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Procedure Scientific Rationale

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PROCEDURE SCIENTIFIC RATIONALE

1. Gain the rapport of the patient To get the full attention and participation of the
patient to impart knowledge.
2. Explain the purpose of visit It is a right to know the purpose of visit
3. Observe good non-verbal communication To prevent misunderstandings and to have a
following S.O.L.E.R comfortable interaction with the patient
4. Define handwashing
5. Explain the importance of handwashing To value handwashing
6. Explain how germs spread Awareness make individuals do primary
prevention thus prevents getting diseases.
7. Identify key times to handwash Identifies time where handwashing is crucial
because it is when transmission of disease is at
peak
8. Ask questions to clarify comprehension Evaluates if the patient clearly understood the
information taught. “If someone was to ask you
about handwashing what would you say ?.”
START OF HAND WASHING DEMO
9. Prepare the necessary articles needed To be organize and systematic
10. Remove wristwatch and other jewelries Microorganisms can lodge in the settings of
jewelry; removal facilitates proper cleaning of
hands and arms
11. Check hands for breaks in the skin, keep A nurse who has open sores may require a work
nails short assignment with decreased risk for transmission
of infectious organisms; Short nails are less likely
to harbor microorganisms, scratch a client, or
puncture gloves
12. Observe ample distance from the sink Uniform should not touch the sink to avoid
contamination
13. Turn on the faucet and wet hands It serves as a wetting agent and facilitates
thoroughly under running water lathering
14. Hold the hands lower than the elbows The water should flow from the least
contaminated to the most contaminated area;
the hands are generally considered more
contaminated than the lower arms
15. Get the soap, wah under running water Flushes the microorganisms from the surface of
the soap
16. Apply soap to both hands and lather well Expands the volume and distribution of the soap;
loosens debris and dirt into the skin
17. Rinse the soap and return to the soap Flushes the microorganisms from the surface of
dish the soap
18. Use firm, rubbing and circular Helps remove the microorganisms mechanically
movements in cleaning the hands for at
least 60 seconds

19. Follow the sequential step/techniques as Frees microorganisms that are lodged In skin
per the guidelines by the World Health creases and crevices
Organization (2009):
a. Rub hands palm to palm
b. Right palm over left dorsum with
interlaced fingers and vice versa
c. Palm to palm with fingers interlaced
d. Back of fingers to opposing palms
with fingers interlocked
e. Rotational rubbing of left thumb
clasped in right palm and vice versa
f. Rotational rubbing, backwards and
forwards with clasped fingers of right
hand in left palm and vice versa
20. Rinse both hands thoroughly, keeping the Running water rinses microorganisms and dirt
hands lower than the elbows into the sink; promotes drainage by gravity flow
towards fingers
21. Wash the faucet handle and turn it off Removes microorganism and prevents the nurse
from picking up microorganisms from the faucet
handle
22. Dry the hands thoroughly with towel Drying the skin well prevents chapping; dry hands
from the fingertips to the wrist from the cleanest to the least clean
23. Discard towel in appropriate container
24. Do after care of the area Facilitates cleanliness of the area
25. Perform the procedure at the allotted
time (not more than 10 minutes)
26. Ask the patient to do a return To evaluate if the procedure is correctly
demonstration of handwashing understood and followed.

Reference: https://www.cdc.gov/handwashing/when-how-handwashing.html

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