00:04
Now let's talk about the skill
hand hygiene with soap and water.
00:08
Now, you may think, okay.
00:10
Okay, well we're going to
use soap and water, right.
00:12
But there is different
forms of hand hygiene.
00:15
So let's talk about this one.
00:17
Soap and water is really important when
your hands are really visibly soiled.
00:21
Also, there are some certain
superbugs, we like to call them
that after you're leaving that room,
you definitely have to use soap and water,
not just that hand sanitizer,
you may see in the hospital.
00:33
Now, what are you going to need?
So mild soap is ideal.
00:37
Also warm running water.
00:39
We also want paper towels
or something like that,
that we can dispose
of after we're done.
00:45
Now, it's a good idea
to remove jewelry.
00:47
So this can be a little scary,
so just keep that in mind.
00:51
Sometimes I'll tell you as a nurse when
I first got a ring, I actually lost it.
00:56
So keep that in mind in regard to what
you wear in the healthcare setting.
01:00
The other thing to think about
is if you're wearing a ring
or certain side of jewelry or
watches, for example,
in the healthcare field, and you're
coming in contact with patients,
that stuff can actually
harbor a lot of bacteria.
01:13
So you may want to consider
removing some of this
or maybe doing an alternative.
01:18
Make sure you adjust the water
temperature to a comfortable
temperature really, we
don't want it too cold, we want it warm,
we also don't want
to scold our hands.
01:28
So then wet your hands
and apply your soap.
01:31
Now you want to
be really vigorous
in rubbing your hands together
for at least 20 seconds.
01:36
Sometimes you may hear the
"Okay, you can sing 'Happy Birthday'
three times", whatever works for you.
01:43
Now we want to rinse our
hands angle downward.
01:45
And then we're going to use those paper
towels to dry those hands thoroughly.
01:50
Now after we do that, it's easy to
think, "Okay, well my hands are clean,
just turn it off, use the paper towel
itself to turn off that faucet."
So before I get started,
make sure you remove your jewelry.
02:06
Now I've got my ring on here,
I'm going to take this off.
02:09
Now one thing to notice
what I like to do,
this is like rubber silicone,
something like that this
is really easy to clean.
02:17
Also, it doesn't have a lot of detail
or stones or anything like that,
that can harbor a
lot of bacteria.
02:23
So just something
to think about.
02:26
Now I want to adjust my water
temperature and then wet my hands.
02:37
Once I've wet my hands thoroughly
now I can apply my soap.
02:42
So now that I've got my soap,
now I'm going to rub my hands
together for 20 seconds.
02:47
So the friction part
is the most important.
02:50
Notice I'm rubbing vigorously
interlacing my fingers.
02:54
It's a great idea also to take
each hand and just kind of rub
the nails in between each
one to get all that area.
03:02
Don't forget the back of
the hand and the wrists.
03:07
So once I've done that,
you could also take that 20 seconds
and maybe sing 'Happy Birthday' for
three times, whatever works for you.
03:14
Now I want to rinse my
hands angled downward,
and then we're going to dry.
03:29
Now, I'm going to
take my paper towel.
03:31
Dry my hands and all the
way down to my wrist.
03:35
Really important to make sure we don't
let excess moisture sit on our hands.
03:39
This can definitely make chafing occur
much more frequently with your hands.
03:44
Now I'm going to take those same
paper towels and turn off the faucet.
03:49
You can imagine how many
people probably use that sink.
03:52
So that's a great way
to reduce infection.
03:58
Now let's look at hand
hygiene with hand sanitizer.
04:02
So let's think about
when can we do this.
04:04
So it's best to
use hand sanitizer
when maybe before entering
or exiting the room.
04:09
Also, when your hands
are not visibly soiled
or if you really didn't come in contact
with any major blood or body fluids,
hand sanitizer is acceptable.
04:20
So what you're going to need is
your alcohol based hand sanitizer
or whatever your facility has.
04:26
So how are we going to do this,
just apply this to your hand.
04:29
And again, make sure you rub your
hands together to cover all surfaces.
04:33
So we're talking about is
in between our fingers,
backside of our hands
all the way on our wrist.
04:39
Be really thorough
here and that friction
is really what's going
to help cut down germs.
04:45
So you want to do this for about
like 30 seconds until it dries.
04:49
Some hand sanitizers are
more wet than others.
04:51
So again, make sure you rub
vigorously until that dries.
05:00
Now let's take a look
at using hand sanitizer.
05:03
So before we get started,
we've got to apply it to one hand.
05:15
So now I want to rub my hands
together to cover all surfaces.
05:20
Now we want to make sure we rub our hands
together until hand sanitizer dries.
05:25
So again, you want to make
sure you do your palms,
interlace your fingers.
05:29
Make sure you get by your
nails, a great idea.
05:33
And the back of your hands
is also really important.
05:36
Now note,
don't neglect your wrist as well.
05:39
And again,
that friction is really important
when we're talking
about hand sanitizing.
05:43
And if you guys remember,
when we're talking about hand sanitizer,
we're going to do this when your
hands aren't really visibly soiled
with maybe stool
or feces or blood.
05:54
This is really great when you're
entering or exiting the room.
05:58
Or if you just come in contact with the
patient, but again with no body fluids.