(1) The hand hygiene requirements for medical personnel in Class I and Class II areas should be ≤5cfu/cm2. Class I and Class II areas include laminar-flow clean operating rooms, laminar-flow clean wards, general operating rooms, labor and delivery wards, general protective isolation rooms, clean areas in the supply room, burn wards, intensive care wards etc.
(2) Ⅲ hand hygiene requirements for medical personnel should be ≤ 10cfu/cm2. Ⅲ areas include pediatric wards, obstetrics and gynecology examination rooms, injection rooms, dressing rooms, treatment rooms, supply room clean area, emergency rooms, laboratories and various types of general wards and rooms.
(C) Ⅳ area of medical staff hand hygiene requirements should be ≤ 15cfu/cm2. Ⅳ area including infectious diseases, infectious diseases and wards.
The hands of medical personnel working in each area shall not detect pathogenic microorganisms.
Chapter III Hand Hygiene Facilities
Article VII of all levels and types of medical institutions in general hand hygiene facilities should be guided by the following principles:
(a) the use of flowing water to wash hands, hospital operating rooms, maternity wards, intensive care units and other key departments should be used for non-hands touch faucet switches;
(b) used for hand washing soap or soap should be placed in a clean Containers, containers should be regularly cleaned and disinfected, the use of solid soap should be kept dry;
(c) equipped with hand drying items or facilities after hand washing, hand drying items or facilities should be avoided to cause secondary contamination;
(d) hand hygiene facilities should be conveniently located for the use of medical staff.
Article 8 The selection of hand sanitizers shall be guided by the following principles:
(1) the selection of hand sanitizers shall comply with the relevant state regulations;
(2) hand sanitizers on the skin of the medical staff is less irritating, non-injurious, and has a better skin care properties;
(3) hand sanitizers should be able to avoid the packaging of the secondary contamination caused by the spread of pathogenic microorganisms. spread.
Article IX of the surgical hand hygiene facilities should follow the following principles:
(1) surgical hand washing basin should be set up in the vicinity of the operating room, the size of the appropriate, easy to clean;
(2) surgical hand washing basin faucets should be set up in accordance with the number of surgical tables should not be less than the number of surgical rooms;
(3) surgical hand washing can be used with soap, soap solution. Conditional medical institutions should use antibacterial soap or soap;
(4) containers of soap or soap should be cleaned and disinfected weekly, when cleaning and disinfecting containers, containers of the remaining soap should be discarded, the use of solid soap should be kept dry;
(5) used to brush the hands of sponges, brushes and nail clippers and other utensils should be a one-time use of a sterilized or disposable, the hand-washing sink should be cleaned daily;
(5) used to brush hands, brushes and nail clippers, etc. should be sterilized or disposable. Hand washing sink should be cleaned daily;
(f) surgical hand sanitizer should be in line with the relevant provisions of the state, hand sanitizer dispenser should be non-contact, hand sanitizer placed in a location that should be convenient for medical staff to use;
(g) surgical hand washing and use of sterile towels to wipe their hands, containers containing sterile towels should be dry, sterilized;
(h) hand washing area should be Installation of clocks.
Chapter IV General Hand Hygiene Methods
Article X medical personnel shall wash their hands in the following cases:
(1) before and after direct contact with patients, between contact with different patients, from the same patient's body contaminated parts of the body to clean parts of the time, before and after contact with special susceptible patients;
(2) before and after contact with the patient's mucous membranes, broken skin or wounds. After contact with the patient's blood, body fluids, secretions, excretions, wound dressings;
(iii) before and after putting on and taking off isolation gowns, after removing gloves;
(iv) before and after performing aseptic operations, before handling clean and sterile items, after handling contaminated items;
(v) when the medical personnel's hands have visible contaminants or are contaminated by the patient's blood or body fluids.
Article XI of the medical personnel hand washing method is:
(1) using running water to wash hands, so that the hands are fully wet;
(2) take an appropriate amount of soap or soap, evenly applied to the entire palm of the hand, the back of the hand, the fingers and finger crevices;
(3) carefully rubbing the hands for at least 15 seconds, care should be taken to wash all the skin on both hands, wash the back of the fingers, finger tips and finger crevices. The specific rubbing steps are:
1. palms opposite each other, fingers together, rubbing each other;
2. palms on the back of the hands along the finger joints rubbing each other, exchange;
3. palms opposite each other, hands cross the finger joints rubbing each other;
4. the right hand holding the left thumb rotating rubbing, exchange;
5. bending the fingers make the joints in the palm of the other hand to rotate and rub, and exchange;
6. Place the tips of five fingers together in the palm of the other hand to rotate and rub, and exchange;
7. If necessary, add washing of the wrist.
1. palm-to-palm rubbing 2. fingers crossed, palm-to-palm rubbing on the back of the hand 3. fingers crossed, palm-to-palm rubbing
4. hands holding each other and rubbing fingers 5. thumb rubbing in the palm 6. fingertips in the palm rubbing
(d) in the flow of water under a thorough rinse of the hands, dry, take the appropriate amount of hand lotion skin care.
Article XII of the medical personnel should wash their hands should be thoroughly cleaned easily contaminated microorganisms, such as fingernails, fingertips, fingernail crevices, knuckles and parts of the wear jewelry and so on.
Article XIII of the medical staff wash their hands with soap, in the replacement of soap, should be cleaned after the liquid extractor, re-replace the soap or preferably use a disposable package of soap. It is prohibited to add soap directly to the unused liquid collector.
Article XIV medical personnel hands without visible contaminants, you can use quick-drying hand sanitizer to disinfect hands instead of hand washing. Specific methods are:
(a) take an appropriate amount of quick-drying hand sanitizer in the palm;
(b) strictly follow the rubbing steps of hand washing;
(c) ensure that the hand sanitizer completely covers the skin of the hands when rubbing until the hands are dry, so that the hands can achieve the purpose of disinfection.
Article 15 Medical personnel shall disinfect their hands in the following cases:
(1) before examining, treating and caring for immunocompromised patients;
(2) before and after entering and leaving the isolation wards, intensive care wards, burn wards, neonatal intensive care wards and infectious disease wards and other key departments of the hospital for infectious diseases;
(3) before and after coming into contact with infectious (C) after contact with infectious blood, body fluids and secretions, as well as items contaminated by infectious microorganisms;
(D) hands directly for infectious disease patients after examination, treatment, care or disposal of infectious diseases;
(E) need to hands to maintain antimicrobial activity for a longer period of time.
Article XVI of the medical personnel hands contaminated with infectious substances and directly for infectious disease patients after examination, treatment, care or handling of infectious disease patient contaminants, should be rinsed with running water, and then use hand sanitizers to disinfect the hands.
Article XVII of the medical staff for invasive operations should wear sterile gloves, gloves should be washed before and after. Disposable sterile gloves shall not be reused.