Implementing Interventions – Staff Education/Training
Based on the outcomes of the data gathered, the next intervention will be the conduction of unit-wide hand hygiene mandatory in-services. Staff education on the importance of hand washing, the correct procedures for hand washing, and hand rubbing are important for bringing about behavioral and cultural change and ensuring that competence is firmly embedded and sustained among all staff in relation to hand hygiene (WHO, 2009). The initial training will be coordinated by the unit supervisor, but the training will be presided over by a person with basic knowledge on infection control, preferably the unit infection control coordinator or the charge nurse. For a sustainable impact, WHO guide
…show more content…
As part of the training, all patients and their families will be briefed on the importance of proper hand hygiene. This will be done on admission on the unit and as needed during their stay on the unit. The patients will be asked to speak up and remind any staff to follow proper hand hygiene before providing clinical care. Patient involvement will also be used at the evaluation stage through feedbacks on hand hygiene performance by the staff.
Implementing Intervention – Alcohol Based Hand Sanitizers
Hand sanitizers are a very popular hand hygiene method, effective germicidal agents and are easy to use. WHO (2009) recommends installing hand sanitizers dispensers at each point of care and make them easily accessible by the healthcare staff, patient or patient family. For this program the hand hygiene champion team will make a unit survey to make sure that all the hand sanitizer dispenser available are fully functional, are regularly refilled, are easily accessible by the staff at the point of care. Based on the finding changes will be initiated accordingly; if the dispensers are not enough requisitions will be made through the unit charge nurse to install them where they are needed, if there is any need to relocate the already existing dispensers, the maintenance or engineering department will be called in to make such changes. On a shift basis, a hand
One of the main problems is hand hygiene and evidence suggests that healthcare staff including nurses do not perform this task as often as they should nor do they use the proper procedure. Even though it is
Patients have observed several physicians and nurses not washing their hands before interacting with patients. Hand hygiene is one of the largest tactics to combat nosocomial infections. The hospital should adopt a culture of 100% compliance with hand washing. The first step would be to increase handwashing stations and have more quick-dry alcohol-based antibacterial soap dispensers. Making access easier and decreasing the time taken to wash one’s hands would encourage adherence the policy. Furthermore, each floor should track hand washing and report data of potential nosocomial infections caused by improper handwashing. Keeping patients protected from bacteria is important especially when most are in an immunocompromised
Implementation Processes: The retrospective data of hand hygiene compliance among healthcare workers from 2014-2015 were analyzed. Then, integrating the essence data of non-compliance with hand hygiene from fish bones analysis to develop patient engagement intervention—Hand Hygiene Compliance Process Flow Chart—for improving hand hygiene compliance. The PDSA development cycles, and WHO measures hand hygiene compliance were conducted to test the feasibility of the intervention within 10 days. The staff members working in the oncology unit were a target; 20-30 members were tested for daily hand hygiene compliance. The processes were: PDSA cycle 1: the pilot test by educating two patients about hand hygiene. As a result of this cycle, we adapted
CDCs clean hands count campaign aim to improve healthcare provide adherence to hand hygiene recommendations, address, myths and misperceptions about hand hygiene and empower patients to play a role in their care by asking or reminding healthcare providers to clean their hands and the most germs that cause serious infections in healthcare are spread by people’s action, every patient is at risk of getting an infection while they are being treated for something else, hand hygiene is a great way to prevent infections and healthcare providers clean their hands less than half of the time they should, good hand washing is the first line of defense against the spread of many illness.
Good hand hygiene is the simplest, yet proven strategy to counteract hospital infection. However, the difficulties of achieving good levels of compliance are well noted in the literature. There are several seeming barriers to carry out adequate hand hygiene:
This study was intended to prove that hand hygiene practiced according to the CDC guidelines will decrease the incidence of hospital acquired infections. This could not really be proved in this study since the hospitals were not able to maintain improvement in hand hygiene. Health care workers were familiar with guidelines but significant practice changes were not maintained. Some of the infection rates did improve during this time but the correlation with hand hygiene is not consistent. There were other practice changes occurring during this same time and those changes may be responsible for the decreased infection rates.
This can be accomplished by implementing a monthly handwashing initiative on the unit that would consist of completing five anonymous evaluations a month. Staff can enter their names into a drawing on the unit, winners will receive a prize for their participation. The increase in consistent handwashing between patients will reduce mortality and morbidity rates, reduce length of stay, reduce infection rates therefore increasing reimbursement for the hospital.
