Hand hygiene and hand hygiene of surgery in the Hospital “Dr. Stamen Iliev”, Montana, BG

Contact information:  

National Center of Public Health and Analyses
Chief nurse Yordanka Trifonova, Multi-profiled hospital for active treatment, “Dr. Stamen Iliev”, Montana, BG and Diana Najdenova, depity chief nurse
[email protected]

Originally developed by: Ordinance № 39 of 26 August 2010
Country of origin: WHO (May 2009)
Year of development: 2000 – 26.08.2010
Last updated: 2000
Next update: Yes, periodic update
Available in the following languages: English,
Reason for not fulfilling the requirements: WHO translation

Type of tool: tool for training and education, tool for evaluation and feedback, tool for reminding staff in the workplace, tool for promotion of a safety culture, tool for information of patients and relatives

Short description

The handrubbing technique for surgical hand preparation must be performed on perfectly clean, dry hands. On arrival in the operating theatre and after having donned the are clothing cap, hat, bonnet and mask, hands must be washed with soap and water. After the operation when removing gloves, hands must be rubbed with an alcohol-based formulation or washed with soap and water if any residual talc or biological fluids are present. The main objectives of the program are to improve the quality and safety of medical help by reducing the frequency of in-hospital infections, as well as limiting the spread of antimicrobial resistance. Sugical disinfection of the hands of the medical personnel is applied before each surgery and before invasive procedures.

Target audience

Medical staff / operation team

Applicability (setting e.g. inpatient care, outpatient care, long term care etc.)

Inpatient care

Information on how the tool has been applied/tested in practice

Rules for the organization of prevention and control of nosocomial Infection.
Advice on methods and tools for current disinfection and procedures for implementation of the rules of asepsis and antisepsis.
Program for prevention and control of nosocomial infection developed annually approved by the Director and consistent with Regional Health Inspection, Montana.
All employees are aware of these documents to the duties and responsibilities, as attested by the signatures. Should pay particular attention to the purchased equipment HY-LITE 2 for a hygienic quality control of disinfection. Included are all structures and control points of the risk departments. Execution control within the hospital is performed by a main nurse, staff epidemiologist and medical on hospital hygiene (with a qualification in hospital hygiene). External control is performed by Regional Health Inspection.