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TM
Volume 5 | Winter 2013
Infection Control News for the Health of Your Practice
HAND HYGIENE
Every Day
Every Patient
Every Time
How Clean
Are Your
Hands?
13MS8651 Infection Control-NP:Layout 1
Table of Contents
Introduction/GloGerm..........................2
Editorial: Evidence-Based
Approaches to Hand Hygiene:
Best Practices for Collaboration......3–7
Hand Sanitizer Products ..................8–9
Centerfold: Pullout*
Handwashing Poster ..................12–13
Value-Added Services ......................14
Hand Soap Products ....................16–17
Surgical Hand
Scrub Products ..........................18–19
Frequently Asked Questions:
Hand Hygiene ............................20–21
Henry Schein Brand Hand
Hygiene Products ............................22
WHO World Hand
Hygiene Products ............................24
*Visit www.henryschein.com/infectioncontrol
for a Spanish version of the pullout poster.
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Page 2
At Henry Schein Medical, we support your efforts in working toward
maintaining the total health of your patients and your practice by providing
you with the products and services that enhance your clinical capabilities.
Hand hygiene is a number one step to keep your practice healthy.
Healthcare providers should practice hand hygiene at key points in time to
disrupt the transmission of microorganisms to patients including: before
patient contact, after contact with blood, body fluids, or contaminated surfaces
(even if gloves are worn); before invasive procedures and after removing
gloves (wearing gloves is not enough to prevent the transmission of pathogens
in health care settings).**
The key to staying healthy is really in YOUR HANDS.
**Source: CDC.gov/handhygiene
The #1 Product for teaching handwashing, isolation
techniques, aseptic techniques, and general infection control.
Glo Germ™ Gel
Glo-Brush Applicator
Gel is brilliant blue-white under UV light.
Used to demonstrate proper hand washing
and is recommended where staining may be
of concern. Each 8-oz bottle is good for 75
to 100 applications.
8-oz Bottle
(115-6115)...............................ea
Glo-Brush lets you apply a thin layer of
powder to any surface quickly and without
waste. Refillable powder reservoir and a
cover to protect bristles. Comes with a 4-oz
container of Glo Germ™ powder that will last
for hundreds of demonstrations.
(115-6106)...............................ea
Glo Germ™ Mini Gel
Glo Germ™ Oil
Oil is bright orange under UV light and is
used to demonstrate proper hand washing.
Used in the medical field where greater
accuracy is required. Each 8-oz bottle is
good for 75 to 100 applications.
8-oz Bottle
(115-6113)...............................ea
Glo Germ Kit 1003–Gel
Complete Kit
(115-6101)...............................ea
Contains: handheld 9-LED ultraviolet flashlight,
1–8-oz bottle of Glo Germ gel, 1–1.9-oz bottle of
Glo Germ powder & battery with case.
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Order:
1.800.772.4346
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For greater convenience, we now offer the
new 2-oz Mini Gel. Same great product as
the 8-oz version. Used to demonstrate
proper hand washing. 30 to 50 applications.
2-oz Bottle
(115-6116)...............................ea
Glo Germ™ Powder
Used to demonstrate proper surface
cleaning as well as the spread of germs,
especially in the area of cross
contamination. Good for hundreds of
demonstrations. Brilliant white (also
available in orange by special order; contact
us for details).
1.9-oz Bottle
(115-6117)...............................ea
|
Fax:
1.800.329.9109
24 hours
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Evidence-Based Approaches to Hand Hygiene:
Best Practices for Collaboration
By Dr. Hudson Garrette, Senior Director, Clinical Affairs; PDI Healthcare
Historical Perspective
Hand Hygiene is recognized by Infection Prevention and Control Experts as the single most
important intervention to decrease the spread of infection in both healthcare and community
settings. Because the hands are vectors for transmission between people, as well as inanimate
objects such as environmental surfaces (i.e. blood pressure cuff), it is critical to practice
frequent hand hygiene using traditional soap and water or an alcohol-based product when soap
and water are not available.
The Centers for Disease Control and Prevention and World Health Organization both
maintain extensive hand hygiene guidelines to assist healthcare providers in the proper
practice of hand hygiene. In addition, various quality and patient safety organizations such as
the Institute for Healthcare Improvement (IHI) and The Joint Commission have published
ancillary resources to assist facilities with implementation of the latest evidence based practices
for hand hygiene. A solid hand hygiene program with documented compliance will reduce the
risk for transmission of microorganisms to patients, reduce the risk for healthcare worker
colonization, and also reduce the mortality, morbidity, and costs associated with treatment of
healthcare-associated infections.
Transmission of Microorganisms via the
Hands of Healthcare Workers
The 2009 World Health Guidelines for Hand Hygiene for Healthcare Settings identifies five
clear steps for the nosocomial transmission of pathogens from one patient to another via the
healthcare worker’s hands. First, microorganisms must be present on the patient’s skin or have
to be shed into the patient’s environment such as nearby inanimate objects like the bedside
table. Next, the microorganisms must be transferred to the hands of the healthcare worker.
Third, the microorganism that has contaminated the worker’s hands must be able to survive on
the hands. Next, the healthcare worker must either omit hand hygiene or inadequately
perform it. Last, the healthcare worker’s contaminated hands must come in direct contact with
either another patient or with an inanimate object that will then come in contact with a
patient such as a portable vital signs monitor being shared between patients.
Dr. Hudson Garrett
Dr. Hudson Garrett is employed as the
Senior Director of Clinical Affairs for PDI
and is a recognized international expert
in Infection Prevention and Control. He
serves on many national boards
including the Vice President of the
Vascular Access Certification Board, the
Clinical Practice Committee for the
Association of Vascular Access, the
President of the Southeastern Chapter
of the Infusion Nurses Society, and the
Education Chair for the Greater Atlanta
Chapter of the Association for
Professionals in Infection Control and
Epidemiology. In addition, he has
published many articles in the field of
Infection Prevention and Control,
Vascular Access, and Environmental
Hygiene, and was a co-author of the
Association for Healthcare
Environmental Practice Guidance for
Environmental Cleaning.
Factors Influencing Adherence to Hand Hygiene Practices
According to studies published by Dr. Didier Pittet1, there are several factors that influence
adherence to hand hygiene practices.
1
Pittet D., Improving compliance with hand hygiene in hospitals, Infec Control Hosp Epidemiol 2000; 21:381-6.
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Observed risk factors for poor adherence to recommended hand-hygiene practices
• Physician status
• Male Sex
• Nursing assistant
• Working in an Intensive Care Setting
• Wearing gowns/gloves
• Automated sinks
• Activities associated with high risk of cross-contamination
• High number of opportunities for hand hygiene per hour of patient care
Self reported factors for poor adherence with hand hygiene
• Handwashing agents cause irritation and dryness of the skin
• Sinks are not located in convenient locations
• Lack of soap and water and/or paper towels to dry the hands
• Too busy
• Understaffing
• Patient care needs take priority
• No administrative support
• Disagreement with the hand hygiene recommendations
• Low risk of acquiring infection from patients
Indications for Hand Hygiene in Healthcare Settings
The goal of handwashing and hand hygiene is to remove as much of the microorganisms
from the hands as possible to avoid transmission. The skin flora is divided into two layers:
transient and resident. The transient flora is the layer that colonizes the most superficial
layers of the skin (epidermis) and are easily removed from the hand after thorough hand
hygiene is performed. The resident flora is found on deeper layers of the skin such as stratum
corneum.
According to the latest guidelines from the World Health Organization, healthcare workers
should concentrate their hand hygiene efforts: 1) before touching the patient, 2) after
touching the patient, 3) after touching inanimate objects in the patients surroundings, 4)
after exposure to blood fluids, and 5) before clean/aseptic procedures.
