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Tork UK Hand Hygiene Toolkit

The Tork UK ultimate guide to hand hygiene for facilities managers, teachers, parents and hospitals.

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Tork UK Hand Hygiene Toolkit

  1. 1. Wipe them drye fight against Wipe them h T germs is in your handscontents Hygiene and Healthcare + For facilities managers + For visitors and staff Introduction to Hand Hygiene ipe them dry Wipe them Hygiene on the move W Hints and Tips + For operators and facilities managers e ou can stop th + For you Facts and Figures Y s Hygiene at Work spread of germ and posters Downloadable leaflets + For facilities managers The art of hand washing + For you Flu Q&A Hygiene at School + For teachers + For parents Useful Contacts
  2. 2. introduction to hand hygiene“Wipe them dry” has been launched by Tork to educatepeople on the importance of keeping hands clean in orderto stay healthy and prevent the spread of germs.Hands are amazing tools. We use them almost all the time,and this makes them very exposed and vulnerable. Forexample, bacteria can survive on common surfaces such astaps for up to 72 hours.“Wipe them dry” is all about washing and drying our hands.Washing with liquid soap helps us to remove the mostharmful germs, but not all. Germs love wet or moist handsso if we forget to dry them the remaining germs on ourhands multiply rapidly. Thoroughly washing and drying ourhands can remove up to 99 per cent of all germs, which iswhy we say clean hands are safe hands.
  3. 3. hints & tipsWhen should you wash your hands? After washing and drying your handsGood hand hygiene is especially important when youare away from home. To prevent infection and cross + Avoid touching your eyes, nose or mouth to avoid cross contamination.contamination you should wash your hands: + Be careful about close contact such as shaking hands or kissing people on the cheek and avoid+ After arriving at work. close contact with people who are ill.+ Before meals or eating food. + Cough or sneeze against your sleeve or in a paper+ After visiting the toilet. tissue, then throw this immediately into the bin.+ After sneezing.+ Before preparing food.+ Before and after visiting a sick person. Washing your hands+ After arriving home. properly should take about+ When hands are visibly dirty. 20 to 30 seconds.
  4. 4. how to wash your hands1 2 3 4 5 67 8 9 10 11 12
  5. 5. facts and figures Where have your hands been today?Doorhandles, As many as 14 people in a row canhandrails, become contaminated by touching athe daily paper, bacteria–laden door handle.keyboard,mouse,phone etc.These objectscan harbour Direct person-to-personbacteria from touching is the most common way to spread germs.other people.
  6. 6. facts and figuresAreas many forget to wash (for more information click here) 26% 16% 28% forget to wash forget to wash forget to wash their palms their fingertips 24% 56% the backs of their hands forget to wash forget to wash their nails their thumbs 89%forget to wash their wrists
  7. 7. hygiene at work for facility managersHygienic washrooms and good hand washing Workplace infection has traditionallyfacilities can play a major part in helping to reduce taken third place - after accidents andsickness, both at home and at work. non-biological occupational hazards - in occupational health priority. RaisedAs most of us know maintaining a clean awareness to infection hazards isand hygienic washroom at home is an changing this.important part of keeping our families safe. At one end of the scale, this is becauseBut hygiene is particularly important in the of the huge cost to business of staffworkplace where infections may quickly spread, absenteeism through common infections.leading to mass absenteeism and therefore a At the other end of the scale, in the EUloss of productivity. Overall loss of output due to there are still about 5,000 workers dyingnon-injury ill health was estimated to be between every year from communicable disease£7.01 -10.24 billion in Great Britain in 2004. acquired at work. For more information(source: click here.
