NORCET -4 , 2023
Applied Microbiology & Infection control (E5)
Easy
All of the following are correct about WHO 5 hand hygiene movement, EXCEPT?
Appeared in: NORCET -4 , 2023
Explanation
- The WHO 5 Moments for Hand Hygiene are evidence-based guidelines designed to prevent the transmission of pathogens in healthcare settings.
- The statement 'Before touching patient surrounding' is not one of the five moments.
- The correct guideline is Moment 5, which is to perform hand hygiene after touching patient surroundings.
- This action is crucial to prevent the contamination of the healthcare worker's hands from surfaces in the patient's environment and to stop the spread of germs to other areas.
Why Other Options Were Wrong
- Option A: This is a correct statement. 'After touching the patient' is Moment 4 of the WHO guidelines.
- Option B: This is a correct statement. 'Before touching the patient' is Moment 1 of the WHO guidelines.
- Option D: This is a correct statement. 'Before doing any procedure' corresponds to Moment 2, 'Before a clean/aseptic procedure'.
Related Visual
- Visual 1: Infographic - A diagram illustrating the WHO 5 Moments for Hand Hygiene with clear icons and brief descriptions for each moment. This provides a quick visual reference for memorizing the five steps.
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain WHO 5 Moments for Hand Hygiene as background academic context rather than a clinical decision trigger.
- Hand hygiene is the single most effective measure to prevent the spread of healthcare-associated infections (HAIs), which protects both patients and healthcare staff.
- Strict adherence to the 5 moments reduces patient morbidity and mortality, helps combat antibiotic resistance, and lowers overall healthcare costs.
- What if? If a healthcare worker's hands are visibly soiled with dirt or body fluids, an alcohol-based hand rub is insufficient. The correct action is to wash hands thoroughly with soap and water for 40-60 seconds.
How to Approach the Question
- This is a negative question using the keyword 'EXCEPT'. The goal is to identify the one option that is an incorrect statement.
- First, recall the standard protocol being asked about: the WHO 5 Moments for Hand Hygiene.
- Systematically compare each option against the five moments: 1) Before patient contact, 2) Before aseptic task, 3) After body fluid exposure, 4) After patient contact, 5) After touching patient surroundings.
- Evaluate Option A ('After touching the patient') - this matches Moment 4.
- Evaluate Option B ('Before touching the patient') - this matches Moment 1.
- Evaluate Option D ('Before doing any procedure') - this matches Moment 2.
Concept Tested & Keywords
- Concept Tested: WHO 5 Moments for Hand Hygiene
- Stem keywords: WHO, 5 hand hygiene movement
- Lead-in keywords: EXCEPT
- Negative lead-in flag: The question asks for the exception, meaning three of the options are correct indications for hand hygiene, and one is not.
Question ID
QW_pYvrqRU14PG9yV1bAVB
Practise the full NORCET -4 , 2023
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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