Hand hygiene
Perform hand hygiene at the appropriate moments using the method required by local policy and the clinical situation.
Learn the core precautions used in everyday nursing practice to reduce the risk of infection, protect patients and staff, and make safer decisions during routine clinical care.
Standard infection control precautions are the routine measures used to reduce the risk of microorganisms spreading between patients, healthcare workers, equipment and the clinical environment.
They are not reserved only for patients known to have an infection. Safe infection-prevention practice begins by assuming that exposure risks can exist during everyday care.
Student nurses should learn to assess the task, identify the possible route of transmission and choose the appropriate precautions before care begins.
The precise procedures used will depend on your organisation and the care being delivered, but these principles sit at the centre of safe practice.
Perform hand hygiene at the appropriate moments using the method required by local policy and the clinical situation.
Select gloves, aprons, gowns, masks or eye protection according to anticipated exposure risk rather than habit.
Protect key parts and key sites from contamination during procedures where microorganisms could be introduced.
Follow local respiratory and cough-hygiene precautions to reduce the spread of respiratory secretions.
Keep patient-care areas and frequently touched surfaces appropriately clean and report contamination that requires attention.
Use patient-care equipment according to cleaning, decontamination and single-use requirements.
Handle needles and other sharps carefully, dispose of them immediately in the correct container and follow local needlestick procedures.
Segregate and dispose of clinical waste using the correct waste stream and local guidance.
Handle used or contaminated linen in a way that reduces unnecessary movement, exposure and environmental contamination.
Infection prevention starts before the procedure itself. A short risk assessment helps you decide what precautions are required.
Consider the type of patient contact or clinical procedure you are preparing to perform.
Think about blood, body fluids, respiratory secretions, contaminated equipment and contact with non-intact skin or mucous membranes.
Decide on hand hygiene, PPE, aseptic technique and any environmental preparation required.
Plan safe disposal, decontamination, hand hygiene and documentation before beginning the task.
Infection prevention works by interrupting opportunities for microorganisms to move from one place or person to another.
Hands can transfer microorganisms between patients, surfaces, equipment and healthcare workers.
Shared or inadequately decontaminated equipment can create a route for transmission.
Frequently touched surfaces may become contaminated during routine patient care.
Blood and body fluid exposure requires appropriate precautions and safe handling.
Respiratory droplets or aerosols may require additional precautions depending on the clinical situation.
Invasive procedures can create opportunities for microorganisms to reach vulnerable body sites if asepsis is not maintained.
Infection-control requirements can vary depending on the patient, procedure, organism and clinical environment.
If you are unsure which precautions, PPE or isolation measures are required, review the local policy or ask an appropriately qualified member of staff before beginning care. Do not guess when infection risk is unclear.
Strong infection-control practice becomes easier when you stop thinking of individual precautions as separate tasks and begin planning them as part of the whole episode of care.
The next NurseNet guide moves into fundamental patient care and explores how nurses assess pressure risk, protect skin and help prevent pressure damage.
Continue to pressure ulcer prevention
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