... to objects or people by touch (Roper, Logan & Tierney, 1996). The hands are a key source of transport (Holland, Jenkins, Soloman et al 2003), especially when coming into contact with body fluids, dressings, and equipment. Transient bacteria can have adverse outcomes, susceptible patients and susceptible sites, i.e. wounds can become infected. NursesNetwork (2003) agree that secondary endogenous infections result from micro-organisms transported by hands of healthcare workers and colonising on other patients. Parienti, Thilbon, Heller et al (2003) thought that 10% of patients will develop a hospital acquired infection (HAI). This according to O'Donoghue & Allen (1992) resulted in the patients' stay in hospital being prolonged by at least 17 days, and at an extra cost over approximately £2200. The techniques and procedures used in handwashing have been studied over time to find the correct, most effective method, this has led to guidelines being established (Department of Health 2001). Guidelines ...

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