Medical

Handwashing
 To Reduce the number of microbes,
risk for transmission as well as
Purpose cross-contamination and the risk of
transmission to onself
Steps in
Handwashing
• Gather equipment. Using a
tray to organize all
paraphernalia needed.
Equipment Needed:

• Liquid soap with push button

• Paper Towel
2. Remove Jewelry and watch.
3. Assess the hands:
• Nails should be kept short
• Check the hands for breaks in the skin,
such as hang nails or cuts
4. Open the faucet and adjust the flow
5. Apply soap and lather your hands by rubbing
them together for at least 20 seconds
5.1 Rub hands palm to palm
5.2 Right palm over left dorsum with interlaced fingers
and vice versa.
5.3 Palm to palm with fingers interlaced.
5.4 Interlock fingers and rub the back of the fingers of
both hands.
5.5. Rub thumb in a rotating manner followed by the
area
5.6 Repeat above procedure with the other hand
5.7 Rub fingertips on palm
5.8 Repeat above procedure with the other hand
5.9 Rub wrist in a rotating manner and repeat with the
other wrist
5.10 Rinse with running water flowing towards the
finger tips
6. Close the faucet using the tissue
7. Dry hands and arms thorougly with a paper towel
8. Discard the used paper towel appropriately
OPEN
GLOVING
 Purpose:

Open gloving is a method of wearing gloves that is used

when not wearing a gown.

Open gloving aims to protect the hands from fluids and

prevent contamination of sterile equipment.
 Materials Needed:

• Sterile Gloves
• Tray with Lining
• Gather equipment.
• Open the outside wrapper of the gloves and place
the gloves on a clean space or preferable a tray with
lining.
• Perform handwashing. Be sure hands are thoroughly
dried.
4. Open wrapper of the gloves taking into consideration
that the inside wrapper and gloves are kept sterile. Avoid
contaminating the gloves or the inner package.
5. Using the dominant hand, pick up the cuff of the opposite glove. Slide your
hand into the glove until a snug fit over the thumb joints and knuckles are formed.

The bare non-dominant hand should only touch the folded cuff - the rest of the
glove remains sterile.

6. Slide fingertips into the folded cuff of the glove on your non-dominant hand.
7. Use your gloved hand to pick up the folded cuff of the opposite glove and pull glove
up.
8. Place the fingers of the gloved hand under the cuff of the partially gloved hand.
Unfold the cuff down. Make sure the gloved fingertips do not touch bare forearm or
wrists.

9. Manipulate and adjust gloves to fit.

Environmental Care
 • To leave a clean polished surface where
possible, so that dirt may not be
accumulated and will be the source of
infection or contamination
• To remove all dust, dirt and breeding
Purpose places of microorganisms with least
disturbance to the client
• To prolong the life of articles
• To keep the articles in such a condition
that they are ready for use at any time
• To maintain the aesthetic factors
The Principles
of Dusting

s.
Scrubbing
• It is the best way to physically remove dirt, debris and
microorganisms

• Friction aids in mechanical cleaning. Use a brush when

cleaning a grooved surface. Scrubbing should be done
with a firm and even stroke.
• Dry sweeping, mopping, and dusting should be
avoided to prevent dust, debris and
microorganisms from getting into the air and
landing on clean surfaces.

• Dust clings to the moist surfaces. Therefore, the

dusting can be done best by a damp duster or by
an oiled cloth. A dry duster scatters the dust.
• Routine cleaning is necessary to maintain a
standard of cleanliness.

• Cleaning products should be selected on the

basis of their use, efficacy and cost.

• Albuminious materials (body discharges) are

coagualted by heat. It should be removed with
cold water.
• Bacteria grow in the dark, moist, and unclean
places.

• Exposure to sunlight destroys some bacteria.

• In cleaning, it is best to follow the the topmost
first and bottom last.

What disinfectant should we use?

• Intended use
• Efficacy
• Acceptability
• Safety
• Cost