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Evidence-Based Approaches to Hand Hygiene:
Best Practices for Collaboration
Alcohol-based agents may be used when:
• When hands are NOT visibly soiled or contaminated with blood or body fluids
• Before having direct contact with patient’s
• After having direct contact with a patients skin
• After contact with body fluids or excretions, mucous membranes, non-intact skin,
or wound dressings
• If moving from contaminated to clean body site
• After contact with inanimate environment (equipment or furniture near patient)
• After removing gloves
• Emergency situations where sinks are not available (EMS, Police, Fire Rescue)
and hands visibly soiled
Availability of Hand Hygiene Agents
Hand Hygiene products are available in a wide variety of forms to meet the specific clinical
needs of the healthcare environment. Typical agents include: plain (non-antimicrobial)
soap, alcohols, chlorhexidine, chloroxylenol, hexachlorophene, iodine and iodophors,
quaternary ammonium compounds, or triclosan. The Food and Drug Administration (FDA)
classifies healthcare antiseptic drug products into three unique categories: 1) surgical hand
scrub-which is defined as a antiseptic containing preparation that substantially reduces the
numbers of microorganisms on intact skin; 2) antiseptic handwash-an antiseptic containing
preparation designed for frequent use, it reduces the numbers of microorganisms on intact
skin to an initial baseline level after adequate washing, rinsing, and drying; and 3) patient
preoperative skin preparation-fast acting, broad spectrum, and persistent antiseptic
containing preparation that reduces the number of microorganisms. Most products currently
available to healthcare workers are alcohol-based as alcohol has significant efficacy against a
wide variety of bacteria and viruses.
All too often, the hands of the patients and/or residents are neglected while in a healthcare
facility. The contaminated hands of the patient can certainly serve as not only a source for
transmission, but also as a reservoir for microbial growth. The acuity of many of today’s
hospitalized patients is extremely high, with some of them being completely non-ambulatory
and confined to their bed. Others are able to move about throughout their patient room and
within the nursing unit perhaps during common restorative activities such as physical and
occupational therapy. Healthcare providers should encourage not only the patient, but also
their family members and visitors to regularly practice hand hygiene frequently to minimize
contamination and potential transmission. Hand hygiene dispensers located on a wall away
from the patient are not ideal for situations where the patient may not be able to reach the
dispenser. It is critical to place hand hygiene solutions at the point-of-care and use, which in
many cases is directly at the patient’s bedside. This will improve compliance for patient hand
hygiene, and more importantly serve as a constant reminder of the importance of hand
hygiene for all that are involved with the care of the patient.
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Selection of Hand Hygiene Agents
Hand Hygiene agents must be carefully selected in order to ensure compliance, efficacy, and
safety of the agent for both the healthcare worker and patient. Several factors must be taken
into consideration: 1) cost of the agent, 2) ease of use of healthcare workers to utilize the
product, 3) dermal irritation and potential skin reactions, 4) efficacy of the agent, 5) product
availability and accessibility, 6) drying time necessary after applying the agent, and 7) staff
support for the product selected. An evaluation of the agent should be done to evaluate the
staff’s usage of the product and to ensure a smooth transition to the new agent. In addition,
adjuncts to prevent contact dermatitis such as hospital grade lotions must be considered to
ensure a low risk for adverse events2.
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My 5 Moments for Hand Hygiene
4
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TOUCHING
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BEFORE
TOUCHING
A PATIENT
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SURROUNDINGS
Technique for Hand Hygiene for Healthcare Providers and Patients
Soap and water when available is still considered the gold standard for hand hygiene. When
soap and water is not available, alcohol-based hand rubs (wipes, gels, or foams) should be
utilized. When using soap and water, it is important to wet the hands first. Then apply 3 to 5
mL of soap to the hands, avoiding bar soap. Next rub the hands together for a minimum of
fifteen (15) seconds covering all surfaces of the hands and fingers. Finally rinse the hands off
with water and dry thoroughly, and use the used paper towel to turn off the faucet.
Many times, the patient is not able to move around their room unassisted or unable to reach
a sink. The use of an alcohol-based hand sanitizer is recommended for hand hygiene when
hands are not visibly soiled. Patients can easily use an alcohol-based hand sanitizer, such as
wipes, with minimal effort and high compliance at the bedside. Healthcare providers can
additionally remind patients upon their facility visits to sanitize their hands, and patients can
remind their healthcare provider to perform hand hygiene as indicated as well. Hand hygiene
continues to be recognized as the single most important intervention to reducing infections.
2
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WHO Guidelines on Hand Hygiene in Health Care, World Health Organization, 2009
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Evidence-Based Approaches to Hand Hygiene:
Best Practices for Collaboration
When utilizing an alcohol-based product, healthcare workers must completely follow the
manufacturer’s label to ensure that the desired efficacy is reached. Ensure that you cover all
surfaces of the hand when using alcohol based products such as wipes. Allow the agent to
completely dry prior to using gloves. In addition, the use of a healthcare grade lotion may be
required to ensure that adequate moisture is retained in the hands, especially during the
winter season.
Strategies for Compliance
Monitoring of hand hygiene is a key component in process improvement and improving
compliance. The use of “secret shoppers for hand hygiene” has proven to be an effective
measurement tool for some facilities, while others rely on other measures to gauge
compliance within their facility. Monitoring should be conducted on a routine basis and
documented. Any personnel not compliant with the hand hygiene standards should be
immediately counseled without delay to ensure instant remediation. The Institute for
Healthcare Improvement has created an entire resource guide centered around the proper
methods to monitor hand hygiene and judge compliance.
Resources for Success
Several organizations provide free resources to healthcare providers to assist them with
compliance of hand hygiene standards for healthcare providers. WHO has hundreds of
resources on not only the scientific evidence to support the WHO recommendations for
hand hygiene, but also easy to utilize implementation guides and training materials that can
easily be adapted for use in any healthcare setting. This resource can be accessed by visiting
the WHO website at www.who.int. The Centers for Disease Control and Prevention has
several key resources and a dedicated web course to hand hygiene for healthcare providers.
This resource can be access by visiting the CDC website at www.cdc.gov. Hand Hygiene
remains the most important infection prevention practice that healthcare workers and
patients alike can practice, and one of the simplest and most cost effective. The impact,
however, on the patient and healthcare delivery system when proper Hand Hygiene does not
take place can be significant both on a mortality and financial scale.
For more information, contact the author at [email protected].
Submitted by: J. Hudson Garrett Jr., PhD, Senior Director, Clinical Affairs, PDI
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Guidelines &
Recommendations
CDC guidelines state that health care
workers:
• Alcohol-based hand rubs are strongly
recommended for routinely
decontaminating hands if they are not
visibly soiled
• In order to improve hand hygiene
compliance, make alcohol-based hand
rubs easily available
• Provide healthcare workers with hand
lotions and creams to minimize skin
dryness and irritation
• Provide staff education and training
regarding proper hand hygiene
practices and methods
• Monitor healthcare workers’ hand
hygiene compliance and provide
feedback
Sanitize...when hands are
not visibly soiled
BEFORE:
– Patient contact
– Donning sterile gloves prior to
inserting a central intravascular
catheter
– Inserting indwelling catheters and
other invasive devices that do not
require a surgical procedure
– Moving from a contaminated body
site to a clean body site during
patient care
AFTER:
– Contact with a patient’s skin
– Contact with bodily fluids or
excretions
– Contact with non-intact skin
– Contact with wound dressings
– Contact with inanimate objects,
including medical equipment in the
immediate vicinity of the patient
– Removing gloves
Source: Metrex.com
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VioNex® Healthcare
Antiseptic
Towelettes
Cleans hands and kills germs when soap
and water are not available. Gentle and
nonirritating. 0.5% PCMX.
