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I agree that stratergies for compliance need to improve and that auditing
may not be effective. Having observed and intercepted frequent episodes of
non hand hygiene compliance prior to invasive procedures whilst supporting
a patient at high risk of HAI over the last 4 weeks I am quite frankly
dismayed.
Yvonne Inguz
Clinical Nurse Midwife
Tennant Creek Hospital NT
08 8962 4399On 24/08/2017 8:12 AM, “Michelle Bibby”
wrote:> Thank you Glenys
>
> I have just spent 6 days as a visitor in a large public hospital (sister
> had a hip replacement) and observed HH once during my visits, 2 visits a
> day for 6 days!
>
> It is a conversation that must be had, but where to from here?
>
> Regards
> Michelle
>
> Michelle Bibby
> Infection Prevention Australia
> +61 429 071 165
> Michelle@infectionprevention.com.au
> http://www.infectionprevention.com.au
>
>
>
> From: ACIPC Infexion Connexion on behalf of
> Glenys Harrington
> Reply-To: ACIPC Infexion Connexion
> Date: Wednesday, 23 August 2017 at 5:14 pm
> To:
> Subject: It is now time to pull back on time consuming hand hygiene
> observational audits and unrealistic performance indicators (targets) for
> hand hygiene compliance?
>
> Dear All,
>
>
>
> It is now time to pull back on time consuming hand hygiene observational
> audits and unrealistic performance indicators (targets) for hand hygiene
> compliance?
>
>
>
> Recent publications suggest it is now time to review and rethink such
> programs in developing and developed countries to ensure an evidence based
> approach to hand hygiene and cost effective use of infection prevention and
> control resources.
>
>
>
> *HH compliance papers*
>
>
>
> *Kingston L et al. Hand hygiene-related clinical trials reported since
> 2010: a systematic review. * *Journal of Hospital Infection 92 (2016)
> 309-320*
>
>
>
> We concluded that adopting a multimodal approach to hand
> hygiene improvement intervention strategies, whether guided by the WHO
> framework or by another tested multimodal framework, results in moderate
> improvements in hand hygiene compliance.
>
>
>
> *Hand hygiene compliance: are we kidding ourselves? Editorial, Journal of
> Hospital Infection 92 (2016) 307-308 *
>
>
>
> It is clear that monitoring hand hygiene compliance using
> direct observation is flawed and that electronic devices/methods in
> combination with smaller observational audits using appropriately trained
> staff would enable a better assessment Hence, in an era of
> multi-resistant Gram-negative bacteria, it is now time to take stock and
> consider that we have spent a number of years performing research on hand
> hygiene with little evidence that any particular strategy works. Perhaps
> future research should be focused not on campaigns to improve hand hygiene
> at all costs, but on understanding when hand hygiene is most beneficial,
> setting reasonable, achievable targets, and then monitoring using
> validated, reproducible methods.
>
>
>
> *Scheithauer S et al. Workload even affects hand hygiene in a highly
> trained and well-staffed setting: a prospective 365/7/24 observational
> study. Journal of Hospital Infection 97 (2017) 11-16*
>
>
>
> Calculated compliance was inversely associated with nurses
> workload. Hand-rub activities (HRA)/patient-day (PD), observer-determined
> compliance and amount of disinfectant dispensed were used as surrogates for
> compliance, but did not correlate with actual compliance and thus should be
> used with caution.
>
>
>
> Regards
>
>
>
> Glenys
>
>
>
> Glenys Harrington
>
> Infection Control Consultancy (ICC)
>
> P.O. Box 6385
>
> Melbourne
>
> Australia, 3004
>
> M: +61 404816434
>
> E: infexion@ozemail.com.au
>
> *[image: Description: ICC Diagram ICCversion]*
>
>
>
>
>
>
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Will this seminar be available by video link up? It would be very
interesting however I am in the center of the NT.
Yvonne Inguz IPC
Tennant Creek Hospital
Northern Territory NTOn Thu, Sep 29, 2016 at 1:33 PM, Michael Wishart wrote:
> [Posted on behalf of Whiteley Moderator]
>
>
>
> On the 19th October a range of high calibre speakers, all experts in
> their field, will inform and enhance your understanding
>
> of the ever expanding realm of biofilms and their role in cross infection.
>
>
>
> Venue:
>
> The Woodward Centre
>
> Level 10, Melbourne Law School
>
> 185 Pelham Street, Carlton, 3010
>
>
>
> Time: 9.30am to 12.40pm, lunch 12.40-2pm.
>
>
>
> Closing date for Registration is 14th October, 2016, no registration fee
> required.
>
>
>
> Click here for more info: http://www.whiteley.com.au/seminar-series
>
> ************
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>
>
> Kind Regards
>
>
>
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>
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Hi Cate I hope this information gives you a better idea about target levels
for SSIYvonne Inguz IPC CNC
Tennant Creek Hospital NT
896224470On Wed, Aug 31, 2016 at 12:01 PM, Cate Coffey wrote:
> Hi there
>
> Could anyone tell me what an acceptable target rate for LUSCS infections
> might be. Ours is set at
> Thanks
>
>
>
> *Cate Coffey | *Clinical Nurse Consultant
>
> Infection Prevention and Control Unit | Central Australia Health Service
>
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>
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>
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