Moment 2 - Before a Procedure

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To protect the patient from harmful germs (including their own) from entering their body during a procedure


Insertion of a needle into a patient’s skin, or into an invasive medical device

Venipuncture, Blood glucose level, Arterial blood gas, Subcutaneous or Intramuscular injections, IV flush

Preparation and administration of any medications given via an invasive medical device, Preparation of a sterile field

IV medication, NGT feeds, PEG feeds, Baby NG feeds, Dressing trolley set up

Administration of medications where there is direct contact with mucous membranes

Eye drop instillation, Suppository insertion, Vaginal pessary

Insertion of, or disruption to, the circuit of an invasive medical device

Procedures involving the following:

ETT, Tracheostomy, Nasopharyngeal airways, Suctioning of airways, Urinary catheter, Colostomy/ileostomy, Vascular access systems, Invasive monitoring devices, Wound drains, PEG tubes, NGT, Secretion aspiration

Any assessment, treatment and patient care where contact is made with non-intact skin or mucous membranes.

Wound dressings, Burns dressings, Surgical procedures, Digital rectal examination, invasive obstetric and gynaecological examinations and procedures, Digital assessment of newborn palate 

 TO PREVENT: Endogenous and exogenous infections in patients

HCWs may have any number of organisms on their hands, or they may pick up micro-organisms from the patients skin, if there is no hand hygiene immediately prior to a procedure these micro-organisms can potentially enter the patient’s body.