Factors Increasing Susceptibility to Infection  age  heredity  level of stress  nutritional status  current medical therapy  preexisting disease

process Preventing Nosocomial Infections  proper hand hygiene techniques  environmental controls  sterile technique  identification of clients at risk for infections HAND HYGIENE  One of the most effective infection control measures.  It is important that the nurses’ and the clients’ hand be cleansed at the following times to prevent the spread of microorganisms: before eating, after eating, after using the bedpan or toilet, and after the hands have come in contact with any body substances, such as sputum or drainage from a wound, before and after giving care.  WHO recommends hand washing under a steam of water for at least 20 seconds using plain granule soap, soap-filled sheets, or liquid soap when hands are visibly soiled, after using the restroom, after removing the gloves, before handling invasive devices and after contact with medical equipment or furniture.  May use alcohol-based antiseptic hand rubs (rinses, gels, or foams) as recommended by CDC Proper application of alcohol-based products  Apply a palmful of the product to a cupped hand.  Rub palm against palms  Interlace fingers palm to palm  Rub palms to back of hands  Rub each finger individually on all sides with the other hand  Continue until product is dry – about 20-30 seconds The CDC recommends antimicrobial hand cleansing agents in the following situations:  where there are known multiple resistant bacteria  before invasive procedures  In special care units, such as nurseries and ICUs  Before caring severely immunocompromised patient HAND WASHING

Purposes ● To reduce the number of microorganisms on the hands ● To reduce the risk of transmission of microorganisms to clients ● To reduce the risk of cross-contamination among clients ● To reduce the risk of transmission of infectious organisms to oneserf