Search The Royal Children's Hospital Melbourne Search

Washup

RCH>Other>WHO 5 Moments for Hand Hygiene

WHO 5 Moments for Hand Hygiene

  • This is now the global benchmark of WHEN to perform Hand Hygiene.

    It is your professional responsibility and "best possible practice" to know & do them routinely.

    Just a touch can contaminate. Quality Hand Hygiene massively reduces contamination See evidence (photo)

    Hand Hygiene Australia's overview of "The 5 Moments"

    1. Before patient contact

    When ?         

    Clean your hands before touching the patient and their immediate surroundings.

    Why ?

    To protect the patient against harmful germs carried on your hands.

    Specific Examples:Hand Hygiene Australia: Moment 1

    2. Before a procedure

    When ?

    Clean your hands immediately before any procedure & aseptic task.

    Why ?

    To protect the patient against harmful germs, including the patient's own surface "flora", from entering his / her body.

    NB: Invasive Devices:

    ALL equipment that pierces or enters the patient is a foreign body and increases the risk of Hospital - Acquired Infection (HAI). 
    It is necessary to perform Hand Hygiene immediately before accessing any type of invasive equipment.
    Even if you have just cleaned your hands to touch the patient's exterior or their immediate environment, hand hygiene must be done again - immediately before & after accessing invasive devices.

    When touching multiple pieces of equipment attached to disparate body systems & sites (urinary, gastro-intestinal, peritoneal, blood stream, wound etc), hand hygiene is required between touching each one. This is to prevent transfer of micro-organisms from one system (eg gastro-intestinal or skin) to another (eg blood stream or renal system), where it may be highly pathogenic. Make this easier by placing Alcohol-Based Hand Rub (ABHR) next to multiple drains.

    Specific Examples: Hand Hygiene Australia: Moment 2

    3. After a procedure or body fluid exposure risk

    When ?

    Clean your hands immediately after a procedure or body fluid exposure risk.

    Why ?

    To protect yourself and the health care environment from harmful patient germs  

    ALL drainage systems are considered "dirty". Therefore, "just touching" the exterior of ie a urinary drainage bag or chest drain requires hand hygiene afterwards.
    If touching multiple drainage systems or wounds, Hand Hygiene is necessary between each one.

    Specific Examples:Hand Hygiene Australia: Moment 3

    4. After patient contact

    When ?

    Clean your hands after touching the patient and their immediate surroundings.

    Why ?

    To protect yourself and the health care environment from harmful patient germs.

    Specific Examples: Hand Hygiene Australia: Moment 4          

    5. After contact with patient surroundings

    When ?

    Clean your hands after touching objects in the patient's immediate surroundings (e.g. bed charts and bed / cot sides), even when there has been no direct patient contact.

    Why ?

    To protect yourself and the health care environment from harmful patient germs.

    Specific Examples: Hand Hygiene Australia: Moment 5

    RESOURCES & REFERENCES

     

Donate now Support us

Support The Royal Children's Hospital