 92 4 259860 5
Téléchargeable sous format: PdF
(2 110 ko)
PdF (840 ko)
Téléchargeable chez l'éditeur
Résumé:
Outil à l'appui de la formation et l'éducation Abstract:
A manual to train health-care workers on practising, teaching and observing hand hygiene. Contenidos:
DEFINITION OF TERMS 4
PART I – HEALTH CARE-ASSOCIATED INFECTION AND HAND HYGIENE 6
I.1 What is a health care-associated infection and what is its impact on patient safety? 6
I.2 What is the role of hands in germ transmission? 6
I.3 What role does hand hygiene play in the prevention of health care-associated infections? 6
I.4 How to practise hand hygiene? 6
I.5 When to perform hand hygiene? 7
I.5.1 The concept of “My five moments for hand hygiene” 8
PART II – PRACTISING, TEACHING AND OBSERVING HAND HYGIENE 9
II.1 Applying the “My five moments for hand hygiene” in practice 9
II.1.1 The patient zone 9
II.1.2 The health-care area 9
II.1.3 Contact with a patient and with his/her surroundings 10
II.2 The health-care professionals concerned by hand hygiene 10
II.3 Health-care activities and indications 10
II.4 Hand hygiene indications and hand hygiene actions 10
II.5 Understanding more about applying the five moments 11
II.5.1 Indication (moment) 1: Before touching a patient 11
II.5.2 Indication (moment) 2: Before clean/aseptic procedure 12
II.5.3 Indication (moment) 3: After body fluid exposure risk 13
II.5.4 Indication (moment) 4: After touching a patient 13
II.5.5 Indication (moment) 5: After touching patient surroundings 14
II.5.6 Understanding the five moments within the care sequence 15
II.6 Indications for hand hygiene when medical gloves are required 16
PART III – OBSERVING HAND HYGIENE PRACTICES 17
III.1 The purpose of observation 17
III.2 Direct observation of hand hygiene practices 17
III.3 The rules of observation 17
III.4 The observer and his/her role 17
III.5 The opportunities for hand hygiene 18
III.6 Hand hygiene action seen by the observer 18
III.7 Reporting hand hygiene compliance 19
III.8 Observation methodology 19
III.8.1 The observation form 21
III.8.2 The basic calculation form 23
PART IV – OTHER ASPECTS OF HAND HYGIENE 26
IV.1 Hand safety 26
IV.2 Hand skin care 26
PART V - SELECTED REFERENCE LIST 27
APPENDIX - THE OBSERVATION AND CALCULATION FORMS 28
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WHO
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World Health Organization - Genève - Suisse |
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