Volunteer Moments of Hand Hygiene in Healthcare Settings

1. Moments ofHand Hygienefor volunteers October 2016

2. Objectives • Describe Volunteer Moments of Hand Hygiene • Volunteer’s additional responsibilities

3. Hand Hygiene • An important method to STOP germs from spreading in hospitals • A required practice for all health care providers Alcohol based hand rub or soap and water X 15 secs

4. Two Different Environments Healthcare environment This is the patient’s area. In a single room this is everything in the patient’s room. In a multiple room this is everything in the immediate proximity to the patient, usually within the curtain boundary. Patient’s environment • Environment beyond the patient’s immediate bedspace. • In a single room this outside the room. • In a multiple room this is everything outside of the patient’s bed space (outside of the privacy curtain).

5. Boundaries/Examplesof Patient Environment • Bed • Bedside table • Curtain • IV/infusion • Monitors • Overbed table

6. SB Hand Hygiene Program – 4 Moments of Hand Hygiene when in Patient Environment

7. SB Hand Hygiene Program – Focus for Volunteers

8. Examples of when to perform HandHygiene in Moment 1 Some examples may be: shaking hands, stroking an arm helping a patient to move around e.g. range of motion Sitting in the chair by the patient’s bedside and having conversation Entering the patient’s room to transport patient

9. Examples of when to performHandHygiene in Moment 4 Some examples may be: shaking hands, stroking an arm, helping a patient to move around, giving a massage holding a bed rail clearing a wheelchair Sitting in the chair by the patient’s bedside and having conversation

10. In addition to those moments, perform Hand Hygiene in Healthcare Environment (or in life): • Before entering/exiting hospital • Before eating and preparing food • After using the bathroom • After blowing nose, coughing, sneezing • If hands are visibly soiled • Any time when in doubt!

11. The next several slides will provide realistic scenarios that volunteers encounter. With each scene, consider the appropriate moments of hand hygiene.

12. Scenario 1: A Patient Room with one bed You enter the room of Mrs. Jones, knowing that you have permission to take her for a walk. You help her put on her bathrobe and take her hand. You both leave her room and go for a walk in the hallway. Think now…where you see hand hygiene (HH) opportunities?

13. Scenario 1: A Patient Room with one bed • HHYou enter the room of Mrs. Jones, knowing that you have permission to take her for a walk. You help her put on her bathrobe and take her hand. You both leave her room and go for a walk in the hallway. HH as you leave the room.

14. Talking Points for Scenario 1 HH Opportunities • HH before contact with Mrs Jones • HH after leaving Mrs Jones’ environment Key messages: • Hand hygiene must be performed before and after contact with patient / patient’s environment. • Great opportunity to have the patient also perform hand hygiene

15. Scenario 2: Patient Transport You arrive at a patient care unit to transport a Mrs. Khan in a wheelchair to her son’s car for discharge. You enter Mrs. Khan’s room. She gets into the wheelchair with the help of a nurse. You hand her the overnight bag which she secures on her lap. You leave her room, and unit, and push the elevator button. From the elevator you transport her to the car and return the wheelchair to M1 office. Think now…where you see hand hygiene (HH) opportunities?

16. Scenario 2: Patient Transport You arrive at a patient care unit to transport a Mrs. Khan in a wheelchair to her son’s car for discharge. HHYou enter Mrs. Khan’s room. She gets into the wheelchair with the help of a nurse. You hand her the overnight bag which she secures on her lap. You leave her room, HHand unit, and push the elevator button. From the elevator you transport her to the car and return the wheelchair to M1 office. HH

17. Talking Points for Scenario 2 You must assume the wheelchair is clean, including the handles, if unsure, then use the wipes to clean. HH Opportunities • HH before contact with Mrs Khan and her environment including her overnight bag • HH after contact with Mrs Khan and her environment. Key messages: • Hand hygiene must be performed before and after contact with patient / patient’s environment. • You want clean hands to transport patient and push buttons and/or open doors throughout the building • Clean wheelchair with wipe and then clean hands

18. Scenario 3: Multibed rooms

19. Scenario 3: Multibed rooms You enter a multibed room. You approach first patient, Mr. Abe and ask if you can help him. He states he is isn’t up to company at the moment. You then go to patient Mr. Bow. He would like you to assist with his mobility exercises. You show him the exercises. At his request, you help him put on his slippers You are about to leave when Mr Cho, the third patient, wakes and asks you to read him a pamphlet on his bedside. You get the pamphlet, read it and return it to the table. With all patients in this room taken care of, you then leave the room. Think now…where you see hand hygiene (HH) opportunities?

20. Scenario 3: Multibed rooms and Blended Moments • There will be times where 2 hand hygiene opportunities appear at the same time. • E.g. Moving from patient Mr. Abe and going to Mr. Bow • If you touched Mr. Abe or his environment and now moving to Mr. Bow while performing HH, this is after contact with Mr. Abe and before contact with Mr. Bow • Called a blended moment of Moment 4 (Mr. Abe) and Moment 1 (Mr. Bow)

21. Scenario 3: Multibed rooms HH You enter a multibed room. You approach first patient, Mr. Abe and ask if you can help him. He states he is isn’t up to company at the moment. Blended Moment You then go next patient Mr. Bow. He would like you to assist with the mobility exercises. You show him the exercises. At his request, you help him put on his slippers HHYou are about to leave when Mr Cho, the third patient, wakes and asks you to read him a pamphlet on his bedside. You get the pamphlet, read it and return it to the table. With all patients in this room taken care of, you then leave the room. HH

22. Talking Points for Scenario 3 HH Opportunities • HH before contact with Mr. Abe • Depends too if there was contact with the patient/patient environment, then there would be HH AFTER contact which would be a Blended moment • HH after leaving Mr. Bow and before contact with Mr. Cho • Blended moment • HH after leaving Mr. Cho Key messages: • Hand hygiene must be performed before and after contact with patient / patient’s environment. • Opportunities for blended moments

23. Glove Use Glove use for volunteers is NOT required if proper hand hygiene is being performed

24. Your additional responsibilities:

25. STOPthe Spread of Germs! Stay home when you are sick! • Rash • Cold symptoms • Diarrhea • Pink eye

26. STOPthe Spread of Germs! • Are your immunizations up-to-date? • Did you get the Influenza vaccine?

27. STOPthe Spread of Germs! Keep hands away from your face

28. STOPthe Spread of Germs! No eating or drinking in patient care areas as per Ministry of Labour regulations. OSHA Regulation 29 CFR 1910.1030

29. QUESTIONS? Please forward questions to: Volunteer@Sunnybrook.ca

30. Prepare an answer to the following: • Give one example of when you would perform hand hygiene in your role. • Should you come into work when you have “just a cold”? • Give one example of how to keep yourself healthy. If we stop and ask, you could win a prize if you answer correctly !