1. HAND HYGIENE &
INFECTION CONTROL
IT’S IN YOUR HANDS
BY MICHELLE GRUENEWALD
GRAND CANYON UNIVERSITY
APRIL 14, 2016
2. HAND HYGIENE COMPLIANCE (HHC)
WHY IS IT
IMPORTANT?
HAND HYGIENE (HH) IS
THE SINGLE MOST
IMPORTANT THING ANY
HOSPITAL EMPLOYEE
CAN DO TO PREVENT
HEALTHCARE-
ASSOCIATED INFECTIONS
(HAIS)
1 IN EVERY 25 HOSPITAL
PATIENTS WILL CONTRACT A
HOSPITAL-ACQUIRED
INFECTION 12% OF WHICH
WILL BE C-DIFF (CDC)
1 OF 9 PATIENTS OVER 65 DIE
WITHIN 30 DAYS OF BEING
DIAGNOSED WITH C-DIFF
(ROOS, 2015)
IT’S LIFE OR
DEATH
3. DO PATIENTS WASH THEIR HANDS AT THE
HOSPITAL?
DO WE OFFER TO WASH THE
PATIENTS’ HANDS AS MUCH AS WE
SHOULD?
DO WE WASH PATIENTS’
HANDS AFTER WE TOILET
THEM?
DO WE OFFER WIPES OR HAND
SANITIZER AT THE BEDSIDE WITH
URINALS AND COMMODES?
ONLY RESPONDENTS 16.9%
HAD ASKED THEIR
HCW TO PERFORM HH
(MCGUCKIN & GOVEDNIK, 2014)
*notes
6. WHICH ONE IS CLEANER?
PUBLIC RESTROOM HOSPITAL
A recent observational study focusing on hand hygiene in five major U.S.
cities found that 85% of adults will wash their hands after using a public
restroom.
This could mean they perceive them to be “dirty” however, passing up
several wall or free-standing alcohol dispensers in the hospital would lead
one to deduce that the public views hospitals as “clean”
8. HOW CAN YOU HELP?
THANKS FOR ASKING!
EDUCATE
KEEP UP THE GOOD WORK BY
CONTINUOUSLY EDUCATING YOUR
PATIENTS ABOUT THE IMPORTANCE
OF HAND HYGIENE.
EMPOWER
REMEMBER KNOWLEDGE IS
POWER!…
USE IT!
ENCOURAGE
ENCOURAGE PATIENTS TO USE THE
HAND HYGIENE PROTOCOL
ENCOURAGE PATIENTS TO ASK
ANYONE TOUCHING THEM TO
WASH THEIR HANDS
INCLUDING: DOCTORS, NURSES,
CNAS AND THERAPISTS
ENCOURAGE PATIENTS TO ASK
THEIR VISITORS TO WASH THEIR
HANDS
9. “
”
A TEACHER AFFECTS ETERNITY;
HE CAN NEVER TELL WHERE HIS
INFLUENCE STOPS.
~HENRY B ADAMS
THANK YOU
10. REFERENCES
Journal of Community Nursing. (2014). The importance of hand hygiene in
preventing the spread of infection. Journal of Community Nursing, 28(2), 75-78.
Retrieved from
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?
direct=true&db=ccm &AN=107901586&site=eds-live&scope=site
Magill, S., Edwards, J., Bamberg, W., Beldavs, Z., Dumyati, G., Kainer, M., ...
Emerging Infections Program Healthcare-Associated Infections and Antimicrobial
Use Prevalence Survey Team (2014). Multistate point-prevalence survey of health
care-associated infections. Retrieved from
http://www.ncbi.nlm.nih.gov/pubmed/24670166
McGuckin, M., & Govednik, J. (2014). Patient empowerment begins with knowledge:
Consumer perceptions and knowledge sources for hand hygiene compliance
rates. American Journal of Infection Control, 42, 1106-8.
11. REFERENCES CONTINUED
Roos, R. (2015, February 15). CDC puts C difficile burden at 453,000 cases, 29,000
deaths. Center for Infectious Disease Research and Policy. Retrieved from
http://www.cidrap.umn.edu/news- perspective/2015/02/cdc-puts-c-difficile-burden-
453000-cases-29000-deaths
Sunkesula, V. C., Knighton, S., Zabarsky, T. F., Kundrapu, S., Higgins, P. A., & Donskey, C.
J. (2015, August). Four moments for patient hand hygiene: A patient-centered,
provider-facilitated model to improve patient hand hygiene. Infection Control &
Hospital Epidemiology, 36(8), 986-989. http://dx.doi.org/10.1017/ice.2015.78
Notas del editor
Most patients are afraid to ask their health care workers to wash their hands. When asked they said they feared it would make the HCW mad or affect the quality of care they received. As healthcare professionals, we need to educate our patients about hand hygiene and how to advocate for themselves. Patients need to know it is okay to ask questions, that we do not mind being asked. In fact we encourage them to ask questions.
https://www.cartoonstock.com/directory/p/personal_hygiene.asp
This poster shows the “four moments for patient hand hygiene” that we should reinforce to the patients as much as possible. This is very simple and easy to remember.
The chart on the left is an observational study from American Journal of Infection Control from 2012, 3000 observations, 900 are from the “pre-intervention” period, and the hand hygiene compliance (HHC) rate was only a little over half. The study on the right was from 2015 published in American Psychological Association by the same researcher. This study was also observational, but it was at an ICU and it was 404 people health care personnel (HCP) and visitors who went in and out of the ICU while being observed. The baseline before any intervention of HCP and visitors who were compliant with HH was 15%! Ouch!
Wash your hands: Entering/exiting rooms
Before/after gloving
Before/after touching patient’s things
Before/after eating
Before/after using the restroom
Before/after touching your face