Goldberg Judith L
AORN J. 2017 Feb;105(2):203-212. doi: 10.1016/j.aorn.2016.12.010.
Performing proper hand hygiene and surgical hand antisepsis is essential to reducing the rates of health care-associated infections, including surgical site infections. The updated AORN "Guideline for hand hygiene" provides guidance on hand hygiene and surgical hand antisepsis, the wearing of fingernail polish and artificial nails, proper skin care to prevent dermatitis, the wearing of jewelry, hand hygiene product selection, and quality assurance and performance improvement considerations. This article focuses on key points of the guideline to help perioperative personnel make informed decisions about hand hygiene and surgical hand antisepsis. The key points address the necessity of keeping fingernails and skin healthy, not wearing jewelry on the hands or wrists in the perioperative area, properly performing hand hygiene and surgical hand antisepsis, and involving patients and visitors in hand hygiene initiatives. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.
进行正确的手部卫生和外科手消毒对于降低医疗保健相关感染率至关重要，包括手术部位感染。更新后的AORN《手部卫生指南》对手部卫生和外科手消毒、指甲油和人造指甲的佩戴、预防皮炎的适当皮肤护理、首饰的佩戴、手部卫生产品的选择以及质量保证和性能改进考量提供了指导。本文重点关注该指南的要点，以帮助围手术期人员就手部卫生和外科手消毒做出明智决策。要点涉及保持指甲和皮肤健康的必要性、在围手术期区域的手部或手腕不佩戴首饰、正确进行手部卫生和外科手消毒以及让患者和访客参与手部卫生倡议。围手术期注册护士在编写和更新政策与程序时应查阅完整指南以获取更多信息和指导。
