Hu-Friedy Hand Essentials™

• In this tutorial you will learn:

• Background information on transmission and hand hygiene• Hu-Friedy’s new offering in hand hygiene• CDC recommendations when choosing hand hygiene products• Proper hand hygiene protocol for

�Hand washing�Hand sanitizing�Hand moisturizing

Agenda

1

Chain of transmissionMost pathogens can persist on inanimate surfaces for several months.

Klebsiella spp. up to 30 months

Pseudomonas aeruginosa up to 16 months

Escherichia coli up to 16 months

Staphylococcus aureus, incl. MRSA up to 7 months

Enterococcus spp. incl. VRE and VSE up to 4 months

Vacciniavirus up to 5 months

Adenovirus up to 3 months

HAV up to 2 months

Norovirus up to 7 days

Klebsiella spp. up to 30 months

Pseudomonas aeruginosa up to 16 months

Escherichia coli up to 16 months

Staphylococcus aureus, incl. MRSA up to 7 months

Enterococcus spp. incl. VRE and VSE up to 4 months

Vacciniavirus up to 5 months

Adenovirus up to 3 months

HAV up to 2 months

Norovirus up to 7 days

Chain of Transmission

Chain of transmission

PatientContaminated,

inanimate surface

Contaminated,

inanimate surface

Dental

Healthcare

Personnel

Dental

Healthcare

Personnel

“Infections are most often transmitted from patient to patient on the hands of healthcare workers.” Dr. William Jarvis -CDC

Chain of Transmission

CFU = COLONY-FORMING UNITS

Chain of Transmission

Contact with water is the #1 antagonist of healthy skin

Action: Prolonged

washing destroys the

protective function of the

stratum corneum – natural

skin oils are dissolved and washed off.

Result: irritant contact

dermatitis can develop. 1) natural skin oils

2) skin surface 3) water

Affects of Washing

Normal, healthy skin

Cracked skin

Affects of Washing

� Cracked and scaly skin

provides microorganisms

ideal niches

� Antiseptics cannot reach

hidden non-socomial

pathogens

� Hand disinfection is in

danger of not being

effective enough

VAST MAJORITY of situations

in clinical practice calls for

hand disinfection - not hand

washing!

Affects of Washing

The company who’s invested in the performance of your

hands for over 100 years, now offers you a full line of

hand care products to help with program compliance.

Product Offering • Lotions

� Hand Essentials Skin Repair Cream� Hand Essentials Moisturizing Lotion

• Hand Sanitizers� Sterillium® Comfort Gel™ Hand

Antiseptic� Hand Essentials Instant Antiseptic Gel

• Soaps� Hand Essentials Antibacterial Soap� Hand Essentials Lotion Soap

Hand Essentials Skin Repair Cream

• Scientifically proven to moisturize and repair damaged skin

• Helps restore and maintain the skin’s natural moisture balance

• Delivers vital nutrients to the skin (amino acids, Antioxidants,vitamins, MSM)

� Methylsulfonylmethane (MSM) supports amino acid utilization and offers antioxidant properties

• Contains dimethicone to provide a breathable moisture barrier to help prevent damage related to dehydration and dryness due to frequent hand washing

• Compatible with CHG and Latex

Features and BenefitsSkin Repair Cream

Feature Benefit

Contains Nutritional Blend – Olivamine® Skin with soft and moisturized feel and appearance – once absorbed, the natural oils (olive, canola, etc) and essential fatty acids aid the skin repair process. MSM supports amino acid utilization and offers antioxidant properties.

Does not contain petrolatum or mineral oil Safe to use with latex gloves and CHG. Soft, moist skin. Long lasting and moisturizing.

Contains natural oils Long lasting moisturization

Contains organic aloe vera Aloe vera is a natural ingredient that soothes and conditions the skin

Contains active ingredient Dimethicone 1.5% Long lasting protection for soft, moisturized skin. Dimethicone provides breathable protection to the skin from external moisture elements and aids in the retention of ideal hydration.

