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We do either a scrub with chlorhexadine for three minutes to our elbows or a hand-washing following by Avagard to the hands and up to the elbows to scrub in to the unit. After that, we hand wash if visibly soiled or use Purell foam whenever it is needed (about eight million time per night, of course!)!
3 minute scrub when entering the unit, Purell/soap during the shift. Purell when leaving the room. We also wipe down any charts that leave and come back to the room.
We haven't had any MRSA in a few months...cross fingers it stays that way! Only one line sepsis and that is on a kid that went out for OR and came back to our facility.
We do a 3min scrub in at the beginning of the shift with our soap. Then hand washing or the EVIL foam. We did have a gel until recently, but it went away (sniff..) Ironically our infection rate has sky rocketed lately. But it could also be due to the new people who were just recently released from orientation, or the lack of housekeepers who actually do there job... We need new soap and hand sanitizer.
NeoNurseTX, RN
1,803 Posts
What is your unit's procedure for hand hygiene?
For me, before entering a pod we use Avagard, one squirt for hands, one squirt for up to elbows.. inside the pods it's Purell prior to and after gloving. Handwashing if visibly soiled, of course. There is no 'scrubbing in' to work.