(176-5471)..........................................50/box
KIMCARE™ Instant
Hand Sanitizer
#93060, Clear,
sweet citrus scent
kills germs when
water is not available.
Its 62% ethyl alcohol
formula evaporates quickly.
(643-1235)...............................................8 oz.
Avagard™ D Instant
Hand Antiseptic
with Moisturizers
Its the waterless hand
antiseptic that feels
like a moisturizer. This
latex-glove-compatible
antiseptic offers more
moisturizing, less redness,
and less skin breakdown wthan other
comparable products. Featuring a unique
rich emollient base that feels smooth on
hands, it won't leave hands sticky or impact
glove performance.
3-oz Bottle
(493-9176) ................................................ea
16-oz Bottle
(378-5483) ................................................ea
#9222, 500 mL, 16.9-oz Pump Bottle
(493-5108) ................................................ea
GBG Foaming™
Instant Hand
Sanitizer
Formulated with
moisturizers and skin
conditioners to help
increase skin hydration
and maintain the
skin's health.
Hand Sanitizer, 7-oz Can
(437-0002) ................................................ea
Wall Bracket/GBG Foam
(437-0004) ................................................ea
PURELL® Instant Hand
Sanitizer with Aloe
Refreshing sanitizer that kills
99.9% of germs on the hands
without water or towels.
Leaves hands feeling soft.
Contains 62% ethyl alcohol.
4-fl-oz Bottle
(313-1626) ................................................ea
8-fl-oz Pump Bottle
(590-6751) ................................................ea
With Aloe, 12-oz Pump Bottle
(590-0066) ................................................ea
12-fl-oz Pump Bottle
(590-0065) .......................................12/case
800-mL Refill, Original
(274-7896)..........................................6/case
2-Liter Pump Bottle
(948-0474)..........................................4/case
Dispenser for 800 mL
(415-2214) ................................................ea
#2120-06, NXT® Space Saver™ Dispenser,
Dove Gray
(590-1177) ................................................ea
Order:
1.800.772.4346
8am – 9pm, et
GBG AloeGel® Instant Hand Sanitizer
Kills the Germs, Not Your Hands!
• Accessible: Apply when you can't wash, or
between washings
• Effective: Kills 99.9% of harmful
microorganisms in 15 seconds
• Gentle: Contains moisturizers and skin
conditioners including vitamin E, aloe vera,
glycerin and isopropyl myristate
4-fl-oz Flip-Top Bottle
(365-5030) ................................................ea
18-fl-oz Pump Dispenser
(923-8209) ................................................ea
800-mL Bag-in-Box Refill
(300-4126) ................................................ea
GBG AloeGel Automatic Wall Dispenser
(437-0008) ................................................ea
|
Fax:
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24 hours
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According to the Centers for Disease Control and Prevention (CDC), hand hygiene is one of the
most important ways to prevent the spread of infections. Approximately 1.7 million hospital patients
contract an HAI each year in the U.S. That means one in 20 individuals walking into a facility will
become infected while seeking help for a medical concern. HAIs cost more Americans their lives than
breast cancer and HIV/AIDS combined, accounting for nearly 99,000 deaths. Many of these
Source: Infection Control Today
infections are preventable.
The Help Center:
VioNexus™
No-Rinse Spray
TotalCare featuring
Metrex Products
A moisturizing,
waterless skin sanitizer.
Repeated applications
enhance microbial effects as they
moisturize and soothe the skin. Dispensed
in a revolutionary no-touch system, helps
eliminate cross contamination. The 66%
ethyl-alcohol, 0.08% benzalkonium-chloride
formula contains emollients and is
recommended for repeated use.
™
SaniTyze Waterless
Antimicrobial Gel
Kills 99.99% of bacteria
in as little as 15
seconds. Meets all CDC
guidelines as an
effective waterless gel.
Contains 61% ethyl
alcohol, emollients, aloe
vera, and vitamin E to
promote and accelerate
healing and encourage
the growth of healthy
tissue. Leaves hands
feeling soft and smooth,
enhancing the donning
of gloves.
#10-1802, Handwash Solution, 2-oz Bottle
(176-2443) ................................................ea
#10-1800, Handwash Solution, 1-Liter
Bottles
(176-9583)............................................2/box
No-Touch™ Dispenser
Battery operated (included). Dispenses a
premeasured atomized application over the
surface of the hands.
(176-0730) ................................................ea
VioNexus™ Drip Tray
For use with No-Touch™ Dispenser.
(640-6607) ................................................ea
Manual Dispenser
(176-0415) ................................................ea
4-oz Squeeze Bottle
(107-1036).................................................ea
8-oz Squeeze Bottle
(999-0994) ................................................ea
18-oz Pump Bottle
(107-8118) .................................................ea
800-mL Press Pack
(107-0123) .................................................ea
1000-mL Press Pack
(110-5865).................................................ea
One-Touch Dispenser
For use with 800-mL and 1000-mL
pouches.
(110-5862).................................................ea
Promo Pack
(110-5992).................................................ea
Contains: 2 dispensers & 6–1000-mL pouches.
(120-1322) ................................................ea
#SHC-7-12, Clean Linen
(120-1325) ................................................ea
#SHM-7-12, Cucumber
(120-1328) ................................................ea
#SHU-7-12, Unscented
(120-1329) ................................................ea
iScrub’s touch interface lets you record your
observations, and when finished, e-mails the
resulting comma-separated value file to you
for easy analysis.
https://itunes.apple.com/app/iscrublite/id329764570?mt=8
Hand Hygiene Promotional Posters
FREE material that will further emphasize the
concepts and techniques to increase hand
hygiene in healthcare facilities.
http://www.cdc.gov/handhygiene/training/
interactiveEducation/index2.htm
Hand Hygiene Interactive Training Course
This course and promotional materials review
key concepts of hand hygiene and other
standard precautions to prevent health careassociated infections
http://www.cdc.gov/handhygiene/
training/interactiveEducation/
Alcohol-based Handrub Planning and
Costing Tool
The tool provides guidance for health care
facilities to help senior managers
conceptualize the necessary steps for
implementation and assists in making
decisions in relation to infrastructural and
economic information
http://www.who.int/gpsc/5may/tools/
system_change/en/index.html
Hand Hygiene Symposium Videos
Earn 3.0 contact hours of CE credits by
reviewing the Hand Hygiene Symposium
videos sponsored by GOJO at APIC 2012
and posted in the AJIC Hand Hygiene
Resource Center.
http://handhygiene.ajicjournal.org/
SafeHands Hand Sanitizer
• Alcohol-free
• Moisturizing
• Safe around children
• Planet friendly
Nontoxic, nonflammable, will not dry hands.
Scientifically proven to kill 99.99% of germs
that cause infection. Cost-effective foamer
(2X as many applications per ounce than
gel). Safe for everyone, everywhere.
Alcohol-free Foam Hand Sanitizer
7-oz Bottle
#SH-7-12, Scented
iScrub Application – FREE
iScrub is an iPhone/iPod Touch application
for Infection Control Professionals who wish
to monitor hand hygiene compliance without
the time-consuming and error-prone use of
clipboards and transcription.
1.75-oz Bottle
#SH-1.75-24, Scented
(120-1321) ................................................ea
#SHC-1.75-24, Clean Linen
(120-1337) ................................................ea
#SHM-1.75-24, Cucumber
(120-1338) ................................................ea
18-oz btl
#SH-18-4, Scented
(120-1335) ................................................ea
www.henryschein.com/infectioncontrol
Hand Hygiene: A Patient-Centered
Safety Initiative. Eligible for 1.0 contact
hour of continuing education
At the end of this presentation, the
participant will be able to:
• Discuss the evolution of hand hygiene as
an infection control measure
• Identify evidence supporting patient
hand hygiene
• Assess the most critical components of a
patient hand hygiene program
• Formulate outcome measures of patient
hand hygiene initiatives
http://marketing.infectioncontroltoday.
com/ceu/?course=278/
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®
Be Prepared with Safetec Hand Hygiene Products
SPECIAL BUY, GET OFFER!
