Hand Hygiene… Here we go again
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Transcript of Hand Hygiene… Here we go again
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HAND HYGIENE…
HERE WE GO AGAIN
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How is it different this
time?
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= Solution
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Vision Statement
“Innovative delivery of exceptional community healthcare”
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Hospital Acquired Infections
Over 99,000 deaths per year 1.7 million patients infected
per year $45 billion each year Over 70% of all HAI’s are
antibiotic resistant
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U.S. Not Improving 2002 CDC Guidelines
Wall mount dispensers Infection rates not declining U.S. does not follow CDC or
World Health Organization guidelines
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What does this mean?.
HH is still to blame It is the standard of HH
that is failing…not YOU
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When do we need to change??
Yesterday
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Urgency ZERO tolerance 2012
Medicare withholdings
Compliance based or Blame-base systems HERE
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How do we improve?
Together
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Personal Dispensers
+ Meaningful
Performance Feedback
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Empowerment Professional Empowerment
Performance-Feedback
Driving to a Goal
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Be True to the Guidelines
World Health Organization5 MOMENTS
CDC
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5 MOMENTSBeyond Foam-In/Foam-Out
1. Before touching a patient2. Before aseptic procedures3. After body fluid exposure4. After touching a patient5. After touching patient
surroundings
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CDC
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Patient Nest Hand Hygiene This is the patient and all the
surroundings Vulnerability of ICU patients
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Patient Nest Facts VRE can live on surfaces for
7days up to 4 months 80% carried MRSA for 3
hours…despite gloves Increased workload is
associated w MRSA transmission
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Point-of-Care Access
Personal Dispensers Personal Approach Build Second-nature habit
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Personal Dispenser
Wearing it Using it Replacing bottle
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Personal Dispensers
Trade in you Tags for your personal dispenser
Goal of 8 uses/hr Performance feedback will
be on personal dispenser usage only
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Performance Feedback
Feedback PhilosophyDrive Performance- Not POLICEAnonymous to leadership
How it works Hourly Hand Hygiene rate Goal Rate
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Alcohol Adoption Alcohol misconceptions
Alcohol adoption process
Lotion
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Building the Habit
Stick with the good habits
Pt. nest hand hygiene
Continuous sanitizing
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What Improvement
Means
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Perspective Innovative Process Changing a Standard New Model
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Study at Dartmouth-Hitchcock ICU
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Your Clinical Leadership
Raising Hand Hygiene to an advanced clinical skill
Innovate a model that will contribute to safe patient handling.
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Review You can make a difference Wear it and use it Give us your feedback!! Use performance feedback to get
the habit Encourage and help each other, it's
worth it
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Thank you!Patient Safety
is aPowerful Fashion
Statement
Wear it