  8. 8. the cost of sick daysDays off sick, whatever the cause, Simple changes to minimise sicknessare costly to businesses and there are Business environments are potential hotbeds of infection, so what can be done about it? Take a risk assessment of your office:associated costs to the sufferers andtheir relatives. + Soap and lack of adequate hand drying facilities are the most common factors to be missing or to have run out. Soap does not have to be antibacterial in most office/home situations. The method for drying hands is of more importance: warm air dryers may not dry hands adequately and a hot or jetWork days lost due to infectious disease air dryer can disperse microbes around the washroom. While some of the latest dryer designs havein 2007-2008 in Great Britain included increased efficiency, the ideal solution is to offer a disposable hand towel supply, especially during154,000 days (central value) for men and outbreaks.104,000 days for women, with individuals + If the toilet paper is missing in a cubicle the user may have to come out, hunt for a roll and return – itabsent because of an infection for an doesn’t take much imagination to assess the increase in contamination of handles etc.average of 6.8 days a year for men andan average 5.9 days for women. + Office kitchen assessment includes a safe drinking water/hot water supply and washing-up liquid, soap and hand drying provision.For more information click here. + If the office has a water dispenser or water cooler, the hygiene check will depend on whether the water tank is connected to the mains supply or the tank is changed by a supplier.
  9. 9. simple changes to minimise sickness The washroom at work should be a functional, hygienic and pleasant environment since most of us are not prepared to stay in an unsanitary washroom any longer than necessary. If we are loa the to linger, hand hygiene may become quite cursory – particularly if inadequate hand washing facilitie s are supplied. Since the washroom is an important part of the workplac e environment it makes sense to ens ure that it is a hygienic and user-frien dly facility. This helps to increase pro ductivity and boost staff morale while also reducing the threat of infections.
  10. 10. hygiene at work for youThe most common way in which germs are spread is via Simple changes to minimise getting sickpeople’s hands. Germs are often harmless but they can also You can reduce - but not remove - the risk of catching or spreadingcause illnesses such as colds, flu, and stomach bugs. infections by:Washing your hands properly with soap and warm water is + Always covering your nose and mouth with a tissue when coughing orthe single most important thing you can do to help reduce sneezing.the spread of infections and help protect you, your family + Disposing of dirty tissues promptly and carefully.and those around you at work. + Maintaining good basic hygiene: for example, washing your hands frequently with soap and warm water to reduce the spread of bacteria from yourWhilst we may relish the idea of a day at home from time hands to face, or to other time, the reality is that being ill is not pleasant for anyone- and you will not want to be responsible for infecting your + Drying your hands correctly to remove all traces of either. For more information click here. + Cleaning hard surfaces such as door handles frequently and thoroughly using a normal cleaning product.
  11. 11. when to wash your handsAs you touch people, surfaces Always wash your hands Always wash your hands after:and objects throughout the day, before: + Preparing food, especially raw meat or accumulate germs on yourhands. In turn you can infect + Preparing food in the office kitchen. + Using the toilet at work.yourself with these germs by + Eating food. + Touching an animal or animal toys, leashes or waste.touching your eyes, nose or + Treating wounds or giving medicine.mouth. + Touching a sick or injured person. + Blowing your nose or coughing or sneezing into your hands.Although it is impossible to + Inserting or removing contact lenses. + Treating wounds.keep your hands germ-free, + Touching a sick or injured person.washing and drying your hands also + Handling rubbish or something that could befrequently can help to limit the e it is sh contaminated, such as a cleaning cloth ours watransfer of bacteria, viruses and Of c rtant to enever or soiled shoes. hother microbes. impo hands w irty. your appear d they
  12. 12. how to wash your handsIt is generally best to wash your Thoroughlyhands with soap and water drying yourFollow these simple steps: hands is+ Wet your hands with running water. at least as important+ Apply soap in liquid, bar or powder form. as washing+ Lather well. since damp+ Rub your hands vigorously for at least 20-30 hands have seconds. Remember to scrub all surfaces the capacity to including the backs of your hands, wrists, between your fingers and under your fingernails. spread about 1,000 times+ Rinse well. the amount of+ Dry your hands with a clean or disposable towel. bacteria as+ If possible, use your towel to turn off the tap. dry hands.
  13. 13. hygiene at schools for teachersIt is sad to say that What you can do to help Lessonsmany schools in the Handwashing is one of the most important Hand hygiene education is a basic yet criticalUK have inadequate ways of preventing the spread of infection. concept – and in today’s fast-paced world of nationalhygiene facilities, Here are some lesson ideas to encourage standards and jam-packed school days it can easilyand several studies pupils to wash their hands. In addition, you be overlooked. But when it is carried out correctly,have revealed that could: clean hands education can have a tremendouspoor hand washing + Find images of bacteria to show them. impact on the health and well-being of the entirefacilities in schools school community. + Find images of threadwormscan contribute to the (a parasite which is found in faeces) tospread of infections show them.among children. + For older pupils, discuss what types of things might be carried on dirty hands (eg germs causing stomach upsets).
