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Hand hygiene

Hand hygiene

Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...

Standard Precaution

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...

PPE Use in Healthcare Settings I: Donning

PPE Use in Healthcare Settings I: Donning

Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...

PPE Use in Healthcare Settings II: Doffing

PPE Use in Healthcare Settings II: Doffing

The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.

Handwashing II: Pre-procedure and Initial Procedure Steps

Handwashing II: Pre-procedure and Initial Procedure Steps

The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail paint...

Handwashing III: During the Procedure and Post-Procedure Steps

Handwashing III: During the Procedure and Post-Procedure Steps

To wash hands properly, follow these steps:

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Updated: May 18, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

Published on: March 14, 2025

Appropriate glove use in dermatitis prevention.

Rose Gallagher¹, Kim Sunley

¹Royal College of Nursing, London.

Nursing Times

|October 6, 2012

Summary

Work-related skin issues, including dermatitis, are increasing among nurses. Guidelines for glove use and prevention were issued to improve staff and patient safety.

Area of Science:

Occupational Health
Dermatology
Nursing Practice

Background:

Work-related skin problems in nursing staff have increased.
Health and Safety Executive inspections revealed failures in managing dermatitis risks by NHS trusts.
The Royal College of Nursing (RCN) responded with guidelines in 2012.

Purpose of the Study:

To address the rise in work-related skin problems among nursing staff.
To highlight the importance of preventing and managing contact dermatitis in nursing.
To emphasize the role of guidelines in improving safety.

Main Methods:

Review of Health and Safety Executive findings.
Analysis of Royal College of Nursing guidelines on glove use and dermatitis prevention.

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Last Updated: May 18, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis

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Examination of collaborative efforts between professional and trade union RCN bodies.

Main Results:

Identified a rise in work-related skin issues in nursing.
Highlighted deficiencies in risk management by NHS trusts.
Led to the development and issuance of RCN guidelines for prevention.

Conclusions:

Effective prevention and management of skin problems are crucial in nursing.
Guidelines play a vital role in protecting staff and patient safety.
Collaboration is key to addressing occupational health risks in healthcare.