Improving Hand Hygiene Compliance at Facility Training
Enhance hand hygiene compliance at a facility through training interrupted observers in real-time reinforcement. Tips for observations and exceptions to the hand hygiene expectation are highlighted. Scope of observations includes room entry and exit compliance.
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Improving Hand Hygiene Compliance at INSERT FACILITY NAME Training for Interrupted Observers
Interrupted Observations Purpose Provide real time reinforcement of correct behavior. Provide real time education related to non-compliance. Identify barriers to compliance. Goals To change behavior, resulting in increased compliance. To lead by example and empower the bedside providers to interrupt or provide a gentle reminder when they see non-compliance. 3
Tips for Interrupted Observations If your view is blocked and you are unsure of compliance, don t guess. Continue to watch the provider, but don t interrupt until you are sure there was compliance or non- compliance. Pay attention to your body language. Appear open, relaxed and non-judgmental. If the interaction becomes confrontational, don t engage. Thank the individual and walk away. Acceptable answers to a reminder are Thank you for reminding me or I didn t realize I didn t clean thanks . Submit the name of the individual who became confrontational to [Insert the name of the appropriate individual.] 4
Exceptions to Hand Hygiene Expectation There are a few exceptions to the expectation for performing hand hygiene. Patient safety always comes first. If there is a medical emergency respond first and clean your hands second. Medical teams on rounds are allowed to clean their hands as they leave one room and walk directly into the next room without touching anything and are not required to clean their hands again as they enter. However, if any rounding team member stops and touches anything (workstation on wheels, phone, pager, etc.) they must clean again before entering the next patient room. Dietary/food services staff will perform a 20 second hand wash before tray passing in the dining room. When delivering trays to patient/resident rooms, they will perform a 20 second hand wash before passing the first tray and then clean their hands upon exiting each room before passing the next tray. The reverse applies as they collect trays. They will clean their hands before entering each room to pick up a tray. 5
Scope of Observations Within Scope Compliance with hand hygiene at room entry Compliance with hand hygiene at room exit Not Within Scope Correct isolation practices Compliance with hand hygiene while care is being provided Appropriate cleaning of patient care equipment Measuring the time spent washing hands with soap and water 6