I. Terminology and definitions
1, hand hygiene: the general term for hand washing, sanitary hand disinfection and surgical hand disinfection in the process of medical personnel engaging in professional activities.
2. Hand-washing: the process of medical staff washing their hands with tap water and hand sanitizer (soap) to remove dirt, debris and some microorganisms from the skin.
3. Sanitary hand disinfection: the process of medical staff rubbing their hands with hand disinfectant to reduce temporary bacteria in their hands.
4. Disinfection of operating hands: Before the operation, medical staff should wash their hands and forearms to forearm 1/3 with tap water and hand sanitizer, and then use hand disinfectant to remove or kill 1/3 temporary bacteria and reduce permanent bacteria.
Second, hand washing and hand disinfection facilities
1, medical institutions should set up running water hand washing and sanitary hand disinfection facilities that match the diagnosis and treatment work for the convenience of medical personnel.
2, operating room (room), delivery room, catheter room, clean laminar flow ward, bone marrow transplant ward, organ transplant ward, neonatal room, maternal and child room, hemodialysis center (room), burn ward, infectious diseases department, stomatology, disinfection supply center, laboratory, endoscopy center (room) and other high-risk infection departments and treatment rooms, dressing rooms, injection rooms should be equipped with non-touch.
3 conditional medical institutions should be equipped with non-touch faucets in the diagnosis and treatment area.
4, should be equipped with hand sanitizer (soap) and dry hand supplies or facilities.
Indications for hand washing and hand disinfection
1, medical personnel should wash their hands and/or use hand disinfectant for hand disinfection under the following circumstances:
(1) Before touching the patient.
(2) Before cleaning and aseptic operation, including before invasive operation.
(3) After contact with the patient's body fluids, it includes contact with the patient's mucosa, damaged skin or wound, blood, body fluids, secretions, excreta, wound dressing, etc.
(4) After contact with patients.
(5) After contact with the surrounding environment of the patient, including contact with the surface of medical-related instruments, appliances and other objects around the patient.
2. Wash your hands:
(1) When blood or other body fluids are visible on the hands.
(2) It may come into contact with pathogenic microorganisms such as Clostridium difficile and enterovirus which are not sensitive to quick-drying hand disinfectants.