“SAFETEC
®
offers a full line of antimicrobial hand
cleaners formulated with aloe vera to help keep
skin feeling soft and smooth after repeated use
”
Buy 12 Canisters, GET 1 FREE 16 oz. Hand Sanitizer
HS#
Mfr# Specs
422-4415 34410 160ct. p.a.w.s.® Wipe canister
422-4993 17354 16oz. Hand Sanitizer pump bottle (FREE)
OR
Buy 10 Boxes, Get 1 FREE 16 oz. Saniwash
HS#
Mfr# Specs
422-6029 34400 100ct. p.a.w.s.® Wipe (individuals)
422-4421 34452 16oz. Saniwash pump bottle (FREE)
Visit www.henryschein.com for more
information and to purchase these products.
*Offer valid 2/18/13 - 4/30/13. Free products will be
shipped with order with use of the promo code MP.
www.safetec.com
Mention promo code MP to receive your free product with order.
10
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24 hours
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www.henryschein.com/infectioncontrol
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Visit our website at www.henryschein/infectioncontrol for access to poster in Spanish.
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MEDICAL WEB SITE
Quick
& Easy
Ordering!
1 2 3
Login
Order
Checkout
www.henryschein.com/medical
Which dynamic features do
the Henry Schein Medical
Web sites offer your practice?
• 24-hour/365-day availability to supply ordering
• Track orders and shipments and process returns
• Generate comprehensive utilization reports via our
dynamic report wizard
• Set budgets and electronically approve orders for greater
security and accuracy
• Access purchase history and real-time pricing
• Custom shopping list capability for easy ordering
• Paperless billing statement option
• Shop by procedure, chronic conditions, or simple,
everyday essentials
• Access free MSDS documents for quick OSHA compliance
• Retrieve electronic statements and invoices for a
paperless environment
• 6 different specialty Web sites including Family Practice,
Internal Medicine, and Pediatrics
• Access to promotions created uniquely for your specialty
Why Rely on Henry Schein
We are the global experts in alternate care settings.
In fact, Henry Schein serves more health care
practitioners with products and services than any
other company worldwide.
We deliver value chain business solutions through:
•
•
•
•
•
•
•
•
Contract compliance
Product standardization
Custom data analytics and benchmark reporting
Inventory management, automated ordering, and electronic receiving
Technology integration through EDI, punch-out, and e-commerce
Global sourcing relationships
Digital connectivity for clinical devices
Prevention and wellness, including u vaccine programs
To rely on us call 1-866-530-3547
or visit www.henryschein.com/whyrelyonus
to learn more.
14
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Order:
1.800.772.4346
8am – 9pm, et
|
Fax:
1.800.329.9109
24 hours
13MS8651 Infection Control-NP:Layout 1
™
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™
3M Avagard
(Chlorhexidine Gluconate 1% Solution and Ethyl Alcohol 61% w/w)
Surgical and Healthcare Personnel Hand Antiseptic with Moisturizers
More
Choices
Proven Persistence.
3M™ Avagard™ waterless, brushless surgical hand scrub is now available in two convenient sizes.
Item Code
777-0117
777-0117
777-0091
118-4418
641-0061
102-5064
600-4327
641-0661
102-5064
600-4327
Description
Size
16
Dispenser
Bottle
Each
16oz.
oz.,
500mL w/Dispenser
each
Hands-free
Wall
Dispenser
40.6 oz., 1.2
Liter
w/Dispenser 4/Case
4/case
Wall
Bracket and Foot Pump Only
Nail
Cleaners
6/Boxes ofeach
150 per Case
WallBracket
Bracket
and
Hand
Pump Only
each
Wall
and
Foot
Pump
Each
NailBracket
Cleaner
(6 Hand
Boxes
of 150)
case
Wall
and
Pump
Each
© 3M 2011. All rights reserved. 3M, Avagard and the Avagard wedge shape are trademarks of 3M.
HAND SANITIZERS & SOAPS
MAXICLENS INSTANT
HAND SANITIZER
Kills 99.99% of germs in
15 seconds without the
use of soap and water.
Contains aloe vera to add
moisture with every use.
Henry Schein's hand
sanitizer helps you meet
OSHA, APIC and CDC
hand washing
recommendations.
800-mL Bag for Manual Dispenser
(112-5988) ................................................ea
800-mL Bag for Automatic Dispenser
(112-5991) ................................................ea
Manual Dispenser
(112-5984) ................................................ea
Automatic Dispenser
(112-5986) .................................................ea
Stand
(112-5989) ................................................ea
Buy 12 of
(112-5988) &
Get 2 800 mL
Hand Sanitizer
Dispensers
(112-5984)
FREE!
MAXICLENS® INSTANT
ANTIMICROBIAL SOAP
Contains 0.6% PCMX for
antimicrobial action and
aloe vera to add moisture
with each use. The product
aids in reducing cross
contamination while helping
you meet APIC and OSHA
recommendations for hand
washing.
800-mL Bag for Manual Dispenser
(112-5987) ................................................ea
800-mL Bag for Automatic Dispenser
(112-5990) ................................................ea
Manual Dispenser
(112-5983) ................................................ea
Automatic Dispenser
(112-5985) ................................................ea
Stand
(112-5989) ................................................ea
Buy 12
Hand Soap
Refills
(112-5987)
& Get
2 Hand Soap
Dispensers
(112-5983)
FREE!
Mention promo code XG to ensure promotional pricing.
www.henryschein.com/infectioncontrol
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Guidelines &
Recommendations
CDC Recommendations:
• Hand-washing facilities should be
accessible and sufficient for the
maximum anticipated attendance and
configured for use by children (low
enough for them to reach or equipped
with a stool), adults, and those with
disabilities.
• Hand-washing stations should be
conveniently located.
• Maintenance should include routine
cleaning and restocking to ensure
adequate supply of paper towels and
soap.
• Running water should be of sufficient
volume and pressure to remove soil from
hands. Volume and pressure might be
substantially reduced if the water supply
is furnished from a holding tank.
Therefore, a permanent pressured water
supply is preferable.
• The hand-washing station should be
designed so that both hands are free for
hand washing by having operation with a
foot pedal or water that stays on after
turning on hand faucets.
• Hot water is preferable, but if the handwashing stations are supplied with only
cold water, a soap that emulsifies easily in
cold water should be provided.
• Liquid soap dispensed by a hand or foot
pump is recommended.
• Signs with proper hand-washing
instructions should be posted at handwashing stations and restrooms to
encourage proper practices.
• Depending on the setting, hand washing
signs might need to be available in
different languages.
VioNex® Antimicrobial
Liquid Soap
Broad-spectrum antimicrobial
soap with 99.94% germ
reduction in 30 seconds.
Moisturizing, lotion-based
formula for frequent use
without irritation. Fresh scent.
Active ingredient: 0.5% PCMX
with nonoxynol-9.
Flip-Top Bottle, 4 oz
(176-7024) ................................................ea
18-oz Bottle with Pump
(176-3829) ................................................ea
#25128, Refill Bottle, 1 gal
(176-5139) ................................................ea
Wall-Mount Bracket for Pump Bottle
(176-2701) ................................................ea
Wall-Mount Dispenser for 800-mL Bag
System
(176-2254) ................................................ea
Liquid Dial® Gold
Broad-spectrum
antimicrobial soap
with skin conditioners
for mildness.
