hey everyone at CR thread sterner Sarang calm and in this video I want to demonstrate how to perform hand hygiene by using soap and water there are two ways a nurse can perform hand hygiene one way is through using soap and water and another way is through using an alcohol-based hand rub so when do you want to perform hand hygiene you would always want to perform hand hygiene before and after patient care after coming into contact was like a body fluid or an open womb or touching something close to the patient like a bedside table the hand railing on the bed or after removing your gloves before eating and after using the bathroom now when would you use soap and water versus the alcohol-based hand rubs well according to CDC Gove's guidelines you would use soap and water when your hands are visibly dirty after known or suspected exposure to Clostridium difficile which is c-diff if your facility is experiencing an outbreak or higher endemic rates after known or suspected exposure to patients with infectious diarrhea during norovirus outbreaks if exposure to bacillus anthracis is suspected or proven which is anthrax before eating and after using a restroom so now I'm going to demonstrate how to perform hand hygiene using soap and water so first you need your supplies of course you need soap you need some paper towels and you need running water now faucets vary depending on where you work some are automate oh you just have to swipe your hand underneath the water will come on or you use a petal or it has little faucet handles that you have to use to turn on and off now generally it's best not to wear jewelry during patient care because that jewelry can Harbor germs in some areas in the hospital like surgery for instance actually prohibits a person from wearing jewelry all together but usually on some units you can wear like a simple wedding band so if you do wear a wedding band and you're wearing it during patient care you need to keep that wedding band on whenever you're performing hand hygiene because you want to clean it because underneath that ring it can Harbor germs as well so first what we're going to do is we're going to turn on our water and we want our water to be warm not too hot because if it's too hot that can dry out the skin and that can cause you to get cracks in your skin be really uncomfortable for you so make sure it's warm and you want to be careful not to let your scrubs or anything like that touch the inside of the sink because it's very dirty and you'll become contaminated so once your water is warm you want to wet your wrist and your hands and be sure you have your hands lower than your elbows because we don't want the germs that are already on our dirty hands to travel up our arms after you've wet your hands you want to put the soap on your hands and you're going to put about 1 teaspoon of soap which equals about 5 milliliters and a lot of soap dispensers are automative and they give you the amount of soap you need so we're gonna take that soap and we're going to lather our hands and our wrists with the soap now we want to scrub and what we're gonna do is we're going to scrub this up on our hands using circular motions because this is going to help remove those germs and the things that are sticking to our hands and we want to cover all the areas of our hands especially those small crevices because that's where bacteria likes the high we're gonna do this for 20 seconds so first we're going to go and scrub our palms of our hands notice I'm doing a circular motion then we're going to get the back of our hands and do both using those circular motions then we're going to do our thumbs and we're going to do each finger individually making sure we are getting around the fingernail area as well and then you want to get those knuckles so really rub the knuckles up against your opposite hand it's also going to get the outside of that finger now as well then we want to get in between our fingers because again germs love to hide in little crevices that are hard to get to so we make sure we get that then we're going to pay attention to our fingernails and we're gonna take our hand we're gonna go to the opposite hand and we're gonna just get underneath the fingernail right in there just scrape around remove any germs that could be underneath those fingernails then what we're going to do is we're going to get our wrists and go about one inch above the wrists as well now we are ready to rinse the soap off so we're just going to put our hands underneath the water and let the water go downward we don't want it to go upward rinsing all of the soap off from the wrists down to the fingertips once you get them rinsed you want to take your paper towel and you're just going to Pat your hands dry you don't want to scrub your hands with this paper towel because that can damage that top layer of skin and we're going to discard this wet paper towel then we're going to grab a dry paper towel and turn off our faucet and being careful not to touch the faucet with our clean hands and then we're going to discard this as well now we wouldn't have used our wet paper towel to turn off the faucet because the germs that are on the outside of the faucet could have transferred through that wet paper towel and got onto our hands and undone the job of what we just done with cleaning our hands okay so that wraps up this video on how to perform hand hygiene using soap and water thank you so much for watching and don't forget to subscribe to our channel for more videos