Keeping our hands clean is one of the most effcient and important steps we can do as humans to avoid getting sick or spreading germs to other people. Unwashed hands spread many diseases such as the flue, E. coli, and salmonella. Unfortunately, hand hygiene is still one of today’s most leading causes of infection in health care facilities. The risk of clinicians, patients, and visitors not complying with hand hygiene protocols creates a practice problem for nurses and their patient care. The cause of health care infections, also known as, health care-associated infections (HAIs) are increasing along with the rise of the inability to control or treat infections that are multi-drug resistant. Lack of proper hand hygiene is a major problem in clinical settings sourcing from critical care divisions where the most contaminations are prevalent. This paper will discuss how hand hygiene affects the nursing process and solutions of how to better prevent HAIs within the nursing scope of practice.
Hospital acquired infections (HAIs) affect over 1.7 million patients each year, causing almost 100,000 deaths annually in the United States alone (Johnson, 2010). According to the World Health Organization, HAIs are the most frequent adverse event in the healthcare industry. Fortunately, most of these infections can be prevented with one single intervention, proper hand hygiene (“The Evidence,” n.d.). Four out of five pathogens that cause illness are spread by direct contact. Proper hand hygiene eliminates these pathogens and helps to prevent cross-contamination and HAIs (Linton, 2015; “Hand Hygiene,” n.d.). Reduction of cross-contamination and HAIs improves patient outcomes, increases employee wellness, and lowers health care costs. Adherence to proper hand hygiene is the single most important safety measure in the health care setting. However, for many years compliance to proper hand hygiene in the healthcare industry has been dismally low. New and inventive measures must be implemented to increase compliance to proper hand hygiene and lower the rate of hospital-acquired infections.
Hand washing has been proven to be one of the most effective means of preventing the spread of infection in healthcare facilities (Centers for Disease, 2015). An outpatient dialysis facility noted that staff was very complacent about hand hygiene. The Joint Commission National Patient Safety Goal 7 (JCPSG) states” that healthcare organizations must perform an accurate “baseline assessment of hand hygiene in order to identify opportunities for improvement” (The Joint Commission, 2016). 90,000 people die each year from hospital acquire infections at about a cost of 4.5 billion dollars (Fairchild, 2009). By increasing hand hygiene compliance could save this facility many dollars and not only that many precious lives.
The main of focus of the quality improvement program is always patient’s safety, needs, quality care and expectations. Even though the healthcare system is very critical as it involves the lives of other, there are some errors that can lead to undesirable consequences. One of the most common error that risks the lives of thousands of people including both patients and healthcare employees is the hand hygiene. Healthcare personnel are the leading source for the spread of Hospital acquired Infections. Every year about one million people die from hospital acquired infections in United States.
Research shows that Surgical site infections are preventable. According to the CDC, hand hygiene is the simplest approach to preventing the spread of infections and needs to be incorporated into the culture of the organization. Ensuring the use of infection control prevention is an important component of nursing care. Infection control prevention policies must be communicated undoubtedly to all employees. Staffers who do not comply must be re-educated to ensure that all are complying. Speaking up and pointing out that a nurse forgot to wash his or her hands, or notifying the surgical team that surgical instruments were not adequately cleaned may seem like small issues; but at the same time, not acknowledging a break in a sterile technique could mean the difference between life and death for a patient. One hospital that was struggling with high levels of infection related to surgical procedures, implemented a pre-procedure huddle as a team. This innovate way decreased the spread of infection and was a great way to improve the quality of care for patients. As mandated by the Joint commission, infection prevention personnel should provide multidisciplinary education on SSI prevention, to all team members, including
Healthcare associated infections have an impact on patients - how? Can be prevented greatly with compliance to hand hygiene protocols (REF).
Recent studies show that at any time, over 1.4 million people worldwide suffer from hospital-acquired infections (Public Health Ontario). In Canada alone, approximately 250 000 patients every year contract infectious micro-organisms from their healthcare providers (Nagel 18). At London Health Sciences Centre (LHSC) we take pride in providing world class care in a safe, comfortable environment for patients. However, between 2008 and 2010 the LHSC still had between 20 and 30 per cent non-compliance to proper hand-washing protocol (Nagel 20). This data is very troubling considering it is following the launch of “Just Clean Your Hands” pilot project. As student nurses and volunteers of the LHSC team we are equally responsible to increase hand-washing compliance.
Hand hygiene practices are important thing to infection prevention and control practice. As health provider especially ED staff or front liner, to follow hand washing protocols is necessary in any situation. According Practice Standard (2009) four major elements to preventing practice; hand washing, protective barriers, care of equipment and health practice of nurse. Cite from Health Promotion Agency for Northern Ireland, scientists has found around 45% of infections can be prevented by washing hands regularly. MOH (2010) increasing in hand-washing compliance by