![]() Moment 2 – prior to disconnecting the IV lineĢ0 Moment 3 After a Procedure or Body Fluid Exposure RiskĪny situation where contact with body fluids may occur. HH Moment 2 must be performed immediately prior to any procedureġ9 Example: HCW replaces an empty IV fluid bag with a new IV fluid bag When Hand Hygiene immediately prior to a procedure Once Hand Hygiene has been done, nothing else in the patient’s environment should be touched prior to the procedure starting Why To protect the patient from harmful germs (including their own) from entering their body during a procedure HH Moment 1 should be performed prior to touching the patient Only record Moment 1 once the HCW touches the patientġ2 Example: HCW walks in, helps the patient to sit up, moves the over bed table, folds down the sheets, moves the chair into position, then gets the patient out of bed Moment 1 – prior to touching patientġ4 Procedure Is an act of care for a patient where there is a risk of direct introduction of a pathogen into the patient’s body.ġ5 Moment 2 When: Examples: Insertion of a needle into a patient’s skin, or into an invasive medical device Venipuncture, Blood glucose level, Arterial blood gas, Subcutaneous or Intramuscular injections, IV flush Preparation and administration of any medications given via an invasive medical device, or preparation of a sterile field IV medication, NGT feeds, PEG feeds, Baby feeds, Dressing trolley Administration of medications where there is direct contact with mucous membranes Eye drop installation, Suppository insertion, Vaginal pessaryġ6 Moment 2 When: Examples: Insertion of, or disruption to, the circuit of an invasive medical device Procedures involving the following: ETT, Tracheostomy, Nasopharyngeal airways, Suctioning of airways, Urinary catheter, Colostomy/ileostomy, Vascular access systems, Invasive monitoring devices, Wound drains, PEG tube, NGT, Secretion aspiration Any assessment, treatment and patient care where contact is made with non-intact skin or mucous membranes Wound dressings, Burns dressings, Surgical procedures, Digital rectal examination, Invasive obstetric and gynaecological examinations and procedures, Digital assessment of newborns palateġ7 Education for Moment 2 Hand Hygiene immediately prior to a procedure When Hand Hygiene before touching a patient Where possible Hand Hygiene should occur in front of the patient so that they can observe it Hand Hygiene on entering the patient’s room Why To protect the patient against acquiring harmful germs from the hands of the HCW When: Examples: Preparation and administration of oral medications Oral medications, Nebulised medications Oral care and feeding Feeding a patient, Brushing teeth or dentures Contacts with the patient’s surroundings before, during and after any of the above Bedside table, Medical chartġ0 Education for Moment 1 Hand Hygiene before touching a patient ![]() ![]() Glasses Any non-invasive observations Taking a pulse, Blood pressure, Oxygen saturation, Temperature, Chest auscultation, Abdominal palpation, Applying ECG electrodes, CTG Any non-invasive treatment Applying an oxygen mask or nasal cannula, Fitting slings/braces, Application of incontinence aids (including condom drainage)ĩ Moment 1 Preparation and administration of oral medications IV pump, IDC) Any personal care activities Bathing, Dressing, Brushing hair, Putting on personal eg. When: Examples: Touching a patient in any way Shaking hands, Assisting a patient to move, most Allied health interventions, Touching any invasive medical device connected to the patient (eg. ![]() The science behind Just clean your hands presentationĦ From Council for Remote Area Nurses of Australia 3 Patient Refers to any part of the patient, their clothes, or any medical device that is connected to the patient If the patient were to get out of bed and walk off – what would still be attached to them?Ī space temporarily dedicated to an individual patient for that patient’s stay Includes: Patient furniture and personal belongings Medical equipment – BP machine, monitor Medical chart Anything touched by HCW while caring for that patientĥ Patient Surroundings From Ontario Just Clean Your Hands Program
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