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In NSW, we follow the NHHI guidelines.
Some principles that might help you are:
1. The 5 Moments.
2. Moment 1 – before touching a patient.
3. Moment 2 – before a procedure.
4. Moment 3 – after a procedure or body fluid exposure risk.
5. Moment 4 – after touching a patient.
6. Moment 5 – after touching a patient’s surroundings.
Also, it is not hard to incorporate the changes, simply make up some posters or use the ones supplied in the NHHI guideline booklet.
1. Touching a patient in any way Shaking hands, assisting a patient to move, allied health interventions, touching any medical device connected to the patient
(for example, intravenous line pump, urinary catheter)
2. Any personal care activities Bathing, dressing, brushing hair, putting on personal aids such as glasses Any non-invasive observations Taking a pulse, blood pressure, oxygen saturation, temperature, chest auscultation, abdominal palpation, applying ECG electrodes, cardiotocography
3. Any non-invasive treatment Applying an oxygen mask or nasal cannula, fitting slings/braces, application of incontinence aids (including condom drainage)Preparation and administration of oral medications Oral medications, nebulised medications Oral care and feeding.
4. Feeding a patient, brushing teeth or dentures
I hope this helps you I do know that SA health guidelines are stringent and surprised your facility is not following these.
All the best
Sandy
Sandy Miller
Facility Manager | Registered Nurse
smiller@standrew.com.au
[cid:image001.jpg@01D8CC1C.C88C0600]
59 Bentinck Street
BALLINA NSW 2478
02 6620 5800
0428 490 773
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From: ACIPC Infexion Connexion On Behalf Of Tenzin Chokey
Sent: Monday, 19 September 2022 10:44 AM
To: ACIPCLIST@ACIPC.ORG.AU
Subject: [ACIPC_Infexion_Connexion] Moments of Hand Hygiene
Hi All
I am fairly new to the role as a centralised IPC lead. Prior to taking on the role, in the recent time my organisation had adopted 4 moments of hand hygiene instead of 5 moments and the rationale behind this is 5 moments apparently doesnt support aged care setting. If we are to apply a 5 moments, we must either have a ABHR at each residents bedside or alternatively all staff would need to carry hand gel with them. The posters were changed from 5 moments to WHO 4 moments.
This was not something that I have implemented, but was there in place. When I started our HH audit, my audit template was based on 4 moments. However, recent SA health online infection course that all aged care workers required to complete still has 5 moments. I find this quite misleading for the staff given there are now 2 different instructions to follow. I was wondering if other organisation follow 4 or 5 moments. If 5, how do you make sure this is followed correctly by staff.
I would really appreciate some response.
Tenzin Chokey
Infection Prevention and Control Lead
Life Care SA
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