When to

HAND HYGIENE?
to th e4
re's m ore ygien e... Hand hygiene prior to
The of Hand H
om ents aseptic procedure
m
Hand hygiene after
“dirty” objects
Aseptic with no patient contact
procedures may include:
Preparation of IV fluids and medications:·
Mixing of IV fluids and medication·
What’s a dirty object? Priming of IV fluids·
Anything that can be contaminated with Priming of total parenteral nutrition (TPN)
multiple sources of flora.
ie: garbage bins, duster, toilet brush,
used rags, dirty dry or wet mop heads,
dust pans, dirty microfibre, dust broom,
etc
Aseptic direct contact with the patient
Not “dirty”: procedures may include:
Patient items such as room furniture, Wound care and/or dressing change
medication cups, clothing, mobility aids, etc. Mouth/oral care
are not dirty objects. One source of flora. Drain removal and drain care
Ostomy care
Taking a blood glucose test
Collection of body fluids from body sites:
Spinal tap, thoracentesis, abdominal
Hand hygiene paracentesis, blood collection, urine
prior to “clean” collection
Procedures that come in contact with
objects mucous membranes:
Bronchoscopy, endoscopy, tracheal
suction, tracheotomy care
Urinary tract catheterization
Insertion of peripheral (IV) catheter:
IV therapy
What's a clean object? IV maintenance
Objects that are considered clean and may Medication administration (e.g., oral,
come into contact with multiple patient injectable, etc.)
spaces (but not multiple patients!). These clean Changing chest tube drainage system
objects are treated like aseptic procedures, Feeding tube care
meaning that the healthcare providers have to Vaginal examination
perform hand hygiene before accessing them. Insertion of a central venous catheter
Laboratory Services cart Central line care/maintenance
Medication cart
Wound care cart
Anesthetic cart
Crash cart
Patient care supplies in clean supply
room/cart
Clean side of Environmental Services cart Aseptic while touching the patient
Clean linen cart environment may include:
Isolation cart Setting up a sterile field
Setting up IV insertion supplies, wound
care supplies, etc
Poster by Chantal CNE Grey Nuns Hospital, with information from CompassionNET/Handy Audit Training