What are the main rules of the hand hygiene policy used within the local NHS trust?
This local hand hygiene policy used within the local NHS trust supports the hand hygiene technique using the 5 moments. NPSA also support the approach of the five moments of hand hygiene these include, before any patient contact, before an aseptic task is performed, after any bodily fluid exposure, after any patient contact and after contact with any patient surroundings. Although NPSA support this hand hygiene technique it was originally adapted from WHO, which was developed from evidence based research to ensure that hand hygiene is performed at the right time, the right location and to ensure the standard of care provided is the highest possible. Dougherty and Lister and Aziz support the evidence to suggest when hand washing should take place, supporting the ‘5 moments of hand hygiene’, they also reinforce the effectiveness of using audits for compliance scores in hand hygiene. Evidence suggests that studies have proven that one of the biggest factors contributing to the outbreak of healthcare associated infections included non-compliance with the ‘five moments of hand hygiene’ which contaminated health care workers hands, spreading infections to patients. Within the ‘five moments of hand hygiene’ it suggests that for effective hand hygiene to be implemented all staff must adhere to bare below the elbow, this is shown to be good practice. The City Hospitals Sunderland NHS Foundation Trust local policy implies that if effective hand hygiene is to take place then uniforms and any workwear should not impede on the effectiveness of hand hygiene. This also has an impact on patient safety and safe environment as nothing must be worn by staff that could compromise the care or safety of patients, such as false nails, wrist jewellery and rings. Evidence from NICE, guidelines also support that to ensure appropriate decontamination of the hands, staff should be bare below the elbow when delivering direct patient care.