Active ingredient:
0.2% triclosan.
#2340084014, 71/2-oz Pump Bottle
(390-7666) ................................................ea
#2340080790, 16-oz Pump Bottle
(390-3681) ................................................ea
1-liter Refill Bottle
(390-3922) ................................................ea
#2340088047, 1-gal Refill Bottle
(390-4396) ................................................ea
#2340097501, 800-mL Bag
(390-3272) ................................................ea
Dispenser
For 1-Liter Refill Cartridge
(100-9187) ................................................ea
PROVON® Foaming
Antimicrobial
Hand Wash with
Moisturizers
Formulated for effective
germ-killing but gentle
enough for general use,
this prelathered handwash
contains 0.3% chloroxylenol
(PCMX) with a light floral
fragrance.
#5186-03, FMX-12™ 1250-mL Refill
(680-2808) .........................................3/case
#5160-06, PROVON® FMX-12™ Dispenser,
Dove Gray
(108-6700) .........................................6/case
#5286-02, FMX-20™ 2000-mL Refill
(108-8841)..........................................2/case
#5260-06, PROVON® FMX-20™ Dispenser,
Dove Gray
(622-5762)..........................................6/case
Provon Clear & Mild
Handwash
Spa-inspired, greencertified foam hand soap
offers luxurious foam
lather in a fragranceand dye-free formulation. Enriched with
moisturizers and skin conditioners.
USDA-certified and EcoLogo-certified
biobased formulation.
1200-mL Refill
(118-2361) ..........................................2/case
When should you wash your hands?
• Before preparing or eating food
• After going to the bathroom
• After changing diapers or cleaning up a
child who has gone to the bathroom
• Before and after caring for a sick patient
• After blowing your nose, coughing, or
sneezing
• After handling garbage
• Before and after treating a cut or wound
• When your hands are visibly soiled
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Provon Antibacterial
Foam Handwash
Exceptionally mild formula
delivers effective germ kill
of a broad range of
microorganisms.
Contains 0.3% triclosan.
Meets healthcare personnel handwash
protocol. Rich, luxurious lather with
advanced skin moisturizers for mildness in
healthcare settings.
Plum Scented 1200-mL Refill
(118-5133) ..........................................2/case
Fragrance-Free 1200-mL Refill
(117-9471) ..........................................2/case
Fragrance-Free 700-mL Refill
(590-0068) ................................................ea
Bacti-Foam®
Mild, superconcentrated,
foam hand wash that
provides a faster wash and
rinse. Foaming reduces
the amount of soap used
per wash, saving time and
money. Medicated with
0.3% triclosan. Leaves a
fresh scent.
500 mL
(120-3913) ................................................ea
750 mL in Dispenser
(335-0403) .........................................6/case
Order:
1.800.772.4346
8am – 9pm, et
|
Fax:
1.800.329.9109
24 hours
13MS8651 Infection Control-NP:Layout 1
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Page 17
Did you know...
• 80% of all infectious diseases are transmitted by touch.
• Implications of sicknesses, like the common cold, that spread through contact have led to a U.S.
economic effect of $25 billion in lost productivity.
• One of the easiest ways to help prevent the spread of illness is through proper hand hygiene, yet less
than one third of U.S. adults report always washing their hands after coughing and sneezing.
Source: Harris Interactive Study
Hand Wash, Bottle, 4 oz
(107-8796).................................................ea
Skin Cleanser, 8-fl-oz Bottle
(555-3169) ................................................ea
®
Hibiclens
Antiseptic/
Antimicrobial
Skin Cleanser
• Broad-spectrum
antimicrobial activity:
including MRSA
(in vitro testing) and other staph infections;
effective in the presence of organic
material; iodine is neutralized by
organic material; alcohol is diluted
by organic material
• Long lasting: bonds to skin for effective
residual kill up to 6 hours; superior to
alcohol, iodine, and PCMX
AloeGuard® Antimicrobial Soap
• Kills pathogenic microorganisms
• Reduces risk of cross contamination
• Gentle, soothing, nonirritating
• Moisturizes and softens skin
• Pleasant fragrance
• Fast acting
18-fl-oz Pump Bottle
(833-8374) ................................................ea
1-gal Refill Bottle
(300-6331) ................................................ea
800-mL Bag-in-Box
(306-9953) ................................................ea
Wall Dispenser
for 800-mL Bag-in-Box
(252-4751) ................................................ea
AloeGuard Automatic Wall Dispenser
(437-0007) ................................................ea
Antibacterial Skin Cleanser
Contains 0.25% triclosan to
protect against the spread of
potentially harmful bacteria.
Mild, general-purpose,
antibacterial cleanser that's
gentle enough for everyday
use. Clear color with a light
floral fragrance.
#92517, 500 mL
(643-6665) ................................................ea
Hand Wash, 16-fl-oz Bottle
(107-1746) .................................................ea
Hand Wash, 32-fl-oz Bottle
(107-4860).................................................ea
Foaming Nozzle for 32-oz Bottle
(555-0222) ................................................ea
Hand Wash, 1-gal Bottle
(107-4972).................................................ea
15 mL
(107-6936)..........................................50/box
Pump Dispenser, 16 oz
(310-1745).................................................ea
Sani-Sept™
Antimicrobial Soap
Gentle and nondrying:
contains 0.3% triclosan,
effective against
gram-negative and
gram-positive bacteria. Enriched with aloe
vera and vitamin E to promote and
accelerate healing and encourage growth of
healthy skin tissue. Petroleum-free and will
not affect latex.
Pump Bottle
(108-9131)...........................................18 oz.
Gallon
(107-4963).................................................ea
KIMCARE® Luxury Foam
Soap Cassette System
Soap-dispenser maintenance
is now quick and easy. This
system has a 1-liter capacity,
so it requires fewer refills than
the 800 mL systems. Foam
or lotion skin-care cassettes
are easily interchangeable. Fresh pump
with each refill for greater hygiene. Rich,
luxurious, prefoamed lather caresses and
cleans with a mild pH balanced formula.
Lasts 4 times longer than liquid soap.
Moisturizing Foam Soap
(643-3214) ...................................6 per case
Antibacterial Foam Soap
(643-9144) ...................................6 per case
1000 mL Cassette Dispenser
(643-3504) ...............................................ea.
www.henryschein.com/infectioncontrol
The Help Center:
Safe Care Campaign
The goal of the Safe Care Campaign is to
help prevent health care- and
community-acquired infections through
awareness, education and better
practices. Its Web site has a full
spectrum of materials , including
streaming videos on hand hygiene. The
campaign was formed by Victoria and
Armando Nahum after three members
of their family developed health careassociated infections, including their
son who died of his infection.
http://www.safecarecampaign.org/
Hand-Hygiene.html
Henry The Hand – Champion
Handwasher
This Web site uses music, cartoons,
coloring books, posters and other
materials to engage children and
families to promote hand washing
and good hygiene habits, such as,
not coughing on hands or touching
your eyes.
http://www.henrythehand.com/
Hand Hygiene Measurement
and Bench Marking Program
McGuckin Methods International (MMI)
offers an evidence-based program for
increasing and sustaining hand hygiene
in any health care facility for both
in-patient and out-patient sites. For
more information or to view sample
monthly reports and patient
empowerment materials, go to Hand
Hygiene Reports.
http://www.hhreports.com
The Hand Hygiene Project
See what everyone is saying…
www.facebook.com
Top Ten Hand Washing Tips
Top Ten" Hand washing Behavior
Change Tips from the Hygiene
Improvement Project
http://www.hip.watsan.net/
page/2135
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Guidelines &
Recommendations
All sterile surgical team members should
perform the hand and arm scrub before
entering the surgical suite. The basic
principle of the scrub is to wash the hands
thoroughly, and then to wash from a clean
area (the hand) to a less clean area (the arm).
