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Re: Moments of Hand Hygiene

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Thank you everyone for taking time to response with best practice. I really appreciate each one of you for your response and sharing your best practice and they are valuable. Thank you in particular to Robyn for your reassurance and sharing the observation tool which I was not aware of and this will be a great tool for me to apply during my next HH observational audit. I could see that you have a work number, if you okay with it, can I touch base to ensure I am on a right track?Wow! I really love this platform. Howdid I get so lucky 🙂
Have a good afternoon everyone
Kind regardsTenzin ChokeyIPC LeadLife Care SA

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On Monday, September 19, 2022, 11:57 am, Robyn Russell wrote:


Hi Tenzin

I agree 100% re 4 moments in aged care a RACF resident does not neatly sit within a boundary such as a room or patient area as they would in a hospital setting

There are many shared spaces, such as dining rooms, activity areas, cafes etc

At my organisation we combine moments 4 and 5 as you describe

Based on the Canadian Ontario Health Just clean your hands (long term care) program https://www.publichealthontario.ca/en/health-topics/infection-prevention-control/hand-hygiene/jcyh-ltch or https://www.youtube.com/watch?vWQKu7V2sy64 , they have some amazing resources for an aged care setting

SA Health adapted the tool we developed at my organisation based on the Ontario model for use by providers who do not contribute to the NHHI
This tool more accurately reflects an aged care setting
Instead of identifying Moments 1, 2, 3 etc we assess against opportunities observed and whether HH was undertaken

https://www.sahealth.sa.gov.au/wps/wcm/connect/321b0200408cc7bf9f52bf222b2948cf/Hand+Hygiene+Observation+Tool_v3.6+%28Jun2020%29_amended.pdf?MODAJPERES&CACHEIDROOTWORKSPACE-321b0200408cc7bf9f52bf222b2948cf-o5jb2f6

Initially we developed posters and education focussing on the 4 moments, but over time most signage reflects the standard 5 moments for HH.
I dont really get hung up on 4 / 5 moments, I talk to the opportunities which is observing HH being undertaken prior to and after any care / person / environment contact
IA bit hard to explain in an email sorry

At the end of the day our focus is on improving hand hygiene practice ensuring improved resident outcomes
Tenzin, I am happy to chat if you want more information

Regards
Robyn

Robyn Russell RN, CICP-P
Client Safety & Quality Consultant
34 Molesworth Street, North Adelaide SA 5006
T.(08) 8224 7851
M.0424 167 101
F.(08) 8267 2690
http://www.helpinghand.org.au

Hi All
I am fairly new to therole as acentralisedIPC lead. Prior to taking on the role, in the recent timemy organisation had adopted 4 moments of hand hygiene instead of 5 moments and therationale behind this is 5 momentsapparently doesntsupport aged care setting. If we are toapply a 5 moments, we must either have a ABHR at each residents bedsideor alternatively all staff would needto carry hand gel with them. The posters were changed from5 moments to WHO4 moments.
This was not something that I have implemented, but was there in place. When I started our HH audit, my audittemplate was based on 4 moments. However,recent SA health onlineinfection course that all aged care workersrequired to complete still has 5 moments. I find this quite misleading for the staff given there are now2 different instructionsto follow. I was wondering if other organisation follow 4 or 5 moments. If 5,how do you make sure this is followed correctly by staff.
I would really appreciate some response.
Tenzin Chokey
Infection Prevention and ControlLead
Life Care SA

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