  14. 14. lessons for primary school childrenThe washing your hands song(Sung to “Row Your Boat”)Wash, wash, wash your hands Until they’re nice and cleanWash them well today Down the drain go dirt and germsSoap and water does the trick Never to be seen.It keeps the germs away! Rinse, rinse, rinse your handsWash, wash, wash your hands Under the water streamWash them day and night Merrily, merrily, merrily, merrilyScrub with soap and water too Hand washing’s a dreamAnd illness it will fight!Scrub, scrub, scrub your hands For more ideas click here.
  15. 15. lessons for middle school childrenCooking flour activityPut some flour on a plate and invite one pupil toplace his or her right hand on to it (palm down).Pupils should stand in a circle and the first oneshakes the hand of the next, who then shakesthe hand of the next, and so on. See how fararound the circle the flour travels – it might evenmake it all the way back to the first pupil. Explainthat invisible germs are spread in the same way.For more ideas click here.
  16. 16. lessons for secondary school childrenUsing a UV lightIf you have access to an ultra-violetlight, ask pupils to put their hands underit. It will show up how dirty their handsreally are. If practical, pupils can rinsetheir hands lightly then see how little dirthas been removed. Then they can tryscrubbing with soap and water.For more ideas click here.
  17. 17. keeping toilets and washrooms cleanGood hygiene is + Toilets should be clean, in good repair and cartridges are considered to be the “gold monitored regularly. For example, an audit standard”. Liquid soap that is “topped up”particularly important checklist should be located in the toilets and can become schools. Toilets this should be dated and signed at regularand washrooms intervals. + Some schools use roller towels or hand dryers. Ideally paper towels should beshould be clean + All toilet areas should have hand used. However, if roller towels or handand well ventilated. washing facilities including warm and dryers are provided they should be regularlyThey should also be cold running water, soap and towels. maintained, changed or cleaned. Liquid soap & paper towels are recognisedcleaned regularly as as the most effective hand washing method. + Water fountains and other drinking outletspart of a documented Liquid soap, unlike bar soap, is less likely to should not be located in the rota and become contaminated. + General bins (for paper towels etc) in toiletspolicy. + Ideally liquid soap should be housed in should be foot-operated. wall-mounted dispensers and disposable Please click here to download the hand washing guide and post up in your school washrooms to improve the pupils’ hand hygiene.
  18. 18. hygiene at school for parentsThis section is aimed primarily at Children are particularly susceptibleparents of school children, but due to a number of factors:can be used by anyone wanting + They have immature immune find out more about improvingschool hygiene. + They tend to have a higher degree of close contact with other children.Hygiene is particularly important in + They tend to explore with their hands, and germs from hands to mouth can easilythe school setting as young school cause infection.children are recognised as being + They share facilities and particular risk of contractingand transmitting enteric (relating + They may not have an understanding of hygiene intestines) infection (Finn andCrook, 1998/1999). + They may have incomplete immunisations (Berg, 1988).
  19. 19. hygiene at school for parentsWhat are the potential Hand washing is one of the most important ways of preventing infection. Hands can movebenefits for parents? germs to other places such as from the toilet to the classroom. Thorough hand washing with warm water and soap will remove germs along with effective hand drying.+ Fewer school days missed – which can have a knock-on effect on parents for childcare arrangements together What can you do to help? with education lost for children. Parents should set good examples by washing their hands frequently and encouraging children+ Fewer illness for children especially to do the same. Children will probably want to know why they need to wash their hands. diarrhoea and vomiting and Explain that microbes can make people sick even though they are too tiny to be seen. respiratory illness.+ Fewer visits to GPs. Point out the fingernails, lines, cracks and wrinkles on hands where dirt and microbes like to+ Potentially a lower use of antibiotics. hide. Explain that all these places should be washed carefully. Show children the right way to+ Fewer outbreaks of infectious disease. wash their hands as explained in these guidelines.
