NR 224 Week 1 Core Assignment; Nursing Skill; Hand Hygiene

NR 224 Week 1 Core Assignment; Nursing Skill; Hand Hygiene proper hand hygiene can reduce respiratory illnesses in communities by up to 21% (CDC, 2020). Which scenarios require hand hygiene to be performed using ONLY soap and water? After contact with objects contaminated with blood After caring for a client with clostridium difficile (C. diff) infection When hands are visibly soiled Nurses must remove all jewelry as the skin under jewelry could harbor bacteria. Hands should be wet before applying soap. Wetting hands with clean water before applying soap helps to form a better lather to remove germs and dirt from the hands. 3-5 mL of soap ensures an ample amount of soap to cover the hands. Rubbing the hands together vigorously for a minimum of 20 seconds mechanically loosens and removes dirt and bacteria. When applying hand sanitizer, the base should be at least 60% alcohol and should not be wiped off. 2791460133340 Supplies/ Equipment Answer Rationale Sink with clean, running, cold water Not indicated Warm water is indicated for hand hygiene. Betadine Not indicated Betadine is not indicated for hand hygiene. Reusable towel Not indicated Disposable towels (not reusable towels) are indicated for hand hygiene. Antimicrobial or regular soap Indicated Soap is indicated for hand hygiene. Trash receptacle Indicated A trash receptacle is needed to dispose of disposable towels. Clean gloves Not indicated Nurses don gloves after hand hygiene, but they are not indicated for the skill. The components of CASE are: C = Clinical judgment A = Assessment and correlation to the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) category test plan S = Safety E = Essentials (Social Determinants of Health, Spheres, Culture Sensitivity/Awareness, Domain) “You must rub your hands together for 20 seconds.” Friction and rubbing mechanically remove dirt and bacteria when washing with soap and water. Adequate time is needed to expose skin surfaces to antimicrobial agents. “Soap and water is the preferred method in these situations.” This method is appropriate when hands are visibly soiled. “You can use hand sanitizer in these situations.” This method is appropriate after client care. This method is appropriate between clients. A client with C. diff should be on isola