Hand Hygiene Technique for Invasive Procedures

[Beth Bint]

Good morning Brains Trust

I have to declare my age may be influencing my opinion on this subject.

Could you please advise as to what the recommended hygiene procedure would be for the following invasive procedures examples undertaken in in the clinical setting.

Would be:

a. fingertip to wrist, or

b. finger to elbow.

I acknowledge that an antimicrobial solution would be recommended for either of these hand hygiene methods.

Examples of invasive procedures:

1. Insertion of PICC or Central line

2. Insertion of Indwelling urinary catheter

3. Insertion of Chest Tube

If you recommend fingertip to wrist, could you please provide the reference to for this practice.

Thank you
Beth

Beth Bint

Infection Prevention and Control Clinical Nurse Consultant | Infection Management and Control Service
Level 1 Lawson House Wollongong Hospital
Tel 02 4222 5898 |beth.bint@SESIAHS.HEALTH.NSW.GOV.AU
http://www.health.nsw.gov.au
———————————————————————————————

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[Tim Spencer]

Hi Beth,
For ALL CVAD insertions, we recommend and perform fingertip to elbow 2min CHG scrub.
If dressing or administration set change, fingertip to wrist 2min CHG scrub as both procedures should be performed with sterile gloves.

Regards,

Timothy R. Spencer, RN, APN, DipAppSci, Bach.Health, ICCert.
Clinical Nurse Consultant | Central Venous Access & Parenteral Nutrition Service
Conjoint Lecturer, University of NSW
Dept of Intensive Care, Level 2, Clinical Building, Liverpool Hospital, Elizabeth Street, Liverpool, 2170, NSW, Australia
Tel 02 8738 3603 | Fax 02 8738 3551 | Mob +61(0)409 463 428 | Tim.Spencer@sswahs.nsw.gov.au | Timothy.Spencer@unsw.edu.au

—–Original Message—–
Good morning Brains Trust

I have to declare my age may be influencing my opinion on this subject.

Could you please advise as to what the recommended hygiene procedure would be for the following invasive procedures examples undertaken in in the clinical setting.

Would be:

a. fingertip to wrist, or

b. finger to elbow.

I acknowledge that an antimicrobial solution would be recommended for either of these hand hygiene methods.

Examples of invasive procedures:

1. Insertion of PICC or Central line

2. Insertion of Indwelling urinary catheter

3. Insertion of Chest Tube

If you recommend fingertip to wrist, could you please provide the reference to for this practice.

Thank you
Beth

Beth Bint

Infection Prevention and Control Clinical Nurse Consultant | Infection Management and Control Service
Level 1 Lawson House Wollongong Hospital
Tel 02 4222 5898 |beth.bint@SESIAHS.HEALTH.NSW.GOV.AU
http://www.health.nsw.gov.au
———————————————————————————————

Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice

This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.

This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.

We care for our environment. Please only print this e-mail if necessary.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
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_____________________________________________________________________
This email has been scanned for the Sydney & South Western Sydney Local Health Districts by the MessageLabs Email Security System.
Sydney & South Western Sydney Local Health Districts regularly monitor email and attachments to ensure compliance with the NSW Ministry of Health’s Electronic Messaging Policy.

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

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