  20. 20. hygiene at school for parentsWhen should children wash their hands? How should children wash their hands?+ Before eating food, especially at lunch time. Ideally liquid soap, warm running water, paper towels and a foot-operated bin should be provided.+ After using the toilet. + Put hands under warm running water.+ After contact with blood or other body fluids (such as vomit). + Apply soap.+ After touching or picking their nose. + Rub hands together paying particular attention to fingertips,+ After handling pets, pet cages, feeding utensils and other pet thumbs and between fingers. items such as litter trays. + Rinse hands under warm running water.+ After going out to play. + Dry hands thoroughly with a paper towel.+ After being in contact with a contaminated area such as rubbish bins.+ Whenever their hands are dirty.
  21. 21. hygiene at school for parentsParents and teachers should wash their handsas soon as they arrive at the school or childcare centre, and:+ Before handling food or bottles, before giving or using medicine or ointments and before going home.+ After using or helping a child use the toilet, changing a nappy, touching any body fluids (by wiping a runny nose for example), handling pets or pet objects (cages or leashes for example), handling objects used by children, removing gloves used for any sanitary purpose, using a telephone, caring for or touching a child who is ill.+ Whenever they go to another room in the school or child care centre or move to a different group of children.+ Whenever hands look, feel, or smell unclean.
  22. 22. hygiene for parents of young childrenHandwashing finger playThis is a fun activity to help your children remember They’re on the toilet seats and on your two feet.the importance of handwashing. (Point to feet)Germs are everywhere! They are on your hands and in the sand.(Wave hands around room) (Show hands)They’re on the walls and in the halls. They even like food; isn’t that rude?(Point to walls) But don’t be scared. Germs can be beat. Just make sure your hands are clean and neatThey’re on the chairs and on the stairs.(Point to chair) For more ideas click here.
  23. 23. hygiene for parents of older childrenHere is a recipe to No-bake cookies Place peanut butter, dry milk, and sugar in a bowl. Add vanilla and water; blend well. Stir in the cereal andmake with your hands. 1/2 cup peanut butter raisins or nuts. Wash your hands and shape into aboutIt is a good opportunity 24 balls. To store, place in a covered container and 1/2 cup instant non-fat dry milk practice good handwashing. Wash your 1/4 cup sugar Cookies are best if eaten soon after they are made.hands before you begin, 1 teaspoon vanilla extract Nutrition information per cookie:before you shape the 60 calories, 3g fat, 0mg cholesterol, 55 mg sodium, 8g 1/4 cup watercookies and of course carbohydrate, 2g protein.after you have made 2 cups dry cereal, lightly crushed You can enjoy your cookies with a glass of cold milk.your cookies. 1/2 cup raisins or chopped nuts For more ideas click here.
  24. 24. hygiene for facilities managersHand hygiene should be at the centre of any infection control andprevention strategy. Supplying the right types of soaps and handtowels is vitally important to healthcare hygiene, where standardsare high and infection control is very much on the agenda.Few people think of washroom dispensers, soaps and handtowels as ”crucial” to the smooth running of a hospital, but handhygiene has become a key focus in the fight against hospital-acquired infections – especially as studies show that not allhospital staff wash and dry their hands as often or as thoroughlyas they should.Hospital washrooms need to cater for a wide range of peopleincluding surgeons, doctors, nursing staff, patients and visitors.
