Aseptic Technique: Medical Asepsis Handwashing

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ASEPTIC TECHNIQUE

• ASEPTIC- means “without microorganisms”, “the complete absence of living microorganism”


• ASEPTIC TECHNIQUE- refers to the practices that help reduce the risk of post procedure infections
in clients by decreasing the likelihood that microorganisms will enter the body during clinical
procedures.
• Aseptic techniques are those that do some or all of the following:
• Remove or kill microorganisms from hands and objects
• Employ sterile instruments and other items
• Reduce client’s risk of exposure to microorganisms that cannot be removed

WHO ARE AT RISK?


 Staff
 during examination or invasive procedures, service providers may be exposed to potentially
infectious tissue, blood, or other body fluids.
 Aseptic technique protects service providers by acting as barrier against microorganisms
 Client
 the usually harmless microorganisms found on the skin of a service provider may cause an
infection when introduced into an area of the body where they are not normally found, such
as into a client’s internal organs during surgery.
 Aseptic technique adequately prepares clients from microorganisms in the environment and
on the service provider’s skin clothes and hair
 Community
 If their hands are contaminated, or if they become infected from exposure to blood borne
diseases, staff members can spread infections to their parents, friends or family members

HANDWASHING
 Is the most effective way to prevent spread of pathogens and it interrupts the infection chain
 Most important basic procedure in the prevention of nosocomial or hospital-acquired infection

MEDICAL ASEPSIS HANDWASHING


 PRINCIPLE: to clean the hands and reduce the number of organisms on the hands and wrists. The
purpose is to decrease the transfer of organisms from a source to a susceptible host
 MATERIALS:
 Sink with running water, preferably foot-operated controls or hand sensor automatic dispenser
 Soap from a foot operated container or a pump container
 Disposable paper towel
 Nailstick and/ or brush
 Sink with running water, preferably foot-operated controls or hand sensor automatic dispenser
 Soap from a foot operated container or a pump container
 Disposable paper towel
 Nailstick and/ or brush
 PROCEDURE:
1. Remove all rings, watches, and so on to prevent the jewelry from harboring microorganisms
2. Have disposable towels ready or use an automatic towel dispenser so that you do not have to
touch the towel dispenser.
3. Stand back from the sink so that you and your clothing do not touch the sink.
4. Turn on the water with the foot pedal or with a disposable towel if not foot controlled. The
temperature should be lukewarm.
5. Wet hands under the running water. Be careful to not touch the sides of the sink.
6. Apply soap, and lather well. The lather and scrubbing action will remove dirt and dead skin.
Scrub between fingers and around fingernails. Continue to scrub for at least 15 to 20 seconds.
Some facilities have a specific minimum time to scrub. Use a nail stick and a brush during the
first handwashing of each day or when your hands become excessively soiled.
7. Rinse hands with the water flowing downward off the fingertips. This will rinse the
contaminated water off the fingertips and not onto the forearms.
8. Complete the washing process again if this is the first handwashing of the day.
9. Dry hands and wrists with the disposable towels.
10. Turn off the water with the disposable towels if sink is not foot controlled.

MEDICAL GLOVES
Rationale for using medical gloves:
Medical gloves are recommended to be worn for two main reasons:
1. To reduce the risk of contamination of health-care workers hands with blood and other body fluids
2. To reduce the risk of germ dissemination to the environment and of transmission from the health-
care worker to the patient and vice versa, as well as from one patient to another
PROCEDURE:
1. Take out a glove from its original box
2. Touch only a restricted surface of the glove corresponding to the wrist(at the top of the
edge of the cuff)
3. Don the first glove
4. Take the second glove with the bare hand and touch only a restricted surface
5. To avoid touching the skin with the gloved hand, turn the external surface of the gloved to
be donned on the folded fingers of the gloved hand, thus permitting to glove the second
hand
6. Once gloved, hands should not touch anything else that is not defined by indications and
conditions for glove use.

REMOVING CONTAMINATED GLOVES


 PRINCIPLE: to remove gloves after use to avoid contamination of the health care associate. This
purpose is to decrease the transfer of organisms from a source to a susceptible host.
 MATERIALS:
 biohazard waste container
 PROCEDURE:
1. Hold hands out in front away from the body.
2. Grasp the palm of one hand, and pull down on the glove to pull the glove inside out. A right-
handed person would naturally pull the palm of the left hand. Do not touch the bare skin with
the contaminated glove.
3. The hand still having the glove on should then hold the removed glove.
4. Contain the inverted glove completely in the gloved hand.
5. Insert two fingers of the ungloved hand under the cuff of the glove of the other hand.
6. Pull down on this glove and contain the other glove inside the inverted glove.
7. Dispose of the gloves into a biohazard container.
8. Wash hands with running water.

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