Hand hygiene

The ‘five moments for hand hygiene’ image below defines the key stages for hand decontamination, overcoming confusing language and complex illustrations. ‘5 moments’ aim to offer healthcare workers clear advice on how to integrate hand hygiene into the multifaceted task of care.

Hand Hygiene

In addition to the instances listed in the image we encourage all staff to also decontaminate their hands:

  • Before preparing, eating, drinking or handling food
  • Before and after going to the toilet
  • Before and after smoking
  • Before starting work and after finishing work
  • Before putting on and after the removal of personal protective equipment
  • After handling dirty linen or waste
  • After cleaning equipment or environment
  • After handling contaminated items, including dressings, bedpans, urine drainage bags

The Trust currently has three options for hand decontamination:

  • Hand Washing
  • Alcohol Based Hand Rub
  • Hand Wipes (Clinell universal sanitising wipes) which can be used if there are no hand washing facilities available.

Skin Care

Healthy, intact skin provides an effective barrier against infection. It is important to keep the skin in good condition by using the correct hand washing method, drying hands thoroughly and regularly using hand moisturising cream.

Cuts and abrasions must be covered with waterproof dressings whilst on clinical duty. These must be checked regularly and replaced as necessary whilst on duty. Any member of staff with excessive skin lesions should consult with occupational health.

Hands should be moisturised regularly after hand cleaning to reduce the risk of dry skin. Dry skin is more susceptible to cracks and lesions. The Trust supplies pocket sized moisturisers for staff, this can be ordered and kept with the supplies of alcohol gel.

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Bath-based paramedic Simon Moody has been hailed a hero after he stepped in to save the life of a Clevedon man – while off duty – and is encouraging everybody to learn the lifesaving CPR skill. South Western Ambulance Service’s (SWASFT) paramedic Simon Moody was off duty and stuck in Bath city centre traffic in the pouring rain in May 2017 when he noticed a man looking unwell on the pavement. It soon became clear the man was struggling to breath and was going into cardiac arrest at the side of the road, as passers-by tried to help. Luckily for the patient Simon stepped straight in and gave him chest compressions putting his paramedic life-saving skills into action before backup from his ambulance crew mates arrived.

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