Concentrated product Cost effective

Supported by multiple scientific studies Credibility

Only small amount needed per use Cost effective. Lasts longer and save money

Non-allergenic, Non-irritating, Non-sensitizing Less potential for reactions means improved peace of mind

Non-Greasy Leaves no greasy residue; allows for normal functions after use (no slippery grips)

No synthetic fragrances Pleasant, natural scent

Available in tubes or a pump bottle Individual tubes fit nicely in an operatory drawer. 32oz pump bottle is perfect for counter top use.

Sterillium® Comfort Gel™• Scientifically proven hand sanitizer that moisturizes

• Requires less per use (2.4 mL vs. 3.6 mL) than leading competitive hand sanitizers

• Kills ≥ 99.999 percent of a broad range of nosocomial pathogens within 15 seconds, without water

• Significantly increases skin hydration after only one week of product usage compared to untreated skin

• Non-irritating

• Compatible with CHG and Latex

Features and BenefitsSterillium® Comfort Gel™ Hand Antiseptic

Feature Benefit

Fast and Effective (Germ Killing). 85% w/w ethyl alcohol kills

≥ 99.999% of germs in 15 seconds.

Confidence that hands are clean and sanitized. Effective

disinfection of hands for the most common disease causing germs.

Moisturizing emollients Safe for continuous use. Won’t dry skin. Contributes to soft, moisturized skin.

Clinical studies on file Complies with the CDC, FDA, Tentative Final Monograph (TFM) and WHO guidelines and recommendations.

Meets 2009 WHO Hand Hygiene Guidelines While this product as well as all competition meets the current FDA guidelines, when the US gets on board with the rest of the world, this product will already meet the standards. Also, the EN testing is more stringent than the US tests.

Less product needed per use Cost effective. Lasts longer and saves time.

Non-irritating Safe for continuous use.

Easy to use and available in multiple sizes Can be placed in any location to meet the needs of the user whether it be a table top or personal carry.

Hand Essentials Moisturizing Lotion

• Perfect for end of the day moisturizing

• Non-greasy, fragrance-free formula

• Nurtures and soothes skin with colloidal oatmeal, aloe vera, and vitamin E

• Contains dimethicone and allantoin to help retain

moisture on skin

• Tested to be compatible with CHG and Latex

• Economically priced compared to leading competitive

products

Features and BenefitsMoisturizing Lotion

Feature Benefit

Contains Dimethicone Long lasting skin conditioning ingredient that promotes moist skin

CHG and Latex compatible Will not compromise the persistent effect of CHG

Non-greasy Better feel and will not feel sticky or tacky in gloves

No synthetic fragrances Fragrance free

Contains colloidal oatmeal, aloe vera, and Vitamin E Nurturing and soothing

Hand Essentials Antiseptic Gel

• Contains 70% ethyl alcohol to disinfect hands of most common disease-causing germs

• Contains aloe vera and vitamin E to moisturize and soothe skin

• Economically priced compared to leading competitive products

• Compatible with CHG and Latex

Features and BenefitsHand Antiseptic Gel

Feature Benefit

Active Ingredient Ethyl Alcohol 70% v/v Effective at decreasing bacteria on skin when soap and water are not available

Aloe Vera and Vitamin E Moisturize the hands for soft feeling hands

Clinical Studies on file Complies with CDC Guidelines and is compliant with the FDA’s TFM Hand Antiseptic products

Cost Effective Affordable

Hand Essentials Antibacterial Soap

• Contains 0.5% triclosan to help decrease a variety of

bacteria on skin

• Rinses quickly – ideal for repeated use

• Compatible with CHG and Latex

Features and BenefitsAntibacterial Soap

Feature Benefit

Active Ingredient Triclosan 0.5% Decreases bacteria on hands of staff, reduces risk of cross-contamination to patients

Dermatologist tested Ideal for repeated use.

Rich lathering soap No filmy feeling left on the skin.

