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So, today I am going to take you through the steps of hand hygeine

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In accordance with the WHO guidelines which is
the World Health Organisation. 

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I am going to start off by showing you 
hand hygeine with using soap and water

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and then we are going to move on to sanitising with alcohol gel.

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So it is really important that although we are washing our hands 
and decontaminating that we need to keep them decontaminated.

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So it is almost like a bit of a non-touch technique,
so as much as we don't have to touch anything, we try not to.

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So I will show you that.

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With these taps I am just going to use the back of my hand
to turn the tap on.

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Wet the hands thoroughly, all over
and then we move on to applying the soap.

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Using our arm with this, apply a good dollop of soap
in the palms of our hands

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and we are just going to massage the soap
right over the areas we are cleaning, all over the hands.

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Then we move on to massaging the back of the hands with the palms
and intertwining our fingers at the same time

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and we do that on both hands.

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Moving on we interlock our fingers again palms together
we are rubbing our palms together

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and we are also massaging inbetween our fingers as well.

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The next stage is interlocking our fingers so we are almost
grasping hold of our fingers and then we just rub together.

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Making sure that we are massaging the base of the fingernails

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From that action, to make sure that we are getting the thumbs involved
the next step is to grab hold of your thumb

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and twist it around and massage the entire thumb in your other hand.

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We repeat on both hands.

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To make sure that we have covered the fingernail area
we put our fingernails in the palms of our hands

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and do a rotating action,

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On one hand and then the other.

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The final step is to cover the wrist areas 
so we are grabbing the wrist and circulating round

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and repeat on the other side.

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That's the 7 steps completed 
and now we rinse off that material

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all the soap.

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Make sure that you have rinsed well
and that all the soap has vanished.

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Turn the tap off using our arm
stop our hands touching

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and then we dry.

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So now we have washed our hands,
we have used the 7 steps.

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it is really important that we have dried our hands thoroughly

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and they are nice and dry so we prevent cracking and dried skin
that can cause further problems for the individual.

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You don't have to carry our sanitising directly after hand washing
because our hands are now clean

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however I am going to move on to show you hand sanitising.

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Once we have introduced the gel onto the palms of our hands
we are going to rub around.

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But we are going to follow the hand techniques again.
The ones we have done in the hand washing with the soap and water.

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Just to make sure that we have covered the entire hands.

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Now we have sanitised our hands with our hand gel
it would take about 15 - 30 seconds to dry

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We don't have to sanitise our hands with hand gel
directly after hand washing with soap and water

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this is just for filming purposes but whichever way
that you have sanitised your hands

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we are now ready to carry our the work on the ward.
