What is the ‘bare below the elbow’ principle in hand hygiene?
The local policy applies the ‘bare below the elbow’ principle utilising evidence from DOH, suggesting that for effective hand hygiene and good practice all staff must comply with sleeves only to the elbow and must not wear any wrist or hand jewellery. However, in relation to ethical issues a research article suggests that a Muslim healthcare worker left the NHS due to compromising her faith stating, “there is absolutely no scientific basis for what they are trying to do”. This can result in implications on person-centred care if a health care worker is non-complaint with policies within the trust increasing the risk of infection. However, the City Hospitals Sunderland NHS Foundation Trust local policy suggest that within the local organisation for the ‘bare below the elbow’ method, exemptions can be made if a risk assessment is carried out for reasons of religion, culture or health and safety.
The research and studies shown within this assignment emphasises the impact of hand hygiene on person-centred care. It shows the effectiveness of compliance with hand hygiene and the impact this has if it not practised appropriately. If hand hygiene is practised effectively it has been shown to improve patient health outcomes and reducing the chance of acquiring a health care associated infection.