Why Don't We Wash Our Hands?
-
Upload
precordialthump -
Category
Health & Medicine
-
view
3.892 -
download
1
Transcript of Why Don't We Wash Our Hands?
![Page 1: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/1.jpg)
WHY don’t we WASH OUR HANDS?
Chris Nickson The Alfred ICU
h"p://lifeinthefastlane.com/ccc/hand-‐hygiene/
![Page 2: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/2.jpg)
No financial disclosures
![Page 3: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/3.jpg)
The Problem
![Page 4: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/4.jpg)
![Page 5: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/5.jpg)
Image by Tom Adriaenssen h"p://www.flickr.com/photos/inferis/110652572/
![Page 6: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/6.jpg)
![Page 7: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/7.jpg)
“made me so miserable that life seemed
worthless”
![Page 8: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/8.jpg)
Image by Rafael Anderson Gonzales Mendoza h"ps://www.flickr.com/photos/andercismo/2349098787
![Page 9: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/9.jpg)
Source: h"p://en.wikipedia.org/wiki/File:Streptococcus_pyogenes.jpg
![Page 10: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/10.jpg)
CADAVEROUS PARTICLES
![Page 11: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/11.jpg)
The Problem Today…
![Page 12: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/12.jpg)
HAI Healthcare Associated Infection
![Page 13: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/13.jpg)
10% of hospitalised patients
![Page 14: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/14.jpg)
1 in 4 Are ICU patients
![Page 15: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/15.jpg)
100,000 Deaths per year (USA)
![Page 16: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/16.jpg)
$5 BILLION in costs per year (USA)
![Page 17: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/17.jpg)
UTI Wound infections
BSI VAP
![Page 18: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/18.jpg)
Image by Vic (Flickr)
![Page 19: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/19.jpg)
OUR HANDS ARE MEANT TO HEAL,
NOT KILL
![Page 20: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/20.jpg)
FIRST, DO NO HARM
![Page 21: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/21.jpg)
The Solution
![Page 22: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/22.jpg)
![Page 23: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/23.jpg)
![Page 24: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/24.jpg)
The Solution Today…
![Page 25: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/25.jpg)
Image from the WHO “5 Moments of Hand Hygiene”
![Page 26: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/26.jpg)
Timing is Everything
![Page 27: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/27.jpg)
Hand Hygiene
Hand wash
Hand rub
![Page 28: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/28.jpg)
![Page 29: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/29.jpg)
![Page 30: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/30.jpg)
![Page 31: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/31.jpg)
We still do not wash our hands
![Page 32: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/32.jpg)
Why don’t we wash our hands?
![Page 33: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/33.jpg)
NOT A HAPPY MAN!
![Page 34: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/34.jpg)
“You Herr Professor have been a partner in
this massacre!”
![Page 35: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/35.jpg)
“I declare before God and the world that you
are a murderer!”
![Page 36: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/36.jpg)
![Page 37: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/37.jpg)
![Page 38: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/38.jpg)
Photo by Darwin Bell
COMPLEX BARRIERS
![Page 39: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/39.jpg)
LACK OF EVIDENCE?
![Page 40: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/40.jpg)
POOR DESIGN
![Page 41: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/41.jpg)
LACK OF FOCUS
![Page 42: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/42.jpg)
OBSESSION WITH AUDIT
![Page 43: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/43.jpg)
LACK OF FEEDBACK
![Page 44: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/44.jpg)
![Page 45: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/45.jpg)
![Page 46: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/46.jpg)
“I forgot”
![Page 47: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/47.jpg)
“I forgot” “I’m busy”
![Page 48: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/48.jpg)
“I forgot” “I’m busy”
“I didn’t use my hands”
![Page 49: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/49.jpg)
WHAT IS DIRTY?
![Page 50: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/50.jpg)
![Page 51: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/51.jpg)
Image by Vic (Flickr)
![Page 52: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/52.jpg)
![Page 53: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/53.jpg)
BAD CULTURE
![Page 54: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/54.jpg)
![Page 55: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/55.jpg)
CULTURE MATTERS
![Page 56: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/56.jpg)
ROLE MODELS
![Page 57: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/57.jpg)
![Page 58: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/58.jpg)
![Page 59: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/59.jpg)
Image by Tasha Sturm
![Page 60: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/60.jpg)
![Page 61: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/61.jpg)
![Page 62: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/62.jpg)
Final Words…
h"p://lifeinthefastlane.com/ccc/hand-‐hygiene/
![Page 63: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/63.jpg)
CULTURE MATTERS
h"p://lifeinthefastlane.com/ccc/hand-‐hygiene/
![Page 64: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/64.jpg)
h"p://lifeinthefastlane.com/2009/04/laws-‐for-‐the-‐naviga^on-‐of-‐life/
The 22nd of Peter Safar’s Laws for the Naviga^on of Life
It is up to us to save the
world!
![Page 65: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/65.jpg)
![Page 66: Why Don't We Wash Our Hands?](https://reader031.fdocuments.in/reader031/viewer/2022022414/5871a5b41a28abda6a8b473b/html5/thumbnails/66.jpg)
All images used for non-commercial educational purposes under a Creative Commons license from the following sources (exceptions noted where possible; see slide number below):��4. https://en.wikipedia.org/wiki/Ignaz_Semmelweis#/media/File:Ignaz_Semmelweis_1860.jpg�5. http://www.flickr.com/photos/inferis/110652572/ 6. https://en.wikipedia.org/wiki/File:Yearly_mortality_rates_1841-1846_two_clinics.png 18 and 50. https://www.flickr.com/photos/59632563@N04/6104068209 23. https://en.wikipedia.org/wiki/File:Monthly_mortality_rates_1841-1849.png 25. http://www.hha.org.au/home/5-moments-for-hand-hygiene.aspx 28. http://www.freestockphotos.biz/stockphoto/15288 29. https://commons.wikimedia.org/wiki/File:Ethanol-3D-balls.png 30 and 45. http://www.medicaldaily.com/hand-washing-antibacterial-soap-isnt-any-more-effective-clearing-bacteria-plain-old-352968 31. https://commons.wikimedia.org/wiki/File:USMC-101008-M-1558F-390.jpg 33 to 35. https://commons.wikimedia.org/wiki/File:Ignaz_Semmelweis_1863_last_image.jpg 36. Unknown 37. https://en.wikipedia.org/wiki/Straitjacket 38. https://www.flickr.com/photos/darwinbell/ 39. https://commons.wikimedia.org/wiki/File:FBI_Evidence_Response_Team.jpg�40. https://commons.wikimedia.org/wiki/File:Bad_Sink_Design_LA.JPG 41. https://pixabay.com/en/bokeh-lights-blurry-blur-effect-336478/ 42. https://blog.bikersden.com/wp-content/uploads/2014/05/Mexico_City_motorcycle_police_officer_writing_a_ticket.jpg 48. https://commons.wikimedia.org/wiki/File:Yorkshire_pigs_at_animal_sanctuary.jpg 49. Unknown 50. https://commons.wikimedia.org/wiki/File:Michelle_and_Barack_Obama_fist_bump_DNC_2008.jpg 52. https://www.flickr.com/photos/jamescridland/613445810 53. https://commons.wikimedia.org/wiki/File:From_left,_U.S._Air_Force_Lt._Col._Richard_Degrosa,_an_emergency_room_doctor;_Lt._Col._Gerald_Fortuna,_a_trauma_surgeon;_and_Master_Sgt._Jose_Arias-Patino,_an_operating_room_surgical_technician,_all_with_140117-F-RW714-754.jpg 55. Credit CSA/NASA; http://www.asc-csa.gc.ca/eng/astronauts/living-hygiene.asp 56 and 57. Credit Chris Nickson 58. Credit Tasha Sturm; http://twistedsifter.com/2015/06/microbiologist-takes-sons-handprint-and-incubates-the-results/ 59. https://commons.wikimedia.org/wiki/File:Shame_grafitti.jpg 60. https://commons.wikimedia.org/wiki/File:US_Navy_090606-N-9988F-814_Brigadier_General_Harry_Polumbo_adjusts_his_seat_belt_before_his_familiarization_flight.jpg Video clip of feedback given to little boy washing hands; credit Chris Nickson (all rights reserved)