SELF-REPORTED FACTORS OF PO! ADHERENCE WITH HAND HYGIENE = Handwashing agents cause irritation and dryness. + Sinks are inconveniently located /lack of sinks. + Lack of soaps and paper towels = Too busy/insufficient time = Patient needs priority + Low risk of acquiring infection from patients DEFINITION OF TERMS Hand hygiene > performing hand washing, antiseptic handwash, alcohol-based hand rub, surgical hand hygiene/antisepsis Handwashing > washing hands with plain soap and water Antiseptic Handwash > washing hands with water and soap or other detergents containing an antiseptic agent Alcohol-based hand rub b > Rubbing hands with an alcohol-containing preparation ‘Surgical hand hygiene/antisepsis > handwashing or using an alcohol-based handrub before operations by surgical personnelEVIDENCE OF RELATIONSHIP BETWEEN HAND HYGIENE AND HEALTHCARE- ASSOCIATED INFECTIONS v Semmelweis demonstrated that the mortality rate among mothers who delivered in the First Obstetrics Clinic at the General Hospital of Vienna was significantly lower when hospital staff cleaned their hands with an antiseptic agent than when they washed their hands with plain soap and water. ¥ In more recent studies healthcare-associated infection rates were lower when antiseptic handwashing was performed by personnel and went down when adherence to recommended hand hygiene practices improved. 5 MOMENTS OF HANDWASHING (WHO) 1. before patient care 2. after environmental contact 3. after exposure to blood /body fluids cp . before an aseptic task, and . after patient care. asEFFICACY OF HAND HYGIENE 6OOD BETTER BEST _— PLAIN SOAP ANTIMICROBIAL ALCOHOL-BASED 7 SOAP HANDRUB MEDICAL HANDWASHING PROCEDURE hii aaa 1. Assemble materials needed. 2. Prepare for handwashing. a. Remove jewelry , Check hands for breaks in the skin or cuts. 3. Stand in front of the sink, keeping hands and uniform away from the sink surface. If the hand touches the sink during handwashing, repeat the procedure. 4, Turn on water faucet. Some are knee levers, press pedals with foot to turn on running water. ‘5, Regulate water flow so that desired temperature is achieved. Avoid splashing water on the uniform. 6. Wet hands thoroughly by holding them lower than the elbow under running water so that the water flows from the wrist to the fingertips.MEDICAL HANDWASHING PROCEDURE 7. Apply soap on the hands. For liquid soap preparations, apply 2-Sml (1 tsp.). For bar en, Ses er ee ee ae 7S Se eae eer eae eer ae eee eae ae Fe pect reer cet ee eee Passe eer ecm eeteee eer ¥ Rotational rubbing of right thumb clasped on the left palm and vice versa. ee ee ee ee oe ee ae on the left palm and vice versa? MEDICAL HANDWASHING PROCEDURE 9, Rinse hands and wrist thoroughly under running water while keeping hands down and elbows up. Repeat steps 7 to 9 and extend period of washing if hands are heavily soiled. 10. Dry hands thoroughly from fingers to wrists and forearms with paper towel or single- use cloth or warm air dyer. 11. Discard paper towel in receptacle. If towel is used, dry one hand thoroughly in rotating motion from the fingers to elbow using other end of towel and dry the other hand ‘and arm with the other haf of the towel and return the towel to the stand. 12, Tum off the running water with foot or knee pedals. For hand faucets, use clean and dry paper towel. You must avoid touching handles with the hands.FLOWER ARRANGEMENT VIRGINIO C. GARCES IIL, RN a OF FLOWERS happiness and abundance hospitality good positive vibes red rose ~ love + pink carnation ~ admiration + lily - Christian symbolism > During the annunciation, the Virgin Mary is shown holding a lily + lotus - in Buddhism, it represents the pattern of growth of the soulFLORISTRY * the production, commerce and trade in of flowers flower care flower handling flower arranging flower display flower delivery FLOWER ARRANG the art of organizing and grouping together plant material to achieve harmony, form, color, texture to add cheer, joy, life and beauty to the surroundingsBENEFITS OF FLOWERS TO. PATIENTS Emotional Health Improvement * gives the patient an immediate mood boost Aid in Memory and Concentration + plants oxygenate the air; thus, boosting the patient’s brain cells Relaxation * floral scents can lower stress Faster Betterment * green things helps stressed people feel more relaxed i AND CONDITIONING OF FLOWERS Plant material should be cut in slant. * Best to cut flower before they reach maturity. = Wrap the flowers in newspaper until the neck of the flower. * Use good knife/scissors * To revive wilting flowers, cut half an inch of stem underwater and plunge in water. = Remove dead flowers. = Remove all leaves from stems that have shorter lifePRINCIPLES OF FLOWER ARRANGEMENT Proportion * Golden ratio which means the size of each element ~ container, plant, material, base accessories should result in harmonious appearance. The arrangement should be in scale. Background * style of the room ¥ size of the room Y type of surface ¥ practicality PRINCIPLES OF FLOWER ARRANGEMENT Texture * glossy, dull, velvety Balance 1. Physical balance > Plant material should be securely fixed, and the container should be heavy enough to support the plant. 2. Visual balance > The arrangement should look stable. To increase visual weight:PRINCIPLES OF FLOWER ARRANGEMENT v Dark flowers look heavier than pale ones Y Round flowers look heavier than trumpets Rhythm = also movement * involves using techniques and materials that guide the eye from one part of the display to another PRINCIPLES OF FLOWER ARRANGEMENT Color = the most important 1. Monochromatic > single hue 2. Analogous > 2/3/4 hues to each other on color wheel 3 Contrasting/ complimentary > colors directly across each other on the color wheel 4. Polychromatic/rainbow/ scattered > colors from all parts of the color wheelCOLOR SCHEMESPRINCIPLES OF FLOWER ARRANGEMENT Emphasis/dominance = Involves creating focal point or point of interest to which the eye drawn and on which it rests for a short time. Placing of flower‘arrangement v eye level v high level ¥ Low level DIVISIONS OF FLOWER ARRANGEMENT 1. Line * traditional form of the orient = characterized by clearly defined line seeking to represent the graceful irregularity of nature through simplicity and great economy in the use of plant material Shoka/Ikebana + elongated vase3 ELEMENTS OF LINE 1. Line + Shoka/Ikebana Principles of Ikebana © Shin ~ heaven ¥ 2 % of the vase © Soe ~ man ¥ 2/3 of your heaven © Tai- earth ¥ 2/3 of your man DIVISIONS OF FLOWER ARRANGEMENT 2. Mass = characterized by large quantities of plant material in a full, ut not crowded design * need not to be massive + Should be light and airy = Maybe made of one or two or more types of flowers,MATERIALS NEEDED: Florist Scissors * Ordinary or kitchen scissors are not suitable for flower arrangement. Use this paid of scissors instead Mister + Ahandheld spray bottle that produces fine mist of water droplets to keep the arrangement looking fresh and warm,Floral Tape * The stem-binding tape made of plastic and waxed paper that is % inch wide Craft Knife/Cutter * Used to scrape stems, remove thorns and leavesFloral vases of different forms = the main support/container for the flowers * Used as containers for dry flower arrangementsFloral foam/oasis = serves as the base of the flowers = must be soaked until it becomes soft * where the flowers are inserted Chicken wire mesh + It is crumbled and used as flower hold accessories like pebbles, rubber, glass piece, and other supporters.bbles and marbles used to hold the stems of cut flowers