Atlas Osteopathy

21 September 2010

Hand and respiratory hygiene in the clinical setting

Hand and respiratory hygiene are two of the most important and easiest precautions against infection. The six-stage handwashing technique and the precautions clinicians take.

Hygiene is one of the easiest and arguably most important parts of healthcare. Many precautions can be taken to minimise the spread of infection from person to person, and in medicine they are essential preventative measures.

Hand hygiene

In a clinical setting, hand hygiene means washing the hands with soap and water, or hand sanitiser, between every patient contact. It is paramount to preventing the spread of infectious disease.

A six-stage handwashing technique (Ayliffe et al, 1978) is the best-known method:

Each stage should consist of five backward and forward strokes. It may seem tedious but should take less than a minute, and is vital in preventing disease spread.

Respiratory hygiene

Linked to hand hygiene when coughing and sneezing. Tissues should be carried to catch germs, disposed of immediately after use, and followed by handwashing using the technique above.

What we do in clinic

Osteopaths take particular precautions, both for self-protection and patient protection: washing hands before and after every patient, fresh sheets and towels per patient, clean uniform each day, and personal protection when there is any risk of contact with bodily fluids such as a cut or graze.

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