  25. 25. hygiene for facilities managersIntensive care wards: General wards and visitor washrooms:+ Hand towels should be soft so that frequent hand No-touch washroom systems are or near the exits so that people can washing and drying can take place without causing important. Controlled dispensing, pre- naturally head from the toilet to the discomfort. measured hand towel systems are ideal basin and then on to the bin to throw+ Soaps should be mild and unperfumed, and alcohol as they avoid waste and reduce costs their paper towel away. wipes should be supplied to compliment washing. while ensuring that each towel is touched only by the user. Soaps, hand towels and alcohol wipes+ Tork interfold towels are particularly suitable for should never be allowed to run out. hygiene-critical healthcare washrooms. Dispensers should be installed at a Regular checks should be made on comfortable height to avoid the need the washrooms and stickers placed for any stretching or bending, and soap on dispensers providing a contact dispensers should be either directly number for when the consumables above the sink or slightly to the right to need replacing. cater for the right-handed majority. Hand For more information click here. towel dispensers should be over the sink
  26. 26. hygiene for visitors and staffWhen visiting a friend or relative in + Think about keeping patients safe + The most important thing you can dohospital or other environment where before you visit. If you or someone is to wash and dry your hands before at home has a cold or are feeling visiting the ward, particularly afterhealthcare is provided, it is important unwell - especially if the issue is going to the ensure that you clean your hands to diarrhoea - stay away until you orhelp prevent the spread of infection. they are better. + Never touch dressings, drips, or other equipment around the bed. + Think about what you take in to aBut how can you help as a visitor? patient: for example, foods such as + Be prepared to raise concerns withHere are five top tips for the public in chocolate and sweets are a treat members of staff in your hospital. best saved until they return home. Busy doctors can sometimes forgetthe battle against contamination: Avoid sitting on the bed and keep simple things such as cleaning hands the number of visitors to a minimum before examining a patient.For more information click here. at any one time.
  27. 27. hygiene on the moveHygiene on the move for operators and facilities managersHand hygiene is important but many servicing these facilities during the Tork Advanced Flushable towels areindividuals still find situations where course of the journey is impractical. ideal for this type of washroom sincehand washing is impossible or Toilets on trains and aeroplanes they are designed to come apartinconvenient. should be equipped with compact quickly in water after drying the hands. systems that will not run out - or They therefore help prevent toiletFor example, the washrooms of trains ones that are easy to refill when they blockages if users put them down theand aircraft are densely packed with do. Smells should be controlled and toilet rather than in the bin.passengers who are continually taking blockages must be avoided at all For more information click refreshments to pass the time. Few costs to prevent a washroom fromtoilet cubicles are provided to cater being out of commission during thefor such large numbers of people, and journey.
  28. 28. hygiene on the moveHygiene on the move for youWe should not allowour busy lifestylescompromise our healthand hygiene – it onlytakes a few seconds towash your hands andeven when you are outand about you can useantibacterial hand wipesand hand sanitisers.
  29. 29. downloadable leaflets and postersTork Report – Hand Drying –The impact of What’s the right choice?hygiene on business
  30. 30. downloadable leaflets and posters Wipe them dry Wipe Wipe them dry Help us all stay healthy What can you do to stop the spread Staying them of germs? healthy is in Wipe them dry fight against Wipe them dry The germs is in Dry hands mean less germs your hands... your hands Advice on correct hand washing and drying dry 1 Palm to palm 2 Right palm over left dorsum and left palm over right dorsum 3 Palm to palm fingers interlaced wipe them dry. Wipe them dry You can stop the spread of germs Wipe them dry Damp hands spread up to 1,000 times more germs The fight against germs 4 5 6 is in your hands Wipe them dry Wipe them dry Dry hands mean Don’t serve up Damp hands spread up to 1,000 times(1) clean hands germs more germs than dry ones Backs of fingers to Rotational rubbing of Rotational rubbing, backwards There are 10 million germs on the (2) opposing palms with right thumb clasped in and forwards with clasped average work surface fingers interlocked left and vice versa fingers of right hand in left There are over 1 million(3) germs on palm and vice versa your mobile phone Drying your hands with a paper towel(4) is the most effective way to eliminate 7 8 Wipe them dry and Wipe them dry germs from your hands Dry thoroughly with a Use towel to Do us all a favour dry your hands Take germs off (1) Patrick, D.R., Findon, G., Miller, T.E. (1997), “Residual moisture determines the level of touch contact associated bacterial single-use towel turn off tap the menu transfer following hand washing.” (2) Gerba, Charles: Research study, University of Arizona (2002). (3) Gerba, Charles: Research study, University of Arizona (2002). (4) University of Westminster: A comparative study of three different hand drying methods.Wipe Them Dry “The fight Wipe Them Dry Leaflet Mirror cling stickers for youragainst germs is in your hands” washroom - contact us and we will post them off to you
  31. 31. useful informationFlu and the Study Shows a third of us Wash your hands of fluimportance of hygiene fail to wash our hands
  32. 32. the art of handwashingIt is a simple task.Everyone knows howto do it: a touch ofsoap, a splash ofwater and a towel.Now discover the realsecret of cleaningyour hands with ourinteractive tutorial:
  33. 33. the art of handwashingAs part of our Wipe themdry campaign we have builtan interactive learning toolwhere you can learn thedifference between dryingmethods and find out whichis best.