A systematic approach to the scrub is an
efficient way to ensure proper technique.
There are two methods of scrub procedure.
One is a numbered stroke method, in which
a certain number of brush strokes are
designated for each finger, palm, back of
hand, and arm. The alternative method is the
timed scrub, and each scrub should last
from three to five minutes, depending on
facility protocol.
The procedure for the timed
five-minute scrub consists of:
• Remove all jewelry (rings, watches,
bracelets).
• Wash hands and arms with anitmicrobial
soap. Excessively hot water is harder on
the skin, dries the skin, and is too
uncomfortable to wash with for the
recommended amount of time. However,
because cold water prevents soap from
lathering properly, soil and germs may not
be washed away.
• Clean subungual areas with a nail file.
• Start timing. Scrub each side of each
finger, between the fingers, and the back
and front of the hand for two minutes.
• Proceed to scrub the arms, keeping the
hand higher than the arm at all times. This
prevents bacteria-laden soap and water
from contaminating the hand.
• Wash each side of the arm to three inches
above the elbow for one minute.
• Repeat the process on the other hand
and arm, keeping hands above elbows at
all times. If the hand touches anything
except the brush at any time, the scrub
must be lengthened by one minute for
the area that has been contaminated.
• Rinse hands and arms by passing them
through the water in one direction only,
from fingertips to elbow. Do not move
the arm back and forth through the water.
• Proceed to the operating room suite
holding hands above elbows.
• If the hands and arms are grossly soiled,
the scrub time should be lengthened.
However, vigorous scrubbing that
causes the skin to become abraded
should be avoided.
• At all times during the scrub procedure
care should be taken not to splash water
onto surgical attire.
• Once in the operating room suite, hands
and arms should be dried using a sterile
towel and aseptic technique. You are
now ready to don your gown and
sterile gloves.
Source: Infection Control Today
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E-Z Scrub® Premium Surgical Brushes
Sterile, 30 Scrub Brushes/Dispenser
This line of products offers a wide range of
efficacious antimicrobial formulations
specifically designed to enhance
performance as they reduce irritation
to skin.
• Proprietary polyethylene soft bristles
enhance mechanical action while reducing
skin irritation
• Soft sponge provides gentle cleaning on
irritated areas or when firm mechanical
action is not required
• Ergonomic brush design allows greater
user comfort and effectiveness, ultimately
improving compliance
With PCMX, Deluxe
(987-0287)..........................................30/box
Ultradex Scrub with PCMX
(987-1041)..........................................30/box
With 4% CHG
(987-6022)..........................................30/box
With Iodophor
(780-3379) .........................................30/box
Wet-Pack Iodophor
(780-3946) .........................................30/box
Dry, without Solution
(780-4291) .........................................30/box
Anchor Surgical
Scrub Brush
Firm nylon back,
bristles, nonslip,
autoclavable.
• Open-end, channel-back block
• Nylon bristles
• Firm texture
• Autoclavable
(100-8055) ................................................ea
Betadine® Surgical Scrub
Microbicidal sudsing cleanser that contains
7.5% povidone-iodine. Broad-spectrum
microbicide that kills most gram-positive
and gram-negative bacteria, including
antibiotic-resistant strains, as well as most
viruses, fungi/yeasts, mycobacteria,
and protozoa.
4 oz
(690-3564) .......................................36/case
16 oz Refill
(690-4214) ................................................ea
With Dispenser, 16 oz
(690-5432) ................................................ea
Refill, 32 oz
(690-0581) ................................................ea
1 gal
(690-6863) ................................................ea
BETASEPT® Scrub
4% Chlorhexidine
Gluconate (CHG)
Indicated for surgical
hand scrubbing, healthcare
personnel hand washing,
preoperative patient prepping,
and general skin degerming. Chlorhexidine
gluconate 4% provides rapid antiseptic
action with a persistent antimicrobial effect
against a wide range of microorganisms.
4-fl-oz Bottle
(690-2253) .......................................48/case
16-fl-oz Bottle
(690-3189)........................................12/case
32-fl-oz Bottle
(690-3076)........................................12/case
1 gal
(690-9306) .........................................4/case
Scrub Care® Surgical Scrub Brushes
System features a full line of antimicrobial
solutions used for scrubbing hands prior to
surgical procedures.
#4456A, Saturated, Parachlorometaxylenol
(PCMX) Solution, 12 mL
(107-4039)..........................................30/box
#4457A, Saturated, Parachlorometaxylenol
(PCMX) Solution with Emollients, 20 mL
(108-3532)..........................................30/box
#4458A, Saturated, Exidine®-4
Chlorhexidine Gluconate (CHG) 4%
Solution, 25 mL
(153-1005) .........................................30/box
#4454A, Unsaturated, Sterile
(155-1199) ..........................................30/box
Order:
1.800.772.4346
8am – 9pm, et
|
Fax:
1.800.329.9109
24 hours
13MS8651 Infection Control-NP:Layout 1
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Page 19
Human hands are the most important tools for caring. Hands feel, diagnose, cure, prod, and provoke as they
are placed upon each patient who is hoping for answers and understanding. The hands can also be a portal
and transmitter of infection. Surgical hand scrubbing is the most important way to control infection it will
help prevent the transmission of nosocomial infections into the surgical site.
Source: www.outpatientsurgery.net
The Help Center:
Excelle™
Green Soap Tincture, USP
Formulated with moisturizers and emollients
that remain effective for up to 6 hours. Fastacting 15-second formula contains 4%
chlorhexidine gluconate.
8-oz Bottle
(102-6558) ................................................ea
Gallon
(991-0259) ................................................ea
Triseptin Water-Aided
Surgical Hand Scrub
An alcohol-based antiseptic that works with
water to remove microorganisms on skin.
Triseptin hand scrub can be used with a
brush or water alone, providing skinconditioning benefits and antimicrobial
action. Triseptin is an ideal complement to
Surgicept® waterless surgical hand scrub
when a water-aided scrub is needed.
32-oz Bottle
(227-6114) ..........................................6/case
32-oz Bottle
(840-2629) ................................................ea
Triseptin Nail Pick
(104-3088)........................................12/case
Dispenser Accessory for 32-oz Bottle
(935-2956) ................................................ea
Foot Pump Bulb Replacement, Green
(104-7495) ................................................ea
Bacti-Stat®
Offers the ultimate
combination of effectiveness
and cosmetic properties.
The 0.3% triclosan provides
proven infection prevention,
and the aloe vera and
vitamin E promote handwashing compliance.
18-oz Pump Bottle
(120-3367) ................................................ea
1-gal Refill
(120-2130) ................................................ea
8 oz
(690-6606) ................................................ea
16 oz
(690-6950) ................................................ea
32 oz
(690-6727) ................................................ea
With Dispenser, 16 oz
(690-5432) ................................................ea
Chlorhexidine Gluconate
Antimicrobial Skin Cleanser
It contains either 4% or 2% w/w
chlorhexidine gluconate with 4% isopropyl
alcohol in a nonalkaline base. With
persistent antimicrobial action, CHG Skin
Cleanser attacks a wide range of
microorganisms, including gram-negative
and gram-positive bacteria, fungi, and
yeasts. It is also effective as a 15-second
hand wash. The solution does not contain
red dye, which may stain clothing.
