Presentations text content in Hand Hygiene Compliance: “Going Back to Basics”
Hand Hygiene Compliance: “Going Back to Basics”
Greater NY York APIC Chapter 13November 19, 2014
Saungi McCalla, MSN, MPH, RN, CIC
Director of Infection Prevention and Control
White Plains HospitalSlide2Slide3
WPH Hand Hygiene Program
We have a very robust hand hygiene program at our institution which targets patients, staff and visitors. Staff Program
Compliance monitoring via observation Observation done through objective observers (college interns)
Education (role and responsibility in hand hygiene and infection prevention)Slide4
According to the Centers for Disease Control and Prevention (CDC), hand hygiene is the single most important means of preventing the spread of infectionHand Hygiene compliance among healthcare workers is poor, less than 40% globally with many healthcare-acquired infections being transmitted on the hands of health care workers.
Since many disease causing germs are spread by the hands, patients are also at risk from themselves and visitors.Slide5
Hand Hygiene compliance is monitored for staff and rates published. In 2010-2011, our rates were 84% and 91% respectively.
We were not meeting our goal
To increase our hand hygiene rate to >95% quarterly and sustain it.Slide7
In 2012, we developed the Hand Hygiene Task Force which was designed to re-energize all hospital staff around hand hygiene, re-educate on the principles of hand hygiene and to engage everyone in the process.
We also wanted to identify the barriers to hand
dispensers were only mounted in patients’ room where they were not readily accessible to
dispensers were often
dried cracked hands from frequent hand hygiene
staff not taking performing hand hygiene
Addressing the barriers:hand hygiene dispensers were made available throughout the hospital
we collaborated with EVS to ensure that rounding was being done to prevent dispensers from being
Lotion dispensers were also made available to staff to keep their hands moisturized in an effort to prevent dried cracked hands.Slide9
All staff were re-educated on hand hygieneThe new Slogan: “Wash In, Wash Out” in alignment with The Joint Commission was adopted
All staff re-committed themselves to the principles and policy through reading and signing of the hand hygiene pledge including new hires.The staff is
charged with the responsibility to intervene when anyone was found to be non-compliant with the policy, thereby holding everyone accountable.
Compliant staff is rewarded with a “Great Job!” sticker and a lollipopSlide11Slide12
The initiatives were successful. Our hand hygiene compliance rate increased to 97% in 2012 and was sustained in 2013.The
data shows an increase in our compliance rate to
Our current rate is 100
In addition, as hand hygiene compliance rates increased, infections were noted to decrease in several categories such as central lines and ventilator associated pneumonia (VAPs). This resulted in cost savings and substantial reduction in patient morbidity and mortality.Slide13Slide14Slide15Slide16Slide17
Hospital-wide celebration with Ice Cream Socials for achieving 100% compliance in a quarter We have had 3 so far in 2014Slide18