Abstract：
Effective hand hygiene is an important part of infection prevention, especially in perioperative areas. The revised AORN \"Guideline for hand hygiene\" provides perioperative personnel with evidence-based practice recommendations for hand hygiene. This article presents an overview of the guideline and discusses specific recommendations for maintaining appropriate fingernail and hand condition; wearing or removing hand and wrist jewelry; performing general hand hygiene; performing surgical hand antisepsis with a traditional hand scrub or surgical hand rub; selecting sinks, faucets, and drains to avoid hand contamination; and implementing quality activities to enhance hand hygiene compliance. It also includes a scenario illustrating how nurses can use the guideline to mitigate hand dermatitis associated with surgical hand antisepsis. Perioperative nurses should review the revised guideline in its entirety and apply the recommendations as applicable for their practice.
摘要：
有效的手卫生是预防感染的重要组成部分，尤其是在围手术期。修订后的AORN“手卫生指南”为围手术期人员提供了基于证据的手卫生实践建议。本文概述了该指南，并讨论了保持适当指甲和手部状况的具体建议；佩戴或去除手和手腕珠宝；进行一般手部卫生；使用传统的手部磨砂或手术手部摩擦进行手术手部消毒；选择水槽，水龙头,和排水沟，以避免手部污染；并开展质量活动，以提高手部卫生依从性。它还包括一个场景，说明护士如何使用该指南来减轻与手术手部防腐相关的手部皮炎。围手术期护士应全面审查修订后的指南，并将建议应用于其实践。
