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Hand Hygiene

Hand Hygiene. CIP Consulting LLC. Recap of CautI. What have you done since the last call to reduce CAUTI????? Here are some ideas to get you started” : Conduct a CAUTI Risk Assessment Remove unnecessary Urinary Catheters by assessing on a daily basis Create physician reminders

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Hand Hygiene

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  1. Hand Hygiene CIP Consulting LLC

  2. Recap of CautI • What have you done since the last call to reduce CAUTI????? • Here are some ideas to get you started” : • Conduct a CAUTI Risk Assessment • Remove unnecessary Urinary Catheters by assessing on a daily basis • Create physician reminders • Create automatic stop orders • Develop Nurse-driven protocols • Use Checklists and rounding • Provide stakeholders with data on compliance

  3. Dr. reminder

  4. RECAP of CAUTI • Here are some helpful links: • APIC CAUTI Elimination Guide • http://www.apic.org/Resource_/EliminationGuideForm/c0790db8-2aca-4179-a7ae-676c27592de2/File/APIC-CAUTI-Guide.pdf • CAUTI Checklist • http://www.doh.state.fl.us/disease_ctrl/epi/HAI/CAUTI_Reference_Checklist.pdf • http://www.doh.state.fl.us/disease_ctrl/epi/HAI/CAUTI_Insertion_Checklist.pdf • http://www.doh.state.fl.us/disease_ctrl/epi/HAI/Catheter_Removal_Algorithm.pdf

  5. Recap of cauti • Nurse driven protocols • http://www.doh.state.fl.us/disease_ctrl/epi/HAI/Nurse_Protocol_Catheter_Removal.pdf • Staff education • http://www.doh.state.fl.us/disease_ctrl/epi/HAI/CAUTI_FAQ.pdf

  6. 2003 Hand Hygiene Guidelines • This gentleman insisted his students clean their hands with a chlorine solution between each patient. He practiced in the 1800. Who is he? • Oliver Wendell Holmes • Jack the Ripper • IgnazSemmelweis • Joseph Lister

  7. 2003 Hand Hygiene Guidelines • When washing hands with soap and water, hands should be rub together vigorously for: • 6 seconds • 15 seconds • 20 seconds • 3 minutes

  8. 2003 Hand Hygiene Guidelines • When hands are visibly dirty or contaminated with proteinaceous material, hands should be wash with: • Antimicrobial soap • Non-antimicrobial soap • A chlorine solution • Both A and B

  9. 2003 Hand Hygiene Guidelines • It is not necessary to decontaminate your hands if you are only touching intact skin. • True • False

  10. 2003 Hand Hygiene Guidelines • Soap dispensers should be refilled: • When 2/3 full • When ¾ full • Never • Only when completely empty

  11. 2003 Hand Hygiene Guidelines • Natural nail tip length should be: • Less than ¼ inch • Less than ½ inch • Bitten to nubs • Nails can be any length as long as they are natural

  12. 2003 Hand Hygiene Guidelines • It is not the responsibility of the facility to provide lotion to the HCW, but the facility should encourage the use of lotion to minimize the occurrence of dermatitis. • True • False

  13. 2003 Hand Hygiene Guidelines • When performing surgical hand antisepsis one should: • Remove rings, watches and bracelets before beginning the hand scrub • Leave all jewelry on during hand scrub so you can clean the jewelry and hands at the same time. • Remove only items that will be damaged by the water.

  14. 2003 Hand Hygiene Guidelines • If your hands have been exposed to Bacillus anthracis, you should: • Wash your hands with antimicrobial soap • Wash your hands with non-antimicrobial soap • Wash your hands with an iodophor • A and B • Cry

  15. Clean hands are happy, healthy hands!!!!!“Foam in Foam out”

  16. It is December!Give the gift of good healthto our patients and yourself!“Foam in Foam out” If visibly soiled, wash with soap, water and friction

  17. Hand hygiene compliance • Who collects the data at your facility? • Audit tool (review sample tools) • Calculation of Hand hygiene compliance rates • # of “yes” observations/Total # of observations X 100 • Communicate the data to the HCW’s.

  18. Hand hygiene compliance rates

  19. Hand hygiene compliance rates

  20. Dr. _______ says…. Got Foam???? Use it! Before and after patient care or contact with the patient environment. Hand hygiene matters!!!!! Thank you Dr. ____

  21. Dr. ___________ is sending Subliminal Messages during rounds…. Infection prevention dept. loves it! Thank you Dr. ______ 

  22. Hand hygiene - Keep it Fun! Ideas to keep the ball rolling…. • “Glow Germ” at staff meetings • Hand hygiene “huddles” • Hand hygiene videos to show at staff meetings, orientation, advocate meetings, patient videos. http://www.cdc.gov/handhygiene/Patient_materials.html http://www.hhs.gov/ash/initiatives/hai/training/partneringtoheal.html http://web.me.com/danielwlieu/Hands/Infection_Prevention_and_Control.html

  23. Hand hygiene - Keep it Fun! • Mandatory annual hand hygiene education http://www.cdc.gov/handhygiene/training/interactiveeducation/ • Small prizes or tickets for free food when you catch a HCW performing hand hygiene. (OFMQ – “thank you pocket card, be a life saver pocket card”

  24. Hand hygiene - Keep it Fun! • Wear Hand hygiene apron when out on IC rounds, make some for hospital managers. • iScrub - iScrub Lite is available free from the iTunes App Store. Search for iScrub in the App Store • Face book/Twitter • Web page buttons –

  25. Hand hygiene - Keep it Fun! • Administrative support – last but certainly NOT least…. Questions/comments? Thank you! CIP Consulting LLC www.Cipconsultingllc.com

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