Cost effective Affordable

Hand Essentials Lotion Soap

• Gentle formula and soothing fragrance nurture both the

skin and senses

• Excellent for dental professionals who frequently wash their hands

• pH-balanced to help maintain proper skin and moisture

ratio

• Compatible with CHG and Latex

Features and BenefitsLotion Soap

Feature Benefit

Gentle formula Ideal for repeated use.

Soothing fragrance Pleasant scent.

Cost effective Affordable.

pH-balanced Less likely to elicit skin irritation.

CDC on Hand Hygiene

• For routine dental exams and nonsurgical procedures, hand washingand hand antisepsis is achieved by:

�Using plain or antimicrobial soap and water�Using an alcohol-based hand rub if hands are not visibly soiled

Source: CDC MMWR Guidelines for Infection Control in Dental Heath-Care Settings - 2003

CDC on Hand Hygiene

• Considerations when selecting appropriate antiseptic agents

�Essential performance characteristics (i.e., spectrum and persistence of activity and whether the agent is fast acting)

�Reliable vendor, support, and supply�The needs of the health care professional (i.e., allergies, compatibility with

lotions, scents, etc.)�Alcohol based rubs should contain 60%-95% ethanol or isopropanol �Delivery system�Cost per use

Source: CDC MMWR Guidelines for Infection Control in Dental Heath-Care Settings - 2003

CDC on Hand Hygiene• Lotions

� “The potential of detergents to cause skin irritation varies considerably, but can be reduced by adding emollients”

� “Petroleum-based products can weaken latex gloves and increase permeability”

Source: CDC MMWR Guidelines for Infection Control in Dental Heath-Care Settings - 2003

The Elements of Hand

Hygiene

WashingWashing Skin CareSkin CareDisinfectionDisinfection

Step by Step Hand Care

HANDWASHING

1. Turn on water to a comfortable temperature to

moisten hands and wrists.

2. Apply soap.

3. Generate heavy lather and wash well for about

15 seconds, paying particular attention to areas

between the fingers, around nail beds, under

fingernails and back of hands.

4. Rinse well under soaking water, keeping hands

low in the sink to prevent splashing.

5. Hold hands so the water flows from wrist to fingertips.

6. Dry hands completely with a clean disposable towel.

7. Use the disposable towel to turn off faucet so your

hands remain clean from any contaminants that

may be on the faucet.

Step by Step Hand Care

USING HAND ANTISEPSIS

1. Rub backward and forward with clasped fingers of

right hand in left palm (and then) with clasped

fingers of left hand in right palm. Thoroughly work

hand rub under nails and into cuticles.

2. Rub hands palm to palm, including wrists.

3. Right palm over left back of hand with interlaced

fingers and left palm over right back of hand with

interlaced fingers.

4. Palm to palm with fingers interlaced.

5. Tops of fingers to opposing palms with fingers

interlocked.

6. Rotational rubbing of left thumb clasped in right

palm and rotational rubbing of right thumb clasped

in left palm.*

* Technique adapted from: European committee for Standardization. EN 1500, chemical disinfectants and

antiseptics—hygienic hand rub: test method and requirements (phase 2, step 2). Brussels, Belgium; 1997.

Step by Step Hand Care

Lotion Application

1. Spread product evenly between backs of

both hands.

2. Massage the lotion completely into the skin,

right palm over left back of hand with interlaced

fingers and left palm over right back of hand with

interlaced fingers.

3. Massage lotion completely into the cuticles

and fingertips.

4.Massage lotion completely into the wrists.*

* Technique adapted from: Berufsgenossenschaft für Gesundheitsdienst und Wohlfahrtspflege. Essential skin protection.

2006:6.

Clarifying Question• Thank you for taking the time to learn more about Hu-Friedy Hand

Essentials Hand Care products• To earn your Hu-Points towards a product evaluation, please exit

and answer the following question on the Member Resources Page:

In this presentation, the CDC’s recommendation for alcohol content in alcohol based hand rubs is:

a) Less than 50%

b) 10-25%

c) 60-95%

d) 70-85%

e) 85-95%