nurse perform hand hygiene caring immunocompromised client

Which would the nurse use to perform hand hygiene when caring for an immunocompromised client

The Core Infection Prevention and Control Practices for Safe Care Delivery in All Healthcare Settings recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) include the following strong recommendations for hand hygiene in healthcare settings.

Healthcare personnel should use an alcohol-based hand rub or wash with soap and water for the following clinical indications:

  • Immediately before touching a patient
  • Before performing an aseptic task (e.g., placing an indwelling device) or handling invasive medical devices
  • Before moving from work on a soiled body site to a clean body site on the same patient
  • After touching a patient or the patient’s immediate environment
  • After contact with blood, body fluids, or contaminated surfaces
  • Immediately after glove removal

Healthcare facilities should:

  • Require healthcare personnel to perform hand hygiene in accordance with Centers for Disease Control and Prevention (CDC) recommendations
  • Ensure that healthcare personnel perform hand hygiene with soap and water when hands are visibly soiled
  • Ensure that supplies necessary for adherence to hand hygiene are readily accessible in all areas where patient care is being delivered

Unless hands are visibly soiled, an alcohol-based hand rub is preferred over soap and water in most clinical situations due to evidence of better compliance compared to soap and water. Hand rubs are generally less irritating to hands and, in the absence of a sink, are an effective method of cleaning hands.

Core Infection Prevention and Control Practices for Safe Healthcare Delivery in All Settings –Recommendations of the HICPAC

In which situation would it be appropriate for the nurse to use an antiseptic hand rub?

CORRECT. An antiseptic hand rub may be used only when the nurse's hands are not visibly soiled.

Which hand hygiene agent has the greatest antimicrobial activity?

In all studies conducted to date, using hand rubs with alcohol-based preparations has been more effective than washing hands with plain soap. In most cases, alcohol-based solutions reduced bacterial counts on hands more than antimicrobial soaps and detergents.

Why should you keep your hands lower than your forearms during aseptic hand washing?

Remember to keep hands and forearms lower than your elbows, so cross-contamination from water running back does not occur. Water should flow in a manner from least to most contaminated areas such as the hands. Microorganisms get washed down the sink. Apply approximately 3 mL to 5 mL of an antiseptic soapy solution.

Which should the nurse include when teaching a client with Clostridium difficile about decreasing the risk of transmission to family members?

Contact Precautions.
Use gloves and gown when entering patients' rooms and during patient care. Remove PPE and perform hand hygiene when exiting the room..
Change gloves and gowns and perform hand hygiene when moving from one patient to another when patients are cohorted, and before leaving patient room..

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