![]() ![]() Includes the patient and the patient’s immediate surroundings. Patient care equipment and areas of the ambulance, and reduce cross contamination between patients and Ambulance personnel. Performing hand hygiene when moving between zones will minimise the risk of contamination of The Council of Ambulance Authorities has developed guidance for the zones of hand hygiene in the pre-hospital setting to determine when hand hygiene is needed. It is recognised in the pre-hospital setting there may be times in emergency situations where hand hygiene is secondary to patient safety, however once the risk has been resolved further deviation is not warranted. Before entering the healthcare worker zone (e.g.After touching the patient’s belongings.When leaving the bedside at the care facility or hospital.To protect yourself and the healthcare surroundings from becoming contaminated with potential organisms from the patient’s surroundings. Always perform hand hygiene before leaving the patient zone, and/or entering the healthcare worker zone. Hand hygiene after touching surroundings in the patient zone even when the patient has not been touched. To protect the healthcare worker and the environment from harmful micro-organisms Perform hand hygiene before you leave the patient zone. After contact with blood or any body fluidĪfter touching a patient.To protect the healthcare worker and the environment from becoming contaminated by the transmission of potentially micro-organisms from the patient Hands may also have been contaminated in the process of removing the gloves. Hand hygiene immediately after a procedure or body fluid exposure risk as hands could be contaminated with body fluidĮven if you have had gloves on you should still perform hand hygiene after removing them as gloves are not always a complete impermeable barrier. Disconnecting vascular access giving sets.Preparation and administration of medications.Intravenous cannulation, intraosseous cannulation BGL, subcutaneous or intramuscular injections, cricothyrotomy, needle thoracocentesis.To protect the patient from harmful micro-organisms from entering their body Once hand hygiene has been performed, nothing else in the patient's environment should be touched prior to starting the procedure Preparation and administration of oral medications.Applying an oxygen mask or fitting nasal cannula.Taking a pulse, taking a BP, chest auscultation, abdominal palpation, applying ECG electrodes.Shaking hands, assisting patient to move.To protect the patient against acquiring harmful micro-organisms from the hands of the healthcare worker Perform hand hygiene on entering the patient zone before touching the patient “5 Moments for Hand Hygiene (Adapted by the Council of Ambulance Authorities)” Healthcare workers and the healthcare environment from acquiring patients’ infectious agents.Patients from infectious agents (including their own) entering their bodies during procedures.Patients against acquiring infectious agents from the hands of healthcare workers.Five Moments for Hand Hygiene have been identified as the critical times when hand hygiene should be performed to protect: ![]()
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