Hand washing and hand disinfection are among the most important hygienic measures for preventing and combating infections in hospitals. Due to its importance for the spread of infection via hands, hand disinfection in inpatient care and in the operating theatre (surgical hand disinfection) is defined in a separate VA.<\/p>\n\n\n\n
<\/p>\n\n\n\n
Washing hands is a matter of course if they are visibly dirty, after using the toilet, blowing your nose and handling food. Every employee should wash their hands before starting work, when visibly soiled and after finishing work.<\/p>\n\n\n\n
\uf0a7 Before invasive procedures (e.g. placement of bladder or intravenous catheters, bronchial suctioning, diagnostic or therapeutic procedures). This also applies if sterile gloves are worn during these procedures. \uf0a7 Before changing dressings, applying infusions \uf0a7 Before and after contact with the area where catheters, drains, tracheostomies, etc. enter. \uf0a7 Before contact with patients who require special protection against infection. \uf0a7 After contact with patients from whom an infection may originate. \uf0a7 After contact with contaminated surfaces and objects (e.g. ventilators, respiratory masks, tracheal tubes). \uf0a7 After contact with blood, secretions or excretions. \uf0a7 If there is an increased risk of infection, disposable gloves should also be worn for your own protection (e.g. when changing dressings, in the case of hepatitis, AIDS).<\/p>\n\n\n\n
Training module<\/a> <\/p>\n\n\n\n Before all surgical procedures, including \"minor\" surgery, e.g. insertion of central venous catheters, wound revisions.<\/p>\n\n\n\n Disposable gloves must be worn for all dirty work and when handling blood, secretions, excretions and other infectious material. However, no other objects such as telephones, door handles, operating switches, infusion systems etc. may be touched with these gloves and thus contaminated. Uncontaminated disposable gloves can also be disinfected with hand sanitiser if necessary. After removing the gloves, hands should be hygienically disinfected <\/p>\n\n\n\n It exists when dealing with patients suffering from infectious hepatitis, AIDS or other communicable diseases, for example. There is a risk of contamination with objects that have come into contact with blood, faeces, urine and sputum. Protect your hands with disposable gloves whenever you come into contact with these objects.<\/p>\n\n\n\n <\/p>\n\n\n\n All washbasins used by medical staff must be equipped with a hand washing detergent dispenser, a hand sanitiser dispenser and a towel dispenser. A waste bin must be provided. The dispensers must be thoroughly cleaned and disinfected before filling. Empty waste bins at least once a day. Bars of soap are not permitted. No plugs are inserted into the sink drains! In the event of gross contamination, hands should first be disinfected and then washed. In any case, hands must be dried carefully after washing.<\/p>\n\n\n\n <\/p>\n\n\n\n 2 ml of the soap solution is poured into the palm of one hand using the arm lever (press with the elbow of the opposite arm) and rubbed into both hands with a small amount of water and placed between the fingers. Rinse the soap solution completely from the hands under running water. Wipe the water off the hands. Carefully dry your hands with paper towels. Textile towels that have been used several times must not be used.<\/p>\n\n\n\n 3 ml (approx. one lever stroke of the dispenser bottle) is dispensed into the palm of one hand using the arm lever (actuated with the elbow of the opposite arm). The liquid is rubbed between both hands for at least 30 seconds and also between the fingers. Once the alcohol has evaporated, the hands are disinfected.<\/p>\n\n\n\n2.3 Surgical hand disinfection<\/h2>\n\n\n\n
2.4 Gloves<\/h2>\n\n\n\n
2.5 Special risk of infection<\/h2>\n\n\n\n
3 Description<\/h1>\n\n\n\n
3.1 Preconditions<\/h2>\n\n\n\n
3.2 Execution<\/h2>\n\n\n\n
3.2.1 Hand washing<\/h3>\n\n\n\n
3.2.2 Hygienic hand disinfection<\/h3>\n\n\n\n