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Good morning. Can this information request please be shared with the broader community?
Good morning all. At a recent clinical review meeting the question was asked as to how we can monitor staff adherence to the 5 moments of hand hygiene in the community. Any advice in this space would be greatly appreciated. Regards Lyn
Lyn Lang
Director of Clinical Operations and Nursing
Phone: (02) 6071 5200
Email: Lyn.Lang@ths.org.auPO Box 77
Tallangatta
VIC 3700
tallangattahealthservice.com.au
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Empowering People for Health Our Values: Integrity, Caring, Respect, Adaptable, Excellence
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Hi Lyn,
Happy to comment on direct observations of HH compliance in this setting.
Summary
Direct observations in this setting and the collection of low numbers of hand hygiene observations will be problematic for the following reasons:
*The Hawthorn effect, where those being observed are aware, they are being observed for hand hygiene practices and change their practice
*5 Moments of Hand Hygiene – All 5 moments of hand hygiene generally cannot be observed as persons are in and out of room with doors which are closed during care for privacy reasons, hence the majority of observations being observed will be prior to entering the room and after exiting the room, not during direct care
*Selection bias – which occurs when the sample size is too small and hence does not represent the population being observed.Hence, direct observation of HH practices in this setting will not necessarily reflect hand hygiene practices across the facilities and is a poor use of limited infection control resources.
Currently Hand Hygiene Australia (HHA) do not recommend routine Hand Hygiene Compliance (HHC) auditing with the 5 Moments for Hand Hygiene audit tool as an outcome measure in the non-acute, primary care or mental health setting https://www.hha.org.au/audits/audit-recommendations
My suggestion would be to focus on an education and training program that includes the following:
*Knowledge assessment annually – HHA have training packages online and these provide the user with a certification on completion that can be presented to line manager/s
*Hand hygiene training and competency assessments which include the use of florescent, odourless lotion which mimics germs and glows brightly when exposed to ultraviolet light. Such simulated training is useful for teaching proper handwashing and allows staff to demonstrate correct hand hygiene technique.*This could be done on employment, annual and during working hours (i.e. just-in-time peer review)
*Readily available laminated Hand Hygiene Australia infographics (posters) across the organisation/service
*Strategies to monitor and ensure alcohol hand rub is readily available across the organisation/service at all times
*Keep reporting simple. Suggest the following:*Report 6mthly and annually
*% of staff completing knowledge assessment
*% of staff, 100% competent in HH technique during assessments i.e. on employment, annually and during just-in-time peer review
*% of staff requiring retraining HHA technique.Hope this is helpful.
Regards
Glenys
Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
Good morning. Can this information request please be shared with the broader community?
Good morning all. At a recent clinical review meeting the question was asked as to how we can monitor staff adherence to the 5 moments of hand hygiene in the community. Any advice in this space would be greatly appreciated. Regards Lyn
Lyn Lang
Director of Clinical Operations and Nursing
PO Box 77
Tallangatta
VIC 3700
tallangattahealthservice.com.au
Empowering People for Health
Our Values: Integrity, Caring, Respect, Adaptable, Excellence
Tallangatta Health Service acknowledges the traditional owners of this land on which we stand and pay our respects to the elders, past, present and future, for they hold the memories, the traditions and the culture of all Aboriginal and Torres Strait Islander people.
_____
This communication is intended only to be read or used by the addressee. The information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and notify the sender by return email.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
Replies to this message will be directed back to the list. To create a new message send an email to acipclist@acipc.org.au
To send a message to the list administrator send an email to admin@acipc.org.au
You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
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