Hines, Illinois 60141
February 7, 2006
change is to inform all services of the following changes in paragraph 4c
regarding the duration of the scrub increasing to "15 seconds" in
with the CDC Guidelines and to provide additional guidance regarding the length
of time for handwashing for both handwashing methods, i.e. soap and water and
waterless cleaner (alcohol-based gel). Instructions were also added about the different circumstances in which
to use soap and water handwashing versus) waterless cleaner (alcohol-based gel)
handwashing. The new paragraph reads a
Soap and water: If hands are visibly
soiled and after using the toilet, soap and water should be used
for handwashing. Routine handwashing with soap and water is
performed using running water, appropriate soap, a 15-second friction hand rub
and paper towels. At the completion of handwashing, a dry paper towel
should be used to turn off the faucet handles.
(alcohol-based gel): Waterless cleaner
(alcohol-based gel) can be used
hands are visibly soiled. Apply the product to palm of one hand and rub
hands together, covering all surfaces of hands and fingers, until hands are
will be provided
on all units regarding changes
to the handwashing techniques. by the Infection Control Staff.In addition, the
Infection Control Practitioners will provide posters to educate all
staff regarding changes to the handwashing techniques.
April 11, 2003
PURPOSE: To prevent transmission of microorganisms by
establishing hospital policy regarding personnel
POLICY: Appropriate handwashing will be performed by
Hospital administration will provide adequate handwashing facilities in all personnel bathrooms and work areas.
Management Service will maintain a constant supply of regular or anti-microbial
soap, a waterless handwashing product, and paper towels. These will be distributed as directed by the
Chief Infection Control Section and the Infection Control Committee.
Supply will maintain a supply of a portable waterless hand cleanser and
distribute this to patient care areas as an adjunct to soap and water.This
product will be maintained on medication and treatment carts on patient units,
and near computer stations in all patient care areas.This product is also available for use as an emergency back-up in
the event of an interruption in the water supply.
situations where an employee is required to wear gloves to be in compliance
with the OSHA Bloodborne Pathogen Standard but there is not ready access to
running water, the employee's Service will provide a waterless hand cleaner.
Infection Control Section will include a section on handwashing in their
presentation during the orientation program for all new employees.
Each employee is responsible for performing appropriate
handwashing as outlined in this memorandum and in their service or section
infection control policies and procedures.
Management Service will provide on a regular schedule an easily dispensed,
non-irritating soap product for general use and an anti-microbial soap product
to those areas where its routine use is specified by the Infection Control
notification by the Infection Control Section, Facilities Management Service
will provide an anti-microbial soap product in the dispensers in those areas
where a specific nosocomial
infection problem has been identified.This product will be provided according to the usually established schedule
until notification by the Infection Control Section that the regular product
can be resumed.
handwashing is performed using running water, appropriate soap, a 10-second
friction hand rub and paper towels. At
the completion of handwashing, a
towel should be used to turn off the faucet handles.
absence of a true emergency, personnel should always wash their hands:
performing invasive procedures;
taking care of a particularly susceptible patient, such as one who is severely
donning gloves to touch wounds, whether surgical, traumatic, or associated with
removal of gloves;
hands have inadvertently come in contact with mucous membranes, blood or body fluids,
secretions or excretions, or with surfaces contaminated with these substances;
eating, drinking, smoking or applying cosmetics, and after using bathroom
before surgery or before procedures such as chest tube insertion, laparoscopy,
culdoscopy, peritoneal catheter insertion or insertion of central catheters for
parenteral nutrition, central venous and capillary wedge pressure monitoring,
cardiac pacemaker insertion or angiography requires anti-microbial soap and a duration
as specified by Surgical Service Line or procedure policy.
In the event of a scheduled interruption of the water
supply, Facilities Management Service will notify Central Supply of the patient
care areas affected.Upon such
notification, Central Supply will distribute to the affected areas a supply of
portable waterless hand cleanser to be used by personnel on duty until a safe
water supply is available.
event of an unscheduled interruption of the water supply, the affected patient
care areas will notify Central Supply.Upon such notification, Central Supply will distribute to the affected
areas a supply of portable waterless hand cleanser to be used by personnel on
duty until a safe water supply is available.
RESCISSION: Policy Memorandum 11-66 (R-3) dated August
RECERTIFICATION: This Policy
Memorandum will be recertified on or before April 11,
Distribution:Hines Intranet Website and Service
Service Line Managers via