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Hi Carien
It has been a long hard challenge to improve HH at our new facility.
The Executive management eventually got behind the program after a few dismal submission results.
They are now very proactive with ensuring results are distributed to identify non-compliance within departments.
HH is discussed at all the executive meetings and was introduced as a KPI for the NUMs.
HH education is done prior to staff handover meetings and also one on one when we are auditing and observe non-compliance.
Agency staff were identified as requiring extra education as well as Pathology services practices.
The Doctors are still lagging behind a bit and have always required IPC to produce evidence to roll up sleeves on rounds and always question moments.
The HH results for the Medical staff are reported to the Medical Advisory Committee to push that side of employees.
The 5 Moments are displayed on the monitors in the ward areas plus I get the HH company representative to assist with practical exercises at ward level.
We have no allocated funding for HH. It is one of those duties done on our IPC ward rounds, ward audits as well as allocated times.
Funding is not an option for our HH auditing but it should be as it is very time consuming.
Hope this helps with some ideas.
Elizabeth Smith
Infection Prevention & Control Coordinator
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Sunshine Coast University Private Hospital
Infection Control
Phone:
07 5390 6183
Fax:
07 5390 6224
Email:
SmithElizabeth@ramsayhealth.com.au
Web:
Address:
3 Doherty Street, Birtinya Qld 4575
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Hi Carien
I have worked in private facilities that have different emphases in regard to hand hygiene audits.
One private facility provided no ward based resources for auditing, and said infection control had to do all of the auditing. The result of this was no ownership by ward managers or staff over either auditing or compliance results. Nothing changed, except infection control got less other stuff done.
Another private facility has enforced ward managers being responsible to provide a KPI for moments collected on their ward. This has resulted in multiple staff in each ward being trained as auditors, and ward managers taking ownership of the audit results and compliance results. Far more effective, in my (infection control biased) opinion. And is slowly changing the facility culture of healthcare worker hand hygiene, in my opinion.
I personally believe it is very short-sighted to say there is no financial return on hand hygiene auditing, which is often the argument not to commit resources. There is plenty of evidence that supports hand hygiene as the most likely indicator of the risk of transmission of MRO’s in a facility. If you can get wards and departments to take ownership of improving hand hygiene, it can have multiple flow on improvement effects, and have an overall impact on reduced healthcare associated infections.
All my opinion, of course.
Good luck.
Cheers
Michael
Michael Wishart
Infection Control Coordinator
A 627 Rode Road, Chermside QLD 4032
P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
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P Please consider the environment before printing this email
Good afternoon,
I’m seeking advice from my colleagues in the Private Health sector as to how you run an effective hand hygiene program. I’m specifically referring to the challenges related to auditing where there are no hours allocated for auditing and in a climate of reduced clinical hours therefore making it even harder to fit auditing in with a very high workload for staff in clinical areas.
Kind regards,
Carien
Carien Coleman | Infection Control CNC
The Sunshine Coast Private Hospital
Syd Lingard Drive | BUDERIM QLD 4556
PO Box 5050 | Maroochydore BC QLD 4558
T: (07) 5430 3245 | F: (07) 5430 3154
E: carien.coleman@uchealth.com.au
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