  34. 34. flu Q&AQ: Does it really matter howyou dry your hands? Although these are very effective forA: Yes. The most common way in which germs disinfection, sanitisers do not actually removeare spread is via the hands, and damp hands the dirt. Therefore after visiting the washroomspread up to 1,000 times more germs than or when you have visible dirt on your handsdry hands. Single-use paper towels take only you should wash them with soap and watera few seconds to dry the hands while a warm to remove any organic material.air dryer will leave the hands only around 95per cent dry after an average of 43 seconds. Q: Are warm air dryers really that bad?Q: What is the difference A: Warm air dryers take longer to dry yourbetween washing with soap hands, increasing the likelihood that youand using alcohol-based will leave without drying the hands properly.sanitisers? Studies have also shown that warm and hotA: Alcohol-based hand sanitisers are recom- air dryers increase the amount of bacteriamended in hygiene-sensitive environments. after use unlike single-use paper towels.
  35. 35. flu Q&AQ: When will the flu pandemic Q: What is the difference Q: How should webe over? between regular soap and approach hygiene andA: It is impossible to speculate on how “antibacterial” soap? hand washing?the pandemic will develop. At Tork we are A: Soap designated “antibacterial” A: People should take extra care to washfollowing updates and recommendations contains specific ingredients that have a their hands properly. This is particularly proven antibacterial effect. But most offrom WHO and other relevant authorities. important now, just as it is during any flu the bacteria are removed from your hands outbreak. However, it is always important when you wash them using high qualityQ: Why is Tork concerned soap and dry them with paper towels. to practice good hand hygiene since thisabout flu? Health institutions consider that normal can help prevent the spread of anythingA: Flu is a global phenomenon and one soap provides a sufficient antibacterial from food borne infections to the commonthat will affect many people. Hygiene is an effect for everyday applications, such as in cold.important part of how we address it and Tork offices and public washrooms. To minimise the spread of the flu virus, authoritieshas a wealth of knowledge and experience Q: Isn’t it obvious how you recommend washing with soap and waterin this area as well as a clear commitment to and supplementing this practice with an should wash your hands?following the development of the pandemic. A: Not really. Some people wash their alcohol-based sanitising gel. hands too infrequently while others tend
  36. 36. flu Q&Ato neglect some areas, such as between the Q: What is the minimum Q: Can you guaranteefingers and the backs of the hands. Also, number of times that you that we can avoid beingmany people are unaware of the fact that should wash your hands infected by flu if we followit is vital to dry the hands thoroughly after during a day? your advice?washing them. A: It depends on what you are doing. You A: There can never be any guarantees, but should wash your hands after arriving at washing and drying your hands properly isQ: Isn’t your communi- work, before meals, after visiting the toilet, a well-known way of dramatically reducingcation adding to people’s after sneezing, before preparing food, the risk of infection. The recommendationsfears about flu? before and after visiting a sick person, from WHO and the CDC are very clear onA: It is understandable that flu is a major after arriving home from work and when this.concern. We are not trying to increase the hands are visibly dirty.that concern: we simply want to provideinformation about a simple, proven andvery effective way of reducing the risks ofbecoming infected. For more information click here.
  37. 37. useful contactsPlease get in touchIf you would like further information SCA Hygiene Products UK Ltdabout our products and services Southfields Roador about Tork Sales, please don’t Dunstable,hesitate to contact us. You can Bedfordshire,use the form below to send us an LU6 3EJe-mail directly, or contact us byphone or fax. Tel.: +44 (0)1582 677570 Fax.: +44 (0)1582 677580 E-mail: Or click here for a contact form