Manual for Male Circumcision under Local Anaesthesia

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Male circumcision under local anaesthesia Version 3.1 (Dec09) Alcohol-based handrub The steps, procedures and technique for using an alcohol-based handrub are shown in Fig. 8.2, which is also available as a WHO poster. Fig. 8.2 Correct hand rubbing technique for health care workers Prevention of Infection Chapter 8-6
Male circumcision under local anaesthesia Version 3.1 (Dec09) Keep in mind the following: • Alcohol-based handrubs do not remove soil or organic matter. If hands are visibly soiled, wash them with soap and water. • Staff who frequently wash hands or use an alcohol-based handrub should use hand lotions and creams regularly to minimize drying of the skin and reduce the risk of irritant contact dermatitis. Staff with an allergy or adverse reaction to alcohol-based handrubs should use other handrubs or soap and water. If potentially infectious blood or other body fluid is splashed onto non-intact skin, or if there is a potentially infective percutaneous injury, do not use alcohol-based solutions or strong disinfectants; wash the affected part with water and soap, and seek advice on the need for post-exposure prophylaxis (PEP) (see page 8-16). Surgical hand scrub The hand scrub procedure for the surgeon is described in Chapter 4. PERSONAL PROTECTIVE EQUIPMENT Personal protective equipment provides a physical barrier against microorganisms, helping to prevent them from contaminating hands, eyes, clothing, hair and shoes, and from being transmitted to patients and staff. Personal protective equipment includes gloves, masks, protective eyewear (face shield or goggles), cap or hair cover, apron, gown, and footwear (boot or shoe covers). Personal protective equipment should be used by health care workers who provide direct care to patients, support staff, including medical aides, cleaners, and laundry staff, and family members who provide care to patients in situations where they may have contact with blood, blood products and body fluids. Laboratory staff who handle patient specimens should always use personal protective equipment. Protective equipment that is designed for single use (e.g. disposable gloves, eyewear, masks, caps, gowns, aprons and footwear) should not be reused. It should be disposed of according to the health care facility protocol. Reusable equipment should be decontaminated according to the manufacturer’s instructions or laundered according to the health care facility protocol. Gloves The use of gloves does not replace the need for hand hygiene by either hand rubbing or hand washing. Gloves should be worn whenever the person is likely to come into contact with blood or other potentially infectious materials, mucous membranes, or non-intact skin. Gloves should be removed Prevention of Infection Chapter 8-7
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Manual for Male Circumcision under Local Anaesthesia

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