Wasatch Elementary has tried a new approach eating outside when it's nice weather. This year they have added the element that students have to raise their hand before they are excused from lunch. Custodian Rick Critchlow takes a look at what they've eaten and tries to get them to eat more or excuse them if they've eaten enough.. Parents and visitorsComing to hospitalAdvice for when you stayAdvice for when you leaveClinical support servicesGeneral health adviceGiving feedback and raising concernsGetting involvedWorking hereCurrent jobsNursing Working for usFinding somewhere to liveCareer developmentLEaD (Learning, Education and Development) Courses and conferencesVolunteering for usThe control of Healthcare Associated Infections (HCAI) represents a major challenge to hospitals and healthcare providers.Introduction Transmission of pathogens replica U-Boat on the hands of healthcare workers is the most common cause of cross infection (Damani 1997), occurring directly from patient contact or indirectly via contact with the environment (Epic2 Guidelines 2007).Hand hygiene is therefore omega replica considered to be one of the most important procedures in the prevention of cross contamination and cross infection (Rationale 1).Studies on hand hygiene compliance among healthcare workers suggest that the mean baseline rate ranges from five to 81 per cent, with an average of 40 per cent compliance (Boyce and Pittet 2002).The Trust is committed to increasing compliance to hand washing and has reviewed hand washing agents, paper towel quality and gloves, and is actively promoting education programmes on hand hygiene (Rationale 2).Parents and children should be taught the importance of good hand hygiene in the home environment as well as in hospital.Types of hand wash procedure 1. Social hand wash Why should a social hand wash be performed? Social hand wash is performed to render the hands physically clean and to remove transient micro organisms. It is an infection control practice with a clearly demonstrated efficacy and remains the cornerstone of efforts to reduce the spread of infection (Larson 1989)(Rationale 3).When should a social hand wash be performed? The times that hand hygiene should be performed have been summarised into replica breitling the 'Your 5 Moments for Hand Hygiene' document, as these are considered the most fundamental times for the levels of hand hygiene to be undertaken during care delivery and daily routines (National Patient Safety Agency (NPSA) 2009).Download: Your 5 Moments for Hand Hygiene (PDF, 185 KB)Examples of when to perform a social hand washBefore:the end of a shift any patient contact bed making contact with patient surroundings visiting the toilet the removal of gloves hands become visibly soiled handling laundry/waste using a computer keyboard in a clinical area the administration of medications blood and/or body fluid exposure risk What solution should be used for performing a social hand wash? Liquid soap (plain or antimicrobial)The soap comes in disposable cartridges and must not be re used or 'topped up' (Rationale 4).