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Hand Hygiene & Implementation of Compliance Monitoring Twyla Anderson, RN, BS, COHNS Memorial Medical Center Las Cruces, NM Here to talk about Hand Hygiene Today‟s Headlines “Hand gel use not linked to improved infection rates, study finds” “Hospitals Dirty Secrets” “Hey doc Wash Your Hands” Factors to Poor Hand Hygiene Compliance Lack of knowledge How hands become contaminated Lack of understanding of correct technique Understaffing Overcrowding Poor access to Handwashing facilities Irritant contact dermatitis What about Gloves? Proper use Contaminated during care Remove when contaminated Gloved hands can be contaminated from tiny punctures in material, during removal Gloves an important adjunct, not a replacement for proper Hand Hygiene Healthcare Environmental Challenges Computers, lint & dust magnets Keyboards, germ magnets High touch surfaces People traffic Roaming equipment Staff‟s personal items Cell phones Family Compliant Nephew admitted on 1/15/08, security bracelet not applied until late in the day on 1/16/08 Family “never saw anyone wash their hands before coming into the room”. “Worker” went from her nephew to another child in the same room without washing her hands or disinfecting the equipment. Several nurses were wearing “long, dirty, acrylic nails”. Family Compliant The phlebotomy tech on 1/16/08 at 0530 was not wearing gloves and would not put them on when asked her to so (also wearing acrylic nails). They did bring their concerns up to a nurse who “disregarded them”. Family‟s main concern – “No Hand Washing at all” Monitoring & Surveillance Monthly Quality Report VAP, BSI, UTI POA rate Hospital wide HAI rate SSI rate Surgeon follow up letter return rate C-section rate MRSA, VRE, CDIFF, ESBL, DRSP with CA & HAI rates Hand Hygiene Compliance NPSG # 7 # BFE & BFE rate (#BFE/FTE X 1000 pt days) Interventions/Training Starts with initial orientation Infection Control Pocket Guide Infection Control Manual How to use the Patient Information Packet “Thumbs Up for Clean Hands” Communication in Hospital Newsletters Know how to find the IC Nurse Infection Control‟s Responsibilities Role model Educate, target your audience Communication/Updates Monitoring Follow up Constructive feedback Non threatening interventions Share your passion IC GOALS for 2008 More visibility Report to departments monthly infection rates Educational offerings Share information timely Share my passion Give recognition Develop departmental Infection Control/Patient Safety Liaisons„ Be a motivator Keep Learning MMC IC PLEDGE for 2008 We promise to clean our hands before caring for you, please let us know if we have forgotten. What are the numbers? 1.7 million HAI annually 99,000 deaths from HAI What other business would still be operating in the USA if they harmed or killed this many people every year? What if our team saw the faces? Patient Safety Excellence Zero tolerance for infections Takes energy Takes ambition Takes enthusiasm Thank you!
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