Uses:
• Surgical hand scrub
• Health care personnel hand wash
• Preoperative skin preparation
• General skin and wound cleanser
2% CHG Flip-top Cap
#82-319, 4 oz
(113-0188) ........................................48/case
4% CHG Flip-top Cap
#82-286, 4 oz
(867-7116) ........................................48/case
#82-287, 8 oz
(232-0005)................................................ea
4% CHG Screw Cap
#82-288, 16 oz
(232-8920) ................................................ea
#82-291, 1 Gallon
(232-5065) ................................................ea
4% CHG Screw Cap with Pump
#82-289, 32 oz
(232-8091) ................................................ea
www.henryschein.com/infectioncontrol
Surgical Hand Washing Videos –
You Tube
• Comprehensive Surgical Scrub
• Wash 'Em - Hand Hygiene Music
• Dancing for Hand Hygiene
• Hand Washing PreOp
www.youtube.com
Infection Control Surveyor Worksheet
The worksheet contains the list of items
that a surveyor must assess during the
onsite survey. Specific areas for observation
include, hand hygiene compliance,
injection practices, sterilization and
high-level disinfection, and environmental
infection control.
www.unc.edu
Institute for Health care
Improvement (IHI)
A not-for profit-organization that focuses
on motivating and building the will for
change; identifying and testing new models
of care in partnership with both patients
and health care professionals; and ensuring
the broadest possible adoption of best
practices and effective innovations.
www.ihi.org
Association for Professionals in
Infection Control and Epidemiology,
Inc. (APIC)
APIC is recognized as the leader in infection
prevention and control by practitioners,
policy makers, health care executives, and
consumers.
www.apic.org
Get exclusive member access
to a growing library of free CE
offered through AORN and a
complimentary ANA Affiliate
Membership included as a
free member benefit.
https://www.aorn.org/FreeCE/
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This is a list of some frequently asked and anticipated questions on hand hygiene in health
care. Answers are taken from the available evidence, as outlined within Joint Commission,
CDC, and the WHO Guidelines on Hand Hygiene in Health Care (Advanced Draft), and
expert opinion and learning from professionals in the field.
Source: World Health Organization
1. Is hand hygiene as important as most government agencies suggest?
Hand hygiene is one important component in the battle against health care-associated infection
(HCAI). Minimizing risk of infection to patients depends on a range of factors. However, just by
increasing compliance with hand hygiene at the point-of-care you can dramatically reduce the
risk of a patient acquiring a HCAI. This is supported by scientific evidence, not just opinion,
which demonstrates that the bacteria that cause HCAIs are most frequently spread from one
patient to another on the hands of health care staff.
2. Does hand hygiene reduce the number of health care-associated infections (HAIs)?
Yes! 5–10% of patients acquire health care-associated infections (HAIs) that can lead to up to
220,000 HAIs per year and up to 8000 deaths. HAIs are the 4th leading cause of death and the
vehicle identified most commonly in their spread are the hands of health care workers. It is
estimated that a 20% increase in hand hygiene compliance can result in a 40% reduction in the
rate of HAIs.
3. Why is hand hygiene compliance at such a low level?
There are many reasons: lack of sinks, activity levels on the wards/departments, staffing levels,
staff perceptions about soap and its irritant effects, lack of role models, lack of organizational
support for hand hygiene — to name but a few. All of these reasons add to the low internal
motivation which staff have for performing timely and effective hand hygiene.
4. Is hand hygiene improvement only an issue for acute hospitals?
Health care is not just delivered in acute hospitals. The proportion and range of care that is being
delivered outside acute hospitals is increasing. The risk of HCAI remains regardless of where the
care is being provided, including HCAI caused by microorganisms unintentionally transferred by
staff providing health or personal care. By improving compliance with hand hygiene at the right
moments, we can reduce the risk of HCAI.
Because of changes in how care is delivered it is important to recognize that staff and patients
cross care setting boundaries. Patients and service users may receive care in a number of settings.
Also staff may work in more than one geographical location. This is why the same approach to
hand hygiene is required across the healthcare economy to ensure consistency.
5. How does alcohol-based hand rub (ABHR) work?
Alcohol (whether ethanol, isopropanol, or a combination of the two) is the key ingredient in
alcohol-based hand rub (ABHR) when it comes to killing the transient microorganisms that we
pick up on our hands. Alcohols provide for rapid kill of most transient microorganisms due to
their ability to denature proteins. The efficacy of ABHR depends on the quality of the product,
the amount of product used, the time spent rubbing and the hand surfaces rubbed. For maximum
efficacy, health care providers should perform hand hygiene at the appropriate moment of care
which is why ABHR should be available as close to the point-of-care as possible.
6. When is the best time to use alcohol-based hand rub (ABHR)?
For maximum efficacy, health care providers should perform hand hygiene based on the "4
Moments” strategy developed by the Ministry of Health and Long Term Care which stresses the
need for alcohol-based hand rub (ABHR) to be available as close to the point-of-care as possible.
20
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Order:
1.800.772.4346
8am – 9pm, et
|
Fax:
1.800.329.9109
24 hours
13MS8651 Infection Control-NP:Layout 1
2/4/13
12:52 PM
Page 21
7. What concentration of alcohol should be used in an alcohol-based hand rub (ABHR)?
In health care settings, it is preferable that a minimum concentration of 70% alcohol be chosen
as this level kills norovirus. Norovirus and other non-enveloped viruses (e.g., rotavirus,
enterovirus) cause acute gastroenteritis in humans and are a frequent cause of outbreaks in
health care facilities. As norovirus is a concern in all health care settings, this should be
considered when choosing an alcohol-based hand rub (ABHR) product. In non-health care
settings, a concentration of 60–90% is acceptable.
8. Is alcohol absorbed through the skin when using an alcohol-based hand rub (ABHR)?
Evidence indicates that alcohol is not absorbed through the skin and therefore does not pose a
risk as far as increasing blood serum alcohol levels (blood alcohol levels).
9. How would I go about starting up a hand hygiene program?
• First and foremost, in healthcare settings all staff must be educated on and trained to use
good hand washing methods. This includes education on how and when to wash hands, but
also at home to avoid spreading illness to family members.
• Second, in order to educate staff, workplaces should follow and implement the U.S. Centers
for Disease Control and Prevention (CDC) hand hygiene recommendations. This can be
done through meetings and by e-mail or posting materials describing the proper way to wash
hands and when to wash hands. Having reminders in exam rooms, on mirrors in bathrooms
and near sinks, will help improve and adhere with recommended hand hygiene practices.
• Third, there are some great resources available to assist you in the planning and
implementation of a hand hygiene program. The Save Lives: Clean Your Hands (WHO’s)
global annual campaign aims to galvanize action at the point of care to demonstrate that
hand hygiene is the entrance door for reducing health care-associated infection and patient
safety. It also aims to demonstrate the world's commitment to this priority area of health care.
Health care facilities are encouraged to start with the “Guide to Implementation of the
WHO Multimodal Hand Hygiene Improvement Strategy.” This is a key tool that provides
comprehensive advice on how to develop an effective action plan and how to use the
other tools.
10. Is hand hygiene really that important?
Yes! It is a simple concept, but ultimately improving hand hygiene compliance by
health care staff will help to save lives.
HELPFUL CHECKLIST TO IMPLEMENT PROPER HAND
HYGIENE PROTOCOL
Is there a primary administrative resource available to develop and maintain infection
control policies that adhere to proper hand hygiene practices?
Does the healthcare facility have an allocated budget to meet hand hygiene policies?
Are healthcare workers regularly monitored to ensure proper hand hygiene compliance?
Does the healthcare facility provide healthcare workers with up-to-date education on proper
hand hygiene?
Are healthcare workers compensated on hand hygiene compliance?
Are proper hand hygiene reminders posted throughout the facility to ensure compliance from
healthcare workers and patients?
Are patients encouraged to remind healthcare workers to follow hand hygiene compliance?
www.henryschein.com/infectioncontrol
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21
13MS8651 Infection Control-NP:Layout 1
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HAND SANITIZER
• Alcohol-based waterless hand gel
• Kills 99.9% of most common diseasecausing germs spread by the hands
• Rinse-free; no water required
• Fresh clean scent and soothing emollients
leave hands soft and clean
8-oz Pump Bottle
(900-4443) ................................................ea
16-oz Pump Bottle
(900-4442) ................................................ea
FOAMING HAND
SANITIZER
Alcohol-free, waterless
foaming hand sanitizer.
Special formulation
contains emollients
and a fresh pleasant
Mountain Meadow fragrance, leaving hands
feeling soft and clean after use, without any
stickiness or drying out of the skin. Rinsefree: no water required. Kills 99.9% of the
most common disease-causing germs
spread by hands. Contains benzalkonium
chloride (active ingredient) to kill germs.
18.6-oz Pump Bottle
(900-4444) ................................................ea
QUICK WIPES
• Soft, strong towelettes:
allow easy and gentle
cleansing of hands
and face
• Effective and gentle formulation that
contains aloe: formulated for fast drying
and gentleness
• Convenient packaging: towelettes easily
dispensed through orifice; each towelette
is saturated with cleansing liquid
Pop-Up Container, 9" x 51/2"
(104-4176).......................................150/cont
22
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Order:
12:52 PM
Page 22
See
promotional
offer on
page 15!
FOAMING
ANTIBACTERIAL
HAND SOAP
• Luxurious foaming soap
• Provides a rich, dense lather
• Rinses easily using minimal water
• Leaves hands feeling soft and smooth
• Pleasant Spring Water Clean fragrance
• Active ingredient is 0.2% triclosan
18.6-oz Pump Bottle
(900-4441) ................................................ea
MAXICLENS INSTANT HAND SANITIZER
Kills 99.99% of germs in 15 seconds
without the use of soap and water. Contains
aloe vera to add moisture with every use.
Henry Schein's hand sanitizer helps you
meet OSHA, APIC and CDC hand washing
recommendations.
800-mL Bag for Manual Dispenser
(112-5988) ................................................ea
800-mL Bag for Automatic Dispenser
(112-5991) ................................................ea
Manual Dispenser
(112-5984) ................................................ea
Automatic Dispenser
(112-5986) ................................................ea
Stand
(112-5989) ................................................ea
ANTIBACTERIAL LIQUID HAND SOAP
Luxurious Liquid Hand Soap for Sinks
and Dispensers
Provides a luxurious feel, leaving hands
smooth and soft. Mild, gentle, and
moisturizing. Pleasant Cucumber and Aloe
fragrance. Active ingredient is 0.2% triclosan.
8-oz Pump Bottle
(900-4439) ................................................ea
16-oz Pump Bottle
(900-4438) ................................................ea
1-gal Refill Bottle
(900-4440) ................................................ea
See
promotional
offer on
page 15!
MAXICLENS® INSTANT
ANTIMICROBIAL SOAP
Contains 0.6% PCMX for antimicrobial
action and aloe vera to add moisture with
each use. The product aids in reducing
cross contamination while helping you meet
APIC and OSHA recommendations for
hand washing.
800-mL Bag for Manual Dispenser
(112-5987) ................................................ea
800-mL Bag for Automatic Dispenser
(112-5990) ................................................ea
Manual Dispenser
(112-5983) ................................................ea
Automatic Dispenser
(112-5985) ................................................ea
Stand
(112-5989) ................................................ea
MAXICLENS®
ANTIMICROBIAL/
ANTISEPTIC SKIN
CLEANSER
Formulated with
detergents, moisturizers,
skin protectors, and humectants that
cleanse without drying. Fast-acting formula
that is proven effective at 15 seconds
against a broad spectrum of bacteria.
Effective for up to 6 hours after use. Active
ingredient: 4% chlorhexidine gluconate.
1 Quart
(431-0032) ................................................ea
1 Gallon
(431-0099) ................................................ea
Hand Pump for Quart Bottle
(431-1478) ................................................ea
1.800.772.4346
8am – 9pm, et
|
Fax:
1.800.329.9109
24 hours
13MS8651 Infection Control-NP:Layout 1
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in
Infection Control News for the Health of Your Practice
Visit www.henryschein.com/medical for the latest version of our
Infection Control Quarterly
12MS7337
SOLUTIONS GUIDE
S O L U T IO N
S GUIDE
WINTER 201
2 EDITION
Products, resources and services for all facilities performing outpatient procedures
12MS6542
SOLUTIONS G U I D E
SURGITEAM
SOLUTIONS
GUIDE
SUMMER 2012 EDITION
MOHS SURGERY
TIPS & STRATEGIES
To Order: 1-800-P-SCHEIN (1-800-772-4346) 8am–9pm (et)
To Fax: 1-800-329-9109 24 Hours
GI/ENDO
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COPY
TIPS & ST
RATEGIES
www.henryschein.com/medical
To Order: 1.800.P.SCHEIN (1.800.772.4346) 8am–9pm, et
To Fax: 1.800.329.9109 24 Hrs
For more information visit: www.henryschein.com/SurgiTeam
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13MS8651 Infection Control-NP:Layout 1
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12:53 PM
Page 24
Call:
1-800-P-SCHEIN
(1-800-772-4346)
8am–9pm (et)
Fax:
1-800-329-9109
24 Hours
www.henryschein.com/infectioncontrol
Due to manufacturer price increases, prices are subject to change without notification. Offer
valid on our full array of products, excluding flu vaccine and Synagis®. Upon any request by
Medicare, Medicaid, Tricare or other payer, you must report the value of any benefit received
from a discount program (e.g., points redemptions, gifts or other special awards). © 2013
Henry Schein, Inc. No copying without permission. Not responsible for typographical errors.
No adjustments from prior sales. Offer not to be combined with other promotions and/or special
contract pricing. Void where prohibited. Local regulatory requirements may apply to use or
installation of certain products. It is your responsibility to understand and comply with any such
requirements prior to purchase, use or installation of products. †For informational purposes
only. Source: ReimbursementCodes.com and/or www.cms.gov. Customer is responsible for
verification of billing/coding in accordance with applicable specific circumstances.
13MS8651
WHO World Hand Hygiene
May 5, 2013 is
Hand Hygiene Day
Celebrations for May 5, 2013 aim to be as inclusive of everyone as possible! This time, the day actually
falls on a Sunday, a rest day for most, but not for all. Activities in support of May 5 have always been
promoted as on or around May 5 to ensure all health care workers have the opportunity to take part in
important hand hygiene awareness-raising activities. Therefore, we encourage those working on
Saturday and Sunday, to celebrate hand hygiene promotion and improvement on 4 and 5 May 2013.
The World Health Organization (WHO) call-to-action for 2013 is two-fold:
•Continue to focus on hand-hygiene monitoring and feedback!
Re-use the WHO Hand Hygiene Self-Assessment Framework (HHSAF) to check whether your facility has improved compared to last year. If you
have never used it, please do so and join the thousands of facilities that have used this powerful tool to track their situation and progress with
hand hygiene improvement. It’s one of the most popular tools to be downloaded up to now! After completing the HHSAF, use and adapt the
WHO Template Action Plans to implement plans for local improvement! Please visit www.who.int for downloading of both documents.
•Your patients have a voice too!
Patient participation is a powerful approach to achieving improvements in health care by building and strengthening a strong patient safety
climate. Identify the best way to gather patient participation in hand hygiene promotion and improvement, according to your facility’s approach.
•Registering for SAVE LIVES: CleanYour Hands
You can still register now at www.who.int and be part of this global movement to improve hand hygiene! Registrations are particularly encouraged
from countries with zero or low numbers of registrations. If you have already registered, there is no need to register again.
Visit www.who.int for more information.
Source: World Health Organization