![]() The actions that correspond to these indications protect HCW and the healthcare environment and ultimately other patients. The after indications are present when there is a risk of microbial transmission to the HCW, and/or to the HCW environment or other person present.The before indications are present when there is a risk of microbial transmission to the patient the actions that correspond to these indications protect the patient.It is during the interval between two contacts that the moments (indication or indications) for hand hygiene occur.Depending on the order in which these contacts occur, pathogen transmission from one source to the must be interrupted, as contact is a potential source of contamination. ![]() Health-care activity is made up of a succession of tasks during which health-care workers hands touch different types of surfaces (patient, objects, body fluids, etc.).Its all about theory of prevention of transmission The Inanimate Environment Can Facilitate Transmission Xrepresents VRE culture positive sites ~ Contaminated surfaces increase cross-transmission ~ Abstract: The Risk of Hand and Glove Contamination after Contact with a VRE (+) Patient Environment. The OR/Procedural “Patient zone” Environmental Transmission Patient zones exist in EDs, PACCU, Clinics. You should wear gloves only when indicated for use, otherwise they become a major risk for germ transmission.WHO 5 moments include to sanitize your hands before and after removal of gloves, regardless of movement within the 5 moments.The use of gloves does not replace the need for sanitizing your hands.Regardless of whether gloves are used or not!.The immediate area surrounding the patient in the operative/procedural room (not the entire OR suite).The immediate area surrounding the patient in a open unit ( PACU or ED).Half of a semi private room that is dedicated to the patient.Indications for hand hygiene depend on the health care works movements between geographical areas (the care environment and the patient surroundings) called the “patient zone”:.Endorsed as “Best Practice” measurement by APIC Indiana Board of Directors 2013, and the Indianapolis Pt Safety Coalition Perioperative Committee 2012.WHO’s intended use is toreducethe number of times when hand hygiene occurs to the minimum for maximum patient safety.WHO’s decision also included that the caregiver “memorize” and assimilate these 5 moments into the dynamics of healthcare activities.WHO’s decision to address hand hygiene by focusing on 5 moments was intended to make it easier to understand when there is a risk of pathogen transmission via the hands.Provide examples for the WHO 5 moments of measurement consistent with the APIC toolkit for use.Define the “patient zone” and what is the difference between an indication, an opportunity, and a moment for hand hygiene.Describe the underlying theory of the WHO 5 moments for hand hygiene and how that relates to the before and after indications for opportunities.Identify how the WHO 5 moments for measurement relates to the indication for hand hygiene contained in the WHO Guidelines.Spivey MSN, RN, CNOR, CIC Infection Preventionist Understanding the WHO 5 Moments for Hand Hygiene